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Results for 'older people'

Results 11 - 20 of 251

Health at home: a new health and wellbeing model for social housing tenants

PEABODY
2018

Explores how housing support services and community-based health services can deliver effective services at lower cost; encourage self-care for the most vulnerable customers and reduce dependency on direct support; work with other agencies to ensure a coordinated response to the residents’ complex and multiple health needs. The report sets out the findings of a study which aimed to test a person-centred support model using a randomised control trial of 261 general needs residents aged over 50. The service model employed health navigators and volunteers to coach and connect residents with the relevant health, housing and community services they need. The study used to measurement tools to assess impact: the Patient Activation Measure (PAM) and Coaching for Activation (CFA). The study found that three months of intervention with those who started in PAM Level 2 was sufficient to move them up, on average, an entire PAM level. This increase in activation was sustained for at least nine months after the intervention ended, suggesting that participants gained the skills and confidence to effectively manage their health without further support after the initial intensive intervention. This is significant as one of the largest studies into cost reductions from PAM level changes in the United States found that patients who moved from Level 2 to Level 3 reduced their annual healthcare costs by 12%. Existing evidence also indicates that when people become more active in self-care, they benefit from better health outcomes, and fewer unplanned health admissions. The report concludes that there is a clear and compelling case for continuing to support integrated care and strengthen links between the health and housing agendas.

Arts on prescription for community‐dwelling older people with a range of health and wellness needs

POULOS Roslyn G., et al
2019

Published evidence for the role of participatory art in supporting health and well‐being is growing. The Arts on Prescription model is one vehicle by which participatory art can be delivered. Much of the focus of Arts on Prescription has been on the provision of creative activities for people with mental health needs. This Arts on Prescription program, however, targeted community‐dwelling older people with a wide range of health and wellness needs. Older people were referred to the program by their healthcare practitioner. Professional artists led courses in visual arts, photography, dance and movement, drama, singing, or music. Classes were held weekly for 8–10 weeks, with six to eight participants per class, and culminated with a showing of work or a performance. Program evaluation involved pre‐ and postcourse questionnaires, and focus groups and individual interviews. Evaluation data on 127 participants aged 65 years and older were available for analysis. This study found that Arts on Prescription had a positive impact on participants. Quantitative findings revealed a statistically significant improvement in the Warwick–Edinburgh Mental Well‐being Scale (WEMWBS) as well as a statistically significant increase in the level of self‐reported creativity and frequency of creative activities. Qualitative findings indicated that the program provided challenging artistic activities which created a sense of purpose and direction, enabled personal growth and achievement, and empowered participants, in a setting which fostered the development of meaningful relationships with others. This evaluation adds to the evidence base in support of Arts on Prescription by expanding the application of the model to older people with a diverse range of health and wellness needs.

Age UK Rotherham hospital aftercare service: evaluation of the pilot extension into UECC and AMU at TRFT

DAYSON Chris, BASHIR Nadia, LEATHER David
2018

An independent evaluation of the pilot extension of the Age UK Rotherham (AUKR) Hospital Aftercare Service (HAS, into the Emergency Department and Assessment Medical Unit of The Rotherham Foundation Trust Hospital. The pilot, funded by the Clinical Commissioning Group (CCG), ran from 1st October 2017 to 30th September 2018. The evaluation looks at outcomes, focussing on the impact of the service on avoidable hospital admissions, patient experience and independence. It reports that the pilot service provided support to 239 older people who would otherwise have been admitted, offering transport to return home where safe to do so, help and support to settle back in at home and support to access other forms of community based support to enable them to continue to live independently. The findings of the evaluation were overwhelmingly positive. Outcomes achieved include: the prevention of 20 in-patient admissions resulting in the avoidance of £32,180 (estimated) in NHS costs; the provision of additional support in their home to 55 HAS patients and access additional benefits entitlements with a total value of £22,243.55; and reduced waiting times for patient prior to discharge and an improved flow through UECC. Both patients and staff were very positive about the service. The evaluation estimates that overall the pilot led to total benefits (to health services and to patients) of £65,704, a return on investment of 73 pence (£0.73) for each pound (£) invested by the CCG.

Raising the bar on strength and balance: the importance of community-based provision

CENTRE FOR AGEING BETTER
2019

This report draws on work from the University of Manchester Healthy Ageing Research Group, which worked with communities to better understand the challenges of delivering strength and balance programmes for older adults in the local community. These activities could include resistance training, aerobics classes and yoga groups. The report argues that NHS falls rehabilitation services often don’t have the funding or ability to provide sufficient strength and balance programmes to meet existing needs, which means an effective community-based response is essential. The report presents different models of delivery of community-based activities, barriers to delivery and examples of innovative solutions identified during the project. The findings cover five themes: raising awareness, encouraging uptake, exercise referral pathways that work, sticking to the evidence, and monitoring for outcomes and improvements. Each theme highlights five key points to ensure that strength and balance exercise programmes are delivered to the right people, at the right time, and by the right people, so that older adults achieve positive results. Recommendations for commissioners, providers and health care professionals are also included. These include for NHS and local authorities support evidence-based programmes and for improved collaboration between those referring people to programmes and those delivering them.

