Impact of COVID-19 on the health and psychosocial status of vulnerable older adults: study protocol for an observational study

Abstract Background Many countries around the world have adopted social distancing as one of the public health measures to reduce COVID-19 transmissions in the community. Such measures could have negative effects on the mental health of the population. The aims of this study are to (1) track the imp...

Full description

Bibliographic Details
Main Authors: Gary Cheung, Claudia Rivera-Rodriguez, Adrian Martinez-Ruiz, Etuini Ma’u, Brigid Ryan, Vanessa Burholt, Ange Bissielo, Brigette Meehan
Format: Article
Language:English
Published: BMC 2020-11-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-020-09900-1
_version_ 1819072555911217152
author Gary Cheung
Claudia Rivera-Rodriguez
Adrian Martinez-Ruiz
Etuini Ma’u
Brigid Ryan
Vanessa Burholt
Ange Bissielo
Brigette Meehan
author_facet Gary Cheung
Claudia Rivera-Rodriguez
Adrian Martinez-Ruiz
Etuini Ma’u
Brigid Ryan
Vanessa Burholt
Ange Bissielo
Brigette Meehan
author_sort Gary Cheung
collection DOAJ
description Abstract Background Many countries around the world have adopted social distancing as one of the public health measures to reduce COVID-19 transmissions in the community. Such measures could have negative effects on the mental health of the population. The aims of this study are to (1) track the impact of COVID-19 on self-reported mood, self-rated health, other health and psychosocial indicators, and health services utilization of people who have an interRAI assessment during the first year of COVID-19; (2) compare these indicators with the same indicators in people who had an interRAI assessment in the year before COVID-19; and (3) report these indicators publicly as soon as data analysis is completed every 3 months. Methods interRAI COVID-19 Study (iCoS) is an observational study on routinely collected national data using the interRAI Home Care and Contact Assessment, which are standardized geriatric assessment tools mandated for all people assessed for publicly funded home support services and aged residential care in New Zealand. Based on the 2018/19 figures, we estimated there are 36,000 interRAI assessments per annum. We will compare the four post-lockdown quarters (from 25th March 2020) with the respective pre-lockdown quarters. The primary outcomes are self-reported mood (feeling sad, depressed or hopeless: 0 = no, 1 = yes) and self-rated health (0 = excellent, 1 = good, 2 = fair, 3 = poor). We will also analyze sociodemographics, other secondary health and psychosocial indicators, and health services utilization. Descriptive statistics will be conducted for primary outcomes and other indicators for each of the eight quarters. We will compare the quarters using regression models adjusted for demographic characteristics using weights or additional variables. Key health and psychosocial indicators will be reported publicly as soon as data analysis is completed for each quarter in the 12-month post-lockdown period by using a data visualization tool. Discussion This rapid translation of routinely collected national interRAI data will provide a means to monitor the health and psychosocial well-being of vulnerable older New Zealanders. Insights from this study can be shared with other countries that use interRAI and prepare health and social services for similar epidemics/pandemics in the future.
first_indexed 2024-12-21T17:39:36Z
format Article
id doaj.art-bd5e7026374944aa9a9b520f995f7c9e
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-12-21T17:39:36Z
publishDate 2020-11-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-bd5e7026374944aa9a9b520f995f7c9e2022-12-21T18:55:39ZengBMCBMC Public Health1471-24582020-11-012011910.1186/s12889-020-09900-1Impact of COVID-19 on the health and psychosocial status of vulnerable older adults: study protocol for an observational studyGary Cheung0Claudia Rivera-Rodriguez1Adrian Martinez-Ruiz2Etuini Ma’u3Brigid Ryan4Vanessa Burholt5Ange Bissielo6Brigette Meehan7Department of Psychological Medicine, The University of AucklandDepartment of Statistics, The University of AucklandDepartment of Psychological Medicine, The University of AucklandDepartment of Psychological Medicine, The University of AucklandBrain Research New Zealand - Rangahau Roro Aotearoa, The University of AucklandSchool of Nursing / School of Population Health, The University of AucklandinterRAI Services, Technical Advisory Services (TAS) LimitedinterRAI Services, Technical Advisory Services (TAS) LimitedAbstract Background Many countries around the world have adopted social