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All research records related prevention examples and research

Results 1 - 10 of 621

Wellbeing evidence at the heart of policy

HARDOON Deborah, HEY Nancy, BRUNETTI Silvia
2020

Improving wellbeing is widely recognised as a goal of policy and practice. This report sets out the state of the evidence and next steps for applying a wellbeing approach to decision making in the UK. It looks at what is meant by wellbeing and how it is currently measured in the UK and Internationally. It considers how wellbeing can be improved, including a review evidence of what works and tools those working in a policy context need to implement these findings. It also considers the challenges of implementing a wellbeing approach and the role businesses, communities and individuals can play. The final section outlines some of the issues which have yet to be tackled in order for wellbeing to become the dominant narrative which underpins the decisions taken.

Connected communities: a strategy for tackling loneliness and social isolation and building stronger social connections

WALES. Welsh Government
2020

The Welsh Governnment's first strategy for tackling loneliness and social isolation. It defines what is meant by loneliness and social isolation, describes the key priorities in tackling these issues and sets out the Government's approach for implementing the strategy. The strategy focuses on approaches that reduce the risk of, or prevent, loneliness and social isolation or that intervene early, before these become more entrenched. The strategy looks at the role Government can play and also how it can support local authorities, wider public services, the third sector and also the private sector. It also describes the important role that individuals can play in supporting each other in communities. The strategy has four priority areas: increasing opportunities for people to connect; improving the community infrastructure to support people to come together, including the areas of planning, housing and transport; cohesive and supportive communities; and build awareness and promote positive attitudes, which sets out how the Welsh Government will raise the profile of loneliness and social isolation and reduce stigma. Key commitments are listed under each priority area. The strategy will be supported by funding over three years to support community-based organisations to deliver and test innovative approaches to tackling loneliness and social isolation.

What approaches to social prescribing work, for whom, and in what circumstances? A realist review

HUSK Kerryn, et al
2020

The use of non‐medical referral, community referral or social prescribing interventions has been proposed as a cost‐effective alternative to help those with long‐term conditions manage their illness and improve health and well‐being. However, the evidence base for social prescribing currently lags considerably behind practice. In this paper, we explore what is known about whether different methods of social prescribing referral and supported uptake do (or do not) work. Supported by an Expert Advisory Group, we conducted a realist review in two phases. The first identified evidence specifically relating to social prescribing in order to develop programme theories in the form of ‘if‐then’ statements, articulating how social prescribing models are expected to work. In the second phase, we aimed to clarify these processes and include broader evidence to better explain the proposed mechanisms. The first phase resulted in 109 studies contributing to the synthesis, and the second phase 34. We generated 40 statements relating to organising principles of how the referral takes place (Enrolment), is accepted (Engagement), and completing an activity (Adherence). Six of these statements were prioritised using web‐based nominal group technique by our Expert Group. Studies indicate that patients are more likely to enrol if they believe the social prescription will be of benefit, the referral is presented in an acceptable way that matches their needs and expectations, and concerns elicited and addressed appropriately by the referrer. Patients are more likely to engage if the activity is both accessible and transit to the first session supported. Adherence to activity programmes can be impacted through having an activity leader who is skilled and knowledgeable or through changes in the patient's conditions or symptoms. However, the evidence base is not sufficiently developed methodologically for us to make any general inferences about effectiveness of particular models or approaches.

Older people and social isolation: a review of the evidence

KINSELLA Sarah
2015

A review of the current literature and evidence on effective interventions to tackle social isolation amongst older people. Based on the findings from the review, the report recommends that: interventions should be targeted at those most at-risk; base their activities on the evidence of what works; and focus on providing group activities, particularly those which have an arts, educational learning or social focus and are participatory. It also recommends exploring the use of using new technologies, such as the internet and Skype.

Living well with dementia through music: a resource book for activities providers and care staff


2020

A guide to music activities for people with dementia for use by activity leaders, care staff and therapists, drawing on the expertise of people regularly using music in their work. The ideas show the varied ways that music can enhance the daily lives from the early to late stage of dementia. It includes chapters on the creative uses of technology, such as tablets and personal playlists. It also covers general considerations for using music with people living with dementia in institutional settings, including evaluating and recording outcomes.

The effectiveness of interventions for reducing subjective and objective social isolation among people with mental health problems: a systematic review

MA Ruimin, et al
2019

Purpose: Subjective and objective social isolation are important factors contributing to both physical and mental health problems, including premature mortality and depression. This systematic review evaluated the current evidence for the effectiveness of interventions to improve subjective and/or objective social isolation for people with mental health problems. Primary outcomes of interest included loneliness, perceived social support, and objective social isolation. Methods: Three databases were searched for relevant randomised controlled trials (RCTs). Studies were included if they evaluated interventions for people with mental health problems and had objective and/or subjective social isolation (including loneliness) as their primary outcome, or as one of a number of outcomes with none identified as primary. Results: In total, 30 RCTs met the review’s inclusion criteria: 15 included subjective social isolation as an outcome and 11 included objective social isolation. The remaining four evaluated both outcomes. There was considerable variability between trials in types of intervention and participants’ characteristics. Significant results were reported in a minority of trials, but methodological limitations, such as small sample size, restricted conclusions from many studies. Conclusion: The evidence is not yet strong enough to make specific recommendations for practice. Preliminary evidence suggests that promising interventions may include cognitive modification for subjective social isolation, and interventions with mixed strategies and supported socialisation for objective social isolation. This study highlights the need for more thorough, theory-driven intervention development and for well-designed and adequately powered RCTs.

