Caoimhe Hannigan

Caoimhe Hannigan
National College of Ireland

PhD, Psychology

About

30
Publications
2,297
Reads
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180
Citations

Publications

Publications (30)
Article
Background : Loneliness in later life is often addressed with befriending interventions, yet evidence for their effectiveness is limited. Meanwhile it is known that loneliness has a deleterious impact on health. The aim of the study is to evaluate whether a befriending service for older adults mitigates the impact of loneliness on health outcomes,...
Article
Full-text available
In the Republic of Ireland (RoI), COVID-19 public health guidelines have been most restrictive for people aged 70 and over. Such individuals are most likely to avail of befriending services offered by a network of Irish organisations. The aim of this study was to explore the impact of COVID-19 guidelines on befriending service users, and to develop...
Article
Background : Loneliness in later life is often addressed with befriending interventions, yet evidence for their effectiveness is limited. Meanwhile it is known that loneliness has a deleterious impact on health. The aim of the study is to evaluate whether a befriending service for older adults mitigates the impact of loneliness on health outcomes,...
Preprint
BACKGROUND Self-management, a core activity for older adults living with multiple chronic conditions (multimorbidity), is challenging, requiring the person to engage in multiple tasks such as symptom monitoring, recognition of exacerbations, medication adherence and inter-stakeholder communication. A digital, integrated care approach is a critical...
Article
Background: Populations globally are ageing, resulting in higher incidence rates of chronic diseases. Digital health platforms, designed to support those with chronic conditions to self-manage at home, offer a promising solution to help people monitor their conditions and lifestyle, maintain good health, and reduce unscheduled clinical visits. How...
Article
Background: Multimorbidity is defined as the presence of two or more chronic diseases and associated comorbidities. There is a need to improve best practices around the provision of well-coordinated, person-centered care for persons with multimorbidities. Present health systems across the European Union (EU) focus on supporting a single-disease fr...
Preprint
BACKGROUND Multimorbidity is defined as the presence of two or more chronic diseases and associated comorbidities. There is a need to improve best practices around the provision of well-coordinated, person-centered care for persons with multimorbidities. Present health systems across the European Union (EU) focus on supporting a single-disease fram...
Article
The treatment burden inherent in self-managing multiple chronic conditions (multimorbidity) is recognized, but there has been little examination of the care burden experienced by paid home health-care assistants (HCAs) who support older people with multimorbidity. Focus groups were conducted with HCAs in Ireland and data were coded using a thematic...
Article
Based on biologically plausible mechanisms and previous research, it is possible to hypothesize a reciprocal association between sustained attention and loneliness. We investigated this association using a cross-lagged modeling approach. Using data from 6,239 participants aged over 50 in TILDA, a nationally representative study of aging, we used st...
Conference Paper
Older adults with multiple chronic conditions (multimorbidity) face complex self-management routines, including symptom monitoring, managing multiple medications, coordinating healthcare visits, communicating with multiple healthcare providers and processing and managing potentially conflicting advice on conditions. While much research exists on si...
Article
Objectives: Explorations of relationships between loneliness and depression have focused on loneliness as a uni-dimensional construct. We hypothesised that reciprocal relationships may exist between depressive symptomatology and social and emotional subtypes of loneliness. Methods: Using data from 373 adults aged over 50, who participated in an...
Conference Paper
Older people with multiple chronic conditions face significant challenges self-managing health and wellbeing. Digital behaviour change interventions can motivate and empower self-management. Goal-setting, combined with progress feedback, is a technique often used in such interventions. However, there is little knowledge of digital goal-setting prac...
Article
Identification of a blood-based biomarker that can detect early cognitive decline presents a significant healthcare challenge. We prepared peripheral blood mononuclear cells (PBMCs) from individuals who had a poorer than predicted performance in their delayed recall performance on the Logical Memory II Subtest of the Wechsler Memory Scale (WMS) rel...
Article
Purpose of the study: Caregiving for a person with dementia is frequently used to model the impact of chronic stress on health, including cognitive functioning. However, the prevalence of typically healthier, self-selecting non-caregiving control groups could contribute to a picture of poorer caregiver performance and overstate the negative effects...
Conference Paper
Multimorbidity, the presence of two or more chronic conditions, places a significant burden on health systems globally. People managing multiple chronic conditions face burdensome and complex treatment plans. Polypharmacy, the prescription of several drugs, is typical in this cohort, adding to the treatment burden and potentially resulting in dange...
Article
Dominant theories in loneliness literature describe it as a biological, universal phenomenon, yet culture also plays a role. Previous researchers have called for an exploration of the meaning of loneliness in diverse cultures. In order to examine this meaning among rural older Irish adults, we conducted semi-structured interviews with a sample of n...
Presentation
Full-text available
ProACT, a Horizon 2020 project, aims to develop a technology ecosystem to support integrated care for older persons with multimorbidity (PwMs). The ecosystem will connect four key models of care and support – 1) homecare (including informal care), 2) hospital care, 3) community and social care 4) social support networks – and will be centred on the...
Article
Full-text available
Background A substantial literature has reported that stress negatively impacts on cognitive processes. As dementia caregiving can be stressful, it has been hypothesized that the challenges of dementia care may increase caregivers’ own vulnerability to cognitive decline. Prefrontal processes are thought to be most vulnerable to stress; however, few...
Article
Digital technologies hold great potential to improve and advance home based integrated care for older people living with multiple chronic health conditions. In this paper, we present the results of a user requirement study for a planned digital integrated care system, based on the experiences and needs of key stakeholders. We present rich, multi-st...
Article
Potential associations between systemic inflammation and social support received by a sample of 120 older adults were examined here. Inflammatory markers, cognitive function, social support and psychosocial wellbeing were evaluated. A structural equation modelling approach was used to analyse the data. The model was a good fit χ 108 2 = 256 . 13...
Article
Full-text available
Population ageing is a global phenomenon that has characterised demographic trends during the 20th and 21st century. The rapid growth in the proportion of older adults in the population, and resultant increase in the incidence of age-related cognitive decline, dementia and Alzheimer's disease, brings significant social, economic and healthcare chal...
Article
Full-text available
IN THIS STUDY WE EVALUATED RELIABILITY AND VALIDITY OF THE AUTOMATIC COGNITIVE ASSESSMENT DELIVERY (ACAD): a short computerized battery composed by memory and attention tests, delivered online, and designed primarily for the elderly. Reliability was examined with a test-retest design and validity was assessed by means of comparison with standard ne...

