Social Engagement and Distress Among Home Care Recipients During the COVID-19 Pandemic in Ontario, Canada: A Retrospective Cohort Study

McArthur, Caitlin; Turcotte, Luke; Sinn, Chi‐Ling Joanna; Berg, Katherine; Morris, John N.; Hirdes, John P.

doi:10.1016/j.jamda.2022.04.005

Cited by 5 publications

(5 citation statements)

References 55 publications

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“…A significant reduction in the frailty scale of older adults was reported in a longitudinal study from 2018 to 2021 [62]. The pandemic was associated with greater odds of frailty (OR=3.21) [72]. The population of pre-frail and frail older adults increased by 4.7% and 6.6%, respectively, in the 1 st 6-month period of the pandemic [41], independent of SARS-CoV2 infection, frail older adults had a significantly higher risk of worsening frailty condition [74].…”

Section: Incidencementioning

confidence: 91%

“…Much evidence in the current review indicates that the raised prevalence of frailty and the incidence of transition to a frailty state during the COVID-19 pandemic can be due to the implementation of constraints during the crisis [41,42,50,54,60,62,72,74]. It has been reported that frail seniors' social activities and interaction with friends and family declined during the pandemic [52].…”

Section: Social Consequencesmentioning

confidence: 92%

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An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

Hamedanchi,

Khankeh,

Abolfathi Momtaz

et al. 2023

HDQ

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Background: The COVID-19 pandemic has inflicted tremendous pressure on people, including older adults. Frail older adults are more susceptible to the adverse consequences of the pandemic. Although many studies have investigated the susceptibility and poor medical outcomes of COVID-19 in frail people, a few studies have explored the psychosocial effects of the pandemic on this group of vulnerable people. This study overviews the psychosocial consequences of the pandemic and necessary public interventions for frail older adults. Materials and Methods: An integrative review method was utilized to gather, analyze, and structure the study data. PubMed, Web of Science, and Scopus databases were searched to extract the published English papers based on a designed strategy. The keywords and used Boolean operators in their titles or abstracts were ([“COVID-19” OR “CORONA” OR “SARS-CoV-2”] AND [“frail” OR “frailty”]). A total of 50 articles (47 quantitative, 2 qualitative, and 1 mixed method) were selected for the final analysis. Results: Anxiety and depression were reported as the most significant psychological consequences in the related studies. The results also indicated the social relations of older frail people and their access to health services noticeably reduced during the pandemic. On the other hand, physical exercise programs, telemedicine, and reading activities were the most preventive measures to mitigate the impacts of public restrictions during the pandemic. Conclusion: The results of this review can assist policymakers in reflecting appropriate psychosocial support for frail seniors during the pandemic. As most studies on the psychosocial aspects of the COVID-19 pandemic among frail older adults are quantitative and have been performed in developed countries, it is suggested to conduct further qualitative studies. These studies should explore frail older adults’ experiences and perceptions and their challenges during the pandemic, particularly in developing countries.

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Section: Incidencementioning

confidence: 91%

Section: Social Consequencesmentioning

confidence: 92%

An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

Hamedanchi,

Khankeh,

Abolfathi Momtaz

et al. 2023

HDQ

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“…18 In several previous analyses, we have defined the pandemic period as beginning March 1, 2020. 19 - 23 Therefore, we defined the waves of the pandemic based on the weekly number of COVID-19 cases reported by the Government of Canada 24 : wave 1 from March 1, 2020 to June 30, 2020 and waves 2 and 3 overlapped from October 1, 2020 to March 31, 2021. July 1, 2020 to September 30, 2020 was defined as off-peak as COVID-19 cases in Canada decreased during this time.…”

Section: Methodsmentioning

confidence: 99%

The Medical Complexity of Newly Admitted Long-Term Care Residents Before and During the COVID-19 Pandemic in Ontario, British Columbia, and Alberta: A Serial Cross-Sectional Study

Al-Sharkawi,

Turcotte,

Hirdes

et al. 2024

Health�Serv�Insights

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The COVID-19 pandemic had profound effects on the long-term care (LTC) setting worldwide, including changes in admission practices. We aimed to describe the characteristics and medical complexity of newly admitted LTC residents before (March 1, 2019 to February 29, 2020) and during (March 1, 2020 to March 31, 2021) the COVID-19 pandemic via a population-based serial cross-sectional study in Ontario, Alberta, and British Columbia, Canada. With data from the Minimum Data Set 2.0 we characterize the medical complexity of newly admitted LTC residents via the Geriatric 5Ms framework (mind, mobility, medication, multicomplexity, matters most) through descriptive statistics (counts, percentages), stratified by pandemic wave, month, and province. We included 45 756 residents admitted in the year prior to and 35 744 during the first year of the pandemic. We found an increased proportion of residents with depression, requiring extensive assistance with activities of daily living, hip fractures, antipsychotic use, expected to live <6 months, with pneumonia, low social engagement, and admitted from acute care. Our study confirms an increase in medical complexity of residents admitted to LTC during the pandemic and can be used to plan services and interventions and as a baseline for continued monitoring in changes in population characteristics over time.

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“…Worldwide, empirical studies have reported that HCBS were particularly bene cial in the management of common physical and psychological symptoms among older adults in general [30][31][32]. HCBS helped all participants access social relationships [33] and promoted reassurance [34], indicating HCBS might be a potential way to reduce the risk of loneliness. Although studies have reported that those who received HCBS were more likely to have objective social contacts [30][31]35] and subjective perceived availability of support [33], knowledge gaps still exist in the association of HCBS and loneliness.…”

Section: Introductionmentioning

confidence: 99%

Use of Home and Community-Based Services and Loneliness in Older People with Functional Limitations

Zhang

Sun

Yao³

2023

Preprint

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Background Loneliness is one of the major health problems among older adults. Home and community-based services (HCBS) have become increasingly popular. Despite their health benefits, little is known about the relationship between HCBS use and loneliness in older people with functional limitations. Here, we aim to explore the characteristics of loneliness among older people with functional limitations and examine the association between HCBS use and loneliness in China. Methods We used data from the 2018 Health and Retirement Longitudinal Study, which includes a nationally representative sample of Chinese residents aged 65 and older with functional limitations. Logistic regression models were used to examine the associations between HCBS use and loneliness, and we further used propensity score matching to account for the potential selection. Result In China, 46% of functionally limited older adults felt lonely and only 22% of functionally limited older adults reported using HCBS in 2018. Compared with participants who did not receive HCBS, those who received HCBS were less likely to report loneliness (OR = 0.81, 95% CI = 0.63, 0.99, p = 0.048), and the results remained significant after adjusting for confounding using propensity score matching. Conclusion Our results showed that loneliness was common among functionally impaired older people in China, and the proportion of HCBS use was low. There was robust evidence to support that among people with functional limitations, HCBS use was associated with less loneliness. Further policies should promote the development of broader HCBS use for older people with functional impairments to reduce their loneliness.

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Social Engagement and Distress Among Home Care Recipients During the COVID-19 Pandemic in Ontario, Canada: A Retrospective Cohort Study

Cited by 5 publications

References 55 publications

An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

An Integrative Review of the Psychosocial Impacts of COVID-19 on Frail Older Adults: Lessons to Be Learned in Pandemics

The Medical Complexity of Newly Admitted Long-Term Care Residents Before and During the COVID-19 Pandemic in Ontario, British Columbia, and Alberta: A Serial Cross-Sectional Study

Use of Home and Community-Based Services and Loneliness in Older People with Functional Limitations

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