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Results 31 - 40 of 670

The effectiveness of community-based social innovations for healthy ageing in middle- and high-income countries: a systematic review

GHIGA Ioana, et al
2020

Objectives: Community-based social innovations (CBSIs) are one type of intervention that may help to address the complex needs of ageing populations globally. The aim of this research was to assess evidence for the effectiveness and cost-effectiveness of CBSIs involving in such contexts. Methods: This study conducted a systematic review of CBSIs for healthy ageing in middle- and high-income countries, including any CBSI that aimed to empower people aged 50 and over by motivating them to take initiative for their own health and wellbeing. The protocol was registered with Prospero (CRD 42016051622). A comprehensive search was conducted in 15 academic databases and advanced search in Google. This study included published studies from 2000 onwards in any language. Exploratory meta-analysis was conducted for quantitative studies reporting similar outcomes, and qualitative studies were analysed using thematic analysis. Narrative synthesis was conducted. Searches yielded 13,262 unique hits, from which 44 papers met the inclusion criteria. Results: Most studies reported interventions having positive impacts on participants, such as reduced depression, though the majority of studies were classified as being at medium or high risk of bias. There was no evidence on costs or cost-effectiveness and very little reporting of outcomes at an organization or system level. CBSIs have the potential for positive impacts, but with nearly half of studies coming from high-income urban settings (particularly the United Kingdom and the United States of America), there is a lack of generalizability of these findings. Conclusions: This research highlights the need to improve reporting of CBSIs as complex interventions, and for improved conceptualization of these interventions to inform research and practice.

Effects of participating in community assets on quality of life and costs of care: longitudinal cohort study of older people in England

MUNFORD Luke Aaron, et al
2020

Objectives: Improving outcomes for older people with long-term conditions and multimorbidity is a priority. Current policy commits to substantial expansion of social prescribing to community assets, such as charity, voluntary or community groups. This study uses longitudinal data to add to the limited evidence on whether this is associated with better quality of life or lower costs of care. Design: Prospective 18-month cohort survey of self-reported participation in community assets and quality of life linked to administrative care records. Effects of starting and stopping participation estimated using double-robust estimation. Setting: Participation in community asset facilities. Costs of primary and secondary care. Participants 4377 older people with long-term conditions. Intervention Participation in community assets. Primary and secondary outcome measures Quality-adjusted life years (QALYs), healthcare costs and social value estimated using net benefits. Results: Starting to participate in community assets was associated with a 0.017 (95% CI 0.002 to 0.032) gain in QALYs after 6 months, 0.030 (95% CI 0.005 to 0.054) after 12 months and 0.056 (95% CI 0.017 to 0.094) after 18 months. Cumulative effects on care costs were negative in each time period: £−96 (95% CI £−512 to £321) at 6 months; £−283 (95% CI £−926 to £359) at 12 months; and £−453 (95% CI £−1366 to £461) at 18 months. The net benefit of starting to participate was £1956 (95% CI £209 to £3703) per participant at 18 months. Stopping participation was associated with larger negative impacts of −0.102 (95% CI −0.173 to −0.031) QALYs and £1335.33 (95% CI £112.85 to £2557.81) higher costs after 18 months. Conclusions: Participation in community assets by older people with long-term conditions is associated with improved quality of life and reduced costs of care. Sustaining that participation is important because there are considerable health changes associated with stopping. The results support the inclusion of community assets as part of an integrated care model for older patients.

Hear and now: the impact of an intergenerational arts and health project on participant wellbeing

JENKINS Lindsay, FARRER Rachel, AUJLA Imogen
2020

This research explores the impact that an intergenerational arts and health project can have upon wellbeing, with a particular focus on the benefits that intergenerational practice can provide in relation to quality of life, affect, and social inclusion. It is based on Hear and Now, an award-winning, intergenerational community arts project developed by the Philharmonia Orchestra and Orchestras Live in Bedford, which brought together older adults living with dementia and young people. The study looked at the impact on the participant end users, and also the experiences of their carers and the artists and support staff who facilitated the project. Data were collected through observations of the workshops and focus groups. Researchers used the PERMA model of wellbeing to reflect on the impact of the project. The results found that participants reported: many positive emotions; a high level of engagement; the creation of positive relationships and new connections; that the project had meaning and that they felt of value; and an overall sense of achievement and accomplishment. The findings highlight the holistic impact of intergenerational arts and its ability to create a sense of belonging and purpose that unites different sectors of the community. The report also highlights key learning for future projects.

Evaluating Ageing Better Isle of Wight: participant journeys

NATIONAL DEVELOPMENT TEAM FOR INCLUSION
2020

This research report looks at how the Ageing Better Isle of Wight Programme, known as Age Friendly Island, is working to reduce isolation by exploring how older people access, participate and move between the projects. It draws on quantitative data of multiple project use, and through in-depth qualitative interviews with individuals who have used more than one project. The research found that for some people, likely to be the more isolated or less connected people, accessing the first project can be key. Once people access a project, they are opened up to both informal networks of other people participating in the group and also the more formal networks of project leads, Community Navigators or volunteers. Both groups are able to introduce them to new projects, services and organisations. The report identifies what can facilitate this process by enabling older people to: hear about a project; go to a project; stay at a project; and move to another project.

