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Article ; Online: Impact of the COVID-19 Pandemic on Older Adults: Rapid Review.

Lebrasseur, Audrey / Fortin-Bédard, Noémie / Lettre, Josiane / Raymond, Emilie / Bussières, Eve-Line / Lapierre, Nolwenn / Faieta, Julie / Vincent, Claude / Duchesne, Louise / Ouellet, Marie-Christine / Gagnon, Eric / Tourigny, André / Lamontagne, Marie-Ève / Routhier, François

JMIR aging

2021 Volume 4, Issue 2, Page(s) e26474

Abstract: ... studies regarding the impact of the COVID-19 pandemic on older adults. The Human Development Model ... of the COVID-19 pandemic, and associated isolation and protective measures, on older adults ... This study aims to synthesize the existing research on the impact of the COVID-19 pandemic, and associated ...

Abstract	Background: The COVID-19 pandemic has drastically changed the lives of countless members of the general population. Older adults are known to experience loneliness, age discrimination, and excessive worry. It is therefore reasonable to anticipate that they would experience greater negative outcomes related to the COVID-19 pandemic given their increased isolation and risk for complications than younger adults. Objective: This study aims to synthesize the existing research on the impact of the COVID-19 pandemic, and associated isolation and protective measures, on older adults. The secondary objective is to investigate the impact of the COVID-19 pandemic, and associated isolation and protective measures, on older adults with Alzheimer disease and related dementias. Methods: A rapid review of the published literature was conducted on October 6, 2020, through a search of 6 online databases to synthesize results from published original studies regarding the impact of the COVID-19 pandemic on older adults. The Human Development Model conceptual framework-Disability Creation Process was used to describe and understand interactions between personal factors, environmental factors, and life habits. Methods and results are reported following the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement. Results: A total of 135 records were included from the initial search strategy of 13,452 individual studies. Of these, 113 (83.7%) studies were determined to be of level 4 according to the levels of evidence classification by the Centre for Evidence-Based Medicine. The presence of psychological symptoms, exacerbation of ageism, and physical deterioration of aged populations were reported in the included studies. Decreased social life and fewer in-person social interactions reported during the COVID-19 pandemic were occasionally associated with reduced quality of life and increased depression. Difficulties accessing services, sleep disturbances, and a reduction of physical activity were also noted. Conclusions: Our results highlight the need for adequate isolation and protective measures. Older adults represent a heterogeneous group, which could explain the contradictory results found in the literature. Individual, organizational, and institutional strategies should be established to ensure that older adults are able to maintain social contacts, preserve family ties, and maintain the ability to give or receive help during the current pandemic. Future studies should focus on specific consequences and needs of more at-risk older adults to ensure their inclusion, both in public health recommendations and considerations made by policy makers.
Language	English
Publishing date	2021-04-12
Publishing country	Canada
Document type	Journal Article ; Review
ISSN	2561-7605
ISSN (online)	2561-7605
DOI	10.2196/26474
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Article ; Online: Social, health and economic impact of COVID-19

David Bell / Lesley McGregor / Elaine Douglas / Louise McCabe / Tamara Brown / John Houston / Stella Arakelyan / David Comerford / Alison Dawson / Cristina Douglas

BMJ Open, Vol 13, Iss

Healthy Ageing In Scotland (HAGIS) – a protocol for a mixed-methods study

2023 Volume 2

Abstract: ... adults (aged ≥50) in Scotland and (2) to examine the impact of COVID-19 fear on the willingness of older ... based ‘e-Delphi’ consultation with professionals working with older adults. The COVID-19 fear scale was ... of the pandemic include fear, worry and anxiety. COVID-19 fear may impact individuals’ mitigation behaviours ...

