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Results 11 - 20 of 785

Loneliness beyond Covid-19: learning the lessons of the pandemic for a less lonely future

JONES Dan, JOPLING Kate, KHARICHA Kalpa
2021

A review of the impact of Covid-19 on UK loneliness and what we can expect in future. The report finds that although restrictions on social contact during lockdown were universal, people had very different experiences of loneliness. Covid-19 exacerbated existing inequalities, meaning that groups already at risk of loneliness – such as those who were poorer, in worse health or from ethnic minorities or LGBTQ+ communities – were at greater risk during the pandemic. Those who were already lonely before the pandemic were likely to become even more lonely. The report finds that organisations responsible for addressing loneliness experienced more demand for their services because: the co-ordinated response to loneliness during the pandemic identified many people who were already lonely, but not previously known to services; the impact of Covid-19 meant that more people were likely to be at risk of chronic loneliness, perhaps because they had lost their job or been ill; people who were already lonely, experienced deep isolation, and many experienced changes in their circumstances as a result of the pandemic which meant they became even more lonely. The report calls on the Government to provide enough funding to maintain services and support for people experiencing chronic loneliness in the wake of the pandemic; ensure that support is particularly targeted at the most disadvantaged communities where loneliness is a particular risk; take action and invest to ensure a ‘connected recovery’, strengthening community capacity, with funding for green spaces, high streets and meeting places as well as transport and digital connectivity.

Tips to help your remote project tackle loneliness

ROSE Abigail, et al
2021

Tips to help deliver remote interventions to tackle loneliness. The document draws upon a developmental evaluation of the Building Connections Fund, the first ever cross government fund dedicated to reducing loneliness in England, delivered in partnership with The National Lottery Community Fund and the Co-op Foundation. NPC supported grant holders by sharing emerging good practice for addressing changing needs and rules throughout the Covid-19 pandemic. The big lessons learnt by grant holders through the Covid-19 pandemic were to: help service users increase their engagement with online activities and offer choice to meet different service users’ needs; ensure support is consistent and reliable, with healthy relationships between staff and users and regular support to create trust and reassurance; work together with local organisations to avoid duplication; put appropriate safeguarding and privacy measures in place; respond to changing user needs during different lockdowns or social distancing restrictions. The document focus on digital delivery (how can you move projects online? How do you engage users digitally rather than in-person?); digital inclusion (how can you help your service users who struggle to make the most of online services, or may be digitally excluded?); safeguarding (how can you safeguard during a crisis? Should you update your policies? How should you think about online safety with regards to digital delivery?); the effectiveness of digital interventions (what does the evidence say about digital and online interventions reducing loneliness?); measurement and evaluation (how can you measure, evaluate and learn?); NPC’s three steps for adapting your monitoring and evaluation approach in a crisis.

Health matters: why we must commit to delivering prevention in an ageing world

HIMAWAN Arunima, BEACH Brian, MAYHEW Les
2021

This report is designed as a first statement on why we need bolder spending commitments on prevention. The analysis finds that all G20 countries have improved their health outcomes in the last 20 years, but not at equal rates. The biggest improvements in healthy life expectancy have been seen in countries where the state pays for a greater share of health spending, reducing the cost barriers for individuals. Greater spending commitments can form the basis of longer-term prevention strategies that seek to: democratise access to prevention, to alleviate health inequalities; inspire and engage policymakers, healthcare professionals and individuals to consider, support and access prevention; effectively utilise technology.

