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Results for 'intervention'

Results 51 - 60 of 73

Co-producing approaches to the management of dementia through social prescribing

BAKER Keith, IRVING Adele
2016

A promising approach to the management of dementia is ‘social prescribing’. Social prescribing is a form of ‘co-production’ that involves linking patients with non-clinical activities, typically delivered by voluntary and community groups, in an effort to improve their sense of well-being. The success of social prescribing depends upon the ability of boundary-spanning individuals within service delivery organizations to develop referral pathways and collaborative relationships through ‘networks’. This article examines the operation of a pilot social prescribing programme in the North East of England, targeted at older people with early onset dementia and depression, at risk of social isolation. It is argued that the scheme was not sustained, in part, because the institutional logics that governed the actions of key boundary-spanning individuals militated against the collaboration necessary to support co-production.

Living a normal life: supporting the development of dementia friendly communities

HENWOOD Melanie
2015

An evaluation of a Skills for Care funded a programme of 12 pilot projects, across 11 organisations, for 12 months in 2013/14 designed to support the development of dementia friendly communities (DFCs), by improving community understanding and awareness of dementia and supporting people living with dementia and their carers to participate in their communities. Section 1 of the report provides an introduction both to the underlying objectives of the programme, and to the participating pilot sites. Section 2 presents an overview of the cross-cutting themes and issues identified across the sites, including motivation and engagement, working with the wider community, intergenerational aspects, engaging with GPs and the NHS, and impact and outcomes. The methodology for the evaluation included analysis of written reports; and one to one semi-structured interviews with project leads. The report highlights the importance of motivation and personal engagement as driving forces while suggesting that most projects encountered difficulties – to a greater or lesser extent – in trying to work with the wider community in developing awareness and understanding of dementia. A few of the projects were addressing intergenerational dimensions of dementia awareness and were working with schools, or were planning to develop such work. In working with a range of local partners many projects were deliberately engaging with the NHS in general and with GPs in particular to increase diagnosis rates. The report concludes that equipping people with the skills and understanding to respond to the needs of people with dementia has great potential to bring about transformational change and to enable genuine social inclusion.

Measuring your impact on loneliness in later life

CAMPAIGN TO END LONELINESS
2015

This guidance offers information and advice on choosing and using a scale to measure the impact of services and interventions on loneliness in older age. A scale is simply a way of numerically measuring an opinion or emotion, and is one way to gather evidence about the effectiveness of a service. Using a scale enables service providers to ask about loneliness in a structured way – and produces numbers that can help illustrate how much of a difference they are making. In this guidance four different scales are described and evaluated and their strengths and limitations discussed. These are: the Campaign to End Loneliness Measurement Tool; the De Jong Gierveld Loneliness Scale; the UCLA Loneliness Scale; and the single-item ‘scale’. The paper explains how to use a chosen scale, focusing on sampling for a survey, gaining informed consent, reducing bias, data collection, asking open, follow-up questions, and keeping personal information confidential.

Occupational therapy and physical activity interventions to promote the mental health wellbeing of older people in primary care and residential care: evidence update March 2015

NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE
2015

Summarises selected new evidence published since the original literature search was conducted for the NICE guidance 16 Occupational therapy and physical activity interventions to promote the mental health wellbeing of older people in primary care and residential care (2008). A search was conducted for new evidence from 1 June 2011 to 28 July 2014 and a total of 8,973 pieces of evidence were initially identified. The 21 most relevant references underwent a critical appraisal process and then were reviewed by an Evidence Update Advisory Group, which advised on the final list of 6 items selected for the Evidence Update. The update provides detailed commentaries on the new evidence focussing on the following themes: occupational interventions, physical activity, walking schemes, and training. It also highlights evidence uncertainties identified.

Hidden citizens: how can we identify the most lonely older adults?

GOODMAN Anna, SWIFT Hannah J., ADAMS Adrian
2015

This report summarises the findings from the Hidden Citizens project, providing insights regarding the pathways into and out of loneliness and examples of how interventions and services identify the loneliest older adults. The project was conducted in two parts. First, a meta-review was conducted to explore the features of loneliness, its underlying mechanisms and how intervention programs identify and recruit their participants. The findings of the meta-review informed the second part of the project in which a number of interviews and focus groups with older people, service commissioners, service organisation CEO’s, managers and practitioners were conducted. This report also contains specific recommendations for policy makers, service providers and service commissioners on how to improve services and service provision, and identifies avenues for future research to explore. It shows that the experience of loneliness is likely to be a culmination of one or more factors, or set of circumstances, which include: membership of different social groups; personality; psychological response; environmental factors; life events, traumas and transitions; and personal circumstances. The report sets out recommendations considering ways to identify people experiencing loneliness across three different levels: the population, organisational and individual level.