Abstract	Introduction Public health responses to the COVID-19 pandemic have reaped adverse physical, psychological, social and economic effects, with older adults disproportionally affected. Psychological consequences of the pandemic include fear, worry and anxiety. COVID-19 fear may impact individuals’ mitigation behaviours, influencing their willingness to (re)engage in health, social and economic behaviours. This study seeks (1) to develop a robust and evidence-based questionnaire to measure the prevalence of COVID-19 fear among older adults (aged ≥50) in Scotland and (2) to examine the impact of COVID-19 fear on the willingness of older adults to (re)engage across health, social and economic domains as society adjusts to the ‘new normal’ and inform policy and practice.Methods and analysis This mixed-method study includes a large-scale multimodal survey, focus groups and interviews with older adults (aged ≥50) living in Scotland, and an email-based ‘e-Delphi’ consultation with professionals working with older adults. The COVID-19 fear scale was developed and validated using exploratory and confirmatory factor analyses. Survey data will be analysed using descriptive and inferential statistics. Thematic analysis will be used to analyse qualitative data. Survey and qualitative findings will be triangulated and used as the starting point for an ‘e-Delphi’ consensus consultation with expert stakeholders.Ethics and dissemination Ethical approval has been obtained from the University of Stirling for multimodal survey development, fieldwork methodology and data management. Anonymised survey data will be deposited with the UK Data Service, with a link provided via the Gateway to Global Ageing. Qualitative data will be deposited with the University of Stirling online digital repository—DataSTORRE. A dedicated work package will oversee dissemination via a coproduced project website, conference presentations, rapid reports and national and international peer-reviewed journal articles. There is planned engagement with Scottish and ...
Keywords	Medicine ; R
Subject code	306
Language	English
Publishing date	2023-02-01T00:00:00Z
Publisher	BMJ Publishing Group
Document type	Article ; Online
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Article ; Online: The Psychosocial Impact of COVID-19 on Older Adults with Cancer: A Rapid Review.

Verma, Ridhi / Kilgour, Heather M / Haase, Kristen R

Current oncology (Toronto, Ont.)

2022 Volume 29, Issue 2, Page(s) 589–601

Abstract: ... within the context of COVID-19.: Methods: We conducted a rapid review of literature following PRISMA guidelines ... keyword searches for "cancer" and "COVID-19" focused on adults 65 years or older.: Results: Of the 6597 ... the literature surrounding the psychosocial impact and coping strategies among older adults with cancer ...

Abstract	Background: Older adults with cancer are amongst the most vulnerable population to be negatively impacted by COVID-19 due to their likelihood of comorbidities and compromised immune status. Considering the longevity of the pandemic, understanding the subjective perceptions and psychosocial concerns of this population may help ameliorate the psychological aftermath. In this review, we systematically analyze the literature surrounding the psychosocial impact and coping strategies among older adults with cancer within the context of COVID-19. Methods: We conducted a rapid review of literature following PRISMA guidelines between January 2020 to August 2021 using (1) MEDLINE, (2) Embase, (3) CINAHL, and (4) PsychINFO and keyword searches for "cancer" and "COVID-19" focused on adults 65 years or older. Results: Of the 6597 articles screened, 10 met the inclusion criteria. Based on the included articles, the psychosocial impact of COVID-19 was reported under four domains, (1) impact of COVID-19 on quality of life (QoL), (2) concerns related to COVID-19, (3) coping with the impact of COVID-19, and (4) recommendations for future care. Results pertaining to perceived quality of life were inconsistent across the included articles. The most common concerns related to: contracting COVID-19, survivorship transitions, and feelings of isolation. Coping strategies reported by older adults included: spiritual care, lived experience, acceptance, and positive reinterpretation. Conclusions: We found many psychosocial impacts of the pandemic on older adults with cancer. The findings from this review can inform interventions related to shared decision-making and tailored patient care in the future.
MeSH term(s)	Aged ; COVID-19 ; Humans ; Neoplasms/therapy ; Pandemics ; Quality of Life ; SARS-CoV-2
Language	English
Publishing date	2022-01-28
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	1236972-x
ISSN	1718-7729 ; 1198-0052
ISSN (online)	1718-7729
ISSN	1198-0052
DOI	10.3390/curroncol29020053
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Article ; Online: Social, health and economic impact of COVID-19: Healthy Ageing In Scotland (HAGIS) - a protocol for a mixed-methods study.

