tetano
Editor, Senior Moderator
JMIR Res Protoc
. 2021 Apr 12.
doi: 10.2196/26431. Online ahead of print.
Cognitive Outcomes during COVID-19 confiNemeNt in Elderly and their Caregivers using Technologies for DEMentia (CONNECT DEM): study protocol
Jessica Marian Goodman-Casanova[SUP] 1 [/SUP], Elena Dura-Perez[SUP] 1 2 [/SUP], Gloria Guerrero-Perti?ez[SUP] 1 [/SUP], Pilar Barnestein-Fonseca[SUP] 1 [/SUP], Jose Guzman-Parra[SUP] 1 [/SUP], Amanda Vega-Nu?ez[SUP] 1 [/SUP], Esperanza Varela-Moreno[SUP] 1 [/SUP], Antonio Cuesta-Vargas[SUP] 3 [/SUP], Fermin Mayoral-Cleries[SUP] 1 [/SUP]
Affiliations
Abstract
Background: Coronavirus disease 2019 has forced worldwide the implementation of unprecedented restrictions to control its rapid spread and mitigate its impact. The Spanish government has enforced social distancing, quarantine and home confinement. This restriction of daily life activities and separation from loved ones may lead to social isolation and loneliness with health-related consequences in community-dwelling older adults with mild cognitive impairment or mild dementia and their caregivers. Additionally, an inadequate access to healthcare and social support services may aggravate chronic conditions. Technology home-based interventions emerge for combating social isolation and loneliness preventing the risk of viral exposure.
Objective: The aim of this cohort study is to explore, analyze and determine the impact of social isolation on: 1) cognition, quality of life, mood, technophilia and perceived stress of community-dwelling older adults with mild cognitive impairment or mild dementia, and on caregiver burden; 2) health and social care services access and utilization, and 3) cognitive, social and entertainment use of ICTs.
Methods: This study will be conducted in the Spanish region of Andaluc?a (M?laga). In total 200 dyads, consisting of a person with mild cognitive impairment or mild dementia (PMCI/MD) and their informal caregiver will be contacted by telephone. Potential respondents will be participants of the SMART 4 MD (N=100) and TV-AssistDem (N=100) clinical trials.
Results: As of February 2021, 153 participants have been enrolled and assessed at baseline during the confinement, out of which 18 have been assessed at 6 months. The change in means in the variables will be analyzed comparing baseline results in the previous studies with those during and after confinement using the ANOVA test of repeated measures or the non-parametric Friedman test if appropriate. The performance of a multivariate analysis of variance (ANCOVA) to introduce possible covariates will also be contemplated. A 95% confidence level will be used.
Conclusions: If the hypothesis is proven, these findings will demonstrate the negative impact of social isolation due to the COVID-19 confinement on cognition, quality of life, mood, and perceived stress of community-dwelling older adults with mild cognitive impairment and mild dementia, the impact on technophilia, caregiver burden, and health and social care services access and utilization; and the cognitive, social and entertainment use of ICTs during the COVID-19 confinement and afterwards.
. 2021 Apr 12.
doi: 10.2196/26431. Online ahead of print.
Cognitive Outcomes during COVID-19 confiNemeNt in Elderly and their Caregivers using Technologies for DEMentia (CONNECT DEM): study protocol
Jessica Marian Goodman-Casanova[SUP] 1 [/SUP], Elena Dura-Perez[SUP] 1 2 [/SUP], Gloria Guerrero-Perti?ez[SUP] 1 [/SUP], Pilar Barnestein-Fonseca[SUP] 1 [/SUP], Jose Guzman-Parra[SUP] 1 [/SUP], Amanda Vega-Nu?ez[SUP] 1 [/SUP], Esperanza Varela-Moreno[SUP] 1 [/SUP], Antonio Cuesta-Vargas[SUP] 3 [/SUP], Fermin Mayoral-Cleries[SUP] 1 [/SUP]
Affiliations
- PMID: 33909588
- DOI: 10.2196/26431
Abstract
Background: Coronavirus disease 2019 has forced worldwide the implementation of unprecedented restrictions to control its rapid spread and mitigate its impact. The Spanish government has enforced social distancing, quarantine and home confinement. This restriction of daily life activities and separation from loved ones may lead to social isolation and loneliness with health-related consequences in community-dwelling older adults with mild cognitive impairment or mild dementia and their caregivers. Additionally, an inadequate access to healthcare and social support services may aggravate chronic conditions. Technology home-based interventions emerge for combating social isolation and loneliness preventing the risk of viral exposure.
Objective: The aim of this cohort study is to explore, analyze and determine the impact of social isolation on: 1) cognition, quality of life, mood, technophilia and perceived stress of community-dwelling older adults with mild cognitive impairment or mild dementia, and on caregiver burden; 2) health and social care services access and utilization, and 3) cognitive, social and entertainment use of ICTs.
Methods: This study will be conducted in the Spanish region of Andaluc?a (M?laga). In total 200 dyads, consisting of a person with mild cognitive impairment or mild dementia (PMCI/MD) and their informal caregiver will be contacted by telephone. Potential respondents will be participants of the SMART 4 MD (N=100) and TV-AssistDem (N=100) clinical trials.
Results: As of February 2021, 153 participants have been enrolled and assessed at baseline during the confinement, out of which 18 have been assessed at 6 months. The change in means in the variables will be analyzed comparing baseline results in the previous studies with those during and after confinement using the ANOVA test of repeated measures or the non-parametric Friedman test if appropriate. The performance of a multivariate analysis of variance (ANCOVA) to introduce possible covariates will also be contemplated. A 95% confidence level will be used.
Conclusions: If the hypothesis is proven, these findings will demonstrate the negative impact of social isolation due to the COVID-19 confinement on cognition, quality of life, mood, and perceived stress of community-dwelling older adults with mild cognitive impairment and mild dementia, the impact on technophilia, caregiver burden, and health and social care services access and utilization; and the cognitive, social and entertainment use of ICTs during the COVID-19 confinement and afterwards.