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Projects

Project (1)
Project
ProACT targets Europe’s 50 million multimorbid patients to proactively self-manage and offset the EU’s annual €700billion cost of chronic disease management. ProACT aims at providing and evaluating an open application programming interface to integrate a variety of new and existing technologies to advance ‘home based’ integrated care (IC). Cloud based data analytics will determine correlations between technology use and the influence of support actors to impact on the health and quality of life of patients. Research will examine 4 models of care/support, central to implementing effective, continued and coordinated patient-centric care/self-management. Development of a novel data aggregation and cloud platform system will enable data analysis for improvement of IC, effective measurement of results and comparison of efficiency and costs, so that the relationship between patients and their personalized care network is optimized. Proof of concept trials (120 patients in total, with associated care/support actors) will be carried out within Health Services (Ireland and Belgium) with associated living lab facilities to ensure patient co-design technology approaches. Clinical status information, therapies and activity tools will be deployed for the conditions of: chronic heart failure (CHF), diabetes and chronic obstructive pulmonary disease (COPD). Tools to support mild cognitive impairment and detect early onset dementia are included. Commercial potential will be validated during the project supported by a European feasibility study to assess the cultural and political determinants for adoption and scalability of the ecosystem. ProACT engages a multidisciplinary EU consortium of 3 public and 9 private organizations (including 2 of the world's leading ICT companies, the largest home care provider and 2 EU service provider and technology networks) to develop and validate the ecosystem. Individually partners could develop the components.