Arakelyan, Stella / Brown, Tamara / McCabe, Louise / McGregor, Lesley / Comerford, David / Dawson, Alison / Bell, David / Douglas, Cristina / Houston, John / Douglas, Elaine

BMJ open

2023 Volume 13, Issue 2, Page(s) e061427

Abstract: ... adults (aged ≥50) in Scotland and (2) to examine the impact of COVID-19 fear on the willingness of older ... and an email-based 'e-Delphi' consultation with professionals working with older adults. The COVID-19 ... of the pandemic include fear, worry and anxiety. COVID-19 fear may impact individuals' mitigation behaviours ...

Abstract	Introduction: Public health responses to the COVID-19 pandemic have reaped adverse physical, psychological, social and economic effects, with older adults disproportionally affected. Psychological consequences of the pandemic include fear, worry and anxiety. COVID-19 fear may impact individuals' mitigation behaviours, influencing their willingness to (re)engage in health, social and economic behaviours. This study seeks (1) to develop a robust and evidence-based questionnaire to measure the prevalence of COVID-19 fear among older adults (aged ≥50) in Scotland and (2) to examine the impact of COVID-19 fear on the willingness of older adults to (re)engage across health, social and economic domains as society adjusts to the 'new normal' and inform policy and practice. Methods and analysis: This mixed-method study includes a large-scale multimodal survey, focus groups and interviews with older adults (aged ≥50) living in Scotland, and an email-based 'e-Delphi' consultation with professionals working with older adults. The COVID-19 fear scale was developed and validated using exploratory and confirmatory factor analyses. Survey data will be analysed using descriptive and inferential statistics. Thematic analysis will be used to analyse qualitative data. Survey and qualitative findings will be triangulated and used as the starting point for an 'e-Delphi' consensus consultation with expert stakeholders. Ethics and dissemination: Ethical approval has been obtained from the University of Stirling for multimodal survey development, fieldwork methodology and data management. Anonymised survey data will be deposited with the UK Data Service, with a link provided via the Gateway to Global Ageing. Qualitative data will be deposited with the University of Stirling online digital repository-DataSTORRE. A dedicated work package will oversee dissemination via a coproduced project website, conference presentations, rapid reports and national and international peer-reviewed journal articles. There is planned engagement with Scottish and UK policy makers to contribute to the UK government's COVID-19 recovery strategy.
MeSH term(s)	Humans ; Aged ; COVID-19/epidemiology ; Healthy Aging ; Pandemics ; Scotland/epidemiology ; Aging
Language	English
Publishing date	2023-02-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2022-061427
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Article: The indirect impact of COVID-19 on child health.

Ashikkali, Loucia / Carroll, Will / Johnson, Christine

Paediatrics and child health

2020 Volume 30, Issue 12, Page(s) 430–437

Abstract: Since the detection of COVID-19 in December 2019, the rapid spread of the disease worldwide has led ... than adults and presentation of the disease has shown different characteristics. Nonetheless, COVID-19 has had ... that it predominantly affects older age groups with children and young adults being generally more resilient to more ...

Abstract	Since the detection of COVID-19 in December 2019, the rapid spread of the disease worldwide has led to a new pandemic, with the number of infected individuals and deaths rising daily. Early experience shows that it predominantly affects older age groups with children and young adults being generally more resilient to more severe disease.1, 2, 3 From a health standpoint, children and young people are less directly affected than adults and presentation of the disease has shown different characteristics. Nonetheless, COVID-19 has had severe repercussions on children and young people. These indirect, downstream implications should not be ignored. An understanding of the issues is essential for those who hope to advocate effectively for children to prevent irreversible damage to the adults of the future. This article reviews some of the evidence of harm to children that may accrue indirectly as a result of pandemics. It explores the physical and psychological effects, discusses the role of parenting and education, offering practical advice about how best to provide support as a healthcare professional.
Keywords	covid19
Language	English
Publishing date	2020-09-16
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	2278377-5
ISSN	1878-206X ; 1751-7222
ISSN (online)	1878-206X
ISSN	1751-7222
DOI	10.1016/j.paed.2020.09.004
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Article ; Online: Factors that impact on recruitment to vaccine trials in the context of a pandemic or epidemic: a qualitative evidence synthesis.