Engaging with the arts to improve health and wellbeing in social care settings

WELSH NHS CONFEDERATION
2020

This briefing, prepared for the Cross-Party Group on Arts and Health, provides innovative examples of arts-based activities which are being delivered in social care settings across Wales to improve people’s physical and mental wellbeing. They include Live Music Now which supports professional musicians to deliver evidence-based music workshops in care homes; cARTrefu, a project from Age Cymru to improve access to quality arts experiences for older people in residential care homes project; and Bangor University's Dementia and Imagination.

Reducing emergency hospital admissions: a population health complex intervention of an enhanced model of primary care and compassionate communities

ABEL Julian, et al
2018

Background: Reducing emergency admissions to hospital has been a cornerstone of healthcare policy. Little evidence exists to show that systematic interventions across a population have achieved this aim. The authors report the impact of a complex intervention over a 44-month period in Frome, Somerset, on unplanned admissions to hospital. Aim: To evaluate a population health complex intervention of an enhanced model of primary care and compassionate communities on population health improvement and reduction of emergency admissions to hospital. Design and setting: A cohort retrospective study of a complex intervention on all emergency admissions in Frome Medical Practice, Somerset, compared with the remainder of Somerset, from April 2013 to December 2017. Method: Patients were identified using broad criteria, including anyone giving cause for concern. Patient-centred goal setting and care planning combined with a compassionate community social approach was implemented broadly across the population of Frome. Results: There was a progressive reduction, by 7.9 cases per quarter (95% confidence interval [CI] = 2.8 to 13.1, P = 0.006), in unplanned hospital admissions across the whole population of Frome during the study period from April 2013 to December 2017, a decrease of 14.0%. At the same time, there was a 28.5% increase in admissions per quarter within Somerset, with a rise in the number of unplanned admissions of 236 per quarter (95% CI = 152 to 320, P<0.001). Conclusion The complex intervention in Frome was associated with highly significant reductions in unplanned admissions to hospital, with a decrease in healthcare costs across the whole population of Frome.

Perceptions of older people in Ireland and Australia about the use of technology to address falls prevention

MACKENZIE Lynette, CLIFFORD Amanda
2020

Falls are common events with serious consequences for older people. With an ageing population and increasing health-care costs, information and communication technologies (ICT) will have a potential role in future health-care delivery. However, research on technology acceptance in health care for older people is limited and its application to falls prevention is unknown. The aims of this study were to explore and describe the perceptions of community-dwelling Australian and Irish older people about their current use of technology, and the potential use of technology for falls prevention. Qualitative data were collected from three focus groups conducted in and around Limerick in Ireland, and three in the Sydney area, Australia. A total of 35 older people participated. Data were analysed using thematic analysis. Four themes emerged from the data: (a) perceptions of vulnerability to falls, (b) preferences for exercise interventions, (c) participation in and ownership of technology, and (d) perceptions about applications of technology for falls prevention. As the use of technology is an instrumental activity of daily living, health professionals need to assess the capacity of older people to adopt these technologies, and provide falls prevention interventions to accommodate the technology skills of older people. Some participants were reluctant to embrace technology and barriers to the effective use of technology to assist in preventing falls may conflict with future health service trends.

Connecting communities: a strategy for tackling loneliness and social isolation

WALES. Welsh Government
2020

The young person's and community version of the Welsh Government strategy to tackle loneliness and social isolation. It outlines the Government's plan to tackle loneliness and social isolation and build a more connected society. It covers four priority areas: providing more opportunities for people to connect; providing good quality transport, community spaces and internet that help people connect; cohesive and supportive communities; and raising awareness of loneliness and social isolation. 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.

The role and principles of reablement

SOCIAL CARE INSTITUTE FOR EXCELLENCE
2020

This briefing provides an overview of the role and principles of reablement in the social care sector. It describes the different models used to deliver reablement, illustrating the shift from traditional home care towards personalised, outcome-focused care. Reablement is a strengths-based, person-centred approach that promotes and maximises independence and wellbeing. The briefing also outlines elements of effective reablement, which include assessment and goal setting, and managing risk and choice. It is designed for those working in reablement or commissioning it, but may also be useful to carers and people receiving reablement.

Handyperson services: defining the added value

FOUNDATIONS
2020

This report highlights the role of Handyperson Services in keeping people safe and healthy in their own homes. It looks at some of the main improvements services can carry out, which can include repairs, home safety checks and home adaptations. It also provides examples of services that provide added value. These include: Middlesbrough Staying Put, County Durham Handyperson Service and Manchester Care & Repair. Figures from a sample survey completed by 78 local authorities in England show that over half of local authorities either provide or commission handyperson services, with 45 percent providing services that aid timely discharge from hospital. The report concludes that the inclusion of Disabled Facilities Grant in the Better Care Fund provides a mechanism to improve the commissioning and targeting of Handyperson Services.

Results 31 - 40 of 670

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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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