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Virtual care during COVID-19: The perspectives of older adults and their healthcare providers in a cardiac rehabilitation setting

Published online by Cambridge University Press:  23 February 2024

Cecilia Flores-Sandoval Open the ORCID record for Cecilia Flores-Sandoval [Opens in a new window] ,
Shannon L. Sibbald ,
Bridget L. Ryan ,
Tracey L. Adams ,
Neville Suskin ,
Robert McKelvie ,
Jacobi Elliott  and
Joseph B. Orange
Cecilia Flores-Sandoval
Affiliation:
Faculty of Health Sciences, Western University, London, Ontario, Canada
Shannon L. Sibbald*
Affiliation:
Faculty of Health Sciences, Western University, London, Ontario, Canada Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada School of Health Studies, Western University, London, Ontario, Canada Interfaculty Program in Public Health, Western University, London, Ontario, Canada
Bridget L. Ryan
Affiliation:
Departments of Family Medicine and Epidemiology and Biostatistics, Centre for Studies in Family Medicine
Tracey L. Adams
Affiliation:
Department of Sociology, Western University, London, Ontario, Canada
Neville Suskin
Affiliation:
Department of Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada St Joseph’s Hospital Cardiac Rehabilitation & Secondary Prevention Program, London, Ontario, Canada St. Joseph’s Health Care London, Ontario, Canada
Robert McKelvie
Affiliation:
St Joseph’s Hospital Cardiac Rehabilitation & Secondary Prevention Program, London, Ontario, Canada St. Joseph’s Health Care London, Ontario, Canada
Jacobi Elliott
Affiliation:
Lawson Health Research Institute, London, Ontario, Canada
Joseph B. Orange
Affiliation:
Faculty of Health Sciences, Western University, London, Ontario, Canada School of Communication Sciences and Disorders, Faculty of Health Sciences, Western University, London, Ontario, Canada Canadian Centre for Activity and Aging, Western University, London, Ontario, Canada
*
Corresponding author: Shannon L. Sibbald, PhD. Associate Professor. Faculty of Health Sciences. Department of Family Medicine & Schulich Interfaculty Program in Public Health, Schulich School of Medicine and Dentistry, Western University. London, Ontario, Canada. 1151 Richmond - HSB334 - 519661-2111 x86258 (ssibbald@uwo.ca)
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Abstract

The present study aimed to explore the perspectives of older adults and health providers on cardiac rehabilitation care provided virtually during COVID-19. A qualitative exploratory methodology was used. Semi-structured interviews were conducted with 15 older adults and 6 healthcare providers. Five themes emerged from the data: (1) Lack of emotional intimacy when receiving virtual care, (2) Inadequacy of virtual platforms, (3) Saving time with virtual care, (4) Virtual care facilitated accessibility, and (5) Loss of connections with patients and colleagues. Given that virtual care continues to be implemented, and in some instances touted as an optimal option for the delivery of cardiac rehabilitation, it is critical to address the needs of older adults living with cardiovascular disease and their healthcare providers. This is particularly crucial related to issues accessing and using technology, as well as older adults’ need to build trust and emotional connection with their providers.

Résumé

Résumé

La présente étude visait à explorer les perceptions des personnes âgées et des professionnels de la santé sur la prestation virtuelle de soins de réadaptation cardiaque pendant la pandémie de COVID-19. La méthode d’enquête utilisée était de type qualitatif. Des entretiens semi-structurés ont été réalisés avec 15 personnes âgées et 6 professionnels de la santé. Les données ont fait ressortir cinq thèmes : 1) le manque d’intimité émotionnelle durant la consultation médicale virtuelle; 2) les plateformes virtuelles sont inadaptées; 3) la prestation de soins virtuelle fait gagner du temps; 4) les plateformes facilitent l’accès aux soins, et 5) la perte de liens avec des patients et des collègues. Étant donné que les soins virtuels continuent d’être mis en œuvre et qu’ils sont parfois présentés comme une option optimale pour la réadaptation cardiaque, il est essentiel de répondre aux besoins des personnes âgées atteintes d’une maladie cardiovasculaire et de leurs prestataires de soins de santé. Cet objectif est d’autant plus important, compte tenu des problèmes d’accès et d’utilisation de la technologie pour les personnes âgées, et de leur besoin d’établir une relation de confiance et un lien émotionnel avec leurs prestataires de soins.

Keywords

older adultsvirtual carecardiac rehabilitationCOVID-19personnes âgéessoins virtuelsréadaptation cardiaqueCOVID-19
Type
Article
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , First View , pp. 1 - 8
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Copyright
© Canadian Association on Gerontology 2024

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