Reducing preventable admissions to hospital and long-term care: a high impact change model

LOCAL GOVERNMENT ASSOCIATION
2021

This high impact change model aims to support local care, health, and wellbeing partners to work together to prevent, delay or divert the need for acute hospital or long-term bed-based care. The tool recognises that, while sometimes hospital is the most appropriate place for someone to be, most people want to be at home and independent for as long possible, and that this is generally the best place for them to recover. The model focuses on two goals and five high impact changes that help realise one or both goals. The two goals are: prevent crisis – actions to prevent crises developing or advancing into preventable admissions; stop crisis becoming an admission – actions to divert or prevent an attendance at A&E becoming an admittance to hospital or long-term bed-based care. The five high impact changes and the goal or goals they relate to: population health management approach to identifying those most at risk (Goal 1); target and tailor interventions and support for those most at risk (Goal 1); practise effective multi-disciplinary working (Goals 1 and 2); educate and empower individuals to manage their health and wellbeing (Goals 1 and 2); provide a coordinated and rapid response to crises in the community (Goal 2).

A mixed-methods feasibility study of a goal-focused manualised intervention to support people with dementia to stay living independently at home with support from family carers: NIDUS (New Interventions for Independence in Dementia Study) Family

RAPAPORT Penny, et al
2021

Objectives: To examine the feasibility and acceptability of NIDUS-Family, a 6–8 session manualised, individually tailored, modular intervention supporting independence at home for people with dementia; and explore participants’ and facilitators’ experiences of the intervention. Method: In this single group multi-site feasibility study, trained, supervised non-clinically qualified graduates (facilitators) delivered NIDUS-Family to family carer and people living with dementia dyads. We recruited participants from GP practices and memory services in London and Bradford. We completed quantitative outcomes pre- and post-intervention; and conducted qualitative interviews with participants and facilitators. Our pre-specified main outcomes were proportion of potential participants approached who agreed to participate, intervention adherence and acceptability to family carers, and facilitator fidelity to the manual. Results: We recruited 16 dyads (57% of those approached); 12 (75%) completed the intervention. Of 12 participants rating intervention acceptability, 9 (75%) agreed or strongly agreed that it had helped; 2 (18%) neither agreed nor disagreed and 1 (8%) disagreed. Mean facilitator fidelity was high (81.5%). Dyads set on average 3.9 goals; these most commonly related to getting out and about and increasing activity/hobby participation (n = 10); carer wellbeing (n = 6), managing physical complaints (n = 6); meal preparation/cooking (n = 5); and reducing irritability, frustration or aggression (n = 5). Almost all secondary outcomes changed in a direction indicating improvement. In our qualitative analysis we identified three overarching themes; relationships facilitate change, goal-focused versus manualised approach and balancing the needs of carers and people with dementia. Conclusion: NIDUS-Family was feasible and acceptable to participants. Following refinements, testing in a pragmatic trial is underway.

Pride and Purpose: reflections on timebanking practice for fostering social networks in wellbeing improvement schemes

GREGORY Lee
2021

This paper explores the relationship between social capital and a community initiative known as timebanking. Its purpose is to offer a more critical account of the literature to date, which suggests timebanking generates improved health outcomes because it facilitates bridging social capital. Drawing on Cattell’s (2011) analysis of social networks the paper offers an alternative account. It suggests a more nuanced view of social networks shows the development of different networks by members, resulting from gendered forms of participation. The consequences of this is that whilst different network forms provide sources of pride and coping mechanisms for members, for women they inhabit more diverse networks which offer greater benefits whilst men may still experience some forms of exclusion and isolation through their participation.

Managing loneliness: a qualitative study of older people’s views

KHARICHA K., et al
2021

Engaging with older people who self-identify as lonely may help professionals in mental health and other services understand how they deal with loneliness. The evidence-base for effective interventions to address loneliness is inconclusive. This study aimed to explore how community-dwelling lonely older people in England manage their experiences of loneliness. Twenty eight community-dwelling older people identifying as lonely, based on responses to two loneliness measures (self-report and a standardised instrument), participated in in-depth interviews between 2013 and 2014. Fifteen lived alone. Thematic analysis of transcribed interviews was conducted by a multidisciplinary team including older people. Participants drew on a range of strategies to ameliorate their distress which had been developed over their lives and shaped according to individual coping styles and contexts. Strategies included physical engagement with the world beyond their home, using technologies, planning, and engagement with purpose in an ‘outside world’, and acceptance, endurance, revealing and hiding, positive attitude and motivation, and distraction within an ‘inside world’. Strategies of interests and hobbies, comparative thinking, religion and spirituality and use of alcohol straddled both the inside and outside worlds. Participants conveyed a personal responsibility for managing feelings of loneliness rather than relying on others. This study includes the experiences of those living with loneliness whilst also living with other people. When developing policy and practice responses to loneliness it is important to listen attentively to the views of those who may not be engaging with services designed for ‘the lonely’ and to consider their own strategies for managing it.

