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All research records related prevention examples and research

Results 31 - 40 of 469

An overview of reviews: the effectiveness of interventions to address loneliness at all stages of the life-course

VICTOR Christina, et al
2018

This systematic review of reviews examines the effectiveness of interventions to alleviate loneliness. Searches retrieved 364 evidence reviews for screening. The final review provides a synthesis of 14 reviews and 14 reports identified from the grey literature, focused on assessing interventions to alleviate loneliness. The material included is International and from within the UK. All published and grey literature studies included focus on older people. Key findings show that there is no one-size fits-all approach to alleviating loneliness in older population groups and that tailored approaches are more likely to reduce loneliness. A number of different approaches are being used to alleviate loneliness in older adults. These include: leisure activities; therapies; social and community interventions; educational approaches; befriending; and system-wide activities, such as changing the cultures of care. There was no evidence of approaches doing any harm, however there was a suggestion that some technology-based approaches are not suitable for everyone and could reinforce a sense of social isolation. A wide variety of loneliness measures were used, and the concept of loneliness was not clearly defined, with the terms loneliness and social isolation often used interchangeably. The results from controlled study designs in community settings and care homes showed no effect of interventions on loneliness. However, the review notes that loneliness is seldom reported as a primary outcome in the published literature. The review makes a number of recommendations for policy.

'My nature' - an effective tool for residential care

BREWIN Wendy, ORR Noreen, GARSIDE Ruth
2018

Experiencing nature is increasingly recognised as having a positive impact on the health and wellbeing of older people living in care homes. This practice example of "My Nature" activities toolkit designed to solve the problem of access to green spaces, which can be difficult for older people with dementia in care homes. Sensory Trust and the University of Exeter collaborated on developing 'My Nature', an evidence based training toolkit to help care staff identify ways in which nature can not only play a role in a resident's care plan but also support them in their work. The toolkit consists of: evidence booklets, nature based activities and a wall chart. The toolkit was piloted and then evaluated to see how far it could achieve the health and wellbeing gains that access to nature can provide. Two care homes in Cornwall participated in the pilot. Activities demonstrated in the pilots include: nature palettes, nature mapping, painting by nature and a tea tasting party. Key findings from the evaluation: the activities succeeded in getting residents out into the gardens and also stimulated interaction, enjoyment and pleasure. For staff, the activities proved to be adaptable to different contexts, could be planned in advanced and person-centred. Challenges identified include: the activities did not appear to appeal to male residents and care home culture.

Connecting communities to tackle loneliness and social isolation: learning report

JOPLING Kate, HOWELLS Anna
2018

Summarises findings from a learning programme, looking at how connector services across the UK help reconnect people who are experiencing loneliness back to their communities. The learning events enabled detailed conversations between service providers, and provided an opportunity to share and reflect on challenges facing services. Four common challenges emerged: reaching those most in need; connecting people; knowing what interventions are out there; and measuring outcomes. While there is no easy solution to any of these, the report outlines possible approaches for overcoming these barriers, including: linking with health professionals can be helpful in reaching the most isolated people; go to everyday places such as supermarkets, libraries, pubs, taxi services; adopting an asset-based approach to working with individuals; using local knowledge and connections to find the right support for people in all their diversity; and ensuring frontline staff have access to training and support to use measurement tools effectively.

Community Webs: final evaluation report

BROWN C., et al
2018

Evaluation of Community Webs, a pilot project funded by Bristol Ageing Better (BAB) and Better Care Bristol (BCB), a social prescribing service which enables GP patients to access social activities and non-medical support services available in their local community. The evaluation of used both qualitative and quantitative methods to understand the process of delivery, short-term outcomes for clients and key costs linked to the project. The evaluation findings include client profiles and patterns of service use, patient experience of the linkworker service, GP and practice staff perceptions of the service, and links between service participation and client outcomes. The main reasons for practitioners making referrals were social isolation, low confidence and self-esteem and practical support needs (including welfare benefits, housing and form filling). The results suggest that Community Webs is beneficial for patients and GPs, in particular through its person-centred methods which have resulted in significant improvements to patients’ health and wellbeing. Patients have been provided with the right information to help them to access social, emotional and practical support, and have been able to make positive choices regarding their broader health and wellbeing needs. GP’s and practice staff have demonstrated trust in the voluntary and community sector, and in social prescribing in particular, by continuing to refer their patients into the service. The report also highlights that there is no ‘one size fits all’ in relation to social prescribing services and the value of exploring both the individual and community ‘assets’. Learning and recommendations are included.

Ageing Better: national evaluation short learning report: July 2018

CAMPBELL Diarmid, COX Korina
2018

Shares learning from the 14 partners of the Ageing Better programme, which aim to support people aged over 50 who are experiencing, or at risk of, social isolation and loneliness. The report draws on surveys of programme participants, visits to each of the 14 programme areas, and feedback from stakeholders from the partnerships. It reports that. to date, Ageing Better partnerships have worked with approximately 70,000 participants and 13,250 volunteers. The report also shows how Ageing Better, participants are, on average, less socially isolated and lonely, taking a more active role in their communities, have improved health and wellbeing, and are getting involved in delivering and designing projects. It also highlights benefits for volunteers and how Ageing Better is helping organisations improve partnership working and increasing skills, capacity and knowledge among participants helping to deliver and design programmes. Links to the partnership websites are also included.

