Tele-Rehabilitation for People with Dementia During the COVID-19 Pandemic: A Case-Study from England

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2021 Feb 13

PMID 33578949

Citations 25

Authors

Claudio Di Lorito

Carol Duff

Carol Rogers

Jane Tuxworth

Jocelyn Bell

Rachael Fothergill

Lindsey Wilkinson

Alessandro Bosco

Louise Howe

Rebecca OBrien

Maureen Godfrey

Marianne Dunlop

Veronika van der Wardt

Vicky Booth

Pip Logan

Alison Cowley

Rowan H Harwood

Affiliations

Soon will be listed here.

Abstract

Methods: This qualitative case-study aimed to identify participants that video delivery worked for, to highlight its benefits and its challenges. Interviews were conducted between May and August 2020 with five participants with dementia and their caregivers ( = 10), as well as five therapists from the Lincolnshire partnership NHS foundation Trust. The interviews were analysed through thematic analysis.

Results: Video delivery worked best when participants had a supporting caregiver and when therapists showed enthusiasm and had an established rapport with the client. Benefits included time efficiency of sessions, enhancing participants' motivation, caregivers' dementia awareness, and therapists' creativity. Limitations included users' poor IT skills and resources.

Discussion: The COVID-19 pandemic required innovative ways of delivering rehabilitation. This study supports that people with dementia can use tele-rehabilitation, but success is reliant on having a caregiver and an enthusiastic and known therapist.

Citing Articles

Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review.

Zhou C, Ai Y, Wang S, Yuan Y, Zhang A, Hu H BMC Geriatr. 2024; 24(1):1037.

PMID: 39725926 PMC: 11670401. DOI: 10.1186/s12877-024-05645-3.

Experiences, impacts, and requirements of synchronous video consultations between nurses, allied health professionals, psychological therapists, and adult service-users: A review of the literature.

McVey L, Fitzgerald M, Montague J, Sutton C, Branney P, Briggs A PLOS Digit Health. 2024; 3(12):e0000654.

PMID: 39630648 PMC: 11616882. DOI: 10.1371/journal.pdig.0000654.

"Necessity is the mother of invention": Experiences of accessing and delivering dementia-related support services by information communication technology during the pandemic in the UK.

Caprioli T, Mason S, Tetlow H, Limbert S, Reilly S, Giebel C Dementia (London). 2024; 24(2):323-343.

PMID: 39117353 PMC: 11780963. DOI: 10.1177/14713012241272906.

Social participation in the promoting activity, independence and stability in early dementia (PrAISED), a home-based therapy intervention for people living with dementia: a realist evaluation.

Di Lorito C, Pollock K, Booth V, Howe L, Goldberg S, Godfrey M BMC Geriatr. 2024; 24(1):615.

PMID: 39026228 PMC: 11264791. DOI: 10.1186/s12877-024-05086-y.

RCT-based Social Return on Investment (SROI) of a Home Exercise Program for People With Early Dementia Comparing In-Person and Blended Delivery Before and During the COVID-19 Pandemic.

Doungsong K, Hartfiel N, Gladman J, Harwood R, Tudor Edwards R Inquiry. 2024; 61:469580241246468.

PMID: 38650466 PMC: 11036793. DOI: 10.1177/00469580241246468.

References

Prick A, de Lange J, Scherder E, Twisk J, Pot A . The Effects of a Multicomponent Dyadic Intervention With Physical Exercise on the Cognitive Functioning of People With Dementia: A Randomized Controlled Trial. J Aging Phys Act. 2017; 25(4):539-552. DOI: 10.1123/japa.2016-0038. View

Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M . Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008; 337:a1655. PMC: 2769032. DOI: 10.1136/bmj.a1655. View

Schwenk M, Zieschang T, Englert S, Grewal G, Najafi B, Hauer K . Improvements in gait characteristics after intensive resistance and functional training in people with dementia: a randomised controlled trial. BMC Geriatr. 2014; 14:73. PMC: 4062767. DOI: 10.1186/1471-2318-14-73. View

Cendoroglo M . Exercise programs for people with dementia. Sao Paulo Med J. 2014; 132(3):195-6. PMC: 10852088. DOI: 10.1590/1516-3180.20141323t2. View

Tong A, Sainsbury P, Craig J . Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007; 19(6):349-57. DOI: 10.1093/intqhc/mzm042. View

Laver K, Liu E, Clemson L, Davies O, Gray L, Gitlin L . Does Telehealth Delivery of a Dyadic Dementia Care Program Provide a Noninferior Alternative to Face-To-Face Delivery of the Same Program? A Randomized, Controlled Trial. Am J Geriatr Psychiatry. 2020; 28(6):673-682. DOI: 10.1016/j.jagp.2020.02.009. View

