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Results for 'intervention'

Results 21 - 30 of 91

Effectiveness of befriending interventions: a systematic review and meta-analysis

SIETTE Joyce, CASSIDY Megan, PRIEBE Stefan
2017

Objective: Befriending is an emotional supportive relationship in which one-to-one companionship is provided on a regular basis by a volunteer. It is commonly and increasingly offered by the voluntary sector for individuals with distressing physical and mental conditions. However, the effectiveness of this intervention on health outcomes is largely unknown. This systematic review examines the benefits of befriending. Design: Systematic review Methods: A systematic search of electronic databases was conducted to identify randomised controlled trials and quasi-experimental trials of befriending for a range of physical and mental health indications including depression, anxiety, mental illness, cancer, physical illness and dementia. Main outcomes included patient-relevant and disease-specific outcomes, such as depression, loneliness, quality of life, self-esteem, social support and well-being. Results: A total of 14 trials (2411 participants) were included; 7 were judged at low risk of bias. Most trials showed improvement in symptoms associated with befriending but these associations did not reach statistical significance in all trials. Befriending was significantly associated with better patient-reported outcomes across primary measures. However, there was no significant benefit on single outcomes, including depression, quality of life, loneliness ratings, self-esteem measures, social support structures and well-being. Conclusions: There was moderate quality evidence to support the use of befriending for the treatment of individuals with different physical and mental health conditions. This evidence refers to an overall improvement benefit in patient-reported primary outcomes, although with a rather small effect size. The current evidence base does not allow for firm conclusions on more specific outcomes. Future trials should hypothesise a model for the precise effects of befriending and use specified inclusion and outcome criteria.

Combatting loneliness one conversation at a time: a call to action

JO COX COMMISSION ON LONELINESS
2017

This final report of the Jo Cox Loneliness Commission shares the ideas that the Commission have worked on over the past year and makes recommendations for national government. The report highlights the consequences of loneliness for individuals' wellbeing and health, and for the economic stability of wider society. It also provides individual case studies and examples of good practice initiatives to show the benefits of tackling loneliness. It identifies three key areas for government action in order to tackle loneliness: leadership - including the development of a UK wide strategy for loneliness; measuring progress - with the creation of a national indicator and development of evidence around 'what works'; and funding for communities in order to spread promising approaches and best practice.

Physical activity interventions for treatment of social isolation, loneliness or low social support in older adults: a systematic review and meta-analysis of randomised controlled trials

SHVEDKO Anastasia, et al
2018

Objectives: This article reviews the effects of physical activity (PA) interventions on social isolation, loneliness or low social support in older adults. Design: Systematic review and meta-analysis of randomised controlled trials (RCTs). Method: MEDLINE, EMBASE, PsycINFO, the Cochrane CENTRAL, CINAHL, were screened up to February 2017. RCTs comparing PA versus non-PA interventions or control (sedentary) condition were included. Risk of bias was assessed using the 12 criteria Cochrane Review Book Group risk of bias. The outcome measures were: social isolation, loneliness, social support, social networks, and social functioning. Standardised mean differences (SMDs) with associated 95% confidence intervals (CIs) were calculated for continuous outcomes. Meta-analysis was performed using a random effects model. Results: The search strategy identified 38 RCTs, with a total of 5288 participants, of which 26 had a low risk of bias and 12 had a high risk of bias. Meta-analysis was performed on 23 RCTs. A small significant positive effect favouring the experimental condition was found for social functioning with strongest effects obtained for PA interventions, diseased populations, group exercise setting, and delivery by a medical healthcare provider. No effect of PA was found for loneliness, social support, or social networks. Conclusion: This review shows, for social functioning, the specific aspects of PA interventions can successfully influence social health. PA did not appear to be effective for loneliness, social support and social networks.

Carers Leeds Health and Wellbeing programme evaluation

BUNYAN Ann-Marie, WOODALL James, RAINE Gary
2017

Highlights outcomes and learning from a programme to support carers to look after their own physical health and emotional wellbeing, delivered by the charity Carers Leeds. The programme provides one-to-one support to encourage carers to eat more healthily, be more physically active, cut down on alcohol and smoking, manage stress and anxiety and be more socially connected. Health and Wellbeing Support Workers work with carers to help them set and prioritise their health goals, providing carers with the tools and guidance to be able to make changes. The evaluation aimed to establish the impact of the Programme on the health and wellbeing of carers, examine the experiences of carers engaged in the Programme, and provide training and support to the Carers Leeds staff to build capacity for future self-evaluation. It a workshop to develop an understanding of the programme’s Theory of Change; analysis of monitoring data, including carers evaluation forms; telephone interviews with service users, and analysis of Support Worker' reflections on delivering the programme. The evaluation found evidence that the Programme provides meaningful support to carers, which has a positive impact on their health and wellbeing. Positive benefits for carers included reduced social isolation, increased confidence, improved mental wellbeing, improved diet and physical activity levels. Individuals who were previously unable to distinguish themselves as a carer were also able to recognise how vital it is to take of care of their own health. The report also highlights learning for future projects.