Meskell, Pauline / Biesty, Linda M / Dowling, Maura / Roche, Kevin / Meehan, Elaine / Glenton, Claire / Devane, Declan / Shepperd, Sasha / Booth, Andrew / Cox, Rebecca / Chan, Xin Hui S / Houghton, Catherine

The Cochrane database of systematic reviews

2023 Volume 9, Page(s) MR000065

Abstract: Background: The World Health Organization declared the COVID-19 pandemic on 11 March 2020. Vaccine ... of adults aged 18 years or older who were invited to take part in vaccine trials in the context ... The other studies related to Ebola virus, tuberculosis, Zika virus and COVID-19. We developed 20 key findings, under ...

Abstract	Background: The World Health Organization declared the COVID-19 pandemic on 11 March 2020. Vaccine development and deployment were swiftly prioritised as a method to manage and control disease spread. The development of an effective vaccine relies on people's participation in randomised trials. Recruitment to vaccine trials is particularly challenging as it involves healthy volunteers who may have concerns around the potential risks and benefits associated with rapidly developed vaccines. Objectives: To explore the factors that influence a person's decision to participate in a vaccine trial in the context of a pandemic or epidemic. Search methods: We used standard, extensive Cochrane search methods. The latest search date was June 2021. Selection criteria: We included qualitative studies and mixed-methods studies with an identifiable qualitative component. We included studies that explored the perspectives of adults aged 18 years or older who were invited to take part in vaccine trials in the context of a pandemic or epidemic. Data collection and analysis: We assessed the title, abstracts and full texts identified by the search. We used a sampling frame to identify data-rich studies that represented a range of diseases and geographical spread. We used QSR NVivo to manage extracted data. We assessed methodological limitations using an adapted version of the Critical Skills Appraisal Programme (CASP) tool for qualitative studies. We used the 'best-fit framework approach' to analyse and synthesise the evidence from our included studies. We then used the Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) assessment to assess our confidence in each finding and develop implications for practice. Main results: We included 34 studies in our review. Most studies related to HIV vaccine trials. The other studies related to Ebola virus, tuberculosis, Zika virus and COVID-19. We developed 20 key findings, under three broad themes (with seven subthemes), that described the factors that people consider when deciding whether to take part in a vaccine trial for a pandemic or epidemic disease. Our GRADE-CERQual confidence was high in nine of the key findings, moderate in 10 key findings and low in one key finding. The main reason for downgrading review findings were concerns regarding the relevance and adequacy of the underlying data. As a result of the over-representation of HIV studies, our GRADE-CERQual assessment of some findings was downgraded in terms of relevance because the views described may not reflect those of people regarding vaccine trials for other pandemic or epidemic diseases. Adequacy relates to the degree of richness and quantity of data supporting a review finding. Moderate concerns about adequacy resulted in a downgrading of some review findings. Some factors were considered to be under the control of the trial team. These included how trial information was communicated and the inclusion of people in the community to help with trial information dissemination. Aspects of trial design were also considered under control of the trial team and included convenience of participation, provision of financial incentives and access to additional support services for those taking part in the trial. Other factors influencing people's decision to take part could be personal, from family, friends or wider society. From a personal perceptive, people had concerns about vaccine side effects, vaccine efficacy and possible impact on their daily lives (carer responsibilities, work, etc.). People were also influenced by their families, and the impact participation may have on relationships. The fear of stigma from society influenced the decision to take part. Also, from a societal perspective, the level of trust in governments' involvement in research and trial may influence a person's decision. Finally, the perceived rewards, both personal and societal, were influencing factors on the decision to participate. Personal rewards included access to a vaccine, improved health and improved disease knowledge, and a return to normality in the context of a pandemic or epidemic. Potential societal rewards included helping the community and contributing to science, often motivated by the memories of family and friends who had died from the disease. Authors' conclusions: This review identifies many of the factors that influence a person's decision to take part in a vaccine trial, and these reflect findings from reviews that examine trials more broadly. However, we also recognise some factors that become more important in connection with a vaccine trial in the context of a pandemic or epidemic. These factors include the potential stigma of taking part, the possible adverse effects of a vaccine, the added motivation for helping society, the role of community leaders in trial dissemination, and the level of trust placed in governments and companies developing vaccines. These specific influences need to be considered by trial teams when designing, and communicating about, vaccine trials in the context of a pandemic or epidemic.
MeSH term(s)	Adult ; Humans ; COVID-19 ; Drug-Related Side Effects and Adverse Reactions ; Fear ; Friends ; Pandemics ; Zika Virus ; Zika Virus Infection
Language	English
Publishing date	2023-09-01
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Review
ISSN	1469-493X
ISSN (online)	1469-493X
DOI	10.1002/14651858.MR000065.pub2
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Article ; Online: The impact of COVID-19 pandemic on family caregivers' mental health: a rapid systematic review of the current evidence.

