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Results for 'literature reviews'

Results 1 - 10 of 43

Day centres for older people: a systematically conducted scoping review of literature about their benefits, purposes and how they are perceived

ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
2020

With a policy shift towards personalisation of adult social care in England, much attention has focused on individualised support for older people with care needs. This article reports the findings of a scoping review of United Kingdom (UK) and non-UK literature, published in English from 2005 to 2017, about day centres for older people without dementia and highlights the gaps in evidence. This review, undertaken to inform new empirical research, covered the perceptions, benefits and purposes of day centres. Searches, undertaken in October/November 2014 and updated in August 2017, of electronic databases, libraries, websites, research repositories and journals, identified 77 relevant papers, mostly non-UK. Day centres were found to play a variety of roles for individuals and in care systems. The largest body of evidence concerned social and preventive outcomes. Centre attendance and participation in interventions within them impacted positively on older people's mental health, social contacts, physical function and quality of life. Evidence about outcomes is mainly non-UK. Day centres for older people without dementia are under-researched generally, particularly in the UK. In addition to not being studied as whole services, there are considerable evidence gaps about how day centres are perceived, their outcomes, what they offer, to whom and their wider stakeholders, including family carers, volunteers, staff and professionals who are funding, recommending or referring older people to them.

What is the evidence on the role of the arts in improving health and well-being? A scoping review

FANCOURT Daisy, FINN Saoirse
2019

This scoping review maps the current evidence on the role of the arts in improving health and well-being, with a specific focus on the WHO European Region. Over 900 publications were identified, including reviews, systematic reviews, metaanalyses and meta-syntheses covering over 3000 studies, and over 700 further individual studies. Overall, the findings demonstrated that the arts can play a major role in the prevention of ill health, promotion of health, and management and treatment of illness across the lifespan. Within prevention and promotion, findings showed how the arts can: affect the social determinants of health, support child development, encourage health-promoting behaviours, help to prevent ill health and support caregiving. Within management and treatment, findings showed how the arts can: help people experiencing mental illness; support care for people with acute conditions; and support end-of-life care. The report raises policy considerations relevant to the cultural and the health and social care sectors. It concludes that the beneficial impact of the arts could be furthered through acknowledging and acting on the growing evidence base; promoting arts engagement at the individual, local and national levels; and supporting cross-sectoral collaboration.

Review of the impact of loneliness and social isolation on health and well-being and whether people who experience loneliness/social isolation have higher use of public services

WEAKLAND John H, OWENS Janine, SIROIS Fuschia M.
2019

This research, carried out by the University of Sheffield and OB3 Research, explores whether loneliness and social isolation result in increased use of public and health services. It also looks at the types of contexts that led to increased or decreased service use as a result of loneliness and social isolation. The research involved a scoping review of the literature, a meta-analysis of nine papers and a consultation with 10 key organisations representing a range of groups in Wales. The consultation identified issues for a number of groups, including children, older people, refugees and asylum seekers, LGBTQ people, single parents, and carers. The findings suggest that loneliness and social isolation do play a part in increased use of services, but that loneliness and social isolation alone do not create the conditions for increased service use. Perceptions of loneliness and social isolation for the service users can also be intensified by inconsistency in accessing services, particularly for those who are from already stigmatised groups. The report discusses key themes and their relationship with loneliness, social isolation, access to services and service use. Including: stigma and service use; service related barriers; bullying and victimisation; disabilities; housing, poverty, and changes to service delivery. It makes 16 recommendations for the Welsh Government, which include: for research into loneliness and social isolation, and the recruitment of more peer support workers into the voluntary and public sector to support different groups of people.

Preventive social care: is it cost effective?

CURRY Natasha
2006

This paper attempts to pull together and review key pieces of evidence about the cost effectiveness of prevention. The findings, which reflect a paucity of quantified information about the effectiveness of preventive interventions, suggest that there is a strong financial case for reducing hospitalisation (particularly through falls) and for reducing the rate of institutionalisation by maintaining independence. Small-scale trials show that small interventions could prevent falls and reduce the rate of institutionalisation. However, establishing a direct causal relationship between such interventions and long-term financial savings has proved problematic although. There is a lack of consensus over the cost effectiveness of intermediate care although there is evidence that it is cost effective when targeting specific groups/illnesses/events such as stroke and falls. Evidence for secondary stroke prevention services is perhaps the strongest, and most widely quantified, body of research. There is some evidence that primary prevention strategies (such as smoking cessation and reduced salt intake) have potential to reduce the incidence of stroke. The paper makes a series of recommendations, calling for a greater focus on low-level interventions, particularly where there is qualitative evidence that they are valued by service users; implementation of promising interventions, even if not supported by robust evidence, accompanying by formal evaluation during roll-out; development of standard outcome measures of prevention; targeting resources to ensure greatest impact; and greater integration between health and social care services as a drive to shift services towards the preventive end of the spectrum.

