Article Document Academic Article Information Content Entity Continuant Continuant Journal Article Entity Entity Generically Dependent Continuant 2025-05-08T04:41:10 RDF description of Psychotherapy engagement before and after a rapid transition to telehealth during COVID-19 for older adults with dementia - http://repository.healthpartners.com/individual/document-rn45961 Psychotherapy Retrospective Studies Psychotherapy engagement before and after a rapid transition to telehealth during COVID-19 for older adults with dementia COVID-19 23882 2025-02-28T22:09:50.325-06:00 10.1177/07334648241271922 41384 2 Dementia Journal of Applied Gerontology Telemedicine public Aging and Geriatrics document-rn45961 44 <p>Objective: To understand the impact of the transition to telehealth during COVID-19 on psychotherapy visits for patients with dementia. Method: Retrospective study of older adults with dementia who had at least one psychotherapy visit in the 9 months before and after the onset of COVID-19 at 3 U.S. health systems. Care disruptions were gaps of 45+ days. Descriptive statistics and logistic mixed-effects models examined factors associated with care disruption. Results: 4953 patients with dementia made 19,902 psychotherapy visits. Gaps in psychotherapy were less frequent during COVID-19 (29.4%) than before (48.9%), with the odds of a patient experiencing a care disruption during COVID-19 0.54 times the odds prior to COVID-19 (95% CI: 0.50-0.59). Almost all patient subgroups had lower adjusted odds of care disruption during COVID-19. Discussion: There were fewer disruptions in psychotherapy care following the rapid shift to virtual care. Telehealth may be a viable option for patients with dementia.<p> Coronavirus Infections