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All research records related prevention examples and research

Results 61 - 70 of 592

Physical activity programs for older people in the community receiving home care services: systematic review and meta-analysis

BURTON Elissa, et al
2019

The proportion of older adults is increasing around the world and most wish to live in their home until they die. To achieve this, many will require services in the home to remain living independently. To maintain function (ie, strength, balance, and endurance), physical activity needs to be undertaken on a regular basis, and is essential as a person ages. Unfortunately, as people age there is a tendency to reduce activity levels, which often leads to loss of function and frailty, and the need for home care services. This updated systematic review includes a mix of study methodologies and meta-analysis, and investigated the effectiveness of physical activity/exercise interventions for older adults receiving home care services. Eighteen studies including ten randomized controlled trials meeting the selection criteria were identified. Many of the studies were multi-factorial interventions with the majority reporting aims beyond solely trying to improve the physical function of home care clients. The meta-analysis showed limited evidence for effectiveness of physical activity for older adults receiving home care services. Future exercise/physical activity studies working with home care populations should consider focusing solely on physical improvements, and need to include a process evaluation of the intervention to gain a better understanding of the association between adherence to the exercise program and other factors influencing effectiveness.

Going the extra step: a compendium of best practice in dementia care. Preventing unwanted isolation and loneliness for people with dementia living in housing with care

TWYFORD Katey, WELLS Wendy
2019

A collection of examples of extra care schemes and other housing related community services that support people with dementia to develop meaningful relationships, helping to reduce social isolation and loneliness. They include examples of personalised support that can be arranged for residents; examples of groups and social activities; and different organisational and community-based approaches that have been adopted. The examples range from informal arrangements supported by staff or other residents to formal service provision.

An evaluation of Rainbow Services community builder project: the Senior Safe and Social Programme

HAINES Sarah
2018

An evaluation of the Senior Safe and Social Project in Harlow, a project to reduce loneliness and social isolation in older people. The evaluation aims to provide an insight into why the model is working well, whether it could be applied to other demographics, how the approach compares with similar models, and the sustainability of the project. The project, based on an Asset Based Community Development (ABCD) model, provides weekly clubs and events in local communities, which are directed by older people themselves. The evaluation identified key factors identified that helped the model work. These included that social groups are design designed around the participants and give them control over what they do. Volunteers’ involvement in the project represents a reciprocal exchange, giving the volunteer the opportunity to socialise and sense of usefulness and connection in the local community. The evaluation suggests that the model could be applied to other locations and other age groups, such as young mothers and ‘empty nesters’. The report includes suggestions for the future development of the project.

Electronic assistive technology for community-dwelling solo-living older adults: a systematic review

SONG Yu, van der CAMMEN Tischa J.M.
2019

The proportion of older adults who live alone in single households is growing continuously. In the care of these solo-living older adults, electronic assistive technology (EAT) can play an important role. The objective of this review is to investigate the effects of EAT on the wellbeing of community-dwelling older adults living alone in single households. A systematic review of English articles was conducted based on PMC, Scopus, Web of Science and the Cochrane database. Additional studies were identified from the references. In total, 16 studies were identified, six of them with follow-up. There is evidence that EAT can improve the physical and mental wellbeing of older adults. There was little evidence that EAT can improve social wellbeing. We conclude that more personalized designs and interventions, and more user engagement could be embedded in the design of EAT for solo-living community-dwelling older adults and that more evidence is needed regarding the effects of those interventions.

How do “robopets” impact the health and well‐being of residents in care homes? A systematic review of qualitative and quantitative evidence

