Display options
Share it on

Int J Environ Res Public Health. 2021 Feb 10;18(4). doi: 10.3390/ijerph18041717.

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

International journal of environmental research and public health

Claudio Di Lorito, Carol Duff, Carol Rogers, Jane Tuxworth, Jocelyn Bell, Rachael Fothergill, Lindsey Wilkinson, Alessandro Bosco, Louise Howe, Rebecca O'Brien, Maureen Godfrey, Marianne Dunlop, Veronika van der Wardt, Vicky Booth, Pip Logan, Alison Cowley, Rowan H Harwood

Affiliations

  1. Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK.
  2. Lincolnshire partnership NHS foundation Trust, Lincoln LN1 1FS, UK.
  3. Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham NG7 2TU, UK.
  4. Abteilung für Allgemeinmedizin, Präventive und Rehabilitative Medizin, Philipps-Universität Marburg, 35037 Marburg, Germany.
  5. Institute of Care Excellence, Nottingham University Hospitals NHS Trust, Nottingham NG5 1PB, UK.
  6. School of Health Sciences, University of Nottingham, Nottingham NG7 7TU, UK.

PMID: 33578949 PMCID: PMC7916656 DOI: 10.3390/ijerph18041717

Abstract

Introduction

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 (

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.

Keywords: COVID-19; dementia; exercise; physical activity; tele-rehabilitation

Conflict of interest statement

The authors declare no conflict of interest.

References

  1. J Aging Phys Act. 2017 Oct 1;25(4):539-552 - PubMed
  2. BMJ. 2008 Sep 29;337:a1655 - PubMed
  3. BMC Geriatr. 2014 Jun 12;14:73 - PubMed
  4. Sao Paulo Med J. 2014;132(3):195-6 - PubMed
  5. Int J Qual Health Care. 2007 Dec;19(6):349-57 - PubMed
  6. Am J Geriatr Psychiatry. 2020 Jun;28(6):673-682 - PubMed
  7. Lancet. 2020 Apr 11;395(10231):1190-1191 - PubMed
  8. Trials. 2019 Dec 30;20(1):815 - PubMed
  9. BMJ. 2018 May 16;361:k1675 - PubMed
  10. PLoS One. 2015 May 14;10(5):e0126102 - PubMed
  11. Int J Telerehabil. 2016 Dec 15;8(2):27-38 - PubMed
  12. Curr Geriatr Rep. 2019 Sep 1;8(3):239-249 - PubMed
  13. Neurology. 2010 Jun 15;74(24):1961-8 - PubMed
  14. Int J Geriatr Psychiatry. 2011 Oct;26(10):1000-11 - PubMed
  15. JMIR Res Protoc. 2018 Feb 08;7(2):e43 - PubMed
  16. J Telemed Telecare. 2019 Feb;25(2):67-79 - PubMed
  17. Arch Phys Med Rehabil. 2004 Oct;85(10):1694-704 - PubMed
  18. Int J Environ Res Public Health. 2020 Feb 28;17(5): - PubMed
  19. Dement Geriatr Cogn Disord. 2010;30(5):392-402 - PubMed
  20. J Alzheimers Dis. 2015;50(2):443-53 - PubMed
  21. Dement Geriatr Cogn Disord. 2012;33(2-3):189-203 - PubMed
  22. J Am Geriatr Soc. 2012 Jan;60(1):8-15 - PubMed
  23. JAMA Intern Med. 2019 Sep 30;: - PubMed
  24. Am J Alzheimers Dis Other Demen. 2018 Aug;33(5):269-276 - PubMed
  25. Int Psychogeriatr. 2014 Aug;26(8):1283-93 - PubMed
  26. J Am Geriatr Soc. 2005 Apr;53(4):695-9 - PubMed
  27. BMC Pulm Med. 2018 May 15;18(1):71 - PubMed
  28. JAMA. 2010 Sep 1;304(9):983-91 - PubMed
  29. J Med Virol. 2020 Jun;92(6):548-551 - PubMed
  30. Radiology. 2020 Aug;296(2):E15-E25 - PubMed
  31. Aging Ment Health. 2015 Jan;19(1):63-71 - PubMed
  32. BMC Neurol. 2012 Oct 31;12:128 - PubMed
  33. JAMA Intern Med. 2013 May 27;173(10):894-901 - PubMed
  34. Aging Ment Health. 2020 Jun;24(6):971-977 - PubMed
  35. Int J Geriatr Psychiatry. 2014 Aug;29(8):819-27 - PubMed

MeSH terms

Publication Types

Grant support