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Results for 'ageing'

Results 1 - 10 of 54

Health matters: why we must commit to delivering prevention in an ageing world

HIMAWAN Arunima, BEACH Brian, MAYHEW Les
2021

This report is designed as a first statement on why we need bolder spending commitments on prevention. The analysis finds that all G20 countries have improved their health outcomes in the last 20 years, but not at equal rates. The biggest improvements in healthy life expectancy have been seen in countries where the state pays for a greater share of health spending, reducing the cost barriers for individuals. Greater spending commitments can form the basis of longer-term prevention strategies that seek to: democratise access to prevention, to alleviate health inequalities; inspire and engage policymakers, healthcare professionals and individuals to consider, support and access prevention; effectively utilise technology.

Towards a contemporary social care ‘prevention narrative’ of principled complexity: an integrative literature review

VERITY Fiona, et al
2021

Prevention has become increasingly central in social care policy and commissioning strategies within the United Kingdom (UK). Commonly there is reliance on understandings borrowed from the sphere of public health, leaning on a prevention discourse characterised by the 'upstream and downstream' metaphor. Whilst framing both structural factors and responses to individual circumstances, the public health approach nonetheless suggests linearity in a cause and effect relationship. Social care and illness follow many trajectories and this conceptualisation of prevention may limit its effectiveness and scope in social care. Undertaken as part of a commissioned evaluation of the Social Services and Wellbeing Act (2014) Wales, a systematic integrative review was conducted to establish the key current debates within prevention work, and how prevention is conceptually framed, implemented and evaluated within the social care context. The databases Scopus, ASSIA, CINAHL and Social Care Online were initially searched in September 2019 resulting in 52 documents being incorporated for analysis. A further re-run of searches was run in March 2021, identifying a further 14 documents, thereby creating a total of 66. Predominantly, these were journal articles or research reports (n = 53), with the remainder guidance or strategy documents, briefings or process evaluations (n = 13). These were categorised by their primary theme and focus, as well as document format and research method before undergoing thematic analysis. This highlighted the continued prominence of three-tiered, linear public health narratives in the framing of prevention for social care, with prevention work often categorised and enacted with inconsistency. Common drivers for prevention activity continue to be cost reduction and reduced dependence on the care system in the future. Through exploring prevention for older people and caregivers, we argue for an approach to prevention aligning with the complexities of the social world surrounding it. Building on developments in complexity theory in social science and healthcare, we offer an alternative view of social care prevention guided by principles rooted in the everyday realities of communities, service users and caregivers.

Delivering prevention in an ageing world: inspiring and engaging people with prevention: consultation paper

HIMAWAN Arunima
2021

As part of the ‘Delivering prevention in an ageing world’ programme, this consultation paper collates insights on what works in inspiring and engaging policy makers with the prevention agenda; healthcare professionals with promoting preventative services and activities; and individuals with uptake of preventative services and activities. The paper argues that to inspire and engage with policymakers we must: make prevention visible by celebrating our collective achievements and demonstrating the very real impact of prevention; build a coalition of the willing – a group of stakeholders who are strong advocates for investing in prevention and who can help to create clear, consistent messaging to influence governments, including health and finance ministers; use quick wins and engage local policymakers to encourage reluctant governments to invest, to help create space for, and greater acceptance of, longer-term preventative healthcare investments. To inspire and engage with healthcare professionals we must: close the gap between public health and primary healthcare to tackle some of the biggest health concerns countries face; support and maximise the role of allied healthcare professions by demonstrating to policymakers the vital role they play, and can play, in delivering prevention; share patient data to facilitate better coordinated care so that healthcare professionals can provide the best preventative healthcare to their patients. To inspire and engage with individuals we need to: change the messenger for preventative healthcare messages, using trusted sources that won’t discourage marginalised groups from seeking preventative treatment; ensure that all healthcare professionals promote prevention, from first point of contact to last, to help instil a culture of prevention throughout people’s lives; use behavioural economics to improve uptake of preventative healthcare and help individuals overcome their cognitive bias.

