Communication Technology Preferences of Hospitalized and Institutionalized Frail Older Adults During COVID-19 Confinement: Cross-Sectional Survey Study

Guillaume Sacco, Sébastien Lléonart, Romain Simon, Frédéric Noublanche, Cédric Annweiler, TOVID Study Group, Françoise Angebault, Cédric Annweiler, Asfar Marine, Beaudenon Melinda, Bertrand France, Brichard Marie, Barré Jean, Gabriel Bordier, Inès Bouchet, Aude Bouchevreau, Antoine Brangier, Adeline Chanson, Isabelle Chausson, Linda Collet, Marie Daussy, Luc Delneste, Elise Dolbeau, Maxime Dronne, Brune Du Plessis, Guillaume Duval, Lydia Gabard Gabard, Jennifer Gautier, Anne Guyard, Tiphaine Housty, Valentin Jouanno, Clémence Le Ho, Cassandra Lepoureau, Sébastien Lléonart, Mélanie Loison, Jocelyne Loison, Laurence Loufrani, Emilie Lucas, Camille Macé, Naomi Maire, Clément Marla, Nathalie Martin, Andréa Mathieu, Morgane Mauger, Sahondra Mayet, Justine Menon, Frédéric Messian, Constance Moucheboeuf, Antoine Mussard, Frédéric Noublanche, Antoine Octau, Marie Otekpo, Capucine Phuong-Anh Carion, Valentin Poile, Lisa Quentin, Anne Renaudin, Gwladys Roger, Quentin Rousseau, Florence Roult, Guillaume Sacco, Claire Simon, Ophélie Simon, Romain Simon, Romane Surget, Violette Tourrel, Lise Trubert, Inès Watteaux, Guillaume Sacco, Sébastien Lléonart, Romain Simon, Frédéric Noublanche, Cédric Annweiler, TOVID Study Group, Françoise Angebault, Cédric Annweiler, Asfar Marine, Beaudenon Melinda, Bertrand France, Brichard Marie, Barré Jean, Gabriel Bordier, Inès Bouchet, Aude Bouchevreau, Antoine Brangier, Adeline Chanson, Isabelle Chausson, Linda Collet, Marie Daussy, Luc Delneste, Elise Dolbeau, Maxime Dronne, Brune Du Plessis, Guillaume Duval, Lydia Gabard Gabard, Jennifer Gautier, Anne Guyard, Tiphaine Housty, Valentin Jouanno, Clémence Le Ho, Cassandra Lepoureau, Sébastien Lléonart, Mélanie Loison, Jocelyne Loison, Laurence Loufrani, Emilie Lucas, Camille Macé, Naomi Maire, Clément Marla, Nathalie Martin, Andréa Mathieu, Morgane Mauger, Sahondra Mayet, Justine Menon, Frédéric Messian, Constance Moucheboeuf, Antoine Mussard, Frédéric Noublanche, Antoine Octau, Marie Otekpo, Capucine Phuong-Anh Carion, Valentin Poile, Lisa Quentin, Anne Renaudin, Gwladys Roger, Quentin Rousseau, Florence Roult, Guillaume Sacco, Claire Simon, Ophélie Simon, Romain Simon, Romane Surget, Violette Tourrel, Lise Trubert, Inès Watteaux

Abstract

Background: Technological communication methods such as telephone calls and video calls can help prevent social isolation and loneliness in frail older adults during confinement.

Objective: Our objectives were to determine which virtual communication method (ie, telephone call or video call) was preferred by confined older hospital patients and nursing home residents and the variables influencing this preference.

Methods: The TOVID (Telephony Or Videophony for Isolated elDerly) study was a cross-sectional study that was designed to examine the preference between telephone calls and video calls among frail older adults who were either hospitalized in a geriatric acute care unit or institutionalized in a long-term care and nursing home during the COVID-19 confinement period.

Results: A total of 132 older people were surveyed between March 25 and May 11, 2020 (mean age 88.2 years, SD 6.2); 79 (59.8%) were women. Patients hospitalized in the geriatric acute care unit were more able to establish communication independently than residents institutionalized in the long-term care and nursing home (P=.03) and were more satisfied with their communication experiences (P=.02). Overall, older people tended to favor telephone calls (73/132, 55.3%) over video calls (59/132, 44.7%); however, their satisfaction degree was similar regardless of the chosen method (P=.1), with no effect of age (P=.97) or gender (P=.2). In the geriatric acute care unit, the satisfaction degrees were similar for telephone calls (40/41, 98%) and video calls (33/38, 87%) in older patients (P=.10). Conversely, in the long-term care and nursing home, residents were more satisfied with the use of video calls to communicate with their relatives (14/15, 93%) versus the use of telephone calls (6/12, 50%; P=.02).

Conclusions: Older people confined to health care settings were able to complete telephone calls more independently than video calls, and they tended to use telephone calls more often than video calls. The satisfaction degrees were similar with both modalities and even greater with video calls among long-term care and nursing home residents when they were given assistance to establish communication.

Trial registration: ClinicalTrials.gov NCT04333849: https://www.clinicaltrials.gov/ct2/show/NCT04333849.