Wang H, Li T, Barbarino P, Gauthier S, Brodaty H, Molinuevo J . Dementia care during COVID-19. Lancet. 2020; 395(10231):1190-1191. PMC: 7146671. DOI: 10.1016/S0140-6736(20)30755-8. View

Bajwa R, Goldberg S, der Wardt V, Burgon C, Di Lorito C, Godfrey M . A randomised controlled trial of an exercise intervention promoting activity, independence and stability in older adults with mild cognitive impairment and early dementia (PrAISED) - A Protocol. Trials. 2020; 20(1):815. PMC: 6937783. DOI: 10.1186/s13063-019-3871-9. View

Lamb S, Sheehan B, Atherton N, Nichols V, Collins H, Mistry D . Dementia And Physical Activity (DAPA) trial of moderate to high intensity exercise training for people with dementia: randomised controlled trial. BMJ. 2018; 361:k1675. PMC: 5953238. DOI: 10.1136/bmj.k1675. View

10.

Telenius E, Engedal K, Bergland A . Effect of a high-intensity exercise program on physical function and mental health in nursing home residents with dementia: an assessor blinded randomized controlled trial. PLoS One. 2015; 10(5):e0126102. PMC: 4431827. DOI: 10.1371/journal.pone.0126102. View

11.

Tsai L, McNamara R, Dennis S, Moddel C, Alison J, McKenzie D . Satisfaction and Experience With a Supervised Home-Based Real-Time Videoconferencing Telerehabilitation Exercise Program in People with Chronic Obstructive Pulmonary Disease (COPD). Int J Telerehabil. 2017; 8(2):27-38. PMC: 5536727. DOI: 10.5195/ijt.2016.6213. View

12.

Gately M, Trudeau S, Moo L . In-Home Video Telehealth for Dementia Management: Implications for Rehabilitation. Curr Geriatr Rep. 2020; 8(3):239-249. PMC: 6996201. DOI: 10.1007/s13670-019-00297-3. View

13.

Schwenk M, Zieschang T, Oster P, Hauer K . Dual-task performances can be improved in patients with dementia: a randomized controlled trial. Neurology. 2010; 74(24):1961-8. DOI: 10.1212/WNL.0b013e3181e39696. View

14.

Potter R, Ellard D, Rees K, Thorogood M . A systematic review of the effects of physical activity on physical functioning, quality of life and depression in older people with dementia. Int J Geriatr Psychiatry. 2011; 26(10):1000-11. DOI: 10.1002/gps.2641. View

15.

Burton R, OConnell M . Telehealth Rehabilitation for Cognitive Impairment: Randomized Controlled Feasibility Trial. JMIR Res Protoc. 2018; 7(2):e43. PMC: 5824099. DOI: 10.2196/resprot.9420. View

16.

Cotelli M, Manenti R, Brambilla M, Gobbi E, Ferrari C, Binetti G . Cognitive telerehabilitation in mild cognitive impairment, Alzheimer's disease and frontotemporal dementia: A systematic review. J Telemed Telecare. 2017; 25(2):67-79. DOI: 10.1177/1357633X17740390. View

17.

Heyn P, Abreu B, Ottenbacher K . The effects of exercise training on elderly persons with cognitive impairment and dementia: a meta-analysis. Arch Phys Med Rehabil. 2004; 85(10):1694-704. DOI: 10.1016/j.apmr.2004.03.019. View

18.

Di Lorito C, Bosco A, Pollock K, Harwood R, das Nair R, Logan P . External Validation of the ', a Theoretical Model Promoting Physical Activity in People with Dementia. Int J Environ Res Public Health. 2020; 17(5). PMC: 7084200. DOI: 10.3390/ijerph17051544. View

19.

Blankevoort C, van Heuvelen M, Boersma F, Luning H, de Jong J, Scherder E . Review of effects of physical activity on strength, balance, mobility and ADL performance in elderly subjects with dementia. Dement Geriatr Cogn Disord. 2010; 30(5):392-402. DOI: 10.1159/000321357. View

20.

Hoffmann K, Sobol N, Frederiksen K, Beyer N, Vogel A, Vestergaard K . Moderate-to-High Intensity Physical Exercise in Patients with Alzheimer's Disease: A Randomized Controlled Trial. J Alzheimers Dis. 2015; 50(2):443-53. DOI: 10.3233/JAD-150817. View