ABBOTT Rebecca, et al
2019

BACKGROUND: Robopets are small animal-like robots which have the appearance and behavioural characteristics of pets. OBJECTIVE(S): To bring together the evidence of the experiences of staff, residents and family members of interacting with robopets and the effects of robopets on the health and well-being of older people living in care homes. DESIGN: Systematic review of qualitative and quantitative research. DATA SOURCES: This study searched 13 electronic databases from inception to July 2018 and undertook forward and backward citation chasing. METHOD(S): Eligible studies reported the views and experiences of robopets from residents, family members and staff (qualitative studies using recognised methods of qualitative data collection and analysis) and the effects of robopets on the health and well-being of care home residents (randomised controlled trials, randomised crossover trials and cluster randomised trials). Study selection was undertaken independently by two reviewers. This study used the Wallace criteria and the Cochrane Risk of Bias tool to assess the quality of the evidence. This study developed a logic model with stakeholders and used this as a framework to guide data extraction and synthesis. Where appropriate, meta-analysis were used to combine effect estimates from quantitative studies. RESULT(S): Nineteen studies (10 qualitative, 2 mixed methods and 7 randomised trials) met the inclusion criteria. Interactions with robopets were described as having a positive impact on aspects of well-being including loneliness, depression and quality of life by residents and staff, although there was no corresponding statistically significant evidence from meta-analysis for these outcomes. Meta-analysis showed evidence of a reduction in agitation with the robopet "Paro" compared to control (-0.32 [95% CI -0.61 to -0.04, p = 0.03]). Not everyone had a positive experience of robopets. CONCLUSION(S): Engagement with robopets appears to have beneficial effects on the health and well-being of older adults living in care homes, but not all chose to engage. Whether the benefits can be sustained are yet to be investigated. IMPLICATIONS FOR PRACTICE: Robopets have the potential to benefit people living in care homes, through increasing engagement and interaction. With the robopet acting as a catalyst, this engagement and interaction may afford comfort and help reduce agitation and loneliness.

Giving medicines covertly: A quick guide for care home managers and home care managers providing medicines support

SOCIAL CARE INSTITUTE FOR EXCELLENCE, NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
2019

This quick guide will help care home and home care managers to ensure that decisions about giving medicines covertly are made in the person’s best interests. It covers: capacity and consent; making a decision to give medicines covertly; urgent decisions; and involving others. It has been co-produced by NICE and SCIE and is based on NICE’s guidelines and quality standards.

It’s time for Local Area Coordination

COMMUNITY CATALYSTS
2019

The report provides information on the Local Area Coordination and highlights the positive impact it has had on communities in England and Wales. Drawing on the experience of the 11 current members of the Local Area Coordination Network, who are local authorities or health services, the report shares stories to show how the model can: make local communities better places to live; improve the health and wellbeing of local people; integrate health and social care; co-produce change with local people; reform the front door to services; and create social value and reduce costs.

The best of both worlds: a closer look at creating spaces that connect young and old

GOYER Amy
2019

This report explores the barriers and opportunities to the development and expansion of intergenerational shared sites, focusing on the experience of sites in the United States. It builds on an earlier report 'All In Together', which identified the positive benefits that intergenerational shared sites could have for older people, young people and children. Interviews with staff and board members at intergenerational shared sites, national policy and program experts identified four key phases in the development and operation of shared sites. These are: Creating the vision, which included nurturing champions and building partnerships; Making it work, from finding resources to designing the space to navigating regulations; Building intergenerational relationships; and Maintaining momentum. The report discusses each of these phases and strategies to address them, drawing on practice from the shared sites. It is hoped that by developing a better understanding of these pivotal phases, organisations and communities will be able to make further progress and further develop intergenerational shared sites.

Non-pharmacological interventions for people with dementia: a review of reviews

MEYER Claudia, O'KEEFE Fleur
2018

Objective: Aged care services increasingly respond to the needs of people with dementia. Non-pharmacological approaches are preferable to reduce responsive behaviours, improve/maintain functional capacity and reduce emotional disorders. This rapid review of systematic reviews aimed to consolidate the evidence for non-pharmacological interventions and determine outcome effectiveness. Methods: Systematic review literature was comprehensively searched for non-pharmacological interventions for dementia in residential care. Quality ratings used adapted GRADE methodology, and ease of implementation assessed. Results: Of 629 abstracts screened, 81 full-text articles were retrieved, 38 articles included. The strongest evidence for reducing responsive behaviours was music, sensory stimulation, simulated presence and validation therapies. Exercise and light therapy improved/maintained activities of daily living, while cognitive stimulation and reminiscence improved cognition. Strongest evidence for reducing emotional disorders was music, psychological interventions and reminiscence. Conclusion: Much evidence of varying quality exists, with resource-constrained residential care providers now able to make evidence-based decisions about non-pharmacological interventions.

Call&Check: a community service which disrupts the norm

DICKINSON Joe
2019

In this project presentation the author, inventor of Call&Check UK, describes the service which is designed to enable people to live independently and confidently in their own homes. Regular visits are made by a postman/postal operator and who asks five short questions to find out how the recipient is and if there is anything they need. Call&Check works not only for older people in communities but for many others who need that little extra support to live at home.

Results 61 - 70 of 592

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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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