Psychotherapy Engagement Before and After a Rapid Transition to Telehealth During COVID-19 for Older Adults With Dementia.

IF 2.2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-02-01 Epub Date: 2024-08-05 DOI:10.1177/07334648241271922

Rebecca Rossom, Greg Knowlton, Hsueh-Han Yeh, Robert Penfold, Ashli Owen-Smith, Stephanie Hooker, Gregory Simon, Lisa Miller-Matero, Esther Akinyemi, Brian Ahmedani

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引用次数: 0

Abstract

Objective: To understand the impact of the transition to telehealth during COVID-19 on psychotherapy visits for patients with dementia. Method: Retrospective study of older adults with dementia who had at least one psychotherapy visit in the 9 months before and after the onset of COVID-19 at 3 U.S. health systems. Care disruptions were gaps of 45+ days. Descriptive statistics and logistic mixed-effects models examined factors associated with care disruption. Results: 4953 patients with dementia made 19,902 psychotherapy visits. Gaps in psychotherapy were less frequent during COVID-19 (29.4%) than before (48.9%), with the odds of a patient experiencing a care disruption during COVID-19 0.54 times the odds prior to COVID-19 (95% CI: 0.50-0.59). Almost all patient subgroups had lower adjusted odds of care disruption during COVID-19. Discussion: There were fewer disruptions in psychotherapy care following the rapid shift to virtual care. Telehealth may be a viable option for patients with dementia.

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在 COVID-19 期间为老年痴呆症患者快速过渡到远程医疗之前和之后的心理治疗参与情况。

目的了解 COVID-19 期间向远程医疗过渡对痴呆症患者心理治疗就诊的影响。方法：回顾性研究对在 COVID-19 开始前后 9 个月内，在美国 3 个医疗系统接受过至少一次心理治疗的老年痴呆症患者进行回顾性研究。护理中断时间为 45 天以上。描述性统计和逻辑混合效应模型检验了与护理中断相关的因素。结果显示4953 名痴呆症患者接受了 19902 次心理治疗。在 COVID-19 期间（29.4%），心理治疗中断的发生率低于 COVID-19 之前（48.9%），COVID-19 期间患者护理中断的几率是 COVID-19 之前的 0.54 倍（95% CI：0.50-0.59）。几乎所有患者亚群在 COVID-19 期间发生护理中断的调整后几率都较低。讨论在快速转向虚拟医疗后，心理治疗护理中断的情况有所减少。对于痴呆症患者来说，远程医疗可能是一种可行的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.