Tele-Rehabilitation for People with Dementia during the COVID-19 Pandemic: A Case-Study from England

Claudio Di Lorito, Carol Duff, Carol Rogers, Jane Tuxworth, Jocelyn Bell, Rachael Fothergill, Lindsey Wilkinson, Alessandro Bosco, Louise Howe, Rebecca O’Brien, Maureen Godfrey, Marianne Dunlop, Veronika van der Wardt, Vicky Booth, Pip Logan, Alison Cowley and Rowan H. Harwood
Additional contact information
Claudio Di Lorito: Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Carol Duff: Lincolnshire partnership NHS foundation Trust, Lincoln LN1 1FS, UK
Carol Rogers: Lincolnshire partnership NHS foundation Trust, Lincoln LN1 1FS, UK
Jane Tuxworth: Lincolnshire partnership NHS foundation Trust, Lincoln LN1 1FS, UK
Jocelyn Bell: Lincolnshire partnership NHS foundation Trust, Lincoln LN1 1FS, UK
Rachael Fothergill: Lincolnshire partnership NHS foundation Trust, Lincoln LN1 1FS, UK
Lindsey Wilkinson: Lincolnshire partnership NHS foundation Trust, Lincoln LN1 1FS, UK
Alessandro Bosco: Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Nottingham NG7 2TU, UK
Louise Howe: Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Rebecca O’Brien: Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Maureen Godfrey: Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Marianne Dunlop: Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Veronika van der Wardt: Abteilung für Allgemeinmedizin, Präventive und Rehabilitative Medizin, Philipps-Universität Marburg, 35037 Marburg, Germany
Vicky Booth: Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Pip Logan: Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK
Alison Cowley: Institute of Care Excellence, Nottingham University Hospitals NHS Trust, Nottingham NG5 1PB, UK
Rowan H. Harwood: School of Health Sciences, University of Nottingham, Nottingham NG7 7TU, UK

IJERPH, 2021, vol. 18, issue 4, 1-19

Abstract: Introduction: The Promoting Activity, Independence and Stability in Early Dementia (PrAISED) is delivering an exercise programme for people with dementia. The Lincolnshire partnership National Health Service (NHS) foundation Trust successfully delivered PrAISED through a video-calling platform during the Coronavirus Disease 2019 (COVID-19) pandemic. Methods: This qualitative case-study aimed to identify participants that video delivery worked for, to highlight its benefits and its challenges. Interviews were conducted between May and August 2020 with five participants with dementia and their caregivers ( n = 10), as well as five therapists from the Lincolnshire partnership NHS foundation Trust. The interviews were analysed through thematic analysis. Results: Video delivery worked best when participants had a supporting caregiver and when therapists showed enthusiasm and had an established rapport with the client. Benefits included time efficiency of sessions, enhancing participants’ motivation, caregivers’ dementia awareness, and therapists’ creativity. Limitations included users’ poor IT skills and resources. Discussion: The COVID-19 pandemic required innovative ways of delivering rehabilitation. This study supports that people with dementia can use tele-rehabilitation, but success is reliant on having a caregiver and an enthusiastic and known therapist.

Keywords: tele-rehabilitation; dementia; physical activity; exercise; COVID-19 (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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