Men's Sheds: a conceptual exploration of the causal pathways for health and well‐being

KELLY Danielle, et al
2019

Although men have a lower life expectancy than women, and are more susceptible to illness, they have been found to be less likely to engage in health‐seeking behaviour. Men's Sheds, as a gendered intervention, has been identified as an effective way to engage men in meaningful activity and gain social support from others. However, links between sheds and health and well‐being are not well‐documented, and evidence is lacking of the potential causal pathways to health generation. This study aims to develop a plausible empirically based causal theory of how Men's Sheds influence the health and well‐being of their participants and to set out future research directions to test this theory. Drawing on a scoping review of academic, peer‐reviewed journal articles published between 1990 and 2018, potential causal linkages between shed activity and health and well‐being outcomes are synthesised into a logic model framework. Sixteen relevant peer‐reviewed journal were identified from the academic literature. The data from the articles are predominantly self‐reported, and characterised by small sample sizes and/ or low response rates. Further, information is lacking on the demographics of Men's Shed participants and the contexts in which they exist. Most notably, while there is some evidence on the potential mental health and social well‐being impacts of shed activities, physical health is less documented. The study shows that there is a lack of reliable and systematic evidence of the potential causal pathways between Men's Shed activities and health and well‐being outcomes. In order to address research gaps, further research is required to test and develop the proposed theory and logic model.

An evidence summary of health inequalities in older populations in coastal and rural areas: full report

PUBLIC HEALTH ENGLAND
2019

A rapid evidence review on the health inequalities experienced by older people in coastal and rural areas, supplemented with case studies. The review aimed to identify key determinants of health inequalities experienced by older populations in coastal and rural areas; looks at the strengths and assets of ageing populations in these areas; reviews the effectiveness health and social care system interventions and whole system approaches; and assess the opportunities for using digital technology. In addition to a rapid review of the national literature (covering the UK and Ireland), a search of international literature focusing on interventions to reduce health inequalities was also carried out. It is intended for local authorities, clinical commissioning groups and other health and care organisations to inform strategic planning, service design and commissioning, as well as the development of local community infrastructure. It also provides summary of key considerations in taking an asset-based approach in reducing inequalities and promoting productive healthy ageing in these areas. Two accompanying reports have also been published, an executive summary with main messages and an annex of included studies.

Loneliness: a reading list

BELLIS Alexander
2019

A selective reading list on loneliness, focusing mainly on research published since 2010. The references discuss both direct and indirect links to outcomes, both social isolation and loneliness or both causes and interventions. The references are categorised into several themes, which include: age-related studies, veterans, homelessness, disabled people, BAME communities, LGBT people, links to health and mental health, social media, costs of loneliness, and loneliness interventions. Not all are based on data from the UK.

A life less lonely: the state of the art in interventions to reduce loneliness in people with mental health problems

MANN F., et al
2017

PURPOSE:: There is growing evidence of significant harmful effects of loneliness. Relatively little work has focused on how best to reduce loneliness in people with mental health problems. This study aims to present an overview of the current state of the art in loneliness interventions in people with mental health problems, identify relevant challenges, and highlight priorities for future research and implementation. METHODS: A scoping review of the published and grey literature was conducted, as well as discussions with relevant experts, to propose a broad classification system for types of interventions targeting loneliness. RESULTS: Interventions were categorised as 'direct', targeting loneliness and related concepts in social relationships, and 'indirect' broader approaches to well-being that may impact on loneliness. Four broad groups are described of direct interventions: changing cognitions; social skills training and psychoeducation; supported socialisation or having a 'socially-focused supporter'; and 'wider community approaches'. The most promising emerging evidence appears to be in 'changing cognitions', but, as yet, no approaches have a robust evidence base. Challenges include who is best placed to offer the intervention, how to test such complex interventions, and the stigma surrounding loneliness. CONCLUSIONS: Development of clearly defined loneliness interventions, high-quality trials of effectiveness, and identifying which approaches work best for whom is required. Promising future approaches may include wider community initiatives and social prescribing. It is important to place loneliness and social relationships high on the wider public mental health and research agenda.

Heritage and wellbeing. The impact of historic places and assets on community wellbeing: a scoping review

PENNINGTON Andy, et al
2019

A scoping review of evidence on the impact of heritage places, interventions, and assets – things like historic objects, monuments or buildings – to discover how they impact individual and community wellbeing. The primary focus of the review was on impacts of historic places and assets set within the ‘living environment’ of communities, but it also considers evidence from projects that used historic objects/artefacts, for example, in the care of people with dementia in care homes and other healthcare settings. The review looked at 75 papers and reports. It found higher and lower quality evidence that historic places, assets and associated activities and interventions can have a wide range of beneficial impacts on the physical, mental and social wellbeing of individuals and communities. These include increased life satisfaction and social connectivity for individuals and positive effects on community wellbeing such as social relationships, sense of belonging, pride of place, ownership and collective empowerment. It also identifies important gaps in the research, and highlights potential negative wellbeing impacts of participating in heritage-based interventions, or living in historic areas. Potential negative impacts of interventions appear to be related to how well the design and delivery of interventions considered the needs of specific individuals and groups.

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.

Results 1 - 10 of 43

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News

Moving Memory

Moving Memory Practice example about how the Moving Memory Dance Theatre Company is challenging perceived notions of age and ageing.

Chatty Cafe Scheme

Chatty Cafe Scheme Practice example about how the Chatty Cafe Scheme is helping to tackle loneliness by bringing people of all ages together

Oomph! Wellness

Oomph! Wellness Practice example about how Oomph! Wellness is supporting staff to get older adults active and combat growing levels of social isolation

KOMP

KOMP Practice example about how KOMP, designed by No Isolation is helping older people stay connected with their families

LAUGH research project

LAUGH research project Practice example about a research project to develop highly personalised, playful objects for people with advanced dementia
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