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Results 1 - 10 of 506

Working inclusively to make communities age-friendly: briefing

AMBITION FOR AGEING
2019

This briefing paper looks at how to design effective and inclusive ways of working to reach more older people in minority or marginalised communities. It argues that equality, diversity and inclusivity are central to understanding and reducing social isolation, and looks at key ways to embed inclusion in building age-friendly communities. These include: having a good understanding of communities themselves; designing genuinely inclusive opportunities, as well delivering targeted approaches; and working with an equalities mindset. The briefing draws on learning from research and reflection by the Ambition for Ageing Equalities Board. This briefing will be of interest to those working to tackle loneliness and social isolation of older people from marginalised communities, and those concerned that community and neighbourhood-level work reaches people in marginalised communities.

10 tips to help your project reduce loneliness

KAZIMIRSKI Anne, ABRAMS Thomas, MAN Michelle
2019

This guide shares insights from the existing evidence base on promising approaches to delivering programmes to combat loneliness. It focuses on how services are delivered, rather than what they deliver, and provides tips on what is more likely to make interventions effective. The tips are grouped into four themes which cover: Involving users; Building new relationships; Reducing stigma; and Reducing barriers to access. It includes advice on: working with volunteers, building on local assets and strengths, using language carefully, focussing on the neighbourhood, facilitating transport, and using digital technology. Warnings are included where there are common pitfalls. Short practice examples and a list of additional resources are also included.

Interventions to improve adherence to exercise therapy for falls prevention in community-dwelling older adults: systematic review and meta-analysis

HUGHES Katie J., et al
2018

Background: exercise therapy is highly recommended for falls prevention in older adults; however, poor exercise adherence may limit treatment effectiveness. Objective: to assess the effectiveness of interventions to improve exercise adherence for community-dwelling adults (aged over 65 years), at risk of falling. Methods: eight databases were searched to identify randomised/quasi-randomised trials. The Capability, Opportunity, Motivation model of behaviour (COM-B) was used to categorise the identified adherence interventions. Studies with similar interventions that provided adherence outcome data per group were analysed to establish pooled intervention effect. Protocol registration with Propsero: (CRD42016033677). Results: of the 20 trials included (n = 4419), five provided data per group for adherence outcome. Meta-analysis of four studies (n = 482), containing interventions exploring the way exercise is delivered, demonstrated significantly better adherence in the intervention group (n = 166 experimental, n = 161 control Fixed effects model (FEM), SMD = 0.48 95% CI [0.26–0.70] P < 0.0001 I2 = 0%, very low GRADE evidence). Within this limited evidence base, interventions using telecommunication and the integration of exercise into activities of daily living appear most promising when delivering exercise at home. Meta-analysis to explore the effect that these interventions to improve adherence had on balance (n = 166 experimental, n = 161 control Random-effects model (REM), SMD = 0.82, 95% CI [−1.20–2.84] P = 0.43 I2 = 52%) and gait (n = 59 experimental, n = 56 control REM, SMD = 0.29, 95% CI [−1.62–2.20] P = 0.77 I2= 48%), found no statistically significant effect. Conclusions: adherence to exercise can be positively influenced; however, insufficient data exists to support any single intervention that also achieves effective outcomes for balance and gait.

Briefing for the Cross-Party Group on Arts and Health

WELSH NHS CONFEDERATION
2019

Arts-based projects provide innovative, person-centred approaches to improving the health and wellbeing of the population. This briefing provides case studies to show how NHS organisations and others are working together use arts based initiatives to tackle loneliness and isolation in Wales. They include The Remote Choir, which allows people to participate from the comfort of their own homes; a Hidden Talents is a creative music project for adults who live with learning disabilities; and Story Care and Share which brings together lonely and isolated people together through storytelling.

Cultural engagement and incident depression in older adults: evidence from the English Longitudinal Study of Ageing

FANCOURT Daisy, TYMOSZUK Urszula
2019

Background: There is a recognised need for the identification of factors that might be protective against the development of depression in older adults. Over the past decade, there has been growing research demonstrating the effects of cultural engagement (which combines a number of protective factors including social interaction, cognitive stimulation and gentle physical activity) on the treatment of depression, but as yet not on its prevention. Aims: To explore whether cultural engagement in older adults is associated with a reduced risk of developing depression over the following decade. Method: Working with data from 2148 adults in the English Longitudinal Study of Ageing who were free from depression at baseline, the study used logistic regression models to explore associations between frequency of cultural engagement (including going to museums, theatre and cinema) and the risk of developing depression over the following 10 years using a combined index of the Centre for Epidemiological Studies Depression Scale (CES-D) and physician-diagnosed depression. Results: There was a dose–response relationship between frequency of cultural engagement and the risk of developing depression independent of sociodemographic, health-related and social confounders. This equated to a 32% lower risk of developing depression for people who attended every few months (odds ratio (OR) = 0.68, 95% CI 0.47–0.99, P = 0.046) and a 48% lower risk for people who attended once a month or more (OR = 0.52, 95% CI 0.34–0.80, P = 0.003). Results were robust to sensitivity analyses exploring reverse causality, subclinical depressive symptoms and alternative CES-D thresholds. Conclusions: Cultural engagement appears to be an independent risk-reducing factor for the development of depression in older age.

