Results for 'coping behaviour'
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KHARICHA Kalpa, et al
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.
MacGREGOR Aisha, CAMERON Julie
Outlines the main findings an evaluation of a mental health carers peer mentoring project, which delivered peer mentoring services across two sites: RE: Connect in Glasgow and Time and Space in Stirling and Clackmannanshire. The project aimed to enable mental health carers receiving peer mentoring to be better supported and have better mental health and wellbeing, and for peer mentors have improved skills and wellbeing. It involved training for peer mentors, an outreach programme to promote the project to professionals and the general public, and learning events to raise profile of mental health carers. The evaluation draws on interviews and surveys conducted with mentees, mentors, volunteers, staff members, and referral agencies. It looks at the successes and challenges experienced by the project. Case studies also provide an insight into the experience and impact of peer mentoring for both mentors and mentees. It reports that over three years, 109 individuals engaged with the project across both sites as mentors (n= 53), mentees (n=44), or volunteers (n=12). The training provided was particularly successful and helped to strengthen confidence and prepare individuals for the mentoring role and mentees also valued being supported by someone who had occupied a caring role. Challenges included the recruitment of mentees, despite direct advertising and outreach work. Overall, the project was successful, demonstrating the potential of the peer mentoring model for future provision.
Peer support can play a critical role in improving the wellbeing, social support and practical coping strategies of older people living with dementia. This paper describes selected findings from the Mental Health Foundation’s evaluation of three peer support groups for people living with dementia in extra-care housing schemes. It highlights the groups as a promising approach for maintaining cognitive faculties, reducing social isolation, increasing social networks and improving overall wellbeing. A mixed-method study design examined the impact of the groups on participants’ wellbeing, managing memory, independent living skills and social support. Participants reported positive impact from taking part in the support groups for wellbeing, social support and practical coping strategies. Participants also reported positive benefits of the groups on communication abilities, managing memory and managing their lives. Peer support groups in extra-care housing schemes address the psychological, social and emotional needs of people with dementia. This evaluation adds to the literature on the effectiveness of these interventions for those with cognitive impairment.
This paper explores responses to changes arising from bodily frailty observed among older people participating in the AKTIVE study and discussed with them during research visits. Focusing on older people living at home with different types of frailty, the AKTIVE project aimed both to enhance understanding of how they (and those supporting them) accessed, engaged with and used the telecare equipment supplied to them, and to explore the consequences for them of doing so. This paper identifies which daily activities were affected in older age and the strategies older people drew upon to cope. The paper also explores how telecare was combined with other support mechanisms to help older people maintain both practical and recreational daily activities. Throughout, there is discussion about limitations in how care support was sometimes provided, including how telecare was acquired and used by older people and/or those caring for or supporting them, and how far these problems might be overcome by more proactive implementation.
JOY Sarah, CORRAL Susana, NZEGWU Femi
An evaluation of the British Red Cross Support at Home services, which provide time-limited care and support to people at a time of crisis who are finding it difficult to cope at home. Overall the research highlighted that the common area of major impact of Support at Home is the enhancement of service users’ quality of life. The support provided is characterised by a strong sense of trust by service users in the Red Cross brand alongside a compassionate, caring, non-judgemental, time-flexible and person-enabling approach. In particular, the findings show that four service user outcomes were significantly improved or increased following receipt of support. These include: improved wellbeing; increased ability to manage daily activities; increase in leisure activities; and improved coping skills. Other positive changes were also reported related to the wider benefits of the service beyond the service user outcomes alone, including enabling safe discharge, supporting carers and enabling patient advocacy. The report identifies a series of action points to help further develop the services: champion Red Cross strengths, respond to the changing profile of service users, develop active partnerships to extend reach and maximise impact, clarify the Red Cross’ position for people in need who fall outside of commissioned contracts, collect consistent and routine local and national data to inform service learning and development, develop signposting to ensure long-term impact and grow skills in order to advocate on behalf of service users.
Results 1 - 5 of 5