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Psychotherapy Engagement Before and After a Rapid Transition to Telehealth During COVID-19 for Older Adults With Dementia.
Rossom, Rebecca; Knowlton, Greg; Yeh, Hsueh-Han; Penfold, Robert; Owen-Smith, Ashli; Hooker, Stephanie; Simon, Gregory; Miller-Matero, Lisa; Akinyemi, Esther; Ahmedani, Brian.
Afiliación
  • Rossom R; HealthPartners Institute, Minneapolis, MN, USA.
  • Knowlton G; HealthPartners Institute, Minneapolis, MN, USA.
  • Yeh HH; Henry Ford Health Center for Health Policy & Health Services Research, Detroit, MI, USA.
  • Penfold R; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
  • Owen-Smith A; Health Policy and Behavioral Sciences, Georgia State University, Atlanta, GA, USA.
  • Hooker S; HealthPartners Institute, Minneapolis, MN, USA.
  • Simon G; Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
  • Miller-Matero L; Henry Ford Health Center for Health Policy & Health Services Research, Detroit, MI, USA.
  • Akinyemi E; Henry Ford Health, Detroit, MI, USA.
  • Ahmedani B; Henry Ford Health Center for Health Policy & Health Services Research, Detroit, MI, USA.
J Appl Gerontol ; : 7334648241271922, 2024 Aug 05.
Article en En | MEDLINE | ID: mdl-39102577
ABSTRACT

Objective:

To understand the impact of the transition to telehealth during COVID-19 on psychotherapy visits for patients with dementia.

Method:

Retrospective study of older adults with dementia who had at least one psychotherapy visit in the 9 months before and after the onset of COVID-19 at 3 U.S. health systems. Care disruptions were gaps of 45+ days. Descriptive statistics and logistic mixed-effects models examined factors associated with care disruption.

Results:

4953 patients with dementia made 19,902 psychotherapy visits. Gaps in psychotherapy were less frequent during COVID-19 (29.4%) than before (48.9%), with the odds of a patient experiencing a care disruption during COVID-19 0.54 times the odds prior to COVID-19 (95% CI 0.50-0.59). Almost all patient subgroups had lower adjusted odds of care disruption during COVID-19.

Discussion:

There were fewer disruptions in psychotherapy care following the rapid shift to virtual care. Telehealth may be a viable option for patients with dementia.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Appl Gerontol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Appl Gerontol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos