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Results 41 - 50 of 585

People doing it for themselves

COMMUNITY CATALYSTS
2019

Shares key findings and learning from the first phase of a project to explore the motivations and achievements of ‘people doing it for themselves’. The project focuses on older or disabled people who need care and support, and have decided to establish something new or lead local change. The project worked with over 20 individuals and groups to find out what helped them do it for themselves, the challenges the faced, and the impact their activity is having on themselves and their communities. The project also engaged with 10 decision makers and commissioners to identify good practice and understand how local authorities and others can be supported to encourage people in their area to do it for themselves. The project found that when people do it for themselves it can have a positive impact on their lives, the lives of those around them and their community, and also on local and national policy and practice. The report shows found that personal qualities combined with aspiration and inspiration are key motivators for people. Potential barriers to action can include effective support, funding or other resources, equipment, transport and accessibility. It concludes by highlighting a number of factors that can encourage more people to ‘do it for themselves’. The detailed stories of the 20 people and groups involved in the project can be read in an accompanying appendix.

North London Cares and South London Cares evaluation: final report

HITCHIN John, PETIE Olivia, NORRLANDER Amanda
2019

An evaluation Love Your Neighbour and Social Clubs, two programmes to reduce loneliness, improve intergenerational relationships and create a greater sense of community. The programmes, which aimed to bring together people of different generations to spend time together, were delivered across the London based charities North London Cares and South London Cares as part of The Cares Family’s model. The Social clubs programme brings together groups of younger and older neighbours to get involved in activities and socialise; and Love Your Neighbour focuses on one-to-one friendships between older and younger neighbours. The evaluation examines the outcomes for young and older neighbours, the strengths and weaknesses of the model, and highlights the challenges of evaluating community-based models. The evaluation found that overall, The Cares Family model is contributing to positive outcomes in four areas: reduced loneliness and isolation, particularly for older neighbours; improved understanding across the generations; a sense of belonging; and an increased connection to self.

Impact of a dementia-specific program of equine-assisted activities: providers’ perspectives

FIELDS Beth, WOOD Wendy, LASSELL Rebecca
2019

Purpose: Establishing acceptability of complex interventions to stakeholders is vital in early scientific development. The purpose of this paper is to ascertain the acceptability of a program of equine-assisted activities (EAAP) for people with dementia by elucidating programmatic practices needed to enhance their safety and quality of life (QoL) from the perspectives of service providers. Design/methodology/approach: Semi-structured interviews with five providers were analyzed using a basic qualitative approach. Findings: Providers perceived the EAAP as acceptable and revealed potential mechanisms of change supporting well-being, including aspects related to the physical and social environment and person with dementia. Linkages identified among the EAAP and its physical and social context support its complexity. Providers explicated program practices that promoted safety and QoL, such as implementing staff trainings and tailoring activities to each person’s preferences and needs. These practices aligned with best dementia care approaches, underscoring that the EAAP is a promising complex intervention that merits further scientific development. Originality/value: This work is novel and adds to the literature by illuminating the role of a community-based, animal-assisted program for enhancing the QoL of older adults with dementia residing in institutional care facilities.

The Kinect Project: group motion-based gaming for people living with dementia

DOVE Erica, ASTELL Arelene
2019

Engaging in enjoyable activities is an essential part of well-being, but people with dementia can find participation increasingly difficult. Motion-based technologies can provide meaningful engagement in a wide range of activities, but for people with dementia to take advantage of these devices requires a good understanding of how best to select and present these activities to this population. The objective of this study was to explore the use of motion-based technology (Xbox Kinect) as a group activity for people with dementia who attend adult day programmes. This qualitative study took place in an adult day programme for older adults with age-related challenges. Participants (n = 23) were observed while playing a digital bowling game presented on Xbox Kinect one hour per week for a period of 20 weeks, to capture naturalistic data. Field notes generated through observations were transcribed and analysed to identify emerging themes. The findings revealed three predominant themes which illustrate the potential of motion-based technology as a group activity for people with dementia who attend adult day programmes: (a) the importance of having a trained trainer, (b) learning versus mastery and (c) playing ‘independently together’. People with dementia can learn to play games presented on motion-based technology and enjoy doing so. Furthermore, using the technology in a group setting fostered an encouraging and supportive environment which further contributed to the leisure experience. However, to be used most effectively, staff must be trained to set-up and interact with the technology, as well as introduce, teach and support people with dementia to use it.

An evidence summary of health inequalities in older populations in coastal and rural areas: full report

PUBLIC HEALTH ENGLAND
2019

A rapid evidence review on the health inequalities experienced by older people in coastal and rural areas, supplemented with case studies. The review aimed to identify key determinants of health inequalities experienced by older populations in coastal and rural areas; looks at the strengths and assets of ageing populations in these areas; reviews the effectiveness health and social care system interventions and whole system approaches; and assess the opportunities for using digital technology. In addition to a rapid review of the national literature (covering the UK and Ireland), a search of international literature focusing on interventions to reduce health inequalities was also carried out. It is intended for local authorities, clinical commissioning groups and other health and care organisations to inform strategic planning, service design and commissioning, as well as the development of local community infrastructure. It also provides summary of key considerations in taking an asset-based approach in reducing inequalities and promoting productive healthy ageing in these areas. Two accompanying reports have also been published, an executive summary with main messages and an annex of included studies.

