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Results 31 - 40 of 543

An evaluation of Wolverhampton's social prescribing service: a new route to wellbeing

MASSIE Rachel, AHMAD Nahid
2019

An independent evaluation of Wolverhampton social prescribing pilot service, which was launched in 2017 by the Clinical Commissioning Group in collaboration with Wolverhampton Voluntary Sector Council. The evaluation found that the service, which provides a link between primary care services and voluntary and community organisations for those with non-clinical issues, is highly regarded. A total of 676 referrals were received between May 2017 and December 2018. The most common reasons for referral were loneliness and low-level mental health conditions. Link workers made onward referrals to over 150 groups and services. Participants reported a positive impact on mental health, wellbeing, confidence, self-esteem, and even physical health for those who had been referred. The report estimates that Return on Investment means that for every £1 spent on the social prescribing intervention, there will be a saving of £0.15 for primary care services. The researchers recommended further awareness-raising activities, quarterly progress reports and better communication to service users around the nature of the service and wider access, as well as improved data capture.

Reducing older people's need for care: exploring risk factors for loss of independence

WHYARD Julia
2019

An executive summary of a report commissioned by Nottinghamshire County Council to explore recent evidence and identify a set of risk factors to older people’s independence. It explores risk factors in three areas: Social and Psychosocial Domain; Long term or Personal Conditions Domain; and Life Events Domain. Risk factors are then further grouped into: modifiable risk factors such as depression or loneliness, where specific support or services can be offered to minimise their impact; and non-modifiable risk factors such as age or history of falls; which can help identify older people at greater risk and who may potentially benefit from some preventative services and support. The report identifies the following factors as being the most significant, primary risk factors to older people’s independence and institutionalisation: Dementia with co-morbidity; Co-morbidity; carer burden; falls; social isolation and loneliness; poor confidence and self-esteem; and poor perception of own health status. The report also highlights examples of preventative tools and interventions that could stop, delay or defer the need for long-term institutional care for older people. The findings will be used to inform Nottinghamshire County Council’s ongoing local development of an “early warning system”.

Are acceptance and mindfulness‐based interventions ‘value for money’? Evidence from a systematic literature review

DUARTE Rui, et al
2019

Objectives: Acceptance and mindfulness‐based interventions (A/MBIs) are recommended for people with mental health conditions. Although there is a growing evidence base supporting the effectiveness of different A/MBIs for mental health conditions, the economic case for these interventions has not been fully explored. The aim of this systematic review was to identify and appraise all available economic evidence of A/MBIs for the management of mental health conditions. Methods: Eight electronic bibliographic databases (MEDLINE, MEDLINE In‐Process & Other Non‐Indexed Citations, EMBASE, Web of Science, NHS Economic Evaluation Database (EED), Database of Abstracts of Reviews of Effects (DARE), Health Technology Assessment (HTA) database, and EconLit) were searched for relevant economic evaluations published from each database's inception date until November 2017. Study selection, quality assessment, and data extraction were carried out according to published guidelines. Results: Ten relevant economic evaluations presented in 11 papers were identified. Seven of the included studies were full economic evaluations (i.e., costs and effects assessed), and three studies were partial economic evaluations (i.e., only costs were considered in the analysis). The A/MBIs that had been subjected to economic evaluation were acceptance and commitment therapy (ACT), dialectical behaviour therapy (DBT), mindfulness‐based cognitive therapy (MBCT), and mindfulness‐based stress reduction (MBSR). In terms of clinical presentations, the evaluation of cost‐effectiveness of A/MBIs has been more focused on depression and emotional unstable personality disorder with three and four economic evaluations, respectively. Three out of seven full economic evaluations observed that A/MBIs were cost‐effective for the management of mental health conditions. Nevertheless, the heterogeneity of included populations, interventions, and economic evaluation study types limits the extent to which firm conclusions can currently be made. Conclusion: This first substantive review of economic evaluations of A/MBIs indicates that more research is needed before firm conclusions can be reached on the cost‐effectiveness of A/MBIs for mental health conditions.

‘Now he sings’. the my musical memories reminiscence programme: personalised interactive reminiscence sessions for people living with dementia

EVANS Simon C., GARABEDIAN Claire, BRAY Jennifer
2019

This paper explores the impact of the My Musical Memories Reminiscence Programme (MMMRP), an innovative intervention that adopts a music-based reminiscence approach. MMMRP builds on the format of the popular Singing for the Brain sessions with the aim of increasing opportunities for interaction and reminiscence amongst people living with dementia. Data were collected pre- and post-intervention and three months later using structured observation, interviews and focus groups. Results suggest that the programme had a positive impact on participants by promoting engagement, reminiscence and social interaction. For some individuals the impacts continued beyond their participation in the programme. A range of key facilitators for successful implementation of this approach were identified including the Session Leader role, the involvement of informal carers and the input of volunteers.

Social infrastructure: how shared spaces make communities work. Briefing

AMBITION FOR AGEING
2019

This briefing highlights the importance of shared spaces to help reduce social isolation amongst older people as the population ages and austerity leads to more and more state responsibilities falling to civil society. Shared spaces could be public libraries, commercial spaces such as cafes or leisure facilities and parks and green spaces. The briefing explains how different kinds of shared spaces help support different types and levels of social capital. This can be between people who share a common bond as well as connections between diverse groups of people. The ability to build even weak social ties with a diversity of people can help provide bridges to new social worlds, helping older people feel more connected to the places in which they live and improving resilience. The briefing summarises findings from the report, 'Social Infrastructure: how shared spaces make communities work' produced by MICRA as part of the Ambition for Ageing programme.

Social infrastructure: how shared spaces make communities work

YARKER Sophie
2019

This report, from the Ambition for Ageing project, identifies how social infrastructure in neighbourhoods can promote social interaction and reduce social isolation for older people. Social infrastructure provides spaces and opportunities for people to have social interactions and build connections. The report argues there needs to be a diversity of social infrastructure to support different types and levels of social connection, and considers the importance of the connections made between diverse groups of people - also known as bridging capital. It also looks at the types of social infrastructure that facilitate this, which tend to be places that the majority of the community would have the opportunity to visit, such as public libraries, cafes and parks and open public spaces. Key points include: that shared spaces within neighbourhoods are vital for reducing social isolation for older people; that different kinds of social infrastructure help support different types and levels of social capital; and the need for social infrastructure that supports intergenerational and intercultural encounters. Despite its often informal nature, social infrastructure is not naturally occurring and therefore The report highlights the need for direct investment and support to help the development of the social infrastructure and the creation of third places.

Addressing older men's experiences of loneliness and social isolation in later life

WILLIS Paul, et al
2019

A report summarising the key findings from a two-year study to explore how older men from different backgrounds stay socially connected and combat loneliness and social isolation. A total of 111 men aged 65+ from five different groups took part in interviews. The groups were: men who are single or living alone; men living rural areas; men caring for partners; gay men who live alone; and men living with hearing loss. The finding identify variations in experiences of loneliness and social isolation across different groups. Other key findings show that men valued groups that tried to increase social opportunities and interaction; they particularly valued mixed-age groups, and groups that facilitated emotional and social ties with other men. The briefing looks at the implications of the findings for social care, voluntary services, and for policy makers and commissioners of voluntary and community-based service. It calls for greater priority to be given to the long-term resourcing and running of community-groups for older adults. It also recommends there should also be more inclusive, tailored groups for older men in marginalised groups.

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
2019

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.

Results 31 - 40 of 543

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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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