Promising approaches: to reducing loneliness and isolation in later life

JOPLING Kate
2015

This report raises concerns that loneliness and social isolation among older people is becoming a serious public health issue. It draws on the views of experts and research evidence to set out a new framework for understanding and tackling loneliness in older people. The approach is based around three key challenges: reaching individuals; understanding the specific circumstances of an individual's loneliness; and supporting individuals to take up services that would help. Sections of the report cover: the foundation services (reaching, understanding and supporting individuals); the types of intervention that are most likely to meet older people's need for social contact; how technology and transport can facilitate social connection; and 'structural enablers' focusing on how services are delivered (i.e., at neighbourhood level, community development, volunteering, and age positive approaches). It also highlights areas where a greater understanding of how to address loneliness within the older community is needed: within care settings; in black and minority ethnic groups; and with lesbian, gay, bisexual and trans older people. Case studies are used throughout to demonstrate the variety of solutions needed to address a very personal and individual problem. Includes specific recommendations for service providers, commissioners and those involved with search.

Preventing Crisis for Carers: a Princess Royal Trust for Carers' programme funded by the Moffat Charitable Trust: final evaluation report

KELLY Timothy B., et al
2010

An independent evaluation of the Crisis Prevention Programme, which comprised four individual pilot projects operating in four NHS board areas in Scotland and aimed to get support and advice for carers at an early stage, offer them a carer's assessment, reduce the pressure on their health, get them involved in discharge planning and train health and social care professionals in carer awareness. The evaluation found that the programme resulted in many improvements in hospitals, including: professionals were more likely to identify carers at an early stage and put support for them in place at an earlier stage; there were changes to ways of working which benefited carers; carers reported feeling that professionals had more recognition of their expertise in caring and understood their needs as a carer; carers felt more able to have a say in shaping the services they, or the person they cared for, received; and carers were provided with more information, such as being told of their right to a carer's assessment. The evaluation recommended that funding for carer support workers in hospitals continues and that carer awareness training should be mandatory for all healthcare professionals.

Preventing loneliness and social isolation in older people

COLLINS Emma
2014

This Insight looks specifically at the prevention of isolation and loneliness amongst older people, with a particular focus on what practitioners in the fields of health and social care should bear in mind when working to tackle this important and growing issue. It highlights the findings from past research and and evidence about what works, summarises the key characteristics of successful interventions, looks at how they relate to the prevention agenda, and the particular role health and social care professionals can play.

'When I get off the phone I feel like I belong to the human race': evaluation of the Silver Line Helpline pilots

CENTRE FOR SOCIAL JUSTICE
2013

An evaluation of the Silver Line helpline and befriending service which was set up in response to loneliness and isolation of older people in the UK. The service has been piloted in the North West of the UK, and in the Isle of Man since the end of November 2012 and provides a helpline offering information, referrals to other organisations and someone to talk to 24 hours a day. The evaluation included a literature review, interviews by phone and in person, and fieldwork in the three call centres. The results found that the service was fulfilling its three key objectives of providing a referral service, delivering a befriending service to combat loneliness, and to help identify those who are vulnerable and may be suffering abuse or neglect. The evalution also highlights the skills and values that staff and volunteers considered to be essential when operating the service. Key recommendations for the future included extending the pilot across the country through partnership.

Preventing loneliness and social isolation among older people

SOCIAL CARE INSTITUTE FOR EXCELLENCE, CONTACT THE ELDERLY
2012

This At a glance briefing explains the importance of tackling social isolation and loneliness, particularly among older people. It highlights the adverse effects of feeling isolated and describes a number of services that have been found to help reduce the problem. It draws on research evidence from SCIE's 'Research briefing 39: preventing loneliness and isolation: interventions and outcomes'. It also includes case study examples of two services - a befriending scheme and social group - that help to help mitigate loneliness and isolation and improve the wellbeing of older people.

Results 51 - 60 of 73

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