The effectiveness of mindfulness- and acceptance-based interventions for informal caregivers of people with dementia: a meta-analysis

COLLINS Rebecca N., KISHITA Naoko
2019

Background and Objectives: The application of mindfulness- and acceptance-based interventions (MABIs) for informal caregivers of people with dementia (PwD) is relatively novel, and the current state of the evidence base is unclear. This meta-analysis examined the effectiveness of MABIs on reducing symptoms of depression and burden in informal caregivers of PwD. The quality of included studies was evaluated and moderator variables explored. Research Design and Methods: A literature search of six electronic databases (PsycARTICLES, PsycINFO, MEDLINE Complete, SCOPUS, Web of Science, and ProQuest) was conducted from the first available date to 20 December 2016. Inclusion criteria involved studies that quantitatively investigated the impact of MABIs on depression and/or burden in informal caregivers of PwD. Results: Twelve studies, providing data on 321 caregivers, were included. Most used mindfulness-based stress reduction and were conducted in the United States. The average attrition among participants was 15.83%. The pre–post effect of MABIs was large for depression and moderate for burden. These effects were largely maintained at follow-up. Significant heterogeneity of effect sizes was observed, with no significant moderators identified. Study quality varied from very poor to moderately good. Discussion and Implications: The low attrition and moderate to large effects suggest that MABIs are acceptable and beneficial for informal caregivers of PwD. The lack of significant moderators could advocate services using more cost-effective forms of MABIs. Further higher-quality research is needed to improve the robustness of the evidence base and enable a meta-analysis to thoroughly examine and quantify moderator variables.

Testing the implementation of the Veder contact method: a theatre-based communication method in dementia care

BOERSMA Petra, et al
2019

Background and Objectives: There is a lack of research on implementation of person-centered care in nursing home care. The purpose of this study was to assess the implementation of the Veder contact method (VCM), a new person-centered method using theatrical, poetic and musical communication for application in 24-hr care. Research Design and Methods: Caregivers (n = 136) and residents (n = 141) participated in a 1-year quasi-experimental study. Foundation Theater Veder implemented VCM on six experimental wards and rated implementation quality. Six control wards delivered care-as-usual. Before and after implementation, caregiver behavior was assessed during observations using the Veder-observation list and Quality of Caregivers’ Behavior-list. Caregiver attitude was rated with the Approaches to Dementia Questionnaire. Quality of life, behavior, and mood of the residents were measured with QUALIDEM, INTERACT and FACE. Residents’ care plans were examined for person-centered background information. Results: Significant improvements in caregivers’ communicative behavior (i.e., the ability to apply VCM, establishing positive interactions) and some aspects of residents’ behavior and quality of life (i.e., positive affect, social relations) were found on the experimental wards with a high implementation score, as compared to the experimental wards with a low implementation score, and the control wards. No significant differences were found between the groups in caregivers’ attitudes, residents’ care plans, or mood. Discussion and Implications: The positive changes in caregivers’ behavior and residents’ well-being on the high implementation score wards confirm the partly successful VCM implementation. Distinguishing between wards with a high and low implementation score provided insight into factors which are crucial for successful implementation.

Loneliness: a reading list

BELLIS Alexander
2019

A selective reading list on loneliness, focusing mainly on research published since 2010. The references discuss both direct and indirect links to outcomes, both social isolation and loneliness or both causes and interventions. The references are categorised into several themes, which include: age-related studies, veterans, homelessness, disabled people, BAME communities, LGBT people, links to health and mental health, social media, costs of loneliness, and loneliness interventions. Not all are based on data from the UK.

Tackling loneliness

BELLIS Alexander
2019

This briefing paper provides an overview of the Government's Loneliness Strategy, 'A connected society' (2018), which set out cross-departmental measures on how the Government would provide 'national leadership' to tackle loneliness in England. It also looks at the steps taken so far by the Government and research into the causes and impact of loneliness and possible interventions. It also briefly looks at loneliness strategies in Wales, Scotland and Northern Ireland.

Adopt a Care Home: an intergenerational initiative bringing children into care homes

DI BONA Laura, KENNEDY Sheila, MOUNTAIN Gail
2019

Dementia friendly communities, in which people living with dementia actively participate and those around them are educated about dementia, may improve the wellbeing of those living with dementia and reduce the associated stigma. The Adopt a Care Home scheme aims to contribute towards this by teaching schoolchildren about dementia and linking them with people living with dementia in a local care home. Forty-one children, 10 people living with dementia and 8 school/care home staff participated in a mixed methods (questionnaires, observations, interviews and focus groups) evaluation to assess the scheme’s feasibility and impact. Data were analysed statistically and thematically. The scheme was successfully implemented, increased children’s dementia awareness and appeared enjoyable for most participants. Findings, therefore, demonstrate the scheme’s potential to contribute towards dementia friendly communities by increasing children’s knowledge and understanding of dementia and engaging people living with dementia in an enjoyable activity, increasing their social inclusion.

Results 41 - 50 of 585

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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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