COVID-19’s Influence on Information and Communication Technologies in Long-Term Care (Preprint)

2021 ◽  
Author(s):  
Amy M. Schuster ◽  
Shelia R. Cotten

BACKGROUND The prevalence of COVID-19 in the U.S. led to mandated lockdowns for long-term care (LTC) facilities, resulting in loss of in-person contact with social ties for LTC residents. Though information and communication technologies (ICTs) can be used by LTC residents to support their socioemotional needs, residents must have access to ICTs in order to use them. OBJECTIVE This study explored ICT access and use in LTC institutions and how LTC institutions adapted to try to enhance social connections for their residents during COVID-19. METHODS LTC administrators in South Carolina were invited to complete an online survey exploring ICT access and use in LTC facilities and whether access and use changed as a result of COVID-19. RESULTS Seventy LTC administrators (12 nursing homes and 58 assisted living facilities) completed the online survey. Since March 2020, 53% of the LTC facilities purchased ICTs for residents’ use. ICTs have mainly been used for videoconferencing with family members (84%), friends (68%), and/or healthcare providers (70%). Benefits of ICT use included residents’ feeling connected to their family members, friends, and/or other residents. Barriers to ICT use included staff not having time to assist residents with using the technology, broken technology, and residents who do not want to share technology. CONCLUSIONS Results of this exploratory study suggest that over half of the LTC institutions in this study were able to acquire ICTs for their residents to use during COVID-19. Additional research is needed to explore how residents adapted to using the ICTs and whether LTC facilities developed and/or adopted technology integration plans, which could help them be prepared for future situations that may affect LTC residents’ engagement and communication opportunities, such as another pandemic.

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 541-542
Author(s):  
Tomoko Wakui ◽  
Tomoko Ikeuchi ◽  
Sakiko Itoh ◽  
Hiroyasu Miwa ◽  
Kentaro Watanabe

Abstract The remarkable development of information and communication technologies (ICT), considering the rapidly aging global population, could eliminate the physical and mental burdens involved in caregiving and enhance the perceived dignity and autonomy of older adults. However, the introduction of ICT in long-term care (LTC) in Japan has not yielded good results yet, and the social acceptance of ICT remains understudied. This study aimed to understand and examine people’s views on ICT use in LTC settings. An online vignette survey was conducted in August 2020, among community-dwelling persons between the ages of 40–89 years, throughout Japan. A set of four vignettes of different physical and cognitive functional situations, at either a home or nursing home, with or without ICT use, was presented to select a preferred care setting. Multinomial regression analyses were used to examine the relationships between participants’ choices and individual characteristics. A total of 4,457 participants (52.8% of whom were women) were analyzed (mean age = 60.8 years). Participants were more likely to choose nursing homes in cognitively dependent situations. Participants who were women, relatively younger, and had higher education were more likely to choose care settings employing ICT for physically and cognitively dependent situations. Those who experienced either informal or formal caregiving were more likely to choose care settings that used ICT. This study revealed that individuals preferred different levels of ICT use based on physical and cognitive situations. Barriers to introducing ICT in LTC settings will be discussed.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 219-219
Author(s):  
Amy Schuster ◽  
Shelia Cotten

Abstract Residents of long-term care (LTC) facilities (e.g., nursing homes, assisted living facilities) have historically been vulnerable to feelings of loneliness and social isolation. Due to the COVID-19 pandemic, LTC facilities were required to restrict public access in March 2020. LTC communities were not prepared for the residents’ increased socioemotional needs which arose because of the mandated facility lockdown. This study investigated ICT use in LTC facilities and how ICTs are being used by residents since the onset of the COVID19 pandemic. Seventy LTC administrators in South Carolina (12 nursing homes and 58 assisted living facilities) completed an online survey exploring ICT access and use in LTC facilities and whether access and use changed as a result of COVID-19. Administrators from fifty-three percent of LTC facilities reported purchasing ICTs for their residents to use for communicating with family members and telehealth since the onset of COVID-19. LTC administrators reported that using the ICTs helped residents to socialize more frequently and feel more socially connected to their family members, friends and/or other residents. Barriers to ICT use included staff not having time to assist residents with technology, broken technology, and residents not wanting to share technology. LTC facilities were not adequately prepared to support the socioemotional needs of their residents in the event of a federally mandated facility lockdown. Future research should investigate the ICTs available for residents’ use in a national sample of LTC facilities and how LTC administrators adapted the ICTs available as a result of their experiences with COVID-19.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 159-160
Author(s):  
Jane Straker ◽  
Mi Sun Choi

Abstract During the COVID-19 pandemic, family concerns regarding residents in long-term care facilities (LTCFs) increased dramatically due to the higher proportion of deaths in LTCFs and an inability to visit, observe care, or easily communicate with residents. However, little is known about how these facilities communicated with families and how communications were related to family perceptions about the facility. To address these knowledge gaps, we implemented an online survey of family members or friends of residents in LTCFs from April 28 to June 19, 2020. A total of 174 responses nationwide reported the types of communications used, frequency of communication and alternative visits, and whether the families had peace of mind, would recommend the facility and whether they were considering removing the resident from the facility. We performed chi-square and t-tests to identify differences in perception among families. Results showed that respondents had more negative perspectives of a facility when they were not informed about confirmed COVID cases. There were no differences in family members’ perceptions of a facility based on the frequency of alternative visits. When respondents could communicate with their family members in an LTCF by telephone, email, mail, and window visits, they had more peace of mind. Respondents were more likely to recommend the facility to others when they were able to communicate via mail with the facility. Our findings suggest multiple communications and transparency about COVID status were most effective in keeping positive family perceptions about the facility. Our results can inform future facility communication protocols.


