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COVID-19 restrictions increased perceptions of social isolation for older people discharged home after rehabilitation: A mixed-methods study

Citation

Hogan, G and Taylor, NF and Robins, L and Callisaya, ML and Snowdon, M and Moran, C and Snowdon, DA, COVID-19 restrictions increased perceptions of social isolation for older people discharged home after rehabilitation: A mixed-methods study, Australasian Journal on Ageing pp. 1-9. ISSN 1440-6381 (2022) [Refereed Article]


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DOI: doi:10.1111/ajag.13062

Abstract

Objective

To explore older persons’ perceptions of the impact of COVID-19 restrictions on participating in community activities after discharge from inpatient rehabilitation.

Methods

Mixed-methods study design. Participants were older adults who were discharged home following inpatient rehabilitation. Interviews were conducted with 70 participants, with a variety of diagnoses, 8 weeks after discharge from inpatient rehabilitation. Frequency of participation in domestic, leisure/work and outdoor activities was measured using the Frenchay Activities Index (FAI). Qualitative analysis was completed using qualitative content analysis and triangulated with FAI scores.

Results

In all, 70 older adults (mean age: 73.0 years, SD: 9.9; 59% female) participated in the study. The overarching theme was that participants felt socially isolated following discharge from rehabilitation, with COVID-19 restrictions increasing perceptions of social isolation and complicating their return to participating in community activities. The four categories informing the overarching theme were as follows: physical health was the primary limitation to participation in community activities; COVID-19 restrictions limited participation in social activities and centre-based physical rehabilitation; low uptake of videoconferencing to facilitate socialisation and rehabilitation; and reduced incidental physical activity. Mean FAI score was 21.2 (SD 7.8), indicating that participants were moderately active. Participants most commonly performed domestic activities (mean: 10.0, SD: 4.1), followed by outdoor activities (mean: 6.6, SD: 3.5) and leisure/work activities (mean: 4.5, SD: 2.5).

Conclusions

COVID-19 restrictions exacerbated perceptions of social isolation and the limitations already imposed by poor physical health after discharge from rehabilitation. The findings highlight the need for rehabilitation that addresses the psychological and social dimensions of community reintegration.

Item Details

Item Type:Refereed Article
Keywords:activities of daily living, community integration, community participation, COVID-19, rehabilitation, social isolation
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Geriatrics and gerontology
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Primary care
UTAS Author:Callisaya, ML (Dr Michele Callisaya)
ID Code:150253
Year Published:2022
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-06-05
Last Modified:2022-06-06
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