Occupational therapy interventions to support aging in place: a rapid systematic review

BROWN Tori, et al
2020

(Occupational Therapy Doctoral Student Rapid Systematic Review) This rapid systematic review discusses the evidence of 30 studies for the effectiveness of occupational therapy (OT) in supporting aging in place, or safely living in one’s home independently. Many older adults suffer from at least one disability, which can be a threat to both independence and safety. Further, falls and injuries raise healthcare costs, which can include nursing facility housing. The transition from living in one’s home to living in a long-term care facility dramatically impacts occupational participation and performance. Supporting aging in place increases safety, quality of life, and independence in one’s home environment. In order to support aging in place, this study looked at the effectiveness of multiple occupational therapy interventions that targeted occupational performance and participation, quality of life, falls and hospital readmissions, and community mobility. Overall, this study found strong evidence to support the effectiveness of these client centred occupational therapy interventions for improving aging in place in community dwelling older adults and preventing negative health outcomes.

Delivering prevention in an ageing world: democratising access to prevention: consultation paper

HIMAWAN Arunima
2021

This consultation paper sets out the key criteria that will allow governments and healthcare systems to democratise access and deliver prevention. Prevention can substantially improve society’s health and wellbeing by reducing morbidity and increasing the number of years spent in good health; it provides value for money and returns on investment in both the short- and long-term, and contributes to the sustainability of our healthcare systems; it can benefit economies by helping people continue to work and consume in later life. However, for preventative services to fully deliver these benefits, we must ensure democracy of access. As it stands, we know that many preventative services don’t reach everyone equally. Lack of access to vital preventative services contributes to a widening of health inequalities. This has become even more apparent during the COVID-19 pandemic, which has served to further expose and amplify these inequalities. The document identifies five key criteria for democratising access to preventative healthcare: make prevention convenient; ensure that cost is no barrier; tailor prevention; improve health literacy through co-production; and address ageism. The paper offers examples of good practice by healthcare systems, private companies and third-sector organisations that have democratised access to prevention by using each of these criteria.

Good Friends for All: age-friendly and inclusive volunteering grant programme evaluation

CENTRE FOR AGEING BETTER
2021

An evaluation of the Good Friends for All project, which works by matching together people self-referred or referred into the service with a volunteer “Good Friend” based on their needs and interests who can help with a range of issues. The Good Friends for All project builds on, and learns from, a similar scheme in Darlington and involvement in the Centre for Ageing Better’s original community research and review into age-friendly and inclusive volunteering. Good Friends for All appears to have a positive impact on the people supported and the volunteers themselves, helping improve social connections, health and well-being and generating a sense of purpose and value. The scheme has been enhanced through efforts to address barriers and embed age-friendly and inclusive volunteering principles and practice, such as trying to increase the support available to volunteers and make volunteering more flexible, so that it suits different circumstances. The project has highlighted the challenges of attracting new volunteers, although this has changed somewhat following the growth in volunteer numbers during the COVID-19 pandemic. The project has also highlighted the challenges of making changes to longstanding, pre-existing services and models (the project has adopted an existing Good Friends scheme established in a neighbouring area, while it has sought to adapt an existing, long-established befriending scheme in North Craven). Such situations may require a longer-term, gradual, cultural-change approach to embedding age-friendly and inclusive principles and practice in such instances where ingrained systems, processes and attitudes exist, and where working with new partners and establishing new relationships is required. The project is committed to continuing, developing and growing the scheme using other funding sources. It is also intending to continue promoting and embedding age-friendly and inclusive volunteering principles and practice within the scheme, the local Age UK partners and amongst other local organisations.

Late Spring: age-friendly and inclusive volunteering grant programme evaluation

CENTRE FOR AGEING BETTER
2021

An evaluation of Late Spring, an established bereavement support project for people in later life to provide mutual support, help people remember there is still ‘life to live’ and ‘look to the future without forgetting’. The support groups run twice a month in community venues and are designed to provide space for those aged 60+ who have been bereaved. They come together in a relaxed, warm, friendly and safe environment ‘with others who understand’, as they begin to face the reality of life without their loved one. Groups are facilitated by a trained community worker, often supported by volunteers. These groups have a mixture of both restorative and informative sessions based around tea, coffee, cake and the occasional meal and activity. People attend for between 12–24 months, though some remain with the group as volunteers. At the start of this grant programme there were 18 groups involving approximately 250 people across Oxfordshire. The Late Spring project highlights the challenges of integrating age-friendly and inclusive volunteering within an existing, successful project, ensuring that it enhances rather than undermines the service, while embedding age-friendly and inclusive volunteering principles and overcomes the barriers. This model has helped increase awareness and interest in volunteering amongst Late Springers, as well as increase their confidence to volunteer. Consequently, it has supported some Late Springers into helping more or rekindled interest in volunteering, resulting in positive experiences. In the process, the approach has enhanced the Late Spring project and helped improve its outcomes. This has been achieved by helping Late Springers recover and look to the future, increasing their confidence, reducing isolation, promoting being active and improving well-being.

