Results for 'older people'
Results 21 - 30 of 328
A review of the current literature and evidence on effective interventions to tackle social isolation amongst older people. Based on the findings from the review, the report recommends that: interventions should be targeted at those most at-risk; base their activities on the evidence of what works; and focus on providing group activities, particularly those which have an arts, educational learning or social focus and are participatory. It also recommends exploring the use of using new technologies, such as the internet and Skype.
QUAN Nicolas G., et al
Objectives: This study aimed to review loneliness interventions for older adults living in long-term care (LTC) facilities over the past 10 years, to categorise interventions by type, and to compare effectiveness of loneliness interventions in these settings. Methods: Systematic review followed PRISMA guidelines. Articles matching search criteria were collected from PubMed, PsycINFO, and Web of Science from 2009 to 2019. The inclusion criteria were as follows: 1) English language, 2) intervention studies with a quantitative measure that compares pre-trial to post-trial changes, 3) loneliness as a primary or secondary outcome 4) subjects age >65, and 5) subjects living in a LTC facility, such as a nursing home, assisted-living, or hospice. Results: A total of 15 intervention studies qualified for systematic review. Most of these interventions were psychological therapies and leisure/skill development interventions. Approximately, 87% of studies reported significant decreases in loneliness following intervention. Laughter therapy, horticultural therapy, and reminiscence therapy were associated with the greatest decreases in loneliness. Discussion: Results suggest that, although less common than interventions in the community, there are several effective interventions to reduce loneliness among older adults living in LTC facilities. Lack of standardised measures and high-quality studies limits comparisons between intervention types and generalizability to different populations.
ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
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.
PUBLIC HEALTH ENGLAND
This report summarises the evidence on nine identified interventions to support older people. It is the final report of a project to provide a return on investment (ROI) tool to help stakeholders and decision-makers to compare the cost-effectiveness of interventions to reduce the need for services in older adults. The focus is on the use of social care services, but the report also reviews interventions which also reduced the need for health services. The ROI includes nine interventions, identified though a literature review. They are: community singing; a help at home scheme; a befriending service; the WHELD intervention for people living with dementia in nursing home; the INTERCOM intervention providing hospital discharge support for COPD patients; voluntary and community sector (VCS) services aimed at patients with long-term conditions, which use social prescribing and other approaches to put patients in touch with services; health coaching; the BELLA intervention providing self-management support for COPD patients; and a home care reablement service. An accompanying technical report provides further detail of the literature review, selection of the interventions for inclusion in the tool and the modelling methods. The return investment tool is available to download. It can be adapted to local conditions and presents results showing the economic benefits of each intervention.
WISTOW Gerald, LEWIS Helen
Paper written as a background to a seminar on preventative services to older people. Outlines the issues and goes on to look at: what preventative services are; what obstacles to well being are faced by older people; what services there should be; what is currently available; what blockages there are preventing such services being available more widely; what is known about the effectiveness of such services; and key messages for policy makers.
MILLER Robin, et al
English adult social care commissioners are expected to make ‘evidence based’ decisions on how best to invest public sector funding. This study explores the types of evidence that commissioners use in relation to prevention services for older people and the other factors that influence their investment decisions. A study of local authority Directors of Adult Social Services (DASSs) was used to identify three local prevention interventions. Semi-structured interviews with leads for these interventions explored the evidence and other factors that influenced the investment process. Commissioners drew on a variety of published evidence, in particular that deriving from central government and its regional representative bodies, and third sector organizations with specialist knowledge. Local evidence was also generated through the undertaking of pilots and gathering of performance data. Alongside these ‘rational’ decision-making processes were strong political, personal, and relational dimensions related primarily to the influence of elected members and the hierarchical power of DASSs. Capturing experiential evidence and knowledge of service users and frontline practitioners, being clear about expected impacts and monitoring accordingly, and using recognized evaluation tools would provide further local evidence and enable better comparison and sharing across local authorities.
HASLAM Catherine, et al
Objectives: Reminiscence is a popular intervention for seniors, but, with mixed evidence supporting its efficacy, questions have been raised about the mechanisms underlying improvement. The present paper addresses this question by investigating the degree to which health effects depend on the development of a shared sense of group identification. This is examined in the context of traditional story-based reminiscence as well as novel forms of song-based reminiscence.Method: As the focus of a manualised intervention, 40 participants were randomly assigned to secular song (n = 13), religious song (n = 13), or standard story reminiscence (n = 14) groups. These were run over six weeks with cognitive performance, anxiety, and life satisfaction measured before and after the intervention. Measures of group fit were included to examine whether social identification contributed to outcomes.Results: No evidence of change emerged over time as a function of intervention form alone, but analysis of identification data revealed significant interactions with the type of reminiscence group. Specifically, initial fit with the story reminiscence group was associated with enhanced cognitive outcomes and greater life satisfaction, while fit with the religious song reminiscence group was associated with greater life satisfaction and less anxiety.Conclusion: These findings show that group identification is a key moderator through which reminiscence promotes health outcomes. Implications for theory and practice highlight an inherent limitation in randomised controlled trials insofar as they may compromise participants’ group identification.
Focusing on older people, this article seeks a way to locate prevention within a theoretical model of successful ageing. This conceptualises ageing as involving adaptation to the changing balance between gains and losses over the life course. Successful ageing is perceived as the attainment of valued goals, the minimisation of losses and maximisation of gains through the linked processes of selective compensation and optimisation. Preventive services may be conceived as resources to be drawn upon to support compensatory strategies. Outcomes and effectiveness of services may be evaluated in terms of whether they facilitate/ allow older people to achieve valued goals. In developing and evaluating preventive services in social care the question is what contribution do specific services make in optimising gains and compensating for the losses that accompany ageing? This framework is explored in respect of two areas ripe for secondary prevention services and strategies - bereavement and instrumental support in the home.
ALLEN Kerry, GLASBY Jon
There is a need to invest more fully and strategically in both prevention and rehabilitation for older people, to help them stay healthier, more independent and more socially included for longer and to recover these capacities as fully as possible when they do require hospital treatment. While there is growing recognition that only a more preventative agenda will be sufficient to respond to current and future pressures, there is much less clarity about how to do this in practice. This paper seeks to identify the most promising ‘10 high impact changes’ with regards to prevention in older people’s services. The paper draws on two main sources. The first is an EU review of prevention and long-term care in older people’s services across 14 European counties known as Interlinks. The second key source is a recent review of the social and economic benefits of adult social care, commissioned by the Department of Health and Downing Street. This paper identifies and reviews the following 10 prevention strategies: promoting healthy lifestyles; vaccination; screening; falls prevention; housing adaptations and practical support; telecare and technology; intermediate care; reablement; partnership working; and personalisation.
BARLOW James, et al
This systematic review of 68 randomised controlled trials and 30 large scale observational studies, two-thirds from the USA and 10% from the UK, finds that the most effective telecare interventions appear to be automated vital signs monitoring (for reducing health service use) and telephone follow-up by nurses (for improving clinical indicators and reducing health service use). The cost-effectiveness of these interventions is less certain. Far less evidence about mental health conditions, such as dementia or depression, was found than for physical health conditions, such as heart disease and diabetes. In addition, very few studies were found on the effects of home safety and security systems such as fall detectors and alarm systems, despite their widespread use.
Results 21 - 30 of 328