Dellafiore, Federica / Arrigoni, Cristina / Nania, Tiziana / Caruso, Rosario / Baroni, Irene / Vangone, Ida / Russo, Sara / Barello, Serena

Acta bio-medica : Atenei Parmensis

2022 Volume 93, Issue S2, Page(s) e2022154

Abstract: ... on the impact of the COVID-19 pandemic on caregivers' mental health.: Methods: A rapid systematic review was ... an evidence synthesis of the negative mental health impact experienced by caregivers of older adults during ... the COVID-19 pandemic. ...

Abstract	Background and aim of the work: Older adults, especially in isolation and with cognitive decline/dementia, can become more anxious and stressed during the quarantine. All these symptoms negatively affect the psycho-physical health of their caregivers. This study aimed to synthesize the current evidence on the impact of the COVID-19 pandemic on caregivers' mental health. Methods: A rapid systematic review was conducted using the following databases: Pubmed/Medline, CINAHL, Scopus, and PsycInfo (PROSPERO registration number: CRD42020215485). The 'PRISMA' flow chart guided the selection of articles. The search was entirely performed up to September 15th, 2021. Results: The narrative synthesis has brought out two main themes that represent the current debate in literature: "Family caregivers COVID-19 related stress", and "(Mal)adaptive strategies to the "new" normality". Conclusions: This study provides an evidence synthesis of the negative mental health impact experienced by caregivers of older adults during the COVID-19 pandemic.
MeSH term(s)	Aged ; COVID-19 ; Caregivers/psychology ; Humans ; Mental Health ; Pandemics ; Quarantine
Language	English
Publishing date	2022-05-12
Publishing country	Italy
Document type	Journal Article ; Systematic Review
ZDB-ID	2114240-3
ISSN	2531-6745 ; 0392-4203
ISSN (online)	2531-6745
ISSN	0392-4203
DOI	10.23750/abm.v93iS2.12979
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Article: One-Year Report of COVID-19 Impact on Geriatric Patients: a Bio-Psycho-Social Approach.

Chang, Allen Y / Babb, Kimberly N

Canadian geriatrics journal : CGJ

2022 Volume 25, Issue 2, Page(s) 212–221

Abstract: ... articles of the COVID-19 pandemic impact on the geriatric population between December 2019 and April 2021 ... older adults. Early studies have also highlighted the prevalence of post-COVID infection symptoms ... term sequelae of COVID-19 infections, and ageism.: Conclusion: This review seeks to present a one ...

