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Results for 'older people'

Results 21 - 30 of 141

Policy briefing: music, singing and wellbeing in adults with diagnosed conditions or dementia

WHAT WORKS WELLBEING
2016

Drawing on the available evidence, this briefing examines what music and singing interventions work to improve wellbeing of adults living with diagnosed conditions or dementia. While there is ample evidence looking at the impact of music and singing on clinical outcomes such as pain management, coping with hospitalisation, coping with symptoms and managing symptoms of dementia, this new evidence focuses on wellbeing for those living with diagnosed conditions or dementia. Specifically, it focuses on self-reported measures of quality of life; life satisfaction; and anxiety or depression. The paper suggests that there is strong evidence that brief music therapy is an effective intervention to support wellbeing of palliative care patients in hospital settings and initial evidence that music therapy can contribute to improved spiritual wellbeing in hospice patients. There is strong evidence targeted, culturally relevant music interventions can decrease depression in nursing students in a college environment and initial evidence that music therapy can alleviate anxiety in undergraduate students. There is promising evidence that targeted, culturally relevant music and singing interventions can enhance mental wellbeing and decrease depression in older people with chronic conditions in residential and community settings and initial evidence that participation in individual personalised music listening sessions can reduce anxiety and/or depression in nursing home residents with dementia and that listening to music may enhance overall wellbeing for adults with dementia. There is initial evidence that participation in extended community singing programmes can improve quality of life and social and emotional wellbeing in adults living with chronic conditions.

Review of the grey literature: music, singing and wellbeing

DAYKIN Norma, et al
2016

This report reviews evidence from the grey literature on wellbeing outcomes for music and singing for adults. The evidence was received through a call for evidence placed on the What Works Wellbeing website in 2016. A total of 51 reports were received, of which 32 met the inclusion criteria. These included: 12 reports on music and singing interventions with healthy adults; 12 reports on participants with a range of diagnosed conditions including COPD, Parkinson’s, stroke and mental health conditions; and eight reports on participants living with dementia. An additional five unpublished PhDs were also identified. The report summarises the evaluation methods used in the projects; quantitative and qualitative wellbeing outcomes identified; and process evaluations carried out. The review found evidence of improved mental wellbeing in evaluations of two singing interventions for people in the community experiencing, or at risk of, mental health problems. Two studies of music interventions for older participants in hospital also reported improvements in observed wellbeing. Qualitative findings also suggest that participants involved in singing and music projects report positive outcomes such as improved mood, purpose and social interaction. Adults with dementia also experienced increased engagement, relaxation, and better connection with others. Key issues reported from process evaluations included: barriers to activity, such as lack of accessible transport; institutional barriers, particularly in care home settings where projects rely on the support of care staff and managers. Limitations of the evidence are also briefly discussed.

The crises facing our independent living service users: research, evaluation and impact

BLANCHARD Catherine, BRITTAIN Andrea
2016

British Red Cross Independent Living services such as Support at Home, Home from Hospital, and Mobility Aids provide time-limited support to help people live independently in their own home. This study explores the challenges facing people using these services, whose increasingly complex needs are creating greater obstacles to their ability to live independently. Phase one of the study conducted interviews with 29 service users, eight volunteers and 22 staff members into the problems service users face to living independently. Phase two used follow up questionnaires with 170 service users to explore key issues in more depth, including carers, mobility, information and advice, social isolation and loneliness. The results of the questionnaires found high levels of mobility reported-difficulties, which could impact on people's ability to maintain existing relationships and over half of respondents found difficult to find information and advice; The research also found that high numbers of service users live alone and also have high levels of social isolation and loneliness that require long-term intervention. Of the167 service users who answered questions on social isolation, 64 per cent experienced 'some' social isolation and a quarter fell into the 'most isolated' group. Drawing on findings, the report makes recommendations for the Independent Living service in relation to service development, advocacy and communications and data collection. These include: for services to be person-centred, consider partnerships and employ good practice in signposting; for the collection of data on whether people live alone, how long they have lived alone; and being clear in communications that loneliness and social isolation are different concepts.

