Decision-making for receiving paid home care for dementia in the time of COVID-19: a qualitative study.


Journal

BMC geriatrics
ISSN: 1471-2318
Titre abrégé: BMC Geriatr
Pays: England
ID NLM: 100968548

Informations de publication

Date de publication:
09 09 2020
Historique:
received: 29 06 2020
accepted: 19 08 2020
entrez: 9 9 2020
pubmed: 10 9 2020
medline: 17 9 2020
Statut: epublish

Résumé

The lockdown imposed in the UK on the 23rd of March and associated public health measures of social distancing are likely to have had a great impact on care provision. The aim of this study was to explore the decision-making processes of continued paid home care support for dementia in the time of COVID-19. Unpaid carers caring for a person living with dementia (PLWD) who were accessing paid home care before COVID-19 and residing in the UK were eligible to take part. Participants were interviewed over the phone and asked about their experiences of using paid home care services before and since COVID-19, and their decision-making processes of accessing paid home care since the outbreak and public health restrictions. Fifteen unpaid carers, who were also accessing paid care support for the PLWD before COVID-19, were included in the analysis. Thematic analysis identified three overarching themes: (1) Risk; (2) Making difficult choices and risk management; and (3) Implications for unpaid carers. Many unpaid carers decided to discontinue paid carers entering the home due to the risk of infection, resulting in unpaid carers having to pick up the care hours to support the person living with dementia. This is the first study to report on the impact of COVID-19 on paid home care changes in dementia. Findings raise implications for providing better Personal Protective Equipment for paid carers, and to support unpaid carers better in their roles, with the pandemic likely to stay in place for the foreseeable future.

Sections du résumé

BACKGROUND
The lockdown imposed in the UK on the 23rd of March and associated public health measures of social distancing are likely to have had a great impact on care provision. The aim of this study was to explore the decision-making processes of continued paid home care support for dementia in the time of COVID-19.
METHODS
Unpaid carers caring for a person living with dementia (PLWD) who were accessing paid home care before COVID-19 and residing in the UK were eligible to take part. Participants were interviewed over the phone and asked about their experiences of using paid home care services before and since COVID-19, and their decision-making processes of accessing paid home care since the outbreak and public health restrictions.
RESULTS
Fifteen unpaid carers, who were also accessing paid care support for the PLWD before COVID-19, were included in the analysis. Thematic analysis identified three overarching themes: (1) Risk; (2) Making difficult choices and risk management; and (3) Implications for unpaid carers. Many unpaid carers decided to discontinue paid carers entering the home due to the risk of infection, resulting in unpaid carers having to pick up the care hours to support the person living with dementia.
CONCLUSIONS
This is the first study to report on the impact of COVID-19 on paid home care changes in dementia. Findings raise implications for providing better Personal Protective Equipment for paid carers, and to support unpaid carers better in their roles, with the pandemic likely to stay in place for the foreseeable future.

Identifiants

pubmed: 32900360
doi: 10.1186/s12877-020-01719-0
pii: 10.1186/s12877-020-01719-0
pmc: PMC7478902
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

333

Subventions

Organisme : National Institute for Health Research
ID : NIHR ARC NWC
Pays : International
Organisme : University of Liverpool
ID : COVID-19 Strategic Research Fund
Pays : International

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Auteurs

Clarissa Giebel (C)

Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK. Clarissa.giebel@liverpool.ac.uk.
NIHR ARC NWC, Liverpool, UK. Clarissa.giebel@liverpool.ac.uk.
Waterhouse Building B Block, University of Liverpool, Brownlow Street, Liverpool, L69 3GL, UK. Clarissa.giebel@liverpool.ac.uk.

Kerry Hanna (K)

Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.

Jacqueline Cannon (J)

Lewy Body Society, Wigan, UK.

Ruth Eley (R)

Liverpool Dementia Action Alliance, Liverpool, UK.

Hilary Tetlow (H)

SURF Liverpool, Liverpool, UK.

Anna Gaughan (A)

Together in Dementia Everyday, Liverpool, UK.

Aravind Komuravelli (A)

North West Boroughs NHS Trust, Warrington, UK.

Justine Shenton (J)

Sefton Older People's Forum, Sefton, UK.

Carol Rogers (C)

National Museums Liverpool, Liverpool, UK.

Sarah Butchard (S)

Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
Mersey Care NHS Trust, Liverpool, UK.

Steve Callaghan (S)

EQE Health, Liverpool, UK.

Stan Limbert (S)

NIHR ARC NWC, Liverpool, UK.

Manoj Rajagopal (M)

Lancashire and South Cumbria NHS Trust, Preston, UK.

Kym Ward (K)

The Brain Charity, Liverpool, UK.

Lisa Shaw (L)

Department of, Liverpool, UK.

Rosie Whittington (R)

Me2U Day Care Centre, Liverpool, UK.

Mishca Hughes (M)

Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.

Mark Gabbay (M)

Department of Primary Care and Mental Health, University of Liverpool, Liverpool, UK.
NIHR ARC NWC, Liverpool, UK.

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