ABSTRACT
Introduction The Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is delivering an exercise programme for people with dementia. The Lincolnshire partnership NHS foundation Trust successfully delivered PrAISED through a video-calling platform during the COVID-19 pandemic. Objectives This qualitative case-study identified participants that video delivery worked for, and highlighted its benefits and challenges. Methods Interviews were conducted with participants with dementia, caregivers and therapists, and analysed through thematic analysis. Results Video delivery worked best when participants had a supporting carer, when therapists showed enthusiasm and had an established rapport with the client. Benefits included time-efficiency of sessions, enhancing participants’ motivation, caregivers’ dementia awareness and therapists’ creativity. Limitations included users’ poor IT skills and resources. Conclusions The COVID-19 pandemic required innovative ways of delivering rehabilitation. This study supports that people with dementia can use tele rehab, but success is reliant on having a caregiver and an enthusiastic and known therapist.
ABSTRACT
As part of long-term comparative research into the Gauteng City-Region, this article presents mixed-methods studies in the informal settlement of Denver, located in the industrial belt southeast of Johannesburg's city center. It unpacks the results of focus groups, ethnographic and expert interviews, as well as mapping with an innovative smartphone tracking application, comparing everyday life for several households in this area before the pandemic in 2019 and during the pandemic in 2020. Findings show that the pandemic exacerbated the disproportionate burdens related to gendered roles of household management, childcare, and mobility, both on the macro- as well as the micro-scale. The article thus defines the "gender-poverty-mobility nexus" that shapes space and everyday life in the Gauteng City-Region, precluding places like Denver from overcoming their marginality. Post-pandemic planning policy could be transformative for such spaces if it can build on this knowledge to better identify the needs of these vulnerable social groups and connect them to opportunities. It concludes with suggestions on how these empirically revealed dynamics could be translated into responses on the urban and regional scales, in the name of more equitable, resilient planning futures for Johannesburg and beyond.
ABSTRACT
IntroductionThe Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is delivering an exercise programme for people with dementia. The Lincolnshire partnership NHS foundation Trust successfully delivered PrAISED through a video-calling platform during the COVID-19 pandemic.ObjectivesThis qualitative case-study identified participants that video delivery worked for, and highlighted its benefits and challenges.MethodsInterviews were conducted with participants with dementia, caregivers and therapists, and analysed through thematic analysis.ResultsVideo delivery worked best when participants had a supporting carer, when therapists showed enthusiasm and had an established rapport with the client. Benefits included time-efficiency of sessions, enhancing participants’ motivation, caregivers’ dementia awareness and therapists’ creativity. Limitations included users’ poor IT skills and resources.ConclusionsThe COVID-19 pandemic required innovative ways of delivering rehabilitation. This study supports that people with dementia can use tele rehab, but success is reliant on having a caregiver and an enthusiastic and known therapist.