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Results for 'intervention'

Results 21 - 30 of 73

Review of the grey literature: music, singing and wellbeing

DAYKIN Norma, et al
2016

This report reviews evidence from the grey literature on wellbeing outcomes for music and singing for adults. The evidence was received through a call for evidence placed on the What Works Wellbeing website in 2016. A total of 51 reports were received, of which 32 met the inclusion criteria. These included: 12 reports on music and singing interventions with healthy adults; 12 reports on participants with a range of diagnosed conditions including COPD, Parkinson’s, stroke and mental health conditions; and eight reports on participants living with dementia. An additional five unpublished PhDs were also identified. The report summarises the evaluation methods used in the projects; quantitative and qualitative wellbeing outcomes identified; and process evaluations carried out. The review found evidence of improved mental wellbeing in evaluations of two singing interventions for people in the community experiencing, or at risk of, mental health problems. Two studies of music interventions for older participants in hospital also reported improvements in observed wellbeing. Qualitative findings also suggest that participants involved in singing and music projects report positive outcomes such as improved mood, purpose and social interaction. Adults with dementia also experienced increased engagement, relaxation, and better connection with others. Key issues reported from process evaluations included: barriers to activity, such as lack of accessible transport; institutional barriers, particularly in care home settings where projects rely on the support of care staff and managers. Limitations of the evidence are also briefly discussed.

Warm, safe and well: the evaluation of the Warm at Home programme

BENNETT Ellen, et al
2016

This report presents the findings from an evaluation of the Foundations Independent Living Trust Ltd (FILT) SSE Warm at Home (WAH) Programme. The programme, whose funding came via a financial penalty (or redress payment) imposed by the energy regulator Ofgem on the energy company SSE, provided funds to enable the homes of vulnerable householders to become more energy efficient and/or easier to keep warm, addressing the negative impact that fuel poverty and cold homes have on the physical and mental health of both adults and children. Funds were channelled through HIAs operating across England. The funding enabled HIAs to provide energy efficiency advice and warm homes-related practical interventions to their clients (new and existing), typically older homeowners with a long-term illness or disability and/or on a low income. The report indicates that improvements in health and wellbeing were reported once work had been completed. The greatest health and wellbeing improvements were experienced by those who received heating installation or replacement, and for those whom the highest cost work (£1,000 or more) was undertaken. Overall the WAH Programme appears to be a cost-effective intervention from a health perspective but there are variations in relation to the type and cost of intervention. The Programme is estimated to have led to an additional 121.8 QALYs. If the assumed total QALY gained across the whole Programme is converted into a monetary value using the NHS threshold of £20,000, then the value of the benefits gained amounts to £2,436,000. For every £1 of the £637,000 funding distributed to vulnerable households, the WAH Programme produced almost £4 of benefits in terms of better health.

Trapped in a bubble: an investigation into triggers for loneliness in the UK

CO-OPERATIVES UK, BRITISH RED CROSS
2016

This research investigates potential triggers for loneliness across life stages, focusing on the causes, experiences and impacts of loneliness for six selected groups. It also looks at the support available for people experiencing loneliness, the services people would like, and how they would like that support to be delivered. The research focuses on: young new mums; individuals with mobility limitations; individuals with health issues; individuals who are recently divorced or separated; individuals living without children at home ('empty-nesters') and retirees; and the recently bereaved. It also draws on the views of experts and public opinion on loneliness gathered through a survey. The research found that the causes of loneliness of often complex, stemming from a combination of personal, community, and UK-wide factors. It also confirmed that people experiencing life events which can disrupt existing connections or change their role in society are at risk of loneliness. Other factors contributing to loneliness included: difficulty in accessing statutory services and support, the rapid disappearance of social spaces, and inadequate transport infrastructure. Loneliness can have physical, psychological and social impacts which can negatively impact on communities and people’s ability to connect. Experts recommend a combination of the following three models of support to tackle loneliness, depending on individual circumstances: preventative; responsive, which is shaped by the needs of those already experiencing loneliness and restorative, helping people to rebuild connections and prevent people slipping into chronic loneliness. Participants experiencing loneliness had a preference for face-to-face services, with digital services seen as important but supplementary. All those involved in the research supported the need for small, personal steps to help build community connectedness.

