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Results for 'intervention'

Results 31 - 40 of 91

Social isolation and loneliness in the UK: with a focus on the use of technology to tackle these conditions

IOTUK
2017

This report provides an overview of social isolation and loneliness in the UK and highlights innovative uses of technology in addressing the issue. It considers the factors that contribute to the development of social isolation and loneliness, the people most at risk, the impact on an individual's health and wellbeing, and the impact on public services. It outlines three main approaches and interventions used to address social isolation and loneliness: enabling people to maintain existing relationships, facilitating the creation of new connections, and psychological approaches to change the perceptions of individuals that are suffering from loneliness. In particular, it highlights innovative uses of technology to show their potential to increase access to initiatives and deliver interventions in new ways. Local and international best practice case-studies are included. The final section looks at the challenges that exist when trying to finance interventions aiming to combat social isolation and loneliness, and introduces an outcome-based financing model, Social Impact Bonds, which has the potential to allow commissioners and delivery partners to deliver more innovative solutions.

Evaluation of the Shared Lives Mental Health Project

HARFLETT Naomi, JENNINGS Yasmin
2017

An evaluation of a project to support the development of Shared Lives as an option for people with mental ill health. The project has supported seven local Shared Lives schemes to develop, demonstrate and market a financially viable and commission ready approach to Shared Lives mental health support, and to generate learning about what works. Drawing on data collected through a mixed methods evaluation approach, this report describes the impact and learning from the project. The evaluation has found evidence of the positive impact that having support through a Shared Lives arrangement – whether it is day support, short breaks or long-term arrangements – can have on the lives of people with mental ill health. There are examples of improvements in general wellbeing and increased participation in community life, as well as specific examples where people’s mental health has stabilised and hospital stays have been prevented. The impact goes beyond those in Shared Lives arrangements to family members of those being supported, Shared Lives carers and their families and communities that people are supported in. Although some of the seven project schemes experienced challenges and frustrations and in some cases growth was slow, all saw increases in the number of new arrangements for people with mental ill health and all saw increases in the number of Shared Lives carers offering mental health support.

Working with faith groups to promote health and wellbeing

LOCAL GOVERNMENT ASSOCIATION
2017

This report, published in association with FaithAction, looks at how local authorities and faith groups can work together to improve the health and wellbeing outcomes of communities. It also highlights examples of good practice from across the country, and from different faiths, to demonstrate the wide range of activity taking place. The report covers how faith groups can improve health outcomes and tackle health inequalities; the benefits of joint working for councils, health organisations and faith groups; barriers to collaboration and what local authorities can do to make sure the widest range of groups are involved; and looks at ways of establishing effective partnerships and activities, including through adopting the national Faith Covenant. The report includes questions for councils and faith groups to assess whether there is more that can be done to work well together. It also signposts to useful resources for further learning and action.

Evaluation of the Rotherham Carers Resilience Service: final report

DAYSON Chris, BENNETT Ellen
2016

An independent evaluation of the Rotherham Carers Resilience Service, which is delivered in partnership by Crossroads Care Rotherham, Rotherham and Doncaster Alzheimer's Society and Age UK Rotherham on behalf of NHS Rotherham Clinical Commissioning Group. The service provides information, advice and practical support to help carers of people living with dementia to care for the person with dementia at home for as long as possible. The evaluation looked at the impact of the service on carer health and well-being, the effect on patient and carer use of NHS care and resources, and views on the effectiveness of the service. It included interviews with stakeholders including five service staff, one GP, and one representative of the CCG; and questionnaires and interviews with carers using the service; and three in-depth client case studies. The evaluation reports that the service reached more than 330 carers during its first year, from February 2015 to March 2016. Successes of the service included linking carers in to other services from the statutory, voluntary and community sector; providing carers information about benefits entitlements; and access to home based support services. The service was highly valued by beneficiaries and there was evidence for improvement in key outcome measures. These included small numbers of carers reporting better general well-being, better health and improvements in their carer quality of life. There was insufficient evidence to confirm whether the service had reduced the demand for emergency care.