Evidence scope: loneliness and social work

GREAT BRITAIN. Department of Health and Social Care
2020

This evidence scope looks at the role of social workers in preventing and reducing loneliness and isolation. It draws on a literature review and a survey of social work practitioners which was commissioned by the Chief Social Worker for Adults and carried out by Research in Practice for Adults. The scope provides key messages from research and practice in identifying people who are experiencing, or at risk of, chronic loneliness. It also presents evidence of effective interventions to prevent and reduce loneliness in the following areas: social activities, technology, partnership working with other agencies, human relationships, and being person centred and understanding every individual’s different experience of loneliness. Key messages for social workers and employers to inform the development of resources to improve practice are included.

Evaluating social care prevention in England: challenges and opportunities

MARCZAK Joanna, WISTOW Gerald, FERNANDEZ Jose-Luis
2019

Context: The Care Act 2014 placed a statutory duty on adult social care (ASC) to prevent and delay the development of needs for care and support. There is little clarity about how to translate this national obligation into effective local practice. Objectives: This exploratory study sought to lay the foundations for understanding approaches to this new duty by identifying: emerging local understandings of prevention; associated implementation strate­gies; and the potential for designing evaluation frameworks. Methods: Local perspectives were secured through: in-depth interviews in six English local authorities; reviews of local strategy, implementation documents and reviews of data sources; and methods for evaluating local initiatives in sampled authorities. Findings: The findings indicate important differences between and within local authorities in conceptuali­sations of prevention. Although willingness to commission services was strongly linked to the availability of evidence on what works in prevention, council conducted limited local evaluations. This study also found limited collaboration between ASC and Health in developing joint prevention approaches, in part due to differ­ences in conceptualisation and also constraints arising from different priorities and information systems. Limitations: The exploratory nature of the study and the small sample size limits the generalisability of its findings. Overall, the number of local authorities and respondents allowed us to explore a range of local views, opinions and practices related to the prevention agenda in a variety of contexts, however the findings are not generalisable to all English local authorities. Implications: This study suggests that the limited local evidence about prevention, combined with finan­cial austerity, may lead to disproportionate investment in a small number of interventions where existing evidence suggests cost-savings potential, which, in turn, may impact authorities’ ability to fulfil their statutory duties related to preventing and delaying the needs for care and support. In this connection, this study highlights the potential for developing local evaluation strategies utilising existing but largely unexploited local administrative data collections.

A systematic review of interventions for loneliness among older adults living in long-term care facilities

QUAN Nicolas G., et al
2019

Objectives: This study aimed to review loneliness interventions for older adults living in long-term care (LTC) facilities over the past 10 years, to categorise interventions by type, and to compare effectiveness of loneliness interventions in these settings. Methods: Systematic review followed PRISMA guidelines. Articles matching search criteria were collected from PubMed, PsycINFO, and Web of Science from 2009 to 2019. The inclusion criteria were as follows: 1) English language, 2) intervention studies with a quantitative measure that compares pre-trial to post-trial changes, 3) loneliness as a primary or secondary outcome 4) subjects age >65, and 5) subjects living in a LTC facility, such as a nursing home, assisted-living, or hospice. Results: A total of 15 intervention studies qualified for systematic review. Most of these interventions were psychological therapies and leisure/skill development interventions. Approximately, 87% of studies reported significant decreases in loneliness following intervention. Laughter therapy, horticultural therapy, and reminiscence therapy were associated with the greatest decreases in loneliness. Discussion: Results suggest that, although less common than interventions in the community, there are several effective interventions to reduce loneliness among older adults living in LTC facilities. Lack of standardised measures and high-quality studies limits comparisons between intervention types and generalizability to different populations.

The effect of music on wellbeing - case studies

CONROY Jill, FAULKNER Sue
2020

This article reports on a small scale study of the impact of personalised music on residents living with dementia in a care home. Three care homes (Fremantle Trust's Lent Rise House, Lewin House and Meadowside care homes) and nine people living with dementia took part in the two week study. Care staff and activity organisers selected times of day (and night) to play music or a radio station with the resident. The researchers collaborated with Unforgettable (now part of Live Better with Dementia), a company allied to the non-profit organisation Music and Memory which donates iPods to people living in care homes to deliver the intervention. Findings:Qualitative statements from the care homes were invariably positive. Personalised music was found to reduce agitation and improve mood. None of the people living with dementia were able to initiate music themselves, so it required either staff or visitors to play it. Conclusion: the findings suggest that, when compiled in a person-centred way, music can be a source of comfort and calm. It can counter distressing events, alleviate anxiety, and increase sociability. The paper also includes some implications for practice or tips on how to provide personalised music in care homes.

Results 1 - 10 of 621

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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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