Precious memories: a randomized controlled trial on the effects of an autobiographical memory intervention delivered by trained volunteers in residential care homes

WESTERHO Gerben J., et al
2018

Objectives: This study assesses the effects of an autobiographical memory intervention on the prevention and reduction of depressive symptoms in older persons in residential care. Trained volunteers delivered the intervention. Methods: A randomized controlled trial was carried out with depressive symptoms as the primary outcome. The experimental condition received the intervention Precious Memories one-on-one, whereas the control condition had individual unstructured contacts with a volunteer. Participants were 86 older persons living in residential care. There were three measurements: pre-intervention, post-intervention (2 months after the first measurement), and follow-up (8 months after the first measurement). Besides depressive symptoms, the retrieval of specific positive memories was measured as a process variable. Anxiety, loneliness, well-being, and mastery were assessed as secondary outcomes. Results: Depressive symptoms improved equally in the intervention and the control condition at post-measurement. Participants with clinically relevant depressive symptoms also maintained the effects at follow-up in both conditions. The retrieval of specific positive memories improved more in the autobiographical memory intervention, although this was not maintained at follow-up. Anxiety and loneliness improved equally well in both conditions, but no effects were found for well-being or mastery. Conclusion: It is concluded that volunteers can deliver the intervention and contribute to the mental health of this highly vulnerable group of older adults.

Age Friendly Island: local evaluation. Annual evaluation report 17/18

NATIONAL DEVELOPMENT TEAM FOR INCLUSION
2018

Age Friendly Island (AFI) is one of 14 partnership programmes funded through Big Lottery Fulfilling Lives: Ageing Better Programme, to pilot new or joined up ways of working to reduce social isolation in older people. This report presents the findings of an evaluation undertaken in the Isle of Wight in 2017-18, the third year of the Programme. The Programme consists of 12 projects, including Community and Care Navigators, Alzheimers Cafe, Care for Carers, Men in Sheds and Mental Health Peer Support. It finds that the Programme has continued to make progress made towards achieving the four main Programme outcomes. It reports that the Programme has continued to opportunities for older people to increase their social connections and has led to decreased social isolation for people involved across the projects; older people are increasingly co-producing and shaping their own individual support and the services; and significant progress towards the Isle of Wight becoming an Age friendly Island, with an increase in inter-generational activities. Although quantitative health and well-being measures have demonstrated either no progress or minimal changes to levels of health and wellbeing, interviews with participants have shown that participation in the Programme has had a positive impact on the physical and mental health, wellbeing and /or quality of life of those involved. The report includes recommendations for the Ageing Better Programme team and for the projects in the Programme.

Oomph! Wellness

Oomph! Wellness

Oomph! (Our Organisation Makes People Happy) Wellness is a national organisation with the mission to 'help older adults live a full life, for life'. Oomph! has worked in care settings since 2011, to train and support staff and encourage older adults to get active and combat growing levels of social isolation.

Health and Wellbeing Innovation Commission Inquiry: social connections and loneliness

BEACH Brian
2018

This report reflects on how innovation can help foster and improve social connections to the benefit for all people in an ageing society. It also sets out examples of effective innovation in the area of social connections, opportunities and barriers to further innovation, and recommendations to support innovation. The report is based on an oral evidence session where expert witnesses gave evidence to the commissioners and research from ILC-UK. It is one of four publications from ILC-UK’s Health and Wellbeing Innovation Commission Inquiry, which examined the potential for innovation in the areas of health and wellbeing to ensure that services remain sustainable, address needs efficiently, and contribute to positive experiences in later life.

Building age-friendly neighbourhoods in Greater Manchester: evidence from the Ambition for Ageing programme

THORLEY Jessica
2018

This report draws on research and learning gathered from the Ambition for Ageing programme, which aimed to help to create more age-friendly places and empower people to live fulfilling lives as they age. Using data and information collected from the programme, the report looks at what older people across Greater Manchester thinks makes a neighbourhood age-friendly. It draws on the: event feedback, participant and volunteer survey responses and a snapshot of case studies. The programme identified key themes for building age-friendly neighbourhoods. These are: the need for positive social connections and community cohesion; participation and meeting opportunities; good accessibility, facilities and transport; community spaces and resources; feelings of safety and security; and available information with effective communication.

What makes an age-friendly neighbourhood: briefing

AMBITION FOR AGEING
2018

Drawing on the findings from the Ambition for Ageing programme, this briefing explores what older people across Greater Manchester feel makes an age-friendly neighbourhood. Their responses covered six main themes that interlink to make an age-friendly neighbourhood: Community, integration and belonging; Meeting and participation opportunities; Community resources and spaces; Accessibility, transport and facilities; Feelings of safety and security; and Information and Communication. The Ambition of Ageing programme aimed to find out what works in reducing social isolation by taking an asset-based approach and creating age-friendly communities.

Results 11 - 20 of 251

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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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