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Results 31 - 40 of 498

Interventions to address social connectedness and loneliness for older adults: a scoping review

O'ROURKE Hannah M., COLLINS Laura, SIDANI Souraya
2018

Background: Older adults are at risk for loneliness, and interventions to promote social connectedness are needed to directly address this problem. The nature of interventions aimed to affect the distinct, subjective concepts of loneliness/social connectedness has not been clearly described. The purpose of this review was to map the literature on interventions and strategies to affect loneliness/social connectedness for older adults. Methods: A comprehensive scoping review was conducted. Six electronic databases were searched from inception in July 2015, resulting in 5530 unique records. Standardized inclusion/exclusion criteria were applied, resulting in a set of 44 studies (reported in 54 articles) for further analysis. Data were extracted to describe the interventions and strategies, and the context of the included studies. Analytic techniques included calculating frequencies, manifest content analysis and meta-summary. Results: Interventions were described or evaluated in 39 studies, and five studies described strategies to affect loneliness/social connectedness of older adults or their caregivers in a qualitative descriptive study. The studies were often conducted in the United States (38.6%) among community dwelling (54.5%), cognitively intact (31.8%), and female-majority (86.4%) samples. Few focused on non-white participants (4.5%). Strategies described most often were engaging in purposeful activity and maintaining contact with one’s social network. Of nine intervention types identified, the most frequently described were One-to-One Personal Contact and Group Activity. Authors held divergent views of why the same type of intervention might impact social connectedness, but social contact was the most frequently conceptualized influencing factor targeted, both within and across intervention types. Conclusions: Research to test the divergent theories of why interventions work is needed to advance understanding of intervention mechanisms. Innovative conceptualizations of intervention targets are needed, such as purposeful activity, that move beyond the current focus on the objective social network as a way to promote social connectedness for older adults.

A mixed methods case study exploring the impact of membership of a multi-activity, multicentre community group on social wellbeing of older adults

LINDSAY-SMITH Gabrielle, et al
2018

Background: Social wellbeing factors such as loneliness and social support have a major impact on the health of older adults and can contribute to physical and mental wellbeing. However, with increasing age, social contacts and social support typically decrease and levels of loneliness increase. Group social engagement appears to have additional benefits for the health of older adults compared to socialising individually with friends and family, but further research is required to confirm whether group activities can be beneficial for the social wellbeing of older adults. Methods: This one-year longitudinal mixed methods study investigated the effect of joining a community group, offering a range of social and physical activities, on social wellbeing of adults with a mean age of 70. The study combined a quantitative survey assessing loneliness and social support (n = 28; three time-points, analysed using linear mixed models) and a qualitative focus group study (n = 11, analysed using thematic analysis) of members from Life Activities Clubs Victoria, Australia. Results: There was a significant reduction in loneliness (p = 0.023) and a trend toward an increase in social support (p = 0.056) in the first year after joining. The focus group confirmed these observations and suggested that social support may take longer than 1 year to develop. Focus groups also identified that group membership provided important opportunities for developing new and diverse social connections through shared interest and experience. These connections were key in improving the social wellbeing of members, especially in their sense of feeling supported or connected and less lonely. Participants agreed that increasing connections was especially beneficial following significant life events such as retirement, moving to a new house or partners becoming unwell. Conclusions: Becoming a member of a community group offering social and physical activities may improve social wellbeing in older adults, especially following significant life events such as retirement or moving-house, where social network changes. These results indicate that ageing policy and strategies would benefit from encouraging long-term participation in social groups to assist in adapting to changes that occur in later life and optimise healthy ageing.

Economic evaluations of falls prevention programs for older adults: a systematic review

OLIJ Branko F., et al
2018

Objectives: To provide a comprehensive overview of economic evaluations of falls prevention programs and to evaluate the methodology and quality of these studies. Design: Systematic review of economic evaluations on falls prevention programs. Setting: Studies (N=31) of community‐dwelling older adults (n=25), of older adults living in residential care facilities (n=3), and of both populations (n=3) published before May 2017. Participants: Adults aged 60 and older. Measurements: Information on study characteristics and health economics was collected. Study quality was appraised using the 20‐item Consensus on Health Economic Criteria. Results: Economic evaluations of falls prevention through exercise (n = 9), home assessment (n = 6), medication adjustment (n = 4), multifactorial programs (n = 11), and various other programs (n = 13) were identified. Approximately two‐thirds of all reported incremental cost‐effectiveness ratios (ICERs) with quality‐adjusted life‐years (QALYs) as outcome were below the willingness‐to‐pay threshold of $50,000 per QALY. All studies on home assessment and medication adjustment programs reported favorable ICERs, whereas the results of studies on exercise and multifactorial programs were inconsistent. The overall methodological quality of the studies was good, although there was variation between studies. Conclusion: The majority of the reported ICERs indicated that falls prevention programs were cost‐effective, but methodological differences between studies hampered direct comparison of the cost‐effectiveness of program types. The results imply that investing in falls prevention programs for adults aged 60 and older is cost‐effective. Home assessment programs (ICERs < $40,000/QALY) were the most cost‐effective type of program for community‐dwelling older adults, and medication adjustment programs (ICERs < $13,000/QALY) were the most cost‐effective type of program for older adults living in a residential care facility.

