Brighton and Sussex Medical School, University of Sussex, Brighton, UK.
Social Policy Research Unit, University of York, York, UK.
Int J Geriatr Psychiatry. 2023 Feb;38(2):e5886. doi: 10.1002/gps.5886.
The COVID-19 pandemic triggered rapid and unprecedented changes in the use of digital technologies to support people's social inclusion. We examined whether and how co-resident and non-co-resident family carers of people with dementia engaged with digital technologies during this period.
Throughout November 2020-February 2021, we interviewed 42 family carers of people with dementia from our DETERMIND-C19 cohort. Preliminary analysis was conducted through Framework analysis, followed by an inductive thematic analysis.
Digital technologies served as a Facilitator for social inclusion by enabling carers to counter the effects of the differing restrictions imposed on them so they could remain socially connected and form a sense of solidarity, access resources and information, engage in social and cultural activities and provide support and independence in their caring role. However, these experiences were not universal as carers discussed some Challenges for tech inclusion, which included preferences for face-to-face contact, lack of technological literacy and issues associated with the accessibility of the technology.
Many of the carers engaged with Information and Communication Technologies, and to a lesser extent Assistive Technologies, during the pandemic. Whilst carers experienced different challenges due to where they lived, broadly the use of these devices helped them realise important facets of social inclusion as well as facilitated the support they provided to the person with dementia. However, to reduce the 'digital divide' and support the social inclusion of all dementia carers, our findings suggest it is essential that services are attuned to their preferences, needs and technological abilities.
COVID-19 大流行促使数字技术在支持人们的社会包容方面迅速发生了前所未有的变化。我们研究了在此期间,痴呆症患者的共同居住和非共同居住的家庭护理人员是否以及如何使用数字技术。
在 2020 年 11 月至 2021 年 2 月期间,我们对来自我们的 DETERMIND-C19 队列的 42 名痴呆症患者的家庭护理人员进行了访谈。初步分析通过框架分析进行,然后进行归纳主题分析。
数字技术通过使护理人员能够抵消对他们施加的不同限制的影响,从而成为社会包容的促进者,使他们能够保持社会联系并形成团结感,访问资源和信息,参与社会和文化活动,并在照顾角色中提供支持和独立性。然而,这些体验并非普遍存在,因为护理人员讨论了一些技术包容方面的挑战,包括对面对面接触的偏好、技术素养不足以及与技术可及性相关的问题。
许多护理人员在大流行期间使用了信息和通信技术,在较小程度上也使用了辅助技术。虽然护理人员因居住地点不同而面临不同的挑战,但这些设备的使用帮助他们实现了社会包容的重要方面,并为他们提供了对痴呆症患者的支持。然而,为了缩小“数字鸿沟”并支持所有痴呆症护理人员的社会包容,我们的研究结果表明,服务必须适应他们的偏好、需求和技术能力。