Hastings Voluntary Action: age-friendly and inclusive volunteering grant programme evaluation

CENTRE FOR AGEING BETTER
2021

An evaluation of the Hastings Voluntary Action (HVA) project, which comprises three strands: a club, ‘Volunteering by the Sea’, for people that may be taking a break from volunteering or face barriers to participation; recruitment of volunteer champions to help inspire and support people into volunteering, as well as help design the model and steer the project; organisational health checks, promoted with local volunteer organisations to reduce barriers and embed age-friendly and inclusive volunteering principles and practice, as well as potentially providing a source of volunteering opportunities for volunteer club members. The Hastings Age-Friendly Volunteering project highlights the potential benefits of a multi-faceted approach. This model combines a sociable age-friendly volunteering club, predominantly co-located at a volunteering hub and community café to provide immediate volunteering opportunities, and volunteer champions to inspire, inform and support older people interested in volunteering. This model helps overcome barriers by applying age-friendly and inclusive volunteering principles, and support people into a variety of volunteering opportunities that suit their circumstances. The model has shown, where it has successfully engaged with people, that it can help increase social connections, reduce isolation and loneliness, and help improve self-esteem and confidence, both through engaging in the club itself and participating in subsequent volunteering opportunities. This in turn can potentially help improve emotional and physical well-being.

Sustain: Growing Connections: age-friendly and inclusive volunteering grant programme evaluation

CENTRE FOR AGEING BETTER
2021

An evaluation of Growing Connections, a project of Sustain, the alliance for better food and farming. The project was delivered through Sustain’s Capital Growth network of 2,700+ community gardens in London, using volunteers as part of the delivery model. The process sought to help the gardens involved in the project adopt age-friendly and inclusive volunteering by developing resources, such as a guide/toolkit, webpages, films and animation, to share best practice and encourage other community gardens, community-food and nature-based projects. The Sustain Growing Connections project and its model of sharing ideas, experience and expertise of volunteers and organisations through the flagship/buddy garden approach, combined with a community of practice, provided an effective platform to co-create, prototype and test resources relevant to age-friendly and inclusive volunteering. The project has also encouraged and supported the participating community gardens to put into practice and showcase approaches to age-friendly and inclusive volunteering. They have been given the opportunity to reflect, learn from each other, and implement changes to reduce age-friendly and inclusive volunteering barriers, embed the principles and make their gardens more age-friendly and inclusive. This in turn appears to be improving the volunteer experience and consequently increasing the diversity and amount of volunteer involvement and commitment. This has the potential to help community gardens attract and retain more diverse volunteers in the future and become more sustainable.

Kent Coast Volunteering: age-friendly and inclusive volunteering grant programme evaluation

CENTRE FOR AGEING BETTER
2021

An evaluation of Kent Coast Volunteering (KCV), a project that supports Kent’s coastal communities to improve their quality of life through the power of volunteering and social action. The project aimed to help isolated older people, at risk of being vulnerable due to their circumstances, who have been ‘supported’ by KCV’s community care navigation referral service or other partners, to become ‘supporters’ of other people. KCV sought to achieve this through a package of inspiration, confidence and skills building delivered in a neutral ‘third space’, and then supporting and matching people to volunteer opportunities through their existing volunteer outreach and brokerage service. The project demonstrates through testing, learning and iterating that an informal approach such as the social get togethers, which is not overt initially, but gradually introduces volunteering, can be effective in engaging people. This is initially through subtle introduction of fun (but purposeful and meaningful) micro-volunteering and exposure to volunteers and voluntary organisations. Subsequently, the approach becomes increasingly overt and promotes the benefits of local volunteering opportunities. This model helps generate positive outcomes such as increasing social connections, reducing isolation and loneliness, and building self-esteem and confidence. This in turn can potentially help improve emotional and physical well-being, helping people that were previously ‘supported’ to become more independent and resilient and potentially support others.

Results 1 - 10 of 54

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News

Prevention in social care

Prevention in social care What it means, the policy context, role for commissioners and practitioners and the evidence base.

H4All wellbeing service

H4All wellbeing service Practice example about how H4All Wellbeing Service is using the Patient Activation Measure (PAM) tool

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

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families
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