Being well together: the creation of the Co-op Community Wellbeing Index

HILL-DIXON Amanda, SOLLEY Suzanne, BYNON Radhika
2019

This report presents the Co-op Community Wellbeing Index (CWI), the first measure of community wellbeing at a neighbourhood level across the UK. The index aims to help understand what community wellbeing means to people across the UK and what communities need to help people to get involved and make communities stronger. The report outlines the conceptual model, methodology, and evidence it is based on. Based on the findings from a literature review and research with communities, a model of community wellbeing was developed, which underpins the Community Wellbeing Index. In the model is based on three key pillars: people, place, and relationships. Within these three pillars there are 9 domains of community wellbeing: relationships and trust; equality; voice and participation; health; education and learning; economy, work and employment; culture, leisure and heritage; housing, space and environment; and transport, mobility and connectivity. The complete Index includes an explanation which reflects the aspirations of communities for each domain and related indicators. The report has been written for anybody interested in community wellbeing and will be of particular interest to community sector organisations and practitioners, policymakers, researchers, and funders.

A life less lonely: the state of the art in interventions to reduce loneliness in people with mental health problems

MANN F., et al
2017

PURPOSE:: There is growing evidence of significant harmful effects of loneliness. Relatively little work has focused on how best to reduce loneliness in people with mental health problems. This study aims to present an overview of the current state of the art in loneliness interventions in people with mental health problems, identify relevant challenges, and highlight priorities for future research and implementation. METHODS: A scoping review of the published and grey literature was conducted, as well as discussions with relevant experts, to propose a broad classification system for types of interventions targeting loneliness. RESULTS: Interventions were categorised as 'direct', targeting loneliness and related concepts in social relationships, and 'indirect' broader approaches to well-being that may impact on loneliness. Four broad groups are described of direct interventions: changing cognitions; social skills training and psychoeducation; supported socialisation or having a 'socially-focused supporter'; and 'wider community approaches'. The most promising emerging evidence appears to be in 'changing cognitions', but, as yet, no approaches have a robust evidence base. Challenges include who is best placed to offer the intervention, how to test such complex interventions, and the stigma surrounding loneliness. CONCLUSIONS: Development of clearly defined loneliness interventions, high-quality trials of effectiveness, and identifying which approaches work best for whom is required. Promising future approaches may include wider community initiatives and social prescribing. It is important to place loneliness and social relationships high on the wider public mental health and research agenda.

Harnessing technology to tackle loneliness

WPI ECONOMICS, OAKLEY Matthew, ROSE Christina Bovill
2019

This report, commissioned by Vodafone and produced by WPI Economics, looks at the prevalence of loneliness in the UK and role technology can play in alleviating loneliness in older people by keeping them connected to their family and friends for longer. Focusing on chronic loneliness amongst people aged over 50, the report also provides new estimates of the potential scale of costs associated with loneliness, which it estimates as £1.8 billion per year to the UK economy. It highlights how technology can be used alongside more traditional community services to facilitate social interaction, and that learning how to use it more fully can reduce loneliness and promote an active lifestyle. This can help older people remain independent in their homes and communities and increase confidence and the likelihood of positive interactions. It can also help to maintain and build networks and contacts, with technology used as a way of keeping in touch with friends and family and accessing new communities and groups. The report outlines five recommendations to promote the use of technology in tackling loneliness, which over improving access to technology, increasing confidence and skills in the use of technology and supporting innovative technological solutions.

Heritage and wellbeing. The impact of historic places and assets on community wellbeing: a scoping review

PENNINGTON Andy, et al
2019

A scoping review of evidence on the impact of heritage places, interventions, and assets – things like historic objects, monuments or buildings – to discover how they impact individual and community wellbeing. The primary focus of the review was on impacts of historic places and assets set within the ‘living environment’ of communities, but it also considers evidence from projects that used historic objects/artefacts, for example, in the care of people with dementia in care homes and other healthcare settings. The review looked at 75 papers and reports. It found higher and lower quality evidence that historic places, assets and associated activities and interventions can have a wide range of beneficial impacts on the physical, mental and social wellbeing of individuals and communities. These include increased life satisfaction and social connectivity for individuals and positive effects on community wellbeing such as social relationships, sense of belonging, pride of place, ownership and collective empowerment. It also identifies important gaps in the research, and highlights potential negative wellbeing impacts of participating in heritage-based interventions, or living in historic areas. Potential negative impacts of interventions appear to be related to how well the design and delivery of interventions considered the needs of specific individuals and groups.

A menu of interventions for productive healthy ageing: for pharmacy teams working in different settings

PUBLIC HEALTH ENGLAND
2019

This guide lists interventions that pharmacy teams working in different healthcare settings can use to support older people to improve the quality of their lives. It includes evidence-based interventions on: preventing and reducing falls; increasing levels of physical activity; maintaining a healthy weight and preventing malnutrition; reducing the risk of social isolation and loneliness; reducing the risk of dementia; supporting people diagnosed with dementia; delaying the progress of dementia and reducing the need for medicines. For each area the guide includes the rationale for intervention, a list of suggested interventions and evidence of impact. The guidance will also be useful for pharmaceutical and medical committees, local authorities, clinical commissioning groups and local NHS England teams.

Results 1 - 10 of 506

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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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