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Results for 'intervention'

Results 11 - 20 of 139

Health and Wellbeing Innovation Commission Inquiry: social connections and loneliness

BEACH Brian
2018

This report reflects on how innovation can help foster and improve social connections to the benefit for all people in an ageing society. It also sets out examples of effective innovation in the area of social connections, opportunities and barriers to further innovation, and recommendations to support innovation. The report is based on an oral evidence session where expert witnesses gave evidence to the commissioners and research from ILC-UK. It is one of four publications from ILC-UK’s Health and Wellbeing Innovation Commission Inquiry, which examined the potential for innovation in the areas of health and wellbeing to ensure that services remain sustainable, address needs efficiently, and contribute to positive experiences in later life.

What works in social prescribing?

CORDIS BRIGHT
2019

Based on a review of the literature, this evidence summary highlights the potential of social prescribing services to combat the root social causes of ill health and alleviate demand on healthcare services. The review provides a definition of social prescribing and outlines the key ingredients for successful social prescribing services. These key ingredients cover: funding, buy-in of health professionals, referral process, link workers, patient-centred care, collaborative working and integration between different sectors. The review also explores potential barriers to the widespread adoption of social prescribing services. It notes that robust evidence for social prescribing remains weak, with the majority of evaluations small in scale and poorly designed.

A feasibility study of facilitated reminiscence for people living with dementia: report

RYAN Assumpta, et al
2018

Reports on a feasibility study to investigate the effects of a home based, individual reminiscence intervention using an iPad app for people living with dementia and their family carers. The study design had three phases. Phase 1: A User Development Group comprising a paired sample of 6 people living with dementia and their family carers who worked with the research team to design and test the technology; Phase 2: Testing of the developed app with a paired sample of 30 people living with mild to moderate dementia and their family carers (n=60). Participants used the app for 12 weeks at home. Questionnaires which examined the impact of reminiscence on mutuality, wellbeing, quality of life and quality of the relationship between participants living with dementia and their family carers were collected at the beginning, middle and end points of the study. Health economics data were also collected to understand cost effectiveness. Phase 3: Individual interviews with a sample of participants (n=32) to explore their experience of the intervention. The results found that people living with dementia used the app independently and more frequently than their carers. They also showed an increase in the quality of caregiving relationships and emotional well‐being for people living with dementia. Although there was no significant change for carers over the course of the study, the intervention improved the caring relationship and was seen as an enjoyable way to care for themselves and their loved one.

'What would life be: without a song or a dance, what are we?' A report from the Commission on Dementia and Music

BOWELL Sally, BAMFORD Sally-Marie
2018

This report examines the current landscape of using therapeutic music with people with dementia, outlines the value and benefits of music therapy, and looks at what needs to be done to ensure that everyone with dementia is able to access music. Informed by the Commission on Dementia and Music, the report brings together a wide range of evidence, including academic papers, written and oral evidence, and evidence from site visits. The evidence shows that music can help to minimise symptoms of dementia, such as agitation and can help tackle anxiety and depression. Evidence also shows that music can help improves the quality of life for people with dementia by increasing social interaction and decreasing stress. The report also shows that although the dementia and music environment is supported by a dedicated network of individuals and organisations, they work in a complex and poorly coordinate system. The field is also defined by sporadic access, with only relatively few people with dementia having access. It concludes that the sector would benefit from increased funding, further cost-effective research to boost recognition and funding, and increased public awareness about the benefits of music. The report includes recommendations to help improve access to music for people with dementia.

The community navigators study: loneliness in people with complex anxiety or depression

NATIONAL INSTITUTE FOR HEALTH RESEARCH. School for Social Care Research
2018

The summary findings of a study which developed a Community Navigators programme to reduce loneliness for people with anxiety or depression using secondary mental health services. The study also explores the views of participants and mental health services to the intervention and the feasibility of evaluating the programme using a randomised controlled trial. Forty participants with anxiety or depression were recruited and randomised to an intervention group (n=30), who received the programme in addition to standard care, or a control group (n=10), who received standard care and written information about local community resources. Community Navigators were recruited to help people develop new social connections, and to revive or develop existing social relationships with the aim of reducing feelings of loneliness. The study found the intervention was well received by service users. Outcomes indicate that the intervention has potential to reduce loneliness and depression.

