Daily Archives: 10 April 2024

Research indicates that vaccinated elderly individuals seldom experienced breakthrough COVID infections

A publication in the Journal of American Medical Directors Association (JAMDA) has revealed that nursing home residents who have been fully vaccinated against COVID-19 face a low risk of severe illness from the virus. The research highlighted that individuals aged 85 and older, particularly those with pre-existing conditions such as heart and kidney diseases, were at increased risk of vulnerability. Nonetheless, breakthrough COVID-19 infections among fully vaccinated residents were discovered to be under 10%.

The study analysed the data of 23,172 fully vaccinated nursing home residents across 984 facilities from March to November 2021. It was found that a mere 5% of these individuals developed a breakthrough infection (B.T.I.) of COVID-19, regardless of the variant, within the observed period.

Moreover, it was noted that fewer than 10% of those vaccinated residents who did experience a breakthrough infection necessitated hospitalisation or succumbed to the disease within 30 days, recording a percentage of 8.6%. It was mainly the residents aged 85 and above, with severe infections and specific comorbidities like heart and kidney diseases, who were identified as more likely to experience these outcomes.

Sarah D. Berry, M.D., M.P.H., the study’s co-author and Associate Director at the Musculoskeletal Research Center, as well as an Associate Scientist at the Hinda and Arthur Marcus Institute for Aging Research at Hebrew SeniorLife, stated that the study aimed to assess the frequency of breakthrough infections and severe illnesses among nursing home residents vaccinated against COVID-19.

Dr. Berry elaborated that despite the evolution of the COVID-19 virus, the likelihood of encountering a severe infection in vaccinated elderly individuals within nursing homes remains minimal. That is particularly relevant as the pandemic persists and testing policies become less stringent, offering crucial prognostic data for nursing facilities dealing with ongoing outbreaks.

The significance of the study’s findings, according to Dr Berry, lies in the indication that while the rates of B.T.I. and severe illness may fluctuate with different virus variants, the risk factors for serious illnesses appear consistent. This consistency could aid healthcare providers in predicting who might become seriously ill during future outbreaks.

This retrospective cohort study was a collaborative effort involving Brown University, N.Y.U., and the University of Michigan.

Ana Montoya, MD, M.P.H., C.M.D., serving as the Clinical Assistant Professor of Geriatric and Palliative Medicine, Medical Director at Sub-Acute Service, and Medical Director at Glacier Hills Care and Rehabilitation Center at the University of Michigan School of Medicine, took the lead as the first author of the study. Among the contributing authors were Vincent Mor, PhD, Professor of Health Services, Policy & Practice and the Florence Pirce Grant University Professor at Brown University School of Public Health; Elizabeth (Betsy) White, APRN, PhD, Assistant Professor of Health Services, Policy, and Practice at Brown University School of Public Health; and Jasmine L. Travers, AGPCNP-BC, CCRN, PhD. R.N., Assistant Professor of Nursing at N.Y.U. Rory Meyers College of Nursing.

More information: Ana Montoya et al, Resident Factors Associated With Breakthrough SARS-CoV-2 Infections, Journal of American Medical Directors. DOI: 10.1016/j.jamda.2023.02.102

Journal information: Journal of American Medical Directors Provided by Hebrew SeniorLife and Hinda and Arthur Marcus Institute For Aging Research

Why we all hate waiting

In 1981, Tom Petty famously sang about the challenges of waiting, describing it as the hardest part. This sentiment finds resonance in contemporary research from The University of Texas, which delves into the underlying reasons for our struggle with patience.

Annabelle Roberts, an assistant marketing professor at Texas McCombs, has published two significant studies shedding light on the psychological tug-of-war that ensues when people find themselves in situations requiring patience, such as enduring long lines or anticipating crucial news.

Her research shows how the quest for closure is pivotal in impatience. The first study explores the influence of closure on decision-making processes, such as the preference for completing a task sooner rather than later. The second study investigates how individuals’ emotional states fluctuate during the waiting period, especially as the conclusion of the wait approaches.

With a PhD in behavioural science, Roberts is keenly interested in examining how impatience impacts decision-making, influencing choices between immediate gratification and future gains.

Roberts also provides insights into strategies marketers might employ to mitigate the irritation of waiting. She comments on the universal frustration experienced during waiting periods, highlighting the importance of understanding this phenomenon.

The need for closure is a critical factor that Roberts and her colleagues, Alex Imas and Ayelet Fishbach from the University of Chicago, identified as a cause of impatience. They demonstrate that a desire for closure significantly affects how individuals value immediate versus future outcomes.

Through a series of online and laboratory studies, the research illustrates that participants will expend more effort or money to achieve closure sooner. That could involve paying extra to settle a bill promptly or opting to work more for the same pay if it means completing tasks ahead of schedule. These findings suggest that the impetus behind impatience extends beyond a mere eagerness for rewards to include a desire to conclude pending goals.

These insights are precious for managers seeking to motivate their teams and marketers designing promotions. The aversion to the lingering stress of unresolved obligations may explain why specific marketing strategies, like those “buy now, pay later” offers, might not always be appealing.

In another study focusing on the emotional aspects of waiting, Roberts finds that the distress associated with waiting intensifies as the endpoint nears. That was observed in real-life contexts, such as the anticipation for the COVID-19 vaccine or public transportation arrivals, where frustration grew as the conclusion of the wait became imminent.

The research also touched on the heightened impatience surrounding the 2020 presidential election results, illustrating how the desire for closure can magnify the experience of waiting.

Roberts advises that managing customer expectations around waiting times can alleviate impatience. She suggests that companies might benefit from preparing customers for longer waits to avoid escalating impatience as deadlines approach.

Looking ahead, Roberts is exploring interventions to help individuals manage their waiting experiences more effectively. She aims to equip people with strategies to enhance their patience and make prudent decisions, such as saving for future needs. This work underscores a broader aim to understand and improve how we cope with the inevitable waits that punctuate our lives, offering practical and theoretical insights into the mechanics of patience and decision-making.

More information: Roberts, A. R., Imas, A., & Fishbach, A. Can’t wait to pay: The desire for goal closure increases impatience for costs, Journal of Personality and Social Psychology. DOI: 10.1037/pspa0000367

Journal information: Journal of Personality and Social Psychology Provided by The University of Texas at Austin