Testing promising approaches to reducing loneliness: results and learnings of Age UK's loneliness Pilot

AGE UK
2016

This report shares the results of Age UK’s loneliness pilot programme, which aimed to find out Age UK services could better reach older people experiencing loneliness, develop individually tailored solutions and help older people access activities and services within their community. Chapter one outlines origins of the programme, which involved eight local Age UKs in a 12 month pilot. Local services developed three common approaches: recruiting ‘eyes on the ground’ to identify older people experiencing, or at risk of, loneliness; developing co-operative networks with other agencies; and use of traditional befriending services. Chapter two highlights examples of services that local Age UKs are delivering and how the adoption of certain approaches improved their impact on lonely older people. Chapter three look at some of the impacts of the programme. It found that a large number of the older people supported during the programme experienced a reduction in their loneliness scores. This was especially true amongst older people who were often lonely. Some older people also identified feelings of increased independence, wellbeing and connectedness with people. Chapter four outlines the next steps for the Age UK programme.

Harnessing social action to support older people: evaluating the Reducing Winter Pressures Fund

GEORGHIOU Theo, et al
2016

Presents the findings of an evaluation of seven social action projects funded by the Cabinet Office, NHS England, Monitor, NHS Trust Development Authority and the Association of Directors of Adult Social Services. The aim of the Reducing Winter Pressures Fund was to scale up and test projects that used volunteers to support older people to stay well, manage health conditions or recover after illness, and thereby reduce pressure on hospitals. The organisations supported by the fund comprised a range of national and local charities. These projects fell into three broad categories: community-based support, supporting discharge from hospital wards, and supporting individuals in A&E department to avoid admissions. Between them, the projects offered a wide range of services to older people – both direct (for example help with shopping or providing transport) and indirect (linking with other services). The evaluation resulted in a mixed set of findings. From the interviews with staff, volunteers and local stakeholders, there was evidence of services that had made an impact by providing practical help, reassurance and connection with other services that could reduce isolation and enable independence. Those involved with the projects felt that volunteers and project staff could offer more time to users than pressurised statutory sector staff, which enabled a fuller understanding of a person’s needs while also freeing up staff time. However, the analysis of hospital activity data in the months that followed people's referral into the projects did not suggest that these schemes impacted on the use of NHS services in the way that was assumed, with no evidence of a reduction in emergency hospital admissions, or in costs of hospital care following referral to the social action projects. The one exception was the project based in an A&E department, which revealed a smaller number of admissions in the short term. The report questions whether these sorts of interventions can ever be fully captured solely using hospital-based data and conceptualising reduced or shortened admissions as a key marker of success.

North and South London Cares. Evaluation and development through the Centre for Social Action Innovation Fund

RENAISI
2016

This report presents the findings from research and impact measurement of key projects undertaken by the North London Cares and South London Cares, demonstrating how the charities meet their core objectives of reducing isolation and loneliness amongst older people (and young professionals alike); improving the wellbeing, skills, resilience and connection of all participants; and bridging social and generational divides. The main projects comprise: Love Your Neighbour, supporting one-to-one friendships across social and generational divides; Social Clubs, aimed at older people who can still get out of the house, and want to interact with other older neighbours as well as local young people; Winter Wellbeing, a pro-active outreach effort that helps older neighbours to stay warm, active, healthy and connected during the most isolating time of year; and Community Fundraising, involving volunteers in major community fundraising effort through a ‘networked approach’. Drawing from the responses to a survey of new members (and follow up surveys), the report shows that there were little change for the scores for wellbeing for those who answered all surveys, except for an increase in anxiety. When looking at all responses, regardless of whether they stayed in contact for 12 months, the happiness score appears to be increasing, suggesting that some of those who were least happy dropped out of the survey. In the loneliness questions there was a decrease in the computed social loneliness score (questions about other people), but an increase in the emotional loneliness (questions about their sense of loneliness). The report also develops a new theory of change for the organisation, and sets out how to go about measuring impact against theory. The theory is based on five outcomes, which apply equally to both volunteers and older neighbours, and include: reducing isolation, improving wellbeing, increasing the feeling of belonging in the local community, living richer lives, and building bridges across social and generational divides.

Wigan community link worker service evaluation

INNOVATION UNIT
2016

Evaluation of the Wigan Community Link Worker (CLW) service, which was set up as a pilot in 2015 to improve the health and wellbeing of local people by helping them to access community based support and activities. It also helps those referred to use their skills and experience through volunteering. The evaluation, commissioned by Wigan Borough CCG and Wigan Council, aims to gain a better understanding of how the service is working, who is using it and what difference it is making to clients and referring services. The evaluation draws on an analysis of referral data, case studies and qualitative interviews with commissioners, people running services, patients, community link workers and representatives of voluntary and community organisations. Findings report high levels of commitment to the service from stakeholders, with health and care professionals valuing the service and promoting it to colleagues and clients. A total of 784 clients were supported between January 2015 and March 2016. Over half of these clients were over 55, with social isolation and mental health issues the most recurrent presenting issues, along with benefits and financial advice. The service is also used by number of carers. Client stories suggest that CLWs help them to feel supported and able to contribute in their community. The evaluation also found anecdotal evidence of reduced pressure on mainstream services. Recommendations include that the service retains it wide referral and low threshold for access; development of the skills of CLWs as relational workers through peer support and reflective practice; and enlists CLWs, clients and health professionals in co-designing and co-producing the service in the future.

