Barriers to health information and health services in COVID-19 for older adults with combined vision and hearing loss
Notice bibliographique
Résumé
Purpose : Older adults with combined vision and hearing loss (dual sensory loss/DSL) are often sidelined in vision and hearing research, and evidence suggests that they are at a high risk of cognitive impairment, functional decline, social isolation, falls, depression, and mortality. These consequences get exacerbated during the COVID-19 pandemic due to physical distancing restrictions on mobility and social interactions. Around one million older adults in Canada experience DSL;yet, there is very limited evidence in the Canadian context that could inform pandemic preparedness for this population. Hence, the present study identifies and describes the barriers to health information and health services access for older adults with DSL during the COVID-19 pandemic. Methods : We conducted semi-structured qualitative interviews with 11 communitydwelling older adults with DSL (age 62-85 years;7 female) in Montreal between September and December 2020. Diverse remote communication modes and accessible formats were used to obtain consent and interview participants. Interviews were audio-recorded and transcribed verbatim. Data were managed using NVivo software and analyzed using a thematic analysis approach. Results : Findings indicate that the central barriers to healthcare information and access are linked to communication breakdown between older adults with DSL and healthcare providers, in addition to the presentation of information through inaccessible formats. Furthermore, healthcare staff rarely have the additional time available that is necessary to interact with the DSL clientele or have the necessary training to accommodate their communication needs. In terms of barriers to accessibility, participants reported that they have difficulty following the 2-meter distance requirements and coloured lines painted on the floor to ensure physical distancing in the healthcare setting. Conclusions : Our results highlight that the pandemic heightened the risk for older adults with DSL because of the systemic and physical barriers to healthcare access for this population. There is a dire need for training of healthcare professionals to accommodate the communication and accessibility needs of older adults living with DSL. Healthcare administrators and policymakers should consider the distinct accessibility and communication needs of this vulnerable population in order to help them age well.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,000 | 0,001 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».