Integrating a Standardized Self-Report Tool into Geriatric Medicine Practice during the COVID-19 Pandemic: A Mixed-Methods Study

Can J Aging. 2024 Mar;43(1):12-22. doi: 10.1017/S0714980823000387. Epub 2023 Jul 28.

Abstract

Specialized geriatric services care for older adults (≥ 65 years of age) with dementia and other progressive neurological disorders, frailty, and mental health conditions were provided both virtually and in person during the pandemic. The objective of this study was to implement a software-enabled standardized self-report instrument - the interRAI Check-Up Self-Report - to remotely assess patients. A convergent, mixed-methods research design was employed. Staff found the instrument easy to use and the program-level metrics helpful for planning. Most patients urgently needed a geriatrician assessment (72%) and had moderate to severe cognitive (34%) and functional impairments (34%), depressive symptoms (53%), loneliness (57%), daily pain (32%), and distressed caregivers (46%). Implementation considerations include providing ongoing support and facilitating intersectoral collaboration. The Check Up enhanced the geriatric assessment process by creating a system to track all needs for immediate and future care at both the patient and program level.

Keywords: COVID-19; aging; amélioration de la qualité; auto-évaluation; geriatric assessment; maladies chroniques multiples; multiple chronic conditions; quality improvement; self report; soins virtuels; vieillissement; virtual care; évaluation gériatrique.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • COVID-19*
  • Caregivers / psychology
  • Frailty*
  • Humans
  • Pandemics
  • Self Report