VCSE sector engagement and social prescribing

VEASEY Phil, NEFF Jennifer, MONK-OZGUL Leeann
2018

This report, commissioned by the Greater London Authority, looks at the role of the voluntary, community and social enterprise (VCSE) sector in delivering social prescribing in London and the challenges and opportunities the sector faces. It draws on case studies to highlight good and effective practice and successful partnerships models. It also outlines the resources required in terms of leadership, staff training, fundraising, technological, capacity building and other support to build an effective business case for voluntary and community-sector organisations to engage with social prescribing. The final sections suggest ways to engage voluntary sector organisations in the development and delivery of a social prescribing strategy in London and identifies specific roles for the Mayor and GLA for taking forward social prescribing. The report draws consultation with 100 experts across the VCSE sector, commissioners from the statutory-sector commissioners and representatives of the health and social care sectors.

Strategies employed by older people to manage loneliness: systematic review of qualitative studies and model development

KHARICHA Kalpa, et al
2018

Objectives: To (i) systematically identify and review strategies employed by community dwelling lonely older people to manage their loneliness and (ii) develop a model for managing loneliness. Methods: A narrative synthesis review of English-language qualitative evidence, following Economic and Social Research Council guidance. Seven electronic databases were searched (1990–January 2017). The narrative synthesis included tabulation, thematic analysis, and conceptual model development. All co-authors assessed eligibility of final papers and reached a consensus on analytic themes. Results: From 3,043 records, 11 studies were eligible including a total of 502 older people. Strategies employed to manage loneliness can be described by a model with two overarching dimensions, one related to the context of coping (alone or with/in reference to others), the other related to strategy type (prevention/action or acceptance/endurance of loneliness). The dynamic and subjective nature of loneliness is reflected in the variety of coping mechanisms, drawing on individual coping styles and highlighting considerable efforts in managing time, contacting others, and keeping loneliness hidden. Cognitive strategies were used to re-frame negative feelings, to make them more manageable or to shift the focus from the present or themselves. Few unsuccessful strategies were described. Conclusion: Strategies to manage loneliness vary from prevention/action through to acceptance and endurance. There are distinct preferences to cope alone or involve others; only those in the latter category are likely to engage with services and social activities. Older people who deal with their loneliness privately may find it difficult to articulate an inability to cope.

The Me, Myself and I Club: Briton Ferry: a case study in warm humanity and meaningful co-production

ME MYSELF AND I CLUB
2018

Describes the development and achievements of the Me, Myself and I Club, an initiative based on co-production principles and designed to support people with dementia and their carers. The club offers carers and people with dementia the opportunity to meet up with other local people in their position, enjoy activities like bingo, baking and table tennis and access respite care services, including relationship-centred short breaks in the local community that do not require the separation of carers from the people they support. The ethos of the club is to challenge negative stereotypes of people with dementia and the traditional service culture which does to, rather than with people. Member of the club also recognise a need for greater understanding about dementia in the local community and are committed to raising awareness and understanding of what it feels like to be living with dementia, and how other people can be helpful not hurtful. The Club runs a Community Care Training and Volunteer Academy offering up to 12 weeks of training and 12 hours voluntary work for people considering employment in the care sector. Over the years, the Me, Myself and I Club has developed links and partnerships with a range of national and local initiatives, including the Dementia Engagement and Empowerment Project (DEEP).

A systematic review of outdoor recreation (in green space and blue space) for families to promote subjective wellbeing

MANSFIELD Lousie, et al
2018

This systematic review looks at the wellbeing outcomes when taking part in outdoor activities with family. Although there is existing evidence on the benefits being outdoors has for our wellbeing, there is less evidence of the wellbeing benefits when the time is spent with family. The review included empirical research assessing the relationship between outdoor recreation interventions for families and subjective wellbeing, published from 1997 - October 2017 and grey literature published from 2007-2017. The review reports on fifteen studies in total, including two quantitative, one mixed methods (RCT and interviews), and ten qualitative studies. Overall the review found the evidence base was limited with the number of studies and quality, especially for quantitative studies. The evidence from quantitative studies indicates that taking part in outdoor recreation with families has no significant effect on children's quality of life, and has no significant effect on self-esteem and other measures of psychological wellbeing. Initial evidence findings from qualitative studies showed more positive impacts when taking part in outdoor recreation with families, showing improved self-competence learning and identity; improved wellbeing via escapism, relaxation and sensory experience; and improved social bonding as a family. Analysis of survey data found that people's enjoyment of the outdoors is enhanced when they are spending time with family and friends, and in particular with partners.

Living well for longer: the economic argument for investing in the health and wellbeing of older people in Wales

EDWARDS Rhiannon Tudor, et al
2018

This report, commissioned by Public Health Wales, explores the economic case for investing in older people in Wales to support people to live longer in good health in older age. It looks at investing in older people as assets, highlighting the importance of their contribution to the economy in Wales and the importance of housing and enabling independence in later life. It then draws on the results of rapid reviews of international and UK evidence to show the relative cost-effectiveness and return on investment on preventing loneliness and social isolation; caring for older carers; and preventing falls. It concludes that enabling people to work for longer, facilitating volunteering and supporting working parents through care of grandchildren brings many economic returns in terms of improving wellbeing; reducing loneliness, and supporting formal and wider community services. In addition co-production enables older people to remain active in the community and provides intergenerational benefits within the community and public sector services. The report concludes that Wales should focus investment on: fully integrated health and care services; maintaining physical and mental well being in older age, with a focus on reducing social isolation and loneliness; maintaining services to promote prevention (particularly falls prevention), rehabilitation and reablement; investment in sustainable homes, transport and communities; and support for informal carers.

Results 31 - 40 of 469

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