Keywords: COVID-19; communication; confinement; elderly; hospital; loneliness; nursing home; older adults; social isolation; technology; telephone; video communication.

Conflict of interest statement

Conflicts of Interest: None declared.

©Guillaume Sacco, Sébastien Lléonart, Romain Simon, Frédéric Noublanche, Cédric Annweiler, TOVID Study Group. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 18.09.2020.

References

    1. Armitage R, Nellums LB. COVID-19 and the consequences of isolating the elderly. Lancet Public Health. 2020 May;5(5):e256. doi: 10.1016/s2468-2667(20)30061-x.
    1. Cudjoe TK, Kotwal AA. "Social Distancing" Amid a Crisis in Social Isolation and Loneliness. J Am Geriatr Soc. 2020 Jun 15;68(6):E27–E29. doi: 10.1111/jgs.16527.
    1. Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, Rubin GJ. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020 Mar 14;395(10227):912–920. doi: 10.1016/S0140-6736(20)30460-8.
    1. Hemberg J, Santamäki Fischer R. A Window Toward the World Older Adults' Experiences of Becoming in Health and Developing as Human Beings Through Interacting With Others Using Real Video Communication. Holist Nurs Pract. 2018;32(2):90–97. doi: 10.1097/hnp.0000000000000254.
    1. Chipps J, Jarvis MA, Ramlall S. The effectiveness of e-Interventions on reducing social isolation in older persons: A systematic review of systematic reviews. J Telemed Telecare. 2017 Dec;23(10):817–827. doi: 10.1177/1357633X17733773.
    1. Gardiner C, Geldenhuys G, Gott M. Interventions to reduce social isolation and loneliness among older people: an integrative review. Health Soc Care Community. 2018 Mar;26(2):147–157. doi: 10.1111/hsc.12367.
    1. Poscia A, Stojanovic J, La Milia DI, Duplaga M, Grysztar M, Moscato U, Onder G, Collamati A, Ricciardi W, Magnavita N. Interventions targeting loneliness and social isolation among the older people: An update systematic review. Exp Gerontol. 2018 Feb;102:133–144. doi: 10.1016/j.exger.2017.11.017.
    1. Eghtesadi M. Breaking Social Isolation Amidst COVID-19: A Viewpoint on Improving Access to Technology in Long-Term Care Facilities. J Am Geriatr Soc. 2020 May;68(5):949–950. doi: 10.1111/jgs.16478.
    1. Ruopp MD. Overcoming the Challenge of Family Separation From Nursing Home Residents During COVID-19. J Am Med Dir Assoc. 2020 Jul;21(7):984–985. doi: 10.1016/j.jamda.2020.05.022.
    1. Santini ZI, Jose PE, York Cornwell E, Koyanagi A, Nielsen L, Hinrichsen C, Meilstrup C, Madsen KR, Koushede V. Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. Lancet Public Health. 2020 Jan;5(1):e62–e70. doi: 10.1016/S2468-2667(19)30230-0.
    1. Sutin A, Stephan Y, Luchetti M, Terracciano A. Loneliness and Risk of Dementia. J Gerontol Ser B. 2018 Nov 16;Innovation in Aging, Volume 2(suppl_1):966–967. doi: 10.1093/geroni/igy031.3581.
    1. Simard J, Volicer L. Loneliness and Isolation in Long-term Care and the COVID-19 Pandemic. J Am Med Dir Assoc. 2020 Jul;21(7):966–967. doi: 10.1016/j.jamda.2020.05.006.
    1. Chopik WJ. The Benefits of Social Technology Use Among Older Adults Are Mediated by Reduced Loneliness. Cyberpsychol Behav Soc Netw. 2016 Sep;19(9):551–6. doi: 10.1089/cyber.2016.0151.
    1. Neves BB, Franz RL, Munteanu C, Baecker R. Adoption and feasibility of a communication app to enhance social connectedness amongst frail institutionalized oldest old: an embedded case study. Inf Commun Soc. 2017 Jul 13;21(11):1681–1699. doi: 10.1080/1369118x.2017.1348534.
    1. Lee C, Coughlin JF. Perspective: Older Adults' Adoption of Technology: An Integrated Approach to Identifying Determinants and Barriers. J Prod Innov Manag. 2014 Jun 03;32(5):747–759. doi: 10.1111/jpim.12176.
    1. Chin WW, Johnson N, Schwarz A. A Fast Form Approach to Measuring Technology Acceptance and Other Constructs. MIS Q. 2008;32(4):687. doi: 10.2307/25148867.
    1. Venkatesh V, Davis FD. A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies. Manage Sci. 2000 Feb;46(2):186–204. doi: 10.1287/mnsc.46.2.186.11926.
    1. Barbosa Neves B, Franz R, Judges R, Beermann C, Baecker R. Can Digital Technology Enhance Social Connectedness Among Older Adults? A Feasibility Study. J Appl Gerontol. 2019 Jan;38(1):49–72. doi: 10.1177/0733464817741369.

Source: PubMed

Patrocinadores y Colaboradores

Condiciones médicas

Intervenciones de drogas

3
Suscribir