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COVID-19 restrictions increased perceptions of social isolation for older people discharged home after rehabilitation: A mixed-methods study.
Hogan, Georgia; Taylor, Nicholas F; Robins, Leslie; Callisaya, Michele L; Snowdon, Megan; Moran, Chris; Snowdon, David A.
  • Hogan G; Physiotherapy Department, Peninsula Health, Frankston, Victoria, Australia.
  • Taylor NF; Allied Health Clinical Research Office, Eastern Health, Box Hill, Victoria, Australia.
  • Robins L; School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
  • Callisaya ML; Physiotherapy Department, Peninsula Health, Frankston, Victoria, Australia.
  • Snowdon M; Peninsula Clinical School, Central Clinical School, Monash University, Melbourne, Victoria, Australia.
  • Moran C; Academic Unit, Peninsula Health, Frankston, Victoria, Australia.
  • Snowdon DA; National Centre for Healthy Ageing, Monash University, Melbourne, Victoria, Australia.
Australas J Ageing ; 41(3): 431-439, 2022 Sep.
Article in English | MEDLINE | ID: covidwho-1741320
ABSTRACT

OBJECTIVE:

To explore older persons' perceptions of the impact of COVID-19 restrictions on participating in community activities after discharge from inpatient rehabilitation.

METHODS:

Mixed-methods study design. Participants were older adults who were discharged home following inpatient rehabilitation. Interviews were conducted with 70 participants, with a variety of diagnoses, 8 weeks after discharge from inpatient rehabilitation. Frequency of participation in domestic, leisure/work and outdoor activities was measured using the Frenchay Activities Index (FAI). Qualitative analysis was completed using qualitative content analysis and triangulated with FAI scores.

RESULTS:

In all, 70 older adults (mean age 73.0 years, SD 9.9; 59% female) participated in the study. The overarching theme was that participants felt socially isolated following discharge from rehabilitation, with COVID-19 restrictions increasing perceptions of social isolation and complicating their return to participating in community activities. The four categories informing the overarching theme were as follows physical health was the primary limitation to participation in community activities; COVID-19 restrictions limited participation in social activities and centre-based physical rehabilitation; low uptake of videoconferencing to facilitate socialisation and rehabilitation; and reduced incidental physical activity. Mean FAI score was 21.2 (SD 7.8), indicating that participants were moderately active. Participants most commonly performed domestic activities (mean 10.0, SD 4.1), followed by outdoor activities (mean 6.6, SD 3.5) and leisure/work activities (mean 4.5, SD 2.5).

CONCLUSIONS:

COVID-19 restrictions exacerbated perceptions of social isolation and the limitations already imposed by poor physical health after discharge from rehabilitation. The findings highlight the need for rehabilitation that addresses the psychological and social dimensions of community reintegration.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Discharge / COVID-19 Type of study: Prognostic study / Qualitative research Limits: Aged / Female / Humans / Male Language: English Journal: Australas J Ageing Year: 2022 Document Type: Article Affiliation country: Ajag.13062

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Discharge / COVID-19 Type of study: Prognostic study / Qualitative research Limits: Aged / Female / Humans / Male Language: English Journal: Australas J Ageing Year: 2022 Document Type: Article Affiliation country: Ajag.13062