The (cost‐)effectiveness of preventive, integrated care for community‐dwelling frail older people: a systematic review

LOOMAN Wilhelmina Mijntje, HUIJSMAN Robbert, FABBRICOTTI Isabelle Natalina
2019

Integrated care is increasingly promoted as an effective and cost‐effective way to organise care for community‐dwelling frail older people with complex problems but the question remains whether high expectations are justified. Our study aims to systematically review the empirical evidence for the effectiveness and cost‐effectiveness of preventive, integrated care for community‐dwelling frail older people and close attention is paid to the elements and levels of integration of the interventions. We searched nine databases for eligible studies until May 2016 with a comparison group and reporting at least one outcome regarding effectiveness or cost‐effectiveness. We identified 2,998 unique records and, after exclusions, selected 46 studies on 29 interventions. We assessed the quality of the included studies with the Effective Practice and Organization of Care risk‐of‐bias tool. The interventions were described following Rainbow Model of Integrated Care framework by Valentijn. Our systematic review reveals that the majority of the reported outcomes in the studies on preventive, integrated care show no effects. In terms of health outcomes, effectiveness is demonstrated most often for seldom‐reported outcomes such as well‐being. Outcomes regarding informal caregivers and professionals are rarely considered and negligible. Most promising are the care process outcomes that did improve for preventive, integrated care interventions as compared to usual care. Healthcare utilisation was the most reported outcome but we found mixed results. Evidence for cost‐effectiveness is limited. High expectations should be tempered given this limited and fragmented evidence for the effectiveness and cost‐effectiveness of preventive, integrated care for frail older people. Future research should focus on unravelling the heterogeneity of frailty and on exploring what outcomes among frail older people may realistically be expected.

Interventions to address social connectedness and loneliness for older adults: a scoping review

O'ROURKE Hannah M., COLLINS Laura, SIDANI Souraya
2018

Background: Older adults are at risk for loneliness, and interventions to promote social connectedness are needed to directly address this problem. The nature of interventions aimed to affect the distinct, subjective concepts of loneliness/social connectedness has not been clearly described. The purpose of this review was to map the literature on interventions and strategies to affect loneliness/social connectedness for older adults. Methods: A comprehensive scoping review was conducted. Six electronic databases were searched from inception in July 2015, resulting in 5530 unique records. Standardized inclusion/exclusion criteria were applied, resulting in a set of 44 studies (reported in 54 articles) for further analysis. Data were extracted to describe the interventions and strategies, and the context of the included studies. Analytic techniques included calculating frequencies, manifest content analysis and meta-summary. Results: Interventions were described or evaluated in 39 studies, and five studies described strategies to affect loneliness/social connectedness of older adults or their caregivers in a qualitative descriptive study. The studies were often conducted in the United States (38.6%) among community dwelling (54.5%), cognitively intact (31.8%), and female-majority (86.4%) samples. Few focused on non-white participants (4.5%). Strategies described most often were engaging in purposeful activity and maintaining contact with one’s social network. Of nine intervention types identified, the most frequently described were One-to-One Personal Contact and Group Activity. Authors held divergent views of why the same type of intervention might impact social connectedness, but social contact was the most frequently conceptualized influencing factor targeted, both within and across intervention types. Conclusions: Research to test the divergent theories of why interventions work is needed to advance understanding of intervention mechanisms. Innovative conceptualizations of intervention targets are needed, such as purposeful activity, that move beyond the current focus on the objective social network as a way to promote social connectedness for older adults.