Ageing Better: social prescribing and older people: guide to developing development project plans

HOY Christine
2014

Developed as part of the Better Ageing project, this guide provides advice on developing social prescribing plans and approaches as a way of tackling loneliness in older people. It highlights the importance of ensuring that social prescribing initiatives sustainable by engaging the support of local groups such as general practices, voluntary and third sector organisations. It also highlights key stages of developing any plan. These include: the importance of empathy and awareness when holding initial conversations to link people with support; mapping local assets, groups and activities; developing ways to find and use information about local sources of support; the collection of evaluation data; use of digital technologies in social prescribing; and presenting local plans using appropriate language and vocabulary. It also suggests key areas that could be covered in social prescribing plans, such as governance and accountability, plan for local evaluation, local collaboration and training and support needs. Includes a list of useful links and resources.

The benefits of making a contribution to your community in later life

JONES Dan, YOUNG Aideen, REEDER Neil
2016

Reviews existing evidence on the benefits for older people of volunteering and making unpaid contributions to their communities in later life. The report covers ‘community contributions’ to refer to this whole spectrum of unpaid activity, including individual acts of neighbourliness, peer support, formal volunteering and involvement in civic participation. The report looks the state of the current evidence base; the main areas of benefit for volunteering in later life, who currently benefits from volunteering and in what circumstances. The review identifies good evidence that older people making community contributions can lead to benefits in: the quantity and quality of their social connections; an enhanced sense of purpose and self-esteem; and improved life satisfaction, happiness and wellbeing. The evidence was less clear on the impact on health, employment and social isolation. The review also found that people aged 50 with fewer social connections, lower levels of income and education, and poorer health may have the most to gain from helping others. However, the people most likely to volunteer are those who are already relatively wealthy, in good physical and mental health, and with high levels of wellbeing and social connections. The report makes recommendations for organisations, funders and commissioners working with older volunteers. These included: maximise the benefits of volunteering by focusing on engaging older people who are relatively less well connected, less wealthy and less healthy; avoid an over reliance on volunteering alone to tackle serious issues related to physical health, frailty, social isolation or employability; and ensure that older people engaged in volunteering have meaningful roles, with opportunities for social interaction.

Testing promising approaches to reducing loneliness: results and learnings of Age UK's loneliness Pilot

AGE UK
2016

This report shares the results of Age UK’s loneliness pilot programme, which aimed to find out Age UK services could better reach older people experiencing loneliness, develop individually tailored solutions and help older people access activities and services within their community. Chapter one outlines origins of the programme, which involved eight local Age UKs in a 12 month pilot. Local services developed three common approaches: recruiting ‘eyes on the ground’ to identify older people experiencing, or at risk of, loneliness; developing co-operative networks with other agencies; and use of traditional befriending services. Chapter two highlights examples of services that local Age UKs are delivering and how the adoption of certain approaches improved their impact on lonely older people. Chapter three look at some of the impacts of the programme. It found that a large number of the older people supported during the programme experienced a reduction in their loneliness scores. This was especially true amongst older people who were often lonely. Some older people also identified feelings of increased independence, wellbeing and connectedness with people. Chapter four outlines the next steps for the Age UK programme.

Integrated care for older people with frailty: innovative approaches in practice

ROYAL COLLEGE OF GENERAL PRACTITIONERS, BRITISH GERIATRICS SOCIETY
2016

Joint report showing how GPs and geriatricians are collaborating to design innovative schemes to improve the provision of integrated care for older people with frailty. The report highlights 13 case studies from across the UK which show what an integrated health and social care system looks like in practice and the positive impact it can have. The case studies are grouped into three areas: schemes to help older people remain active and independent, extending primary and community support to provide better services in the community, and integrated care to support patients in hospital. The examples cover a range of locations across the UK, including urban and rural populations, and a range of settings, including services based in the community, in GP practices, in care homes and in hospitals. Whilst the majority of the initiatives led by GPs or geriatricians, they illustrate the vital role that many other professionals play, including nurses, therapists, pharmacists and social workers. The report also outlines some common themes from the case studies, which include person-centred care, multidisciplinary working, taking a proactive approach and making use of resources in the community.