2017 ◽  
Vol 55 (7) ◽  
pp. 1441-1459 ◽  
Author(s):  
María Fuentes-Blasco ◽  
Beatriz Moliner-Velázquez ◽  
Irene Gil-Saura

Purpose In tourism, the adoption of Information and Communication Technologies (hereinafter ICT) and variables concerning firms’ links with suppliers have been recognized as key determinants to improve companies’ competitiveness. From the perspective of efficient management of company resources, segmentation has become a key tool and is particularly significant and current in the business-to-business context. The purpose of this paper is to study the segmentation of firms in the tourist industry according to perceived ICT use and relationship value and benefits. In addition, from the management approach, the authors seek to describe the segments that enable the development of differentiated strategies aimed at consolidating relationship benefits in the long term. Design/methodology/approach Using a sample of 310 travel agencies who evaluated the relationship with their main supplier, the authors attempt to examine the utility of these variables as segmentation criteria for identifying heterogeneous groups. Findings The estimation of a finite mixture model suggests that these bases are able to discriminate firms into four latent segments with different levels of ICT use and relationship variables. Research limitations/implications This research contributes to the understanding of the role that ICT and relationship variables have in the segmentation processes of tourism companies. Literature on segmentation in the business-to-business (B2B) context is limited and it is hard to find studies which apply latent methodology using behavioral criteria related to the use of ICT and relationship variables. Practical implications Segmentation of the tourism organizational market based on valuations of supplier relations and ICT use can help suppliers to design or adapt differentiation marketing strategies. Since agencies place the most value on confidence and value, tourism service suppliers should focus their efforts on improving the elements of service provision that increase perceived trust/confidence and value (i.e. growing the number of contacts, proximity to customers or sincerity, etc.). If agencies feel they can rely more on their providers, they will value their relationship more positively thereby favoring its long-term continuity. Originality/value The novelty in this work lies in the application of latent segmentation methodology and the simultaneous use of bases associated with ICT and relationship variables in B2B tourism.


Author(s):  
Dinesh Kumar J. ◽  
Arulchelvan S.

The use of information and communication technologies is increasing in the present scenario to a great extent for various purposes such as education, entertainment, business, e-governance, and so on. When ICT use expanded its origin, it has also predominantly taken a huge place in domestic activities. In the recent decade, the domestication of technologies in home has been expanding and its influence in family activities and family members must be a considerable area to study. Though many scholars from various countries attempted to understand the ICT influence in family life, this chapter adds a contribution to the field by analysing how the different activities in domestic life influences the family dynamics. This research collected the data from two different generation family members such as parents and children. This will help to understand how the ICT use influences the intergeneration family members. It is found that ICT has a desirable influence in family activities. Young adults are highly influenced by parents, and the regular monitoring is expected to avoid harmful effects.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038598
Author(s):  
Jung-Yeon Choi ◽  
Kwang-il Kim ◽  
Hongsoo Kim ◽  
Young-il Jung ◽  
In-Hwan Oh ◽  
...  

IntroductionThere is an increased healthcare need to manage institutionalised older patients owing to the ageing population. To overcome substantial future challenges, the Health-RESPECT (caRE Systems for Patients/Elderly with Coordinated care using icT), a new information and communication technologies based integrated management service model, was developed to provide effective management, enable consultation with distant professionals and share medical information between acute care hospitals and long-term care institutions.Methods and analysisA cluster randomised controlled trial will be conducted to examine the effectiveness of the Health-RESPECT in older patients with chronic diseases and their medical staff in charge. Intervention involves registration with simple comprehensive geriatric assessment, establishment of an individualised care plan for three chronic diseases (hypertension, diabetes and heart failure), medication and rehabilitation management, periodic video-conference and in-system assessment after intervention period. Primary outcomes are control levels of the three chronic diseases, adequacy of drug management and overall functional status. Patients will be assessed at before and after study period and 3 months after study ended. Analysis will be carried out with an intention-to-treat principle. In addition to evaluate intervention effects, clinical usability and economic evaluation will be assessed.Ethics and disseminationThe study protocol was reviewed and approved by the Seoul National University Bundang Hospital Institutional Review Board. Study findings will be published in peer-reviewed journals.Trial registration numberKCT0004360.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 675-675
Author(s):  
Jacqueline Eaton ◽  
Kristin Cloyes ◽  
Brooke Paulsen ◽  
Connie Madden ◽  
Lee Ellington

Abstract Nursing assistants (NAs) provide 80% of direct care in long-term care settings, yet are seldom viewed as skilled professionals. Empowering NAs is linked to improved resident outcomes. In this study, we collaborate with NAs to adapt and test the feasibility and acceptability of arts-based creative caregiving techniques (CCG) for use in long-term care. We held a series of focus groups (n=14) to adapt, refine, and enhance usability. We then evaluated implementation in two waves of testing (n=8). Those working in memory care units were more likely to use all techniques, while those working in rehabilitation were more hesitant to implement. Participants reported using CCG to distract upset residents. Family members were excited about implementation, and NAs not participating wanted to learn CCG. Nursing assistants have the potential to become experts in creative caregiving but may require in-depth training to improve use.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 602-603
Author(s):  
Rachael Spalding ◽  
Emma Katz ◽  
Barry Edelstein

Abstract Most older adults living in long-term care settings (LTCs) indicate that expressing their sexuality is important to them (Doll, 2013). Little is known about the general public’s attitudes towards sexual behaviors in LTCs. Attitudes of LTC residents’ family members are particularly important, as family members are most likely to visit residents and to care about their quality of life. Family members’ attitudes could in turn inform facility policies and management. We will present preliminary data from a series of qualitative interviews with community-dwelling adults regarding their attitudes. We will discuss how these data are being used to inform current work on a measure of attitudes toward sexual behavior in LTCs.


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