RESUMO
BACKGROUND: The COVID-19 pandemic has had a detrimental effect on the mental health of older adults living in nursing homes. Very few studies have examined the effects of Internet-based Cognitive Behavioral Therapy (ICBT) on older adults living in nursing homes during the pandemic. We conducted a feasibility study using a single-group design, to explore the effectiveness of ICBT on psychological distress in 137 older adults (without cognitive impairment) from 8 nursing homes in 4 southeast cities in China, between January and March 2020. METHODS: Symptoms of depression, anxiety, general psychological distress, and functional disability were measured at baseline, post-treatment (5 weeks) and at a 1-month follow-up. Mixed-effects model was used to assess the effects of ICBT. RESULTS: Statistically significant changes with large effect sizes were observed from pre- to post-treatment on the PHQ-9 (p < .001, Cohen's d = 1.74), GAD-7 (p < .001, d = 1.71), GDS (p < .001, d = 1.30), K-10 (p < .001, d = 1.93), and SDS (p < .001, d = 2.03). Furthermore, improvements in treatment outcomes were sustained at 1-month follow-up, and high levels of adherence and satisfaction were indicated. CONCLUSION: ICBT was effective in reducing psychological distress in older adults without cognitive impairments living in nursing homes during the COVID-19 pandemic. Thus, it could be applied in improving the mental health of this vulnerable group during the pandemic.
RESUMO
Background: As a country with the largest number of netizens around the world, China enjoys improving social information services based on the Internet. With such a large quantity of network users, it is inevitable for China's hospitals at various levels to provide patients and the public with information services by setting up their own official websites. But it is still elusive for the factors affecting the information service quality of China Hospital. Objective: Identifies the factors affecting the information service quality of the case of the Online website of a hospital in China.adding new content to the research fruits in this field. The research can effectively enhance the efficiency of hospital resource utilization, allocating limited resources to most efficient areas and leveling up the information service quality of hospitals to the largest extent. This ultimately improves patient satisfaction. Method: This research investigates the factors affecting the information service quality of the case of a Chinese hospital online website and by means of Delphi method, statistical analysis, and other research methods, formulates the Evaluation Indicator System for the Information Service Quality of the case of the Online website of a hospital in China. The research applies this system to the empirical research on the information service quality of the hospital's website and then makes a comparative analysis between the research results and traffic data of the websites of other hospitals over the same period. Results: By means of the Bivariate Correlation, the author carried out a correlation analysis of the comprehensive evaluations of the information service of the Online website of a hospital in China and the traffic data of the Online website of a hospital in China, including the total traffic, PV and UV. For details of the analysis results, indicates that the correlation coefficient among the three objects is 1, a significant correlation. It also suggests that the comprehensive evaluations of the information service of A Chinese hospital website and the traffic of A Chinese hospital website are positively correlated. The information service quality of China Hospital website is an important component of the hospital's overall service quality. This research on the information service quality of China Hospital website covers the website's service functions, service quality, resources and the front-end and back-end technology systems. Discussion and conclusion: In the case that the China Hospital information service function is still not perfect, perfecting the functions of China Hospital website plays a decisive role in improving the information service quality of the hospital. In addition, it can be inferred that after the information service function of China Hospital website is improved or the evaluation of the functional quality attribute of website information service scores higher, the supporting attribute of website information service will be the next key task for the hospital in enhancing its information service quality is the improvement ratio of Functional quality attribute of website information service and the supporting attribute of website information service tend to be the same., And even the improvement rate of the supporting attribute is sometimes higher than the improvement rate of Functional quality. So The construction of a model of the comprehensive evaluation system on the information service of has pointed out a new direction in China's research in this field, This model is both of high theoretical value and practical value.
