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Innov Aging ; 6(Suppl 1):554, 2022.
Article in English | PubMed Central | ID: covidwho-2188990


The estimated 5 million persons living with dementia in the United States have been greatly impacted by the medical and psychosocial impacts of the COVID-19 pandemic, respite program closures, social isolation, and Veterans seen within the Veterans Health Administration system are particularly vulnerable. Telemedicine provides needed specialty dementia care to these patients with complex needs in their homes, and its uptake has increased during the pandemic. This qualitative, observational study explored informal caregivers' perceptions of tele-dementia care for Veterans seen at 2 sites, Palo Alto and Cleveland, via semi-structured interviews. Twenty-five caregivers (Mean age = 67y, SD=12y, 88% women) were interviewed over telephone following a tele-dementia visit. Themes that emerged from the interviews were that tele-dementia visits: (1) saved caregivers 2.6h±1.5h (Range: 0.5 to 6h) of travel time, (2) required limited preparation compared to in-person visits, (3) mitigated COVID-19 risk and avoided needs for masking and social distancing, (4) avoided behavioral challenges during appointments, and (5) allowed participation from home with minimal disruption of routine. Caregivers described significant physical challenges that made leaving the home for appointments difficult including balance issues, incontinence, and difficulties getting into vehicle. Caregivers plan to continue using tele-dementia services beyond the pandemic due to the convenience. Taken together, these findings indicate that caregivers find tele-dementia care convenient, comfortable, helpful, and timesaving and highly satisfactory. A combination of both in-person and virtual visits would be an ideal future state. This study illustrates how caregivers experience virtual visits for dementia care and will shape future intervention design.

Annals of Behavioral Medicine ; 56(SUPP 1):S62-S62, 2022.
Article in English | Web of Science | ID: covidwho-1849337
European Respiratory Journal ; 58:2, 2021.
Article in English | Web of Science | ID: covidwho-1699383
Annals of Behavioral Medicine ; 55:S260-S260, 2021.
Article in English | Web of Science | ID: covidwho-1250809
Journal of the American Geriatrics Society ; 69:S8-S8, 2021.
Article in English | Web of Science | ID: covidwho-1194967