The Impact of Telemedicine on Parkinson's Care during the COVID-19 Pandemic: An Italian Online Survey.

Traditionally, medical care and research in Parkinson's disease (PD) have been conducted through in-person visit. The recent Coronavirus Disease 2019 (COVID-19) pandemic has profoundly impacted the delivery of in-person clinical care. We conducted an online survey to investigate the impact of COVID-19 on access to telehealth care, interviewing both PD patients and neurologists. Survey responses were collected from 1 March to 31 May 2021 through an anonymous, self-reported questionnaire, on the 'Qualtrics' platform. In total, 197 patients and 42 neurologists completed the survey. In our sample, 37.56% of PD patients and 88.10% of neurologists reported having used alternatives to in-person visits, while 13.70% of PD patients and 40.48% of neurologists used telemedicine. Data showed that respondents were generally satisfied with the use of telemedicine during the COVID-19 pandemic. The relational dimension between patient and neurologist seems to be the factor that most positively affected the telemedicine experience, contributing greatly to a more patient-centred care. Current findings suggest the need to improve the access to telehealth services for patients with PD. The technology has the potential to improve the care of frail patients, especially when availability of face-to-face visits is limited.

Women's Experience of Depressive Symptoms While Working From Home During the COVID-19 Pandemic: Evidence From an International Web Survey.

The COVID-19 pandemic led to significant changes in workplace practices as social distancing requirements meant that people were asked to work from home where possible to avoid unnecessary contact. Concerns have been raised about the effects of the pandemic on mental health and, in particular, the effects of social distancing on employed women's mental health. In this study, we explore the experiences of working women during the initial stages of the COVID-19 pandemic and explore the factors that may be associated with women experiencing the symptoms of depression. Findings from a cross-sectional survey of European working women (across five countries: France, Italy, Poland, Sweden, and the UK) conducted between March and July 2020 are reported. The data are analyzed using linear regression and mediation analysis. For women, working from home was associated with higher prevalence of the symptoms of depression compared to traveling to a workplace. The study also considers the mechanisms that may explain a relationship between working from home and depressive symptoms. Maintaining contact with people face-to-face and participating in exercise were both significant protective factors against experiencing symptoms of depression during a period of social distancing.

Generating Community through Interpersonal Relations and Digital Media: The Experience of Italian Parishes. Quantitative Research - First Stage Results ¹

This paper has two cognitive objectives: to illustrate the contribution of Italian parishes to the development of interpersonal and associative social relationships capable of building community environments, and to improve understanding of the role played by community technology in shaping these relationships. The above were investigated using relative quantitative information culled from an online questionnaire from 420 Italian church parishes. An analysis of the data revealed the particular contribution of Italian parishes in favouring the construction of a community at both the local and symbolic levels, communities where interpersonal and digital relationships play a crucial role even if via different modes and styles.

Depressive symptoms and perception of risk during the first wave of the COVID-19 pandemic: A web-based cross-country comparative survey.

Evidence is accumulating of the negative impact of the COVID-19 pandemic and related public health measures on mental health. In this emergent field, there has been little research into the role of risk perception on depressive symptoms and the contribution of health-care resources to model risk perception and mental health. The aim of this paper is to describe the relationship between individual-level perception of risk and depression, controlling for a set of confounders and for country-level heterogeneity. A cross-sectional and observational online survey was conducted using a non-probability snowball sampling technique. We use data on 11,340 respondents, living in six European countries (Italy, Sweden, United Kingdom, France, Poland, Czech Republic) who completed survey questionnaires during the first months of the pandemic. We used a fixed-effect approach, which included individual and macro-level variables. The findings suggest that a high proportion of people suffering from depression and heightened risk perception is positively associated with reporting depressive symptoms, even if this relationship varies significantly between countries. Moreover, the association is moderated by contextual factors including health-care expenditure as a percentage of Gross Domestic Product, hospital beds for acute care, and number of medical specialists per head of population. Investment in health care offers a concrete means of protecting the mental health of a population living under pandemic restrictions.

The Effect of Social Isolation on Physical Activity during the COVID-19 Pandemic in France.

The objective of this cross-sectional study is to analyze the changes in physical activity (PA) practice of a sample of 2099 French adults, mostly females, who answered an online questionnaire during the first COVID-19 lockdown (March-May 2020). A descriptive analysis of participants was performed using relative frequencies. Chi-squared tests were performed to compare the responses of selected variables. Multinomial logistic regressions were performed to compare the variations of PA with all the variables identified. The age of participants ranged from 18 to 88. Among people who practiced PAs before the first lockdown, the probability to keep practicing PAs is higher among those with a lower level of education, among housewives and retirees and among those who lived in cities of 10,000-19,999 inhabitants. For those who did not practice PAs before the social distancing, the probability of starting to practice is greater in those with a lower level of education and for those who suffered from a chronic disease. Our results place the emphasis on the complexity and multifactoriality of the changes that emerged during the first lockdown. The "education" factor emerges, as a significant determinant of PA that should certainly be explored further.