Evaluation of the Reducing Social Isolation and Loneliness grant fund: evaluation final report

ROBERTS Lauren
2016

Final evaluation of the Reducing Social Isolation and Loneliness Grant programme, designed to encourage the voluntary and community sector (VCS) to develop innovative approaches to reduce social isolation and loneliness amongst Manchester residents aged 50 plus. The programme was commissioned and funded by North, Central and South Manchester Clinical Commissioning Groups (CCGs), and administered and managed by Manchester Community Central (Macc). It awarded nine large (£10,000-£50,000) and eighteen small grants (less than £10,000) to local VCS organisations across Manchester's three Clinical Commissioning Group areas. This report provides an overview of the programme and discusses evidence of impact in the following areas: reducing social isolation and loneliness; improving confidence and independence; and improving health, wellbeing and quality of life. It also looks at learning from the project around identifying socially isolated and lonely people and engaging with, and retaining, people's involvement in initiatives. The evaluation reported increased social connections, with almost all respondents (97 per cent) meeting new people through the project; the creation of new friendships; increased quality of life; and improvements in self-reported health. It demonstrates that VCS-led model are capable of delivering desired outcomes and also highlights the importance of effective partnership arrangements between VCS umbrella organisations and CCG funders. Individual case studies showcasing learning and impact evidence from the individual projects are included in the appendices.

Access to outdoor recreation by older people in Scotland

COLLEY Kathryn, et al
2016

Scottish research study to examine the barriers preventing older people, including older people with long-term health conditions and disabilities, from accessing outdoor recreation opportunities. The research involved two stages: an investigation of the spatial distribution of older people using small-scale geographical units and semi-structured interviews with 27 older people across three case study sites of varying levels of urbanity and access to different types of green/blue natural resources. Results from the spatial distribution analysis found that remote areas and isolated small towns had higher concentrations of older people and older people with health problems or disabilities. It also identifies that the negative impacts on the well-being and resilience of local communities are also likely to be stronger in remote areas, with challenges in accessing medical and care facilities. The case study work found the barriers to participation in outdoor recreation by older people are multiple and inter-related. Key categories of barriers identified in the interviews were: poor health and (im)mobility; lack of or reduced social connections; fragility and vulnerability; lack of motivation and time commitments; safety; and weather and season. Key implications for policy and practice identified from the research include: for interventions to address the multiple and interrelated barriers preventing older people from participating in outdoor recreation, using integrated and holistic approaches involving different organisations; for ‘green prescribing’ by doctors and medical professionals to be integrated with existing initiatives (eg walking groups) which offer opportunities for overcoming social and motivational barriers; and for interventions to identify ways of providing transport access to outdoor spaces to older people.

Evaluation of Prevention Matters

APTELIGEN, et al
2015

An evaluation of Prevention Matters, a whole county change programme designed to facilitate access to frontline community services and groups in Buckinghamshire. The programme targets those whose needs are below the substantial need threshold for adult social care, building on a referral system, rather than on direct support. Fourteen Community Practice Workers (CPWs) are aligned to the seven GP localities in Buckinghamshire, and lead on the referral process, from first contact with the users to final review and exit. The CPWs are supported by seven Community Links Officers who ensure that the necessary resources are available in the community to meet users’ needs, including identification of opportunities to build new capacity. A wide network of frontline community services and groups provides direct face-to-face support to users through activities such as befriending, transport, fitness, and lunch clubs. The evaluation found that the potential to maintain independence and delay access to adult social care may be less than originally intended as a result of the complexity of the needs and frailty of some programme users. Nonetheless, nearly half of all programme users reported improvement in their satisfaction with the level of social contact they had and a third of programme users reported that their quality of life was better at the review stage compared to the time of their baseline assessment. In addition, the evaluation concluded that the programme has been particularly successful at facilitating access to information. The analysis indicates that the benefits associated with the programme are £1,000 per user per year, including the value of the improvements in health suggested by the impact evaluation (£500), and estimated spill-over effects on the need for informal social care (£492). The report also highlights the positive impact on organisations and systems, and increased volunteering capacity and sets out a series of recommendations to strengthen the delivery of the programme.

Results 21 - 30 of 73

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