The missing million: a practical guide to identifying and talking about loneliness

CAMPAIGN TO END LONELINESS
2016

A practical guide providing advice to help commissioners, service providers, frontline staff and volunteers to better identify and engage with older people experiencing, or at risk of experiencing loneliness. The guide draws on evidence from an earlier Campaign to End Loneliness Report 'The missing million: in search of the loneliest in our communities'. The first section outlines a range of data sources to help identify loneliness, including heat maps, the Exeter data system of patients registered with GPs, and a Community Insight tool developed by the Housing Associations Charitable Trust. It also explores how working with local communities and developing partnerships with individuals, groups and other agencies can help to help identify loneliness. Examples show how existing social networks in communities also have an important role to play in providing support and reducing loneliness. The second section provides recommendations on how best to engage with older people, highlighting the importance of understanding what loneliness is, having the right skills to talk to older people about loneliness, and providing appropriate support for the individual. Examples of effective and innovative approaches to supporting older people experiencing, or at risk of experiencing, loneliness, are also included. These include social prescribing, Talk for Health, and using social media and technology.

Harnessing social action to support older people: evaluating the Reducing Winter Pressures Fund

GEORGHIOU Theo, et al
2016

Presents the findings of an evaluation of seven social action projects funded by the Cabinet Office, NHS England, Monitor, NHS Trust Development Authority and the Association of Directors of Adult Social Services. The aim of the Reducing Winter Pressures Fund was to scale up and test projects that used volunteers to support older people to stay well, manage health conditions or recover after illness, and thereby reduce pressure on hospitals. The organisations supported by the fund comprised a range of national and local charities. These projects fell into three broad categories: community-based support, supporting discharge from hospital wards, and supporting individuals in A&E department to avoid admissions. Between them, the projects offered a wide range of services to older people – both direct (for example help with shopping or providing transport) and indirect (linking with other services). The evaluation resulted in a mixed set of findings. From the interviews with staff, volunteers and local stakeholders, there was evidence of services that had made an impact by providing practical help, reassurance and connection with other services that could reduce isolation and enable independence. Those involved with the projects felt that volunteers and project staff could offer more time to users than pressurised statutory sector staff, which enabled a fuller understanding of a person’s needs while also freeing up staff time. However, the analysis of hospital activity data in the months that followed people's referral into the projects did not suggest that these schemes impacted on the use of NHS services in the way that was assumed, with no evidence of a reduction in emergency hospital admissions, or in costs of hospital care following referral to the social action projects. The one exception was the project based in an A&E department, which revealed a smaller number of admissions in the short term. The report questions whether these sorts of interventions can ever be fully captured solely using hospital-based data and conceptualising reduced or shortened admissions as a key marker of success.

Hidden in plain sight: the unmet mental health needs of older people

STICKLAND Nicolette, GENTRY Tom
2016

Examines the extent to which the current provision of mental health services fails to meet the increasingly high demand from the ageing population. The report shows that currently 3 million people in the UK over the age of 60 are living with depression; this figure is set to rise to 4.3 million in the next 15 years due to the growing number of older people in our society; the NHS is not providing those in later life with mental health problems with sufficient treatment options, such as talking therapies and integrated care plans. The report makes a number of recommendations to build on progress already made and ensure that older people’s mental health gains not only parity of esteem with physical health concerns but parity with other age groups. These include: creation of a work stream dedicated to meeting older people’s mental health needs, as part of the implementation of Mental Health Taskforce recommendations; local health and care commissioners should fully understand the prevalence of common mental health conditions among the over 65s in their areas; each clinical commissioning group and local authority should consider appointing “older people’s mental health champions”; and all services should be appropriately funded and equipped to deliver fully integrated care that addresses mental and physical health and comorbidity.

Results 21 - 30 of 141

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