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All research records related prevention examples and research

Results 1 - 10 of 585

Is co-living a good choice to support healthy, happy ageing at home? Summary and conclusions

BURGESS Gemma
2019

A summary of research carried out by the Cambridge Centre for Housing and Planning Research to explore the extent to which co-living housing models might provide a good housing solution for people as they get older. Co-living is a form of housing that combines private living spaces with shared communal facilities, and explicitly seeks to promote social contact and build community. Models include cohousing communities where people live together in a community setting and homeshares, where an older person lives alongside a younger person. This research summary outlines some of the benefits and risks of co-living models.

Ageing better: working with older people to reduce social isolation and loneliness. A guide for Housing Associations

AGE BETTER IN SHEFFIELD
2019

A short guide providing evidence about what’s worked in reducing social isolation and homelessness among older people, focusing on work in the housing sector. It draws on lessons from some of the 14 partners who are delivering projects as part of the Ageing Better programme, which was funded by the National Lottery Community Fund. It identifies five key messages, which include for housing associations: to consider how they can strengthen their strategic and operational roles in addressing social isolation and loneliness; to develop an understand of local areas, mapping areas where older people are at most risk; to share their expertise in co-production to benefit local communities; and to consider further work with care homes for more long-term work to address loneliness and isolation. Although focusing on the housing sector, many of the themes identified have wider applicability to the design of any programmes seeking to reduce loneliness and isolation across all age groups.

What is the evidence on the role of the arts in improving health and well-being? A scoping review

FANCOURT Daisy, FINN Saoirse
2019

This scoping review maps the current evidence on the role of the arts in improving health and well-being, with a specific focus on the WHO European Region. Over 900 publications were identified, including reviews, systematic reviews, metaanalyses and meta-syntheses covering over 3000 studies, and over 700 further individual studies. Overall, the findings demonstrated that the arts can play a major role in the prevention of ill health, promotion of health, and management and treatment of illness across the lifespan. Within prevention and promotion, findings showed how the arts can: affect the social determinants of health, support child development, encourage health-promoting behaviours, help to prevent ill health and support caregiving. Within management and treatment, findings showed how the arts can: help people experiencing mental illness; support care for people with acute conditions; and support end-of-life care. The report raises policy considerations relevant to the cultural and the health and social care sectors. It concludes that the beneficial impact of the arts could be furthered through acknowledging and acting on the growing evidence base; promoting arts engagement at the individual, local and national levels; and supporting cross-sectoral collaboration.

Personalisation, customisation and bricolage: how people with dementia and their families make assistive technology work for them

GIBSON Grant, et al
2019

Assistive technologies (ATs) are being ‘mainstreamed’ within dementia care, where they are promoted as enabling people with dementia to age in place alongside delivering greater efficiencies in care. AT provision focuses upon standardised solutions, with little known about how ATs are used by people with dementia and their carers within everyday practice. This paper explores how people with dementia and carers use technologies in order to manage care. Findings are reported from qualitative semi-structured interviews with 13 people with dementia and 26 family carers. Readily available household technologies were used in conjunction with and instead of AT to address diverse needs, replicating AT functions when doing so. Successful technology use was characterised by ‘bricolage’ or the non-conventional use of tools or methods to address local needs. Carers drove AT use by engaging creatively with both assistive and everyday technologies, however, carers were not routinely supported in their creative engagements with technology by statutory health or social care services, making bricolage a potentially frustrating and wasteful process. Bricolage provides a useful framework to understand how technologies are used in the everyday practice of dementia care, and how technology use can be supported within care. Rather than implementing standardised AT solutions, AT services and AT design in future should focus on how technologies can support more personalised, adaptive forms of care.

The role of the visual arts in the resilience of people living with dementia in care homes

NEWMAN Andrew, et al
2019

This study responds to a gap in the literature relating to the resilience of people living with dementia in care homes. The research applied an ecopsychosocial framework of resilience, theorising that sources of resilience may be personal, social and structural. Visual arts enrichment activities were examined to see how they might provide opportunities for resilience. The data used for this study were qualitative and originated from people with dementia aged between 70 and 99 years old (N = 48) living in four care homes in North East England, United Kingdom and staff/carers/family members (N = 37). The results showed that visual arts enrichment activities supported the resilience of those with dementia through creative expression, increased communication, improved self-esteem, and influenced relationships with carers and family members. It is concluded that even those with advanced dementia are capable of demonstrating resilience which can be supported by, and explored through, visual arts enrichment activities.

Facilitators and barriers to autonomy: a systematic literature review for older adults with physical impairments, living in residential care facilities

van LOON Jolande, et al
2019

Autonomy is important in every stage of life. However, little is known about how autonomy is enhanced for older adults living in residential care facilities (RCFs). This leads to the research question: which facilitators and barriers to autonomy of older adults with physical impairments due to ageing and chronic health conditions living in RCFs are known? The results will be organised according to the framework of person-centred practice, because this is related to autonomy enhancement. To answer the research question, a systematic literature search and review was performed in the electronic databases CINAHL, PsycINFO, PubMed, Social Services Abstracts and Sociological Abstracts. Inclusion and exclusion criteria were derived from the research question. Selected articles were analysed and assessed on quality using the Mixed Methods Appraisal Tool. Facilitators and barriers for autonomy were found and arranged in four themes: characteristics of residents, prerequisites of professional care-givers, care processes between resident and care-giver, and environment of care. The established facilitators and barriers are relational and dynamic. For a better understanding of the facilitators and barriers to autonomy for older adults with physical impairments living in RCFs, a description is based on the 35 included articles. Autonomy is a capacity to influence the environment and make decisions irrespective of having executional autonomy, to live the kind of life someone desires to live in the face of diminishing social, physical and/or cognitive resources and dependency, and it develops in relationships. The results provide an actual overview and lead to a better understanding of barriers and facilitators for the autonomy of older adults with physical impairments in RCFs. For both residents and care-givers, results offer possibilities to sustain and reinforce autonomy. Scientifically, the study creates new knowledge on factors that influence autonomy, which can be used to enhance autonomy.