Managing better: a critical prevention study

CARE AND REPAIR CYMRU
2018

A case study of Bridgend County Care and Repair's Managing Better service. The service is a three year programme funded by the Welsh Government, which has been co-produced by Care & Repair Cymru, RNIB Cymru and Action on Hearing Loss Cymru. The report shows how Managing Better is working across primary, secondary, and social care, to develop interventions and prevent avoidable pressures on public services. The service has a focus on increasing independence, reducing dependency and improving personal resilience. Individual case studies are included which show how Managing Better has operated in Bridgend and that by effectively targeting interventions service users' quality of life can be much improved and pressure on public services can be reduced. The case studies include services for patients moving from hospital to home patients, and helping people with visual impairment or hearing impairment to live independently at home. It is estimated that every £1 invested in Managing Better yields a £4 saving in other services.

Managing Better good practice guide

CARE AND REPAIR CYMRU
2018

This guide aims to inform good practice when supporting older people to live independently at home, working with them to ensure their homes are safe, warm and accessible. It highlights partnership working between Care & Repair Cymru, RNIB Cymru and Action on Hearing Loss Cymru to develop an initiative providing support to older people with sensory loss or who are vulnerable in other ways, helping them to retain their independence and remain living in their own homes, with an emphasis on joint working across health, social care and the third sector. The guide includes a number of individual case studies and highlights good practice examples from the Managing Better service to provide a resource for all Care and Repair caseworkers

Developing peer support in the community: a toolkit

SIDE BY SIDE RESEARCH CONSORTIUM
2017

A toolkit to help people to plan and run mental health peer support in the community. The toolkit will be especially useful for those wanting to set up new projects or those involved in commissioning peer support. It outlines the three main approaches to community-based peer support and lists a core set of values underpinning peer support, and make it different from other forms of mental health support. It also looks at how peer support might be organised and provides guidance on how to better understand and communicate the impact of groups. Sections of the toolkit include reflection questions and activities which were developed alongside more than 10 groups and projects. Links to useful resources are included. The toolkit is based upon research undertaken by the Side by Side evaluation partners, which included St George’s, University of London, the McPin Foundation, and the London School of Economics.

Evaluating the Side by Side peer support programme

BILLSBOROUGH Julie, et al
2017

An evaluation of the Side by Side programme, which aimed to increase the availability and quality of community based peer support for people experiencing mental health problems across England. The programme was led by the mental health charity Mind, in collaboration with Depression Alliance and Bipolar UK. The evaluation covered four areas: developing and testing a set of values and principles for peer support; examining the effectiveness of peer support, including changes in wellbeing; building capacity for peer support; and commissioning peer support. It also explored how peer support took place within Side by Side projects specifically aimed at peers from a Black and Minority Ethnic background. The evaluation found that peer support was valued and helpful to people involved. It also identified six core values that appeared to underpin all forms of peer support - experience in common, safety, choice and control, two way interactions, human connection, and freedom to be oneself. The findings suggest that peer support enabled people to recover a sense of personal agency and usefulness, which was beneficial to their wellbeing. The evaluation also suggests that peer support works best where commissioners, provider organisations and communities work together to develop a range of approaches to peer support and where people are enabled to take control of how and when they engage with the peer support. The evaluation team was a partnership that included a mental health research team from St George’s, University of London, the McPin Foundation.

The neighbourhood asset mapping of greater Fishponds: a project delivered by BAB community researchers


2018

This report presents the findings of a neighbourhood asset-mapping by community researchers in one area of Bristol, and includes their reflections on the asset-mapping process itself. The mapping included a range of organisations, clubs and activities where older people might engage, either as participants or volunteers, some of which might not be expressly focused on older people. Assets identified ranged from churches and traditional service providers to bicycling and gardening clubs to cafes to individuals who were seen as important resources in their neighbourhoods. The mapping also identified some of the community deficits, which included poor public transportation, obstacles to walkability, and a basic lack of resources and facilities. An important insight from the asset mapping work was how boundaries of wards and neighbourhood partnership areas are artificial from the point of view of both many community groups and many older people, with older residents accessing various assets across ward and neighbourhood partnership boundaries.

Evaluation of Time to Shine: year 2 interim findings

WIGFIELD Andrea, ALDEN Sarah
2017

Interim evaluation of Time to Shine, the Big Lottery funded Ageing Better programme running in Leeds, which is funding projects for specific groups most likely to experience isolation and loneliness. These include older men; Lesbian, Gay, Bisexual and Transgender older people (LGBT), Black and Minority Ethnic (BME) older people; and older people with learning disabilities. Based on analysis of the monitoring and evaluation data, the report provides an overview of what has been learnt about what works in reducing social isolation and loneliness and how the programme is leading to change at the individual, local, and citywide level drawing. It also reports on the commissioning process and looks at how co-production has been incorporated into design, and delivery and evaluation of the programme. It reports that as of 30 June 2017, over 5,600 people of all ages have been involved in Time to Shine projects in some way, including: over 2,600 older people participating regularly in Time to Shine projects and 335 older volunteers and 140 volunteers aged 49 or under helping to plan, deliver or steer projects. The results suggest that being involved in Time to Shine helped some people to feel they were more involved in their local area, improved life satisfaction scores.

Community connector schemes: Ageing Better programme learning

Ageing Better
2018

Reports on emerging evidence and learning from eight Ageing Better programme areas who are using Community Connector type roles. Community Connectors were defined as any mechanism that identifies isolated people over 50 and works with them to help them transition to less isolated through person-centred structured support. This includes community navigators, social prescribing and approaches that involve people overcoming specific barriers, for example mental health. The report provides some insights to policy makers, commissioners and practitioners to help them when shaping this type of service. This includes making the service work at each stage: entry points and first engagement, relationships building and activities, and moving on.

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