distancing as one of the public health measures to reduce COVID-19 transmissions in the community. Such measures could have negative effects on the mental health of the population. The aims of this study are to (1) track the impact of COVID-19 on self-reported mood, self-rated health, other health and psychosocial indicators, and health services utilization of people who have an interRAI assessment during the first year of COVID-19; (2) compare these indicators with the same indicators in people who had an interRAI assessment in the year before COVID-19; and (3) report these indicators publicly as soon as data analysis is completed every 3 months. Methods interRAI COVID-19 Study (iCoS) is an observational study on routinely collected national data using the interRAI Home Care and Contact Assessment, which are standardized geriatric assessment tools mandated for all people assessed for publicly funded home support services and aged residential care in New Zealand. Based on the 2018/19 figures, we estimated there are 36,000 interRAI assessments per annum. We will compare the four post-lockdown quarters (from 25th March 2020) with the respective pre-lockdown quarters. The primary outcomes are self-reported mood (feeling sad, depressed or hopeless: 0 = no, 1 = yes) and self-rated health (0 = excellent, 1 = good, 2 = fair, 3 = poor). We will also analyze sociodemographics, other secondary health and psychosocial indicators, and health services utilization. Descriptive statistics will be conducted for primary outcomes and other indicators for each of the eight quarters. We will compare the quarters using regression models adjusted for demographic characteristics using weights or additional variables. Key health and psychosocial indicators will be reported publicly as soon as data analysis is completed for each quarter in the 12-month post-lockdown period by using a data visualization tool. Discussion This rapid translation of routinely collected national interRAI data will provide a means to monitor the health and psychosocial well-being of vulnerable older New Zealanders. Insights from this study can be shared with other countries that use interRAI and prepare health and social services for similar epidemics/pandemics in the future.https://doi.org/10.1186/s12889-020-09900-1PandemicOlder adultsHealthMental healthinterRAI
spellingShingle Gary Cheung
Claudia Rivera-Rodriguez
Adrian Martinez-Ruiz
Etuini Ma’u
Brigid Ryan
Vanessa Burholt
Ange Bissielo
Brigette Meehan
Impact of COVID-19 on the health and psychosocial status of vulnerable older adults: study protocol for an observational study
BMC Public Health
Pandemic
Older adults
Health
Mental health
interRAI
title Impact of COVID-19 on the health and psychosocial status of vulnerable older adults: study protocol for an observational study
title_full Impact of COVID-19 on the health and psychosocial status of vulnerable older adults: study protocol for an observational study
title_fullStr Impact of COVID-19 on the health and psychosocial status of vulnerable older adults: study protocol for an observational study
title_full_unstemmed Impact of COVID-19 on the health and psychosocial status of vulnerable older adults: study protocol for an observational study
title_short Impact of COVID-19 on the health and psychosocial status of vulnerable older adults: study protocol for an observational study
title_sort impact of covid 19 on the health and psychosocial status of vulnerable older adults study protocol for an observational study
topic Pandemic
Older adults
Health
Mental health
interRAI
url https://doi.org/10.1186/s12889-020-09900-1
work_keys_str_mv AT garycheung impactofcovid19onthehealthandpsychosocialstatusofvulnerableolderadultsstudyprotocolforanobservationalstudy
AT claudiariverarodriguez impactofcovid19onthehealthandpsychosocialstatusofvulnerableolderadultsstudyprotocolforanobservationalstudy
AT adrianmartinezruiz impactofcovid19onthehealthandpsychosocialstatusofvulnerableolderadultsstudyprotocolforanobservationalstudy
AT etuinimau impactofcovid19onthehealthandpsychosocialstatusofvulnerableolderadultsstudyprotocolforanobservationalstudy
AT brigidryan impactofcovid19onthehealthandpsychosocialstatusofvulnerableolderadultsstudyprotocolforanobservationalstudy
AT vanessaburholt impactofcovid19onthehealthandpsychosocialstatusofvulnerableolderadultsstudyprotocolforanobservationalstudy
AT angebissielo impactofcovid19onthehealthandpsychosocialstatusofvulnerableolderadultsstudyprotocolforanobservationalstudy
AT brigettemeehan impactofcovid19onthehealthandpsychosocialstatusofvulnerableolderadultsstudyprotocolforanobservationalstudy