Effect of board game activities on cognitive function improvement among older adults in adult day care centers

CHING-TENG Yao
2019

Stimulating leisure activities are considered as possible protective factors against dementia and cognitive decline in older adults, particularly due to the enhancement of cognitive reserve. This study tested the effectiveness of board game activities improving the cognitive function of older adults in adult day care centres. This was a quasi‐experimental study. A purposive sampling strategy was used to select 82 subjects who were aged 65 and above with intact mental functions and currently residing in adult day care centres. 41 subjects who participated in a selection of 12 board game activities were assigned to the experimental group and 41 subjects who adhered to their ordinary activities were allocated to the control group. Structured questionnaires of the board game programs were used for data collection. The board game programs showed promising effects in the cognitive function of older adults living in adult day care centres. A possible beneficial effect of board game playing on the risk of dementia could be mediated by a less cognitive decline in older adults. Board game activities may benefit the cognitive function of older adults. Incorporating board game activities into social work care may help develop long‐term care into a more diverse, unique and innovative direction.

Reaching out: guide to helping principal and local councils tackle loneliness

LOCAL GOVERNMENT ASSOCIATION, NATIONAL ASSOCIATION OF LOCAL COUNCILS
2019

A practical guide to help principal authorities and local councils to work together to tackle loneliness. The guide outlines the current loneliness policy context and uses a range of case studies to demonstrate effective models working in practice. It highlights four ways in which loneliness can be tackled at a local level: finding ways to reach and understand the needs of those experiencing loneliness; providing services that directly improve the number and quality of relationships that people have; providing support such as transport and technology to help sustain connections; and providing the right environment by creating the right structures and conditions locally to support those affected by, or at risk of, loneliness. Case studies include schemes to tackle loneliness and isolation in rural communities; older people's lunch clubs; supporting socially isolated adults and using tablet computers and video conferencing; and a model of Enhanced Primary Care. The guide includes useful check lists, advice on how to measure and evaluate outputs, and links to additional resources.

Social return on investment analysis of the health and wellbeing impacts of Wildlife Trust programmes

BAGNALL Anne-Marie, et al
2019

An analysis the social value of the Wildlife Trusts’ nature conservation projects, which offer outdoor volunteering opportunities and programmes that support people experiencing problems such as anxiety, stress or mild depression. The analysis, carried out by researchers at the Centre for Health Promotion Research at Leeds Beckett University, draws on the conclusions of three years of research on Wildlife Trusts’ projects. The results show that people participating in outdoor nature conservation activities felt better both emotionally and physically. The analysis calculates that for every £1 invested in general volunteering projects to tackle problems like physical inactivity or loneliness for people with average to high wellbeing, the social return on investment (SROI) was £8.50. For every £1 invested in targeted nature projects to tackle specialised health or social needs for people with low wellbeing at baseline, there was a £6.88 return. The report concludes that conservation activities should be encouraged as part of psychological wellbeing interventions.

Interventions to promote early discharge and avoid inappropriate hospital (re)admission: a systematic review

COFFEY Alice, et al
2019

Increasing pressure on limited healthcare resources has necessitated the development of measures promoting early discharge and avoiding inappropriate hospital (re)admission. This systematic review examines the evidence for interventions in acute hospitals including (i) hospital-patient discharge to home, community services or other settings, (ii) hospital discharge to another care setting, and (iii) reduction or prevention of inappropriate hospital (re)admissions. Academic electronic databases were searched from 2005 to 2018. In total, ninety-four eligible papers were included. Interventions were categorized into: (1) pre-discharge exclusively delivered in the acute care hospital, (2) pre- and post-discharge delivered by acute care hospital, (3) post-discharge delivered at home and (4) delivered only in a post-acute facility. Mixed results were found regarding the effectiveness of many types of interventions. Interventions exclusively delivered in the acute hospital pre-discharge and those involving education were most common but their effectiveness was limited in avoiding (re)admission. Successful pre- and post-discharge interventions focused on multidisciplinary approaches. Post-discharge interventions exclusively delivered at home reduced hospital stay and contributed to patient satisfaction. Existing systematic reviews on tele-health and long-term care interventions suggest insufficient evidence for admission avoidance. The most effective interventions to avoid inappropriate re-admission to hospital and promote early discharge included integrated systems between hospital and the community care, multidisciplinary service provision, individualization of services, discharge planning initiated in hospital and specialist follow-up.

Results 1 - 10 of 585

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News

Moving Memory

Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

Chatty Cafe Scheme

Chatty Cafe Scheme Practice example about how the Chatty Cafe Scheme is helping to tackle loneliness by bringing people of all ages together

Oomph! Wellness

Oomph! Wellness Practice example about how Oomph! Wellness is supporting staff to get older adults active and combat growing levels of social isolation

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia
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