Age Friendly Island: local evaluation. Annual evaluation report 16/17

NATIONAL DEVELOPMENT TEAM FOR INCLUSION
2017

An evaluation of Age Friendly Island (AFI), a partnership of older people and voluntary and public sector agencies working together across the Isle of Wight (IOW) to reduce social isolation, empower older people and influence local culture so that older people are seen as assets rather than burdens. The evaluation covers the period April 2016 to March 2017, covering data gathered across Year 2 of the Programme. It looks at the impact of the 12 projects that make up the AFI, in relation to four outcomes: older people have improved connections within their local community and reduced social isolation; older people feel empowered to co-produce local policies and services; for older people to feel the Island is age-friendly; and an increased sense of health, wellbeing, and quality of life. The projects reported a total of 9,962 new participants in the period 2016-17, with an average of 1,594 people participating across the 12 projects each month. The evaluation found that participation in the Programme has helped older people to increase their social connections, meet new people, and has led to decreased social isolation for people involved. Participants also reported that involvement in the project led to a positive impact on the health, mental health, wellbeing or quality of life. Whilst there are good examples of genuine co-production, the evaluation identified the need for further progress to enable older people to feel empowered to influence projects, services and policies. The AFI Programme is one of 14 Fulfilling Lives: Ageing Better partnerships funded by the Big Lottery.

Making the case for investing in actions to prevent and/or tackle loneliness: a systematic review. A briefing paper

MCDAID David, BAUER Annette, PARK A-La
2017

Summarises findings from a systematic review on the available economic evidence on the cost effectiveness of loneliness interventions for older people. The review found mixed evidence for the cost effectiveness of befriending interventions and the benefits of participation in social activities, ranging from cost saving to cost ineffective interventions. Recent evidence identified suggests that signposting and navigation services have the potential to be cost effective, with a saving of up to £3 of health costs for every £1 invested. The paper also makes suggestions for strengthening the evidence based on the cost effectiveness of interventions to address loneliness.

Home from hospital: how housing services are relieving pressures on the NHS

COPEMAN Ian, EDWARDS Margaret, PORTEUS Jeremy, HOUSING LEARNING AND IMPROVEMENT NETWORK
2017

This report shows how housing services are helping to relieve pressure on the NHS by reducing delays in discharging people from hospital and preventing unnecessary hospital admissions. It features 12 case studies to show the positive impact these services have on people’s lives and the cost benefit to the NHS. The case studies highlight services that will benefit people most at risk of delayed discharge, such as older people, people with mental health problems and people experiencing homelessness. The case studies also demonstrate a diversity of housing and health services including: 'step down' bed services for people coming out of hospital who cannot return to their own home immediately; hospital discharge support and housing adaptation services to enable timely and appropriate transfers out of hospital and back to patients' existing homes; providing a new home for people whose existing home or lack of housing mean that they have nowhere suitable to be discharged to; and Home from Hospital services to keeping people well at home who would otherwise be at risk of being admitted or readmitted to hospital. The report also considers the impact and additional savings that could be made by housing providers if this work were to be scaled up.

Introduction to the research on: the impact and effectiveness of meaningful activity for people with mental health problems

HARFLETT Naomi, JENNINGS Yasmin, LINSKY Kate
2017

This short scoping review identifies research on the impact and effectiveness of meaningful activity for people with mental health problems. Due to the lack of consensus on what is meant by the terms ‘meaningful activity’ or ‘meaning activity’, the review focused on different activities, such as unpaid work and volunteering, horticulture, woodwork, arts and music, physical exercise and leisure. Searches were on a range of databases, including Social Care Online, and organisational websites for UK based research published from 2000. The review provides an overview of the quantity and quality of the research and a table summarising the 33 studies reviewed and their key findings. It also provides a summary of areas identified for future research. The review found that in the vast majority of the studies found people experience positive outcomes from participating in meaningful activity or occupation. These included: a sense of purpose or meaning to life, a structure or routine to the day, acquisition of skills, a sense of identity, social interaction and increased social networks, improved wellbeing, access to employment or education, improved confidence and improved self-esteem. However it notes that due to the high proportion of small-scale qualitative research studies, positive outcomes may be overstated. It also found no conclusive evidence to show that volunteering resulted in positive outcomes for people with mental health problems.

Introduction to the research on: what works to improve social networks and prevent social isolation for people with mental health problems

HARFLETT Naomi, JENNINGS Yasmin, LINSKY Kate
2017

This short scoping review identifies research into what works to improve the social networks and prevent social isolation for people with mental health problems. Searches for the review were conducted on organisational websites and a range of databases, including Social Care Online, for UK based research published from 2000. The review provides an overview of the quantity and quality of the research and a table summarising the 24 studies reviewed and their key findings. It also provides a summary of areas identified for future research. The review found that the evidence around effectiveness of interventions to prevent loneliness and social isolation is patchy and findings are inconsistent. However, there is evidence to show that staff can play a key role in facilitating social networks and that activity-based interventions - such as horticulture, sport and learning - can increase social networks and reduce social isolation. The review also found that befriending may be beneficial to peoples’ mental health, but that there is inconclusive evidence on the impact of peer support.

Dance to Health: evaluation of the pilot programme

AESOP
2017

Outlines the results of Aesop's falls prevention dance programme for older people, Dance to Health. This arts based intervention address older people's falls and problems with some current falls prevention exercise programmes, by incorporating evidence-based exercise programmes into creative, social and engaging dance activity. The programme was developed using the Aesop 7-item checklist, which lists the features an arts programme should have for it to be taken up by the health system and made available to every patient who could benefit. The report outlines the rationale for creating the programme, the outcomes achieved - in addition to reduced falls, cost effectiveness, and the wider impact of the programme. It reports that the pilot successfully brought people from the worlds of dance and older people's exercise together, was able to train dance artists in the evidence-based falls programme, and also developed six evidence-based falls prevention programmes with 196 participants. A total of 73 per cent of participants achieved the target of 50 hours’ attendance over the six months, compared with a national average for completing standard falls prevention exercise programmes of 31 per cent for primary prevention and 46 per cent for secondary prevention. Additional outcomes identified included increases in group identification, relationships and reduced loneliness, functional health and wellbeing, and mental health and wellbeing.

Results 21 - 30 of 91

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