Results for 'wellbeing'
Results 61 - 68 of 68
ORGETA Vasiliki, MIRANDA-CASTILLO Claudia
Objective: Physical exercise has been associated with a range of positive outcomes including improvements in psychological well-being. The aim of the present study was to review current evidence on the effects of physical activity interventions for carers of people with dementia.
Methods: A systematic review using electronic databases and key articles of studies that evaluated the effectiveness of physical activity interventions in improving psychological well-being in carers of people with dementia. Relevant papers were scored according to established criteria set by the Cochrane Review Group. Selection criteria for studies were a randomized controlled trial (RCT) design, and comparing physical activity with a control group receiving no specific physical activity intervention. Two reviewers worked independently to select trials, extract data, and assess risk of bias.
Results: A total of four RCTs met the inclusion criteria. Studies evaluated home-based supervised physical activity of low to moderate intensity, which included either aerobic exercise, or endurance training. Pooled data showed that physical activity reduced subjective caregiver burden in carers.
Conclusions: There is evidence from two RCTs that physical activity reduces subjective caregiver burden for carers of people with dementia. Although statistically significant, the observed benefits should be interpreted with caution as the studies conducted so far have limitations. Further high-quality trials are needed for evaluating the effectiveness of physical activity in improving psychological well-being in carers of people with dementia
Purpose: This paper aims to describe a partnership visual arts project between Richmond Fellowship (a national mental health charity) and the Bluecoat arts centre in Liverpool involving participants with mental health problems.
Design/methodology/approach: The paper details the development of the project since September 2010 and, most importantly, the artistic development of the individuals who are still taking part and the improvements in their mental health and wellbeing. It also describes the development of the group in becoming an independent organisation.
Findings: Evaluation was undertaken at regular intervals through wellbeing questionnaires, one-to-one interviews and observation, which led to the following findings: with support, individuals with mental health problems experience significant benefit in engaging with the arts, to their mental health, their personal development and development as artists. Given time, they require less support and are willing to take on responsibilities, which has enabled them to become an independent organisation.
Social implications: This paper makes the case for the effectiveness of partnership working between mental health and arts organisations to improve mental health and social inclusion.
Originality/value: The paper adds to the body of evidence concerning the use of arts in recovery and of use to mental health organisations who are interested in using the arts in the process of support.
WALKER Liz, PERKINS Rachel, REPPER Julie
Purpose: The purpose of this paper is to argue that if mental health services are to genuinely support the recovery of those who they serve then recovery principles must permeate all facets of the organisation, in particular human resources and workforce development.
Design/methodology/approach: This paper draws on the principles of recovery-focused approaches to people who use services and explores how these might guide a recovery-focused approaches to human resources and workforce issues.
Findings: The recovery principles like recognising and utilising the expertise of lived experience, co-production and shared decision making, peer support, focusing on strengths and becoming an expert in your own self-care all have as much relevance for creating a recovery-focused workforce as they do in the recovery journeys of those who use services. Everyone who uses services is “more than a mental patient” and everyone who provides services is “more than a mental health practitioner” – we need to use all the assets that everyone brings.
Originality/value: Although there has been a great deal of discussion about the features of recovery-focused services, there has been little, if any, consideration of extending the principles of recovery to human resources. The aim of this paper is not to offer a blue print but to begin an exploration of what a recovery-focused approach to workforce issues might look like.
CRAWFORD Paul, et al
This article reviews the literature review to examine the value of approaches to mental health based on creative practice in the humanities and arts, and explore these in relation to the potential contribution to mutual recovery. It found recovery can embrace carers and practitioners as well as sufferers from mental health problems. Divisions tend to exist between those with mental health needs, informal carers and health, social care and education personnel. Mutual recovery is therefore a very useful term because it instigates a more fully social understanding of mental health recovery processes, encompassing diverse actors in the field of mental health. Research demonstrates the importance of arts for “recovery orientated mental health services”, how they provide ways of breaking down social barriers, of expressing and understanding experiences and emotions, and of helping to rebuild identities and communities. Similarly, the humanities can advance the recovery of health and well-being. The notion of mutual recovery through creative practice is more than just a set of creative activities which are believed to have benefit. The idea is also a heuristic that can be useful to professionals and family members, as well as individuals with mental health problems themselves. Mutual recovery is perhaps best seen as a relational construct, offering new opportunities to build egalitarian, appreciative and substantively connected communities – resilient communities of mutual hope, compassion and solidarity.