Abstract	Background: Since December of 2019, coronavirus 19 (COVID-19) has spread rapidly around the world. Our understanding of the infection has grown over the past year, and its impact on older adults is particularly significant. Apart from the direct impacts of COVID-19 infections, it has also led to lockdowns which, in turn, result in isolation and loneliness. Method: We conducted a literature review of publicly available articles of the COVID-19 pandemic impact on the geriatric population between December 2019 and April 2021, a total of 748 articles. Results: The review will be presented with the Bio-Psycho-Social model, covering how the biological, psychological, and sociological aspects of health are intertwined and impact older adults. Early studies have also highlighted the prevalence of post-COVID infection symptoms that typically fall under geriatric medicine care. We highlight the bidirectional impact of isolation and COVID-19 infections on geriatric health, as well as discuss pertinent topics such as vaccine efficacy, long-term sequelae of COVID-19 infections, and ageism. Conclusion: This review seeks to present a one-year report of what is known about COVID-19 and geriatric medicine, as well as provide guidance to practitioners who care for older adults based on the most up-to-date literature.
Language	English
Publishing date	2022-06-01
Publishing country	Canada
Document type	Journal Article ; Review
ISSN	1925-8348
ISSN	1925-8348
DOI	10.5770/cgj.25.553
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Article: The indirect impact of COVID-19 on child health

Ashikalli, Louicia / Carroll, Will / Johnson, Christine

Abstract	Since the detection of COVID-19 in December 2019, the rapid spread of the disease worldwide has led to a new pandemic, with the number of infected individuals and deaths rising daily. Early experience shows that it predominantly affects older age groups with children and young adults being generally more resilient to more severe disease (1-3). From a health standpoint, children and young people are less directly affected than adults and presentation of the disease has shown different characteristics. Nonetheless, COVID-19 has had severe repercussions on children and young people. These indirect, downstream implications should not be ignored. An understanding of the issues is essential for those who hope to advocate effectively for children to prevent irreversible damage to the adults of the future. This article reviews some of the evidence of harm to children that may accrue indirectly as a result of pandemics. It explores the physical and psychological effects, discusses the role of parenting and education, offering practical advice about how best to provide support as a health care professional.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #786181
Database	COVID19

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Book ; Online: Psychological/psychiatric impact of the novel coronavirus outbreak

Zeppegno, Patrizia / Gramaglia, Carla / Guerriero, Chiara / Madeddu, Fabio / Calati, Raffaella

lessons learnt from China and call for timely crisis interventions in Italy

2020

Abstract: ... a pandemic in March 2020. Psychological impact of Covid-19 can be consisent and should be prevented ... on the psychological/psychiatric impact of Covid-19.Results: The selection process yielded 34 papers focusing ... editorials, 4 original studies, 2 brief reports, and 1 a rapid review. The majority of the articles were ...

Abstract	Background: The World Health Organization declared the Corona Virus Disease 19 (Covid-19) a pandemic in March 2020. Psychological impact of Covid-19 can be consisent and should be prevented with adequate measures. Methods: We performed a literature mini review searching for studies in PubMed focusing on the psychological/psychiatric impact of Covid-19.Results: The selection process yielded 34 papers focusing on the relation between Covid-19 and mental health: 9 correspondence, 8 letters to the editor, 7 commentaries, 3 editorials, 4 original studies, 2 brief reports, and 1 a rapid review. The majority of the articles were performed in China. They focused on the general population and particular categories considered more fragile, e.g., psychiatric patients, older adults, international migrant workers, homeless people. Authors are unanimous in believing that Covid-19 will likely increase the risk of mental health problems and worsen existing psychiatric disorders/symptoms in patients, exposed subjects, and staff. Together with the negative emotionality related to the unpredictability of the situation, uncertainty concerning the risk, excessive fear, fear of death, loneliness, guilt, stigma, denial, anger, frustration, boredome, some symptoms might appear such as insomnia until patophobia (specifically, coronaphobia), depressive and anxiety disorders, post-traumatic stress disorder, and suicidal risk.Limitations: Literature is rapidly increasing and present results are only partial. Conclusions: Mental health care should not be overlooked in this moment. The experience of China should be of help for all the countries facing with Covid-19, among them Italy.
Keywords	covid19
Publisher	Center for Open Science
Publishing country	us
Document type	Book ; Online
DOI	10.31234/osf.io/z26yk
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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