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      Impact of the COVID‐19 lockdown on system usage of an innovative care support system and the mood of older adults

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          Abstract

          Background

          Older age is a substantial risk factor for serious illness from COVID‐19. Moreover, isolation and quarantine are more likely to cause physical, mental and social deprivation in older age. Information and Communication Tools are means to prevent such consequences.

          Objective

          This study aimed therefore to investigate the impact of the COVID‐19 lockdown measures on the usage of an innovative technical support system deployed in Austria (AT) and Luxembourg (LU) consisting of several tools that allow independent living in older age.

          Methods

          Thirty‐nine older adults (11 male; 28 female) with a mean age of 74.3 (SD 7.3) years were included in the study. In total, 18 older people were recruited in AT and 21 in LU. Descriptive statistics were computed, and longitudinal models were fitted for technology use and self‐reported mood.

          Results

          The number of older adults using the system significantly decreased from the time before lockdown (39 [100%]) to during lockdown (26 [67%]) and thereafter (23 [59%]; p < 0.001). Multiple comparisons revealed a significant reduction in the average number of events for calendar and medication tools, but a substantial increase in communication and messaging events. Self‐reported well‐being declined during the lockdown and increased afterwards back to baseline levels.

          Conclusion

          Communication was the main reason for using the support system. In addition, strategies and interventions are essential to support older adults when using information technology in the prolonged phases of the pandemic to sustain independent living.

          Clinical trial registration

          The DAPAS protocol was published at www.researchgate.net. DOI: 10.13140/RG.2.2.24233.34401.

          Key points

          • Social isolation and quarantine are more likely to cause physical, mental and social deprivation in older age; Information and Communication Tools (ICTs) could help to prevent such consequences.

          • This study investigated the impact of the COVID‐19 lockdown measures on using an innovative technical support system and the self‐reported mood of older adults at times of reduced social contact.

          • In general, the number of older adults using the novel system significantly decreased during the lockdown, but there was a substantial increase in communication and messaging events.

          • Self‐reported well‐being declined during the lockdown and increased afterwards back to baseline levels.

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          Most cited references23

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          World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects.

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            The Impact of COVID-19 Epidemic Declaration on Psychological Consequences: A Study on Active Weibo Users

            COVID-19 (Corona Virus Disease 2019) has significantly resulted in a large number of psychological consequences. The aim of this study is to explore the impacts of COVID-19 on people’s mental health, to assist policy makers to develop actionable policies, and help clinical practitioners (e.g., social workers, psychiatrists, and psychologists) provide timely services to affected populations. We sample and analyze the Weibo posts from 17,865 active Weibo users using the approach of Online Ecological Recognition (OER) based on several machine-learning predictive models. We calculated word frequency, scores of emotional indicators (e.g., anxiety, depression, indignation, and Oxford happiness) and cognitive indicators (e.g., social risk judgment and life satisfaction) from the collected data. The sentiment analysis and the paired sample t-test were performed to examine the differences in the same group before and after the declaration of COVID-19 on 20 January, 2020. The results showed that negative emotions (e.g., anxiety, depression and indignation) and sensitivity to social risks increased, while the scores of positive emotions (e.g., Oxford happiness) and life satisfaction decreased. People were concerned more about their health and family, while less about leisure and friends. The results contribute to the knowledge gaps of short-term individual changes in psychological conditions after the outbreak. It may provide references for policy makers to plan and fight against COVID-19 effectively by improving stability of popular feelings and urgently prepare clinical practitioners to deliver corresponding therapy foundations for the risk groups and affected people.
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              Digital Health Strategies to Fight COVID-19 Worldwide: Challenges, Recommendations, and a Call for Papers

              The coronavirus disease (COVID-19) pandemic has created an urgent need for coordinated mechanisms to respond to the outbreak across health sectors, and digital health solutions have been identified as promising approaches to address this challenge. This editorial discusses the current situation regarding digital health solutions to fight COVID-19 as well as the challenges and ethical hurdles to broad and long-term implementation of these solutions. To decrease the risk of infection, telemedicine has been used as a successful health care model in both emergency and primary care. Official communication plans should promote facile and diverse channels to inform people about the pandemic and to avoid rumors and reduce threats to public health. Social media platforms such as Twitter and Google Trends analyses are highly beneficial to model pandemic trends as well as to monitor the evolution of patients’ symptoms or public reaction to the pandemic over time. However, acceptability of digital solutions may face challenges due to potential conflicts with users’ cultural, moral, and religious backgrounds. Digital tools can provide collective public health benefits; however, they may be intrusive and can erode individual freedoms or leave vulnerable populations behind. The COVID-19 pandemic has demonstrated the strong potential of various digital health solutions that have been tested during the crisis. More concerted measures should be implemented to ensure that future digital health initiatives will have a greater impact on the epidemic and meet the most strategic needs to ease the life of people who are at the forefront of the crisis.
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                Author and article information

                Contributors
                christopher.mayer@ait.ac.at
                Journal
                Int J Geriatr Psychiatry
                Int J Geriatr Psychiatry
                10.1002/(ISSN)1099-1166
                GPS
                International Journal of Geriatric Psychiatry
                John Wiley and Sons Inc. (Hoboken )
                0885-6230
                1099-1166
                18 February 2022
                March 2022
                18 February 2022
                : 37
                : 3 ( doiID: 10.1002/gps.v37.3 )
                : 10.1002/gps.5696
                Affiliations
                [ 1 ] AIT Austrian Institute of Technology GmbH Center for Health & Bioresources Vienna Austria
                [ 2 ] Medical University of Vienna Center for Medical Statistics, Informatics, and Intelligent Systems Section for Outcomes Research Vienna Austria
                [ 3 ] exthex GmbH Graz Austria
                [ 4 ] Red Cross Styria Graz Austria
                [ 5 ] Stëftung Hëllef Doheem Luxembourg City Luxembourg
                Author notes
                [*] [* ] Correspondence

                Christopher C. Mayer, AIT Austrian Institute of Technology GmbH, Center for Health & Bioresources, Giefinggasse 4, 1210 Vienna, Austria.

                Email: christopher.mayer@ 123456ait.ac.at

                Author information
                https://orcid.org/0000-0002-5612-5481
                Article
                GPS5696
                10.1002/gps.5696
                9087387
                35179240
                2344e032-d8bb-44f0-bacf-85dd49076ce4
                © 2022 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 17 March 2021
                : 03 February 2022
                Page count
                Figures: 4, Tables: 2, Pages: 10, Words: 5503
                Funding
                Funded by: AAL JP
                Award ID: AAL‐2017‐049
                Funded by: Bundesministerium für Klimaschutz, Umwelt, Energie, Mobilität, Innovation und Technologie , doi 10.13039/501100016167;
                Funded by: Österreichische Forschungsförderungsgesellschaft , doi 10.13039/501100004955;
                Funded by: Bizkaia
                Funded by: program benefit
                Funded by: Fundação para a Ciência e a Tecnologia , doi 10.13039/501100001871;
                Funded by: Fonds National de la Recherche Luxembourg , doi 10.13039/501100001866;
                Categories
                Research Article
                Research Article
                Custom metadata
                2.0
                March 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.5 mode:remove_FC converted:10.05.2022

                Geriatric medicine
                assistive technology,communication,coronavirus,new technology,older people,participation,vulnerable

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