Reducing loneliness and improving well-being among older adults with animatronic pets

TKATCH Rifky, et al
2021

Background: Studies consistently demonstrate that older adults who are lonely have higher rates of depression and increased mortality risk. Pet ownership may be a solution for loneliness; however, challenges related to pet ownership exist for older adults. Therefore, researchers and practitioners are examining the use of animatronic pets to reduce loneliness. Objective: To determine the feasibility of an animatronic pet program, and whether ownership of animatronic pets would decrease loneliness and improve well-being among lonely older adults. Methods: Eligible individuals were identified as lonely through a prior survey. Participants were provided with the choice of an animatronic pet and completed T1/T2/T3 surveys. Results: Attrition was high; 168 (63%) participants completed T1/T2 surveys, and 125 (48%) also completed a T3 survey. Post survey data indicated that loneliness decreased, while mental well-being, resilience, and purpose in life improved. Frequent interactions with the pets were associated with greater improvement in mental well-being and optimism. Conclusions: Animatronic pets appear to provide benefits for the well-being of lonely older adults. Future studies should employ randomized controlled designs examining the impact of animatronic pets.

Targeting preventive home visits to older adults in disadvantaged communities: perspectives of professionals

KRISTIANSEN Maria, et al
2021

This study explored the implementation of multidimensional preventive home visits targeted to older adults living in a disadvantaged community in Denmark. The intervention was adapted to include the following key components: involvement of community members in recruitment processes; a combination of individual and group-based dissemination; adaptation of materials to overcome language barriers; and diversity-sensitivity training for professionals. The study took place over 12 months between August 2016 and August 2017 and used various data sources: registry-based data, participant observations, combined with individual and focus group interviews with the target population (n = 22) and relevant health care professionals (n = 8). Here, we report on findings pertaining to implementation barriers and facilitators as seen from the perspective of professionals. Socioeconomic vulnerability was prominent, and uptake of health care services was low, indicating under-utilisation. Implementation facilitators and barriers were identified including potentials in nurturing local partnerships and proximity during recruitment; overcoming language barriers; offering diversity-sensitivity training for professionals; and a need for a more multidisciplinary, comprehensive scope of preventive visits for diverse older adults in disadvantaged communities. Thus, more focus on participatory, comprehensive and community-based health promotion are needed to ensure healthy ageing in the context of social inequality and ethnic diversity.

The My Active and Healthy Aging ICT platform prevents quality of life decline in older adults: a randomised controlled study

RAINERO Innocenzo, et al
2021

Introduction: Prevention of frailty is paramount in older adults. We evaluated the efficacy of a tailored multidomain intervention, monitored with the My Active and Healthy Aging platform, in reducing conversion from a prefrail status to overt frailty and preventing decline in quality of life. Methods: We performed a multicentre, multicultural, randomised control study. The effects of multidomain interventions on frailty parameters, quality of life, physical, cognitive, psychosocial function, nutrition and sleep were evaluated in a group of 101 prefrail older subjects and compared with 100 prefrail controls, receiving general health advice. Results: At the 12-month assessment, controls showed a decline in quality of life that was absent in the active group. In addition, active participants showed an increase in mood and nutrition function. No effect on remaining parameter was observed. Discussion: Our study supports the use of personalised multidomain intervention, monitored with an information and communication technology platform, in preventing quality of life decline in older adults.

Results 11 - 20 of 785

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