Videoconference program enhances social support, loneliness, and depressive status of elderly nursing home residents
School of Nursing, Chang Gung University, 259, Wen-Hwa 1st Road, Kwei-Shan, Tao-Yuan, Taiwan, ROC. Aging and Mental Health
(Impact Factor: 1.75).
11/2010; 14(8):947-54. DOI: 10.1080/13607863.2010.501057
The purpose of this quasi-experimental study was to evaluate the effectiveness of a videoconference intervention program in improving nursing home residents' social support, loneliness, and depressive status.
Fourteen nursing homes were selected from various areas of Taiwan by purposive sampling. Elderly residents (N = 57) of these nursing homes, who met our inclusion criteria were divided into experimental (n = 24) and control (n = 33) groups. The experimental group received five min/week of videoconference interaction with their family members for three months, and the control group received regular care only. Data were collected through face-to face interviews on social support, loneliness, and depressive status using the Social Supportive Behavior Scale, University of California Los Angeles Loneliness Scale, and Geriatric Depression Scale, respectively, at three points (baseline, one week, and three months after baseline). Data were analyzed using the generalized estimating equation approach.
Subjects in the experimental group had significantly higher mean emotional and appraisal social support scores at one week and three months after baseline than those in the control group. Subjects in the experimental group also had lower mean loneliness scores at one week and three months after baseline than those in the control group, and lower mean depressive status scores at three months after baseline.
Our videoconference program alleviated depressive symptoms and loneliness in elderly residents in nursing homes. Our findings suggest that this program could be used for residents of long-term care institutions, particularly those with better ability to perform activities of daily living.
Available from: Víctor Torres-Padrosa
- "On one hand, from the medical point of view, it enables a closer monitoring of the patients while improving their compliance to the prescribed treatment or therapy . On the other hand, from the social perspective, it alleviates the patients' loneliness and depressive status and improves their emotional and social support thanks to their interaction with their families, social carers or psychologists . TAM-TAM currently supports scenarios 1, 2, 4 and 5 from those identified in section III.A, all of which rely on the same core. "
- "Responses to this 14-item subscale are rated on a 5-point Likert scale, with higher scores indicating more support from each social resource. The subscale reliabilities for social support network, quantity of social support, and satisfaction with social support were 0.71, 0.92, and 0.77, respectively in Taiwanese nursing home residents , and 0.72, 0.89, and 0.79, respectively, in this study. "
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ABSTRACT: A 3-month videoconference interaction program with family members has been shown to decrease depression and loneliness in nursing home residents. However, little is known about the long-term effects on residents' depressive symptoms, social support, and loneliness.
The purpose of this longitudinal quasi-experimental study was to evaluate the long-term effectiveness of a videoconference intervention in improving nursing home residents' social support, loneliness, and depressive status over 1 year.
We purposively sampled 16 nursing homes in various areas of Taiwan. Elderly residents (N = 90) of these nursing homes meeting our inclusion criteria were divided into an experimental (n = 40) and a comparison (n = 50) group. The experimental group received at least 5 minutes/week for 3 months of videoconference interaction with their family members in addition to usual family visits, and the comparison group received regular family visits only. Data were collected in face-to face interviews on social support, loneliness, and depressive status using the Social Support Behaviors Scale, University of California Los Angeles Loneliness Scale, and Geriatric Depression Scale, respectively, at four times (baseline, 3 months, 6 months, and 12 months after baseline). Data were analyzed using the generalized estimating equation approach.
After the videoconferencing program, participants in the experimental group had significantly lower mean change in instrumental social support scores at 6 months (-0.42, P = .03) and 12 months (-0.41, P = .03), and higher mean change in emotional social support at 3 (0.74, P < .001) and 12 months (0.61, P = .02), and in appraisal support at 3 months (0.74, P = .001) after adjusting for confounding variables. Participants in the experimental group also had significantly lower mean loneliness and depressive status scores at 3 months (-5.40, P < .001; -2.64, P < .001, respectively), 6 months (-6.47, P < .001; -4.33, P < .001), and 12 months (-6.27, P = .001; -4.40, P < .001) compared with baseline than those in the comparison group.
Our videoconference program had a long-term effect in alleviating depressive symptoms and loneliness for elderly residents in nursing homes. This intervention also improved long-term emotional social support and short-term appraisal support, and decreased residents' instrumental social support. However, this intervention had no effect on informational social support.
Available from: Víctor Torres-Padrosa
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ABSTRACT: In this paper we present TAM-TAM (Tele Assistance and Monitoring), a tool targeted to the elderly, impaired and long-term
care patients. It provides social support, remote consultation, remote monitoring and training or rehabilitation group sessions
through multi-user videoconferencing. TAM-TAM relies on a simple and minimalist interface based on accessible standard web
technologies and open video streaming solutions compatible with traditional (desktop and laptop) PCs as well as last generation
tablet PCs. TAM-TAM proves useful to be deployed at nursing homes, group homes and even private homes for alleviating the
patients’ loneliness and depressive status and improving their emotional and social support thanks to their interaction with
their families, social carers or psychologists. On the other hand, it is also used for providing remote medical services to
give advice and determine whether it is needed to take a further displacement.
Keywordsvideoconferencing–teleconsultation–social care–nursing home–group home–elderly
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