Reducing delayed transfer of care through housing interventions: evidence of impact. Case study

ADAMS Sue
2016

A case study and independent evaluation of a housing intervention designed to help older patients to return home from hospital more rapidly and safety. The initiative is delivered by West of England Care & Repair (WE C&R), who organise clutter clearance/deep cleaning; urgent home repairs, emergency heating repairs and essential housing adaptations for older people in hospital. The evaluation examined all case records, interviewed 15 hospital staff and undertook an in depth analysis of a sample of 4 cases. Analysis of the case records estimated a saving in hospital bed days of £13,526. The cost of housing interventions was £948, resulting in a cost benefit ratio of 14:1. Additional savings in hospital staff time amounted to a further £897. A short case study illustrates how the service was able to help one woman return home from hospital. It concludes that the small scale evaluation is indicative of the potential savings that a practical and effective home from hospital housing intervention service can generate for the health service.

Policy briefing: music, singing and wellbeing in adults with diagnosed conditions or dementia

WHAT WORKS WELLBEING
2016

Drawing on the available evidence, this briefing examines what music and singing interventions work to improve wellbeing of adults living with diagnosed conditions or dementia. While there is ample evidence looking at the impact of music and singing on clinical outcomes such as pain management, coping with hospitalisation, coping with symptoms and managing symptoms of dementia, this new evidence focuses on wellbeing for those living with diagnosed conditions or dementia. Specifically, it focuses on self-reported measures of quality of life; life satisfaction; and anxiety or depression. The paper suggests that there is strong evidence that brief music therapy is an effective intervention to support wellbeing of palliative care patients in hospital settings and initial evidence that music therapy can contribute to improved spiritual wellbeing in hospice patients. There is strong evidence targeted, culturally relevant music interventions can decrease depression in nursing students in a college environment and initial evidence that music therapy can alleviate anxiety in undergraduate students. There is promising evidence that targeted, culturally relevant music and singing interventions can enhance mental wellbeing and decrease depression in older people with chronic conditions in residential and community settings and initial evidence that participation in individual personalised music listening sessions can reduce anxiety and/or depression in nursing home residents with dementia and that listening to music may enhance overall wellbeing for adults with dementia. There is initial evidence that participation in extended community singing programmes can improve quality of life and social and emotional wellbeing in adults living with chronic conditions.

Systematic review: music, singing and wellbeing for adults living with diagnosed conditions

DAYKIN Norma, et al
2016

A systematic review of wellbeing outcomes of music and singing for adults, encompassing data from 1364 participants with identified health conditions such as stroke, COPD and mental health conditions. The review does not include clinical studies of music and singing, including interventions for patients in hospital, where the focus is on clinical outcomes such as pain management or coping with symptoms or hospitalisation. The evidence points to wellbeing outcomes including reduced depression and anxiety in people of all ages. In relation to adults with adults with chronic conditions such as stroke, COPD and cancer, the studies report reduced stress and improved wellbeing across a range of outcomes. Specifically, the review finds that there is high quality evidence that: targeted, culturally relevant music interventions can decrease depression in nursing students in a college environment; brief music therapy is an effective intervention to support wellbeing of palliative care patients in hospital settings. There is moderate quality evidence that: targeted, culturally relevant music interventions, including playing a musical instrument and singing, can decrease depression in older people with chronic conditions in residential and community settings; participants report a wide range of wellbeing benefits from singing including relaxation, distraction, reduction in anxiety, spiritual uplifting and improvements in mood, emotional wellbeing, confidence, enjoyment and a ‘feel good factor’; participation in a music project can raise participants’ awareness of the significance of music in their life. This in turn can have a positive effect on awareness of health and quality of life and can encourage behaviour change.

Systematic review: music, singing and wellbeing for adults living with dementia

VICTOR Christina, et al
2016

A systematic review of the subjective, self-reported wellbeing outcomes of music and singing in adults living with dementia. The review encompasses data from 249 participants in quantitative and qualitative studies from Australia, Canada, Finland, France, and the United Kingdom. It encompasses interventions focusing upon singing or listening to music. Three key domains of wellbeing are reported: quality of life, depression and anxiety. Studies and findings where the methodology entails observation by a researcher or clinician of the effects of music and singing on the wellbeing of people with dementia were excluded. In addition, the review excluded studies where the outcome was defined in terms of dementia or clinical symptoms or where the focus was on outcomes for carers. Given these caveats the key findings are that for people with dementia music and signing are important aspects of subjective wellbeing that can promote domains of subjective wellbeing, social connections and maintenance of identity. Active participation seemed to be less beneficial than listening to music but this is only a very tentative finding which needs support by further research. On the current evidence base, the review supports the development of policy and practice of support for music and singing interventions for wellbeing outcomes for people with dementia but suggests that interventions should reflect both active and passive forms of engagement.

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.

Results 31 - 40 of 91

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