关键词: ICT, long-term care facilities, COVID-19, social isolation, loneliness, pandemic, implementation sciences, protocol aging health care healthcare healthcare sector information technology long-term care mental health nursing home older adults virtual care virtual communication

来  源:   DOI:10.2196/36269

Abstract:
BACKGROUND: The COVID-19 pandemic has had the greatest impact in long-term care facilities (LTCFs) by disproportionately harming older adults and heightening social isolation and loneliness (SIL). Living in close quarters with others and in need of around-the-clock assistance, interactions with older adults, which were previously in person, have been replaced by virtual chatting using information and communication technologies (ICTs). ICT applications such as FaceTime, Zoom, and Microsoft Teams video chatting have been overwhelmingly used by families to maintain residents\' social capital and subsequently reduce their SIL.
OBJECTIVE: Because of the lack of substantive knowledge on this ever-increasing form of social communication, this systematic review intends to synthesize the effects of ICT interventions to address SIL among residents in LTCFs during the COVID-19 period.
METHODS: We will include studies published in Chinese, English, and French from December 2019 onwards. Beyond the traditional search strategy approach, 4 of the 12 electronic databases to be queried will be in Chinese. We will include quantitative and intervention studies as well as qualitative and mixed methods designs. Using a 2-person approach, the principal investigator and one author will blindly screen eligible articles, extract data, and assess risk of bias. In order to improve the first round of screening, a pilot-tested algorithm will be used. Disagreements will be resolved through discussion with a third author. Results will be presented as structured summaries of the included studies. We plan to conduct a meta-analysis if sufficient data are available.
RESULTS: A total of 1803 articles have been retrieved to date. Queries of the Chinese databases are ongoing. The systematic review and subsequent manuscript will be completed by the fall of 2022.
CONCLUSIONS: ICT applications have become a promising avenue to reduce SIL by providing a way to maintain communication between LTCF residents and their families and will certainly remain in the post-COVID-19 period. This review will investigate and describe context-pertinent and high-quality programs and initiatives to inform, at the macro level, policy makers and researchers, frontline managers, and families. These methods will remain relevant in the post-COVID-19 era.
UNASSIGNED: DERR1-10.2196/36269.
摘要:
背景:COVID-19大流行对长期护理机构(LTCF)的影响最大,它不成比例地伤害了老年人,加剧了社会孤立和孤独感(SIL)。与他人近距离生活,需要全天候协助,与老年人的互动,以前是当面的,已被使用信息和通信技术(ICT)的虚拟聊天所取代。ICT应用,如FaceTime,缩放,和微软团队的视频聊天已被家庭压倒性地用于维持居民的社会资本,并随后减少他们的SIL。
目的:由于缺乏对这种日益增长的社会交往形式的实质性知识,本系统评价旨在综合COVID-19期间ICT干预措施对LTCF居民SIL的影响.
方法:我们将包括中文发表的研究,英语,和法语从2019年12月起。除了传统的搜索策略方法之外,要查询的12个电子数据库中有4个是中文。我们将包括定量和干预研究以及定性和混合方法设计。使用2人的方法,主要研究者和一位作者将盲目筛选合格的文章,提取数据,并评估偏见的风险。为了提高第一轮筛选,将使用经过试点测试的算法。分歧将通过与第三作者的讨论来解决。结果将作为纳入研究的结构化摘要呈现。如果有足够的数据,我们计划进行荟萃分析。
结果:迄今为止,共检索到1803篇文章。中国数据库的查询正在进行中。系统审查和后续手稿将于2022年秋季完成。
结论:通过提供一种维持LTCF居民与其家人之间沟通的方式,ICT应用已成为减少SIL的有希望的途径,并且肯定会保持在COVID-19后时期。这篇评论将调查和描述与上下文相关的高质量计划和倡议,在宏观层面,政策制定者和研究人员,一线经理,和家庭。这些方法在后COVID-19时代仍将适用。
未经批准:DERR1-10.2196/36269。
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