Mindfulness is a form of meditative practice that involves paying attention to present-moment experiences in a non-judgemental way in order to cultivate a stable and nonreactive awareness. Although mindfulness has been studied in relation to various health conditions, no known published study exists which considers mindfulness in the context of visual impairment. Semi-structured interviews were therefore conducted with blind and partially sighted individuals who participated in regular mindfulness practice. Their narratives were then analysed thematically. The results suggest that mindfulness enhanced spiritual well-being by increasing their sense of intrapersonal, interpersonal, and transpersonal ‘connectedness’, which was seen to be related to a self-perceived increase in emotional, social, and physical health. The findings of this exploratory study call for further research into the utility of mindfulness as a well-being resource for individuals with a visual impairment.
HIRANI Shashivadan Parbati, et al
Background: Home-based telecare (TC) is utilised to manage risks of independent living and provide prompt emergency responses. This study examined the effect of TC on health-related quality of life (HRQoL), anxiety and depressive symptoms over 12 months in patients receiving social care.
Design: A study of participant-reported outcomes [the Whole Systems Demonstrator (WSD) Telecare Questionnaire Study; baseline n = 1,189] was nested in a pragmatic cluster-randomised trial of TC (the WSD Telecare trial), held across three English Local Authorities. General practice (GP) was the unit of randomisation and TC was compared with usual care (UC).
Methods: Participant-reported outcome measures were collected at baseline, short-term (4 months) and long-term (12 months) follow-up, assessing generic HRQoL, anxiety and depressive symptoms. Primary intention-to-treat analyses tested treatment effectiveness and were conducted using multilevel models to control for GP clustering and covariates for participants who completed questionnaire measures at baseline assessment plus at least one other assessment (n = 873).
Results: Analyses found significant differences between TC and UC on Short Form-12 mental component scores (P < 0.05), with parameter estimates indicating being a member of the TC trial-arm increases mental component scores (UC-adjusted mean = 40.52; TC-adjusted mean = 43.69). Additional significant analyses revealed, time effects on EQ5D (decreasing over time) and depressive symptoms (increasing over time).
Conclusions: TC potentially contributes to the amelioration in the decline in users’ mental HRQoL over a 12-month period. TC may not transform the lives of its users, but it may afford small relative benefits on some psychological and HRQOL outcomes relative to users who only receive UC.
SEEBOHM Patience, et al
To explore the contribution of self-help/mutual aid groups to mental well-being this article draws on data from stage one of ESTEEM, a project which runs from 2010 to 2013. Stage one ran from 2010 to 2011 and involved participatory, qualitative research carried out in two UK sites. Twenty-one groups were purposively selected to include a range of focal issues, longevity, structures and ethnic backgrounds. Researchers carried out 21 interviews with group coordinators and twenty group discussions with members to explore the groups' purpose, nature and development. Preliminary analysis of the data suggested that mental well-being was a common theme across the groups. Subsequently the data were re-analysed to explore the groups' contribution to mental well-being using a checklist of protective factors for mental well-being as a coding framework. The findings showed that groups made a strong contribution to members' mental well-being by enhancing a sense of control, increasing resilience and facilitating participation. Group members were uplifted by exchanging emotional and practical support; they gained self-esteem, knowledge and confidence, thereby increasing their control over their situation. For some groups, socio-economic factors limited their scope and threatened their future. The article provides an evidence-base which illustrates how self-help/mutual aid groups can enhance mental well-being. If supported within a strategy for social justice, these groups enable people with varied concerns to develop a tailored response to their specific needs. The authors suggest that policy-makers engage with local people, investing in support proportionate to the needs of different populations, enabling them to develop their own self-help/mutual aid groups to enhance their sense of mental well-being.
JOY Sarah, CORRAL Susana, NZEGWU Femi
An evaluation of the British Red Cross Support at Home services, which provide time-limited care and support to people at a time of crisis who are finding it difficult to cope at home. Overall the research highlighted that the common area of major impact of Support at Home is the enhancement of service users’ quality of life. The support provided is characterised by a strong sense of trust by service users in the Red Cross brand alongside a compassionate, caring, non-judgemental, time-flexible and person-enabling approach. In particular, the findings show that four service user outcomes were significantly improved or increased following receipt of support. These include: improved wellbeing; increased ability to manage daily activities; increase in leisure activities; and improved coping skills. Other positive changes were also reported related to the wider benefits of the service beyond the service user outcomes alone, including enabling safe discharge, supporting carers and enabling patient advocacy. The report identifies a series of action points to help further develop the services: champion Red Cross strengths, respond to the changing profile of service users, develop active partnerships to extend reach and maximise impact, clarify the Red Cross’ position for people in need who fall outside of commissioned contracts, collect consistent and routine local and national data to inform service learning and development, develop signposting to ensure long-term impact and grow skills in order to advocate on behalf of service users.
Results 61 - 68 of 68