A mixed methods case study exploring the impact of membership of a multi-activity, multicentre community group on social wellbeing of older adults

LINDSAY-SMITH Gabrielle, et al
2018

Background: Social wellbeing factors such as loneliness and social support have a major impact on the health of older adults and can contribute to physical and mental wellbeing. However, with increasing age, social contacts and social support typically decrease and levels of loneliness increase. Group social engagement appears to have additional benefits for the health of older adults compared to socialising individually with friends and family, but further research is required to confirm whether group activities can be beneficial for the social wellbeing of older adults. Methods: This one-year longitudinal mixed methods study investigated the effect of joining a community group, offering a range of social and physical activities, on social wellbeing of adults with a mean age of 70. The study combined a quantitative survey assessing loneliness and social support (n = 28; three time-points, analysed using linear mixed models) and a qualitative focus group study (n = 11, analysed using thematic analysis) of members from Life Activities Clubs Victoria, Australia. Results: There was a significant reduction in loneliness (p = 0.023) and a trend toward an increase in social support (p = 0.056) in the first year after joining. The focus group confirmed these observations and suggested that social support may take longer than 1 year to develop. Focus groups also identified that group membership provided important opportunities for developing new and diverse social connections through shared interest and experience. These connections were key in improving the social wellbeing of members, especially in their sense of feeling supported or connected and less lonely. Participants agreed that increasing connections was especially beneficial following significant life events such as retirement, moving to a new house or partners becoming unwell. Conclusions: Becoming a member of a community group offering social and physical activities may improve social wellbeing in older adults, especially following significant life events such as retirement or moving-house, where social network changes. These results indicate that ageing policy and strategies would benefit from encouraging long-term participation in social groups to assist in adapting to changes that occur in later life and optimise healthy ageing.

Economic evaluations of falls prevention programs for older adults: a systematic review

OLIJ Branko F., et al
2018

Objectives: To provide a comprehensive overview of economic evaluations of falls prevention programs and to evaluate the methodology and quality of these studies. Design: Systematic review of economic evaluations on falls prevention programs. Setting: Studies (N=31) of community‐dwelling older adults (n=25), of older adults living in residential care facilities (n=3), and of both populations (n=3) published before May 2017. Participants: Adults aged 60 and older. Measurements: Information on study characteristics and health economics was collected. Study quality was appraised using the 20‐item Consensus on Health Economic Criteria. Results: Economic evaluations of falls prevention through exercise (n = 9), home assessment (n = 6), medication adjustment (n = 4), multifactorial programs (n = 11), and various other programs (n = 13) were identified. Approximately two‐thirds of all reported incremental cost‐effectiveness ratios (ICERs) with quality‐adjusted life‐years (QALYs) as outcome were below the willingness‐to‐pay threshold of $50,000 per QALY. All studies on home assessment and medication adjustment programs reported favorable ICERs, whereas the results of studies on exercise and multifactorial programs were inconsistent. The overall methodological quality of the studies was good, although there was variation between studies. Conclusion: The majority of the reported ICERs indicated that falls prevention programs were cost‐effective, but methodological differences between studies hampered direct comparison of the cost‐effectiveness of program types. The results imply that investing in falls prevention programs for adults aged 60 and older is cost‐effective. Home assessment programs (ICERs < $40,000/QALY) were the most cost‐effective type of program for community‐dwelling older adults, and medication adjustment programs (ICERs < $13,000/QALY) were the most cost‐effective type of program for older adults living in a residential care facility.

Evaluation of Time to Shine: year 2 interim findings

WIGFIELD Andrea, ALDEN Sarah
2017

Interim evaluation of Time to Shine, the Big Lottery funded Ageing Better programme running in Leeds, which is funding projects for specific groups most likely to experience isolation and loneliness. These include older men; Lesbian, Gay, Bisexual and Transgender older people (LGBT), Black and Minority Ethnic (BME) older people; and older people with learning disabilities. Based on analysis of the monitoring and evaluation data, the report provides an overview of what has been learnt about what works in reducing social isolation and loneliness and how the programme is leading to change at the individual, local, and citywide level drawing. It also reports on the commissioning process and looks at how co-production has been incorporated into design, and delivery and evaluation of the programme. It reports that as of 30 June 2017, over 5,600 people of all ages have been involved in Time to Shine projects in some way, including: over 2,600 older people participating regularly in Time to Shine projects and 335 older volunteers and 140 volunteers aged 49 or under helping to plan, deliver or steer projects. The results suggest that being involved in Time to Shine helped some people to feel they were more involved in their local area, improved life satisfaction scores.

Results 11 - 20 of 139

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