RESUMO
BACKGROUND: The pilot study "Health and Support in Times of Corona" (TU Dortmund University) collected data on support and well-being of individuals aged 40 plus years in the light of the first wave of the COVID-19 pandemic from May to July 2020. OBJECTIVE: The aim was to study the social and mental effects of the pandemic. We focused on individuals living in private households aged 40 years and older. Participants were asked about pandemic-related changes in receiving and providing support (e.g. personal care, help with household chores), problems arising in taking care of older persons and changes in well-being. MATERIAL AND METHODS: We conducted descriptive and multivariate analyses to show how support changed, problems with support came up and well-being changed in the light of the pandemic and how all this was related. RESULTS: Due to the pandemic older respondents in particular were no longer able to provide the necessary support for others. Especially women reported problems in taking care of older individuals. We found a decrease in well-being for all respondents but most significantly for women and individuals aged 80 years and older. Moreover, problems in the provision of care due to the pandemic and lower well-being were clearly linked. CONCLUSION: Our study showed significant changes in support patterns and well-being due to the COVID-19 pandemic. A substantial part of the respondents reported more loneliness and lower life satisfaction compared to before the pandemic, especially women supporting others. In these pandemic times, informal caregiving is severely hampered. Future pandemic-related measures should be carefully planned bearing such issues in mind.
Assuntos
COVID-19 , Pandemias , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Solidão , Pessoa de Meia-Idade , Projetos Piloto , SARS-CoV-2RESUMO
Background and Objectives: Technologies can enable older adults to participate in social life. These technologies need to be designed so that their benefits are obvious and older users are willing and able to use them. Although user participation has gained importance, participants are frequently not representative of the diversity of potential user groups, so that actual requirements are often not met. Thus, digital inequalities may increase. This problem arose at the beginning of an interdisciplinary research project to design a digital district platform that was to be codesigned with older residents. Here we report an approach to participatory development that takes into account the requirements of older adults, in diverse life situations. Research Design and Methods: We performed a cluster analysis using data (N = 962) from a representative survey in the case study region. We then conducted semi-structured interviews with residents, as representatives of the different clusters, to explore their life situations and everyday lifestyles. We applied a case-related analysis. Results: We identified nine life-situation clusters and conducted nine interviews with residents representing them. In an interdisciplinary team, we subsequently developed suggestions for possible technical solutions, based on the respective life situation, everyday life, habits, and challenges of each case. Discussion and Implications: Although the process was time consuming, we were able to incorporate perspectives of heterogeneous life situations into the digital platform development. This approach, which raises awareness of user-centered requirements, could lead to more apposite and beneficial solutions-especially for those who are underprivileged. Nevertheless, additional strategies to overcome digital inequalities are essential.