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Results for 'older people'

Results 41 - 50 of 328

Effect of board game activities on cognitive function improvement among older adults in adult day care centers

CHING-TENG Yao
2019

Stimulating leisure activities are considered as possible protective factors against dementia and cognitive decline in older adults, particularly due to the enhancement of cognitive reserve. This study tested the effectiveness of board game activities improving the cognitive function of older adults in adult day care centres. This was a quasi‐experimental study. A purposive sampling strategy was used to select 82 subjects who were aged 65 and above with intact mental functions and currently residing in adult day care centres. 41 subjects who participated in a selection of 12 board game activities were assigned to the experimental group and 41 subjects who adhered to their ordinary activities were allocated to the control group. Structured questionnaires of the board game programs were used for data collection. The board game programs showed promising effects in the cognitive function of older adults living in adult day care centres. A possible beneficial effect of board game playing on the risk of dementia could be mediated by a less cognitive decline in older adults. Board game activities may benefit the cognitive function of older adults. Incorporating board game activities into social work care may help develop long‐term care into a more diverse, unique and innovative direction.

Reaching out: guide to helping principal and local councils tackle loneliness

LOCAL GOVERNMENT ASSOCIATION, NATIONAL ASSOCIATION OF LOCAL COUNCILS
2019

A practical guide to help principal authorities and local councils to work together to tackle loneliness. The guide outlines the current loneliness policy context and uses a range of case studies to demonstrate effective models working in practice. It highlights four ways in which loneliness can be tackled at a local level: finding ways to reach and understand the needs of those experiencing loneliness; providing services that directly improve the number and quality of relationships that people have; providing support such as transport and technology to help sustain connections; and providing the right environment by creating the right structures and conditions locally to support those affected by, or at risk of, loneliness. Case studies include schemes to tackle loneliness and isolation in rural communities; older people's lunch clubs; supporting socially isolated adults and using tablet computers and video conferencing; and a model of Enhanced Primary Care. The guide includes useful check lists, advice on how to measure and evaluate outputs, and links to additional resources.

Indoor nature interventions for health and wellbeing of older adults in residential settings: a systematic review

YEO Nicola L., et al
2019

Background and Objectives: Having contact with nature can be beneficial for health and wellbeing, but many older adults face barriers with getting outdoors. This study conducted a systematic review of quantitative studies on health and wellbeing impacts of indoor forms of nature (both real and simulated/artificial), for older adults in residential settings. Research Design and Methods: Search terms relating to older adults and indoor nature were run in 13 scientific databases (MEDLINE, CINAHL, AgeLine, Environment Complete, AMED, PsychINFO, EMBASE, HMIC, PsychARTICLES, Global Health, Web of Knowledge, Dissertations and Theses Global, and ASSIA). This study also pursued grey literature, global clinical trials registries, and a range of supplementary methods. Results: Of 6,131 articles screened against eligibility criteria, 26 studies were accepted into the review, and were quality-appraised using the Effective Public Health Practice Project (EPHPP) tool. The participants were 930 adults aged over 60. Nature interventions and health/wellbeing outcomes were heterogeneous, which necessitated a narrative synthesis. The evidence base was generally weak, with 18 of 26 studies having a high risk of bias. However, several higher-quality studies found indoor gardening and horticulture programs were effective for cognition, psychological wellbeing, social outcomes, and life satisfaction. Discussion and Implications: There is inconsistent evidence that indoor nature exposures are beneficial for older care residents. This study suggests that successful interventions were, at least partly, facilitating social interaction, supporting feelings of autonomy/control, and promoting skill development, that is, factors not necessarily associated with nature per se. Higher-quality studies with improved reporting standards are needed to further elucidate these mechanisms.

Designing digital skills interventions for older people

PIERCY Laurence
2019

The internet and digital technologies can play a valuable role in supporting older and disabled people to improve health and wellbeing and gain easier access to health and care services. This report brings together recommendations for designing digital skills interventions for older people with care and support needs. It draws on insights from pathfinders in Sunderland and Thanet, which were funded by NHS Digital and supported by Good Things Foundation as part of the Widening Digital Participation programme. The pathfinders generated insights on small system-level changes that can embed digital inclusion in social care support and factors influencing digital inclusion within social housing schemes. The pilots also highlight the importance of engaging people at the right time when they can find relevance and value in technology. A list of useful resources are also included.

Can lifelike baby dolls reduce symptoms of anxiety, agitation, or aggression for people with dementia in long-term care? Findings from a pilot randomised controlled trial

MOYLE Wendy, et al
2019

Objectives: To compare a lifelike baby doll intervention for reducing anxiety, agitation, and aggression in older people with dementia in long-term care (LTC), with usual facility care; and explore the perceptions of care staff about doll therapy. Method: Pilot, mixed-methods, parallel, randomised controlled trial, with follow-up semi-structured interviews. Thirty-five residents from five LTC facilities in Queensland, Australia were randomised to the lifelike baby doll intervention (three, 30-minute, individual, non-facilitated sessions per week) or usual care. Outcomes were changes in levels of anxiety, agitation, and aggression after the 3-week intervention, and short-term effects at week 1. Following intention-to-treat principles, repeated measure MANOVA was undertaken. Qualitative interviews involved five staff. Results: The doll intervention did not significantly reduce residents’ anxiety, agitation, or aggression when compared to usual care at weeks 3 (primary outcome) and 1 (secondary outcome). However, there was a significant group-by-time interaction for the outcome of pleasure – the doll group showed a greater increase in displays of pleasure at week 3 compared to baseline than usual care (F(1,31) = 4.400, p = 0.044; Cohen’s d = 0.74). Staff perceived benefits for residents included emotional comfort, a calming effect, and providing a purposeful activity. Perceived limitations were that doll therapy may only be suitable for some individuals, some of the time, and the potential for residents to care for the doll at the expense of their health. Conclusions: Doll therapy can provide some residents with enjoyment and purposeful engagement. Further research should focus on understanding the individual characteristics and circumstances in which residents most benefit.

Healing the generational divide: interim report on intergenerational connection

ALL-PARTY PARLIAMENTARY GROUP ON SOCIAL INTEGRATION
2019

Interim report of the All-Party Parliamentary Group (APPG) on Social Integration inquiry on intergenerational connection, which examines the current gap between older and younger people, and what can be done to bridge it. The report sets out a series of suggestions to bring people of all ages and backgrounds together under four main policy areas: community projects and initiatives; public services; housing and planning; and technology. The report highlights how intergenerational projects are particularly effective in achieving social integration, improving wellbeing and tackling loneliness. It also includes examples of successful initiatives It highlights the benefits of taking a whole-society approach, including all policy areas and involving national and local government, not-for-profit organisations, the private sector and academia. Specific recommendations include: for nurseries, schools and care homes to foster connections between the different generations who use their services and, where possible, to co-locate services on one site and the creation of a national volunteering scheme that encourages older people to volunteer in their communities when they retire.

Loneliness and the aging population: how businesses and governments can address a looming crisis

PALMARINI Nicola, et al
2017

This report explores the growing problem of loneliness in older people, current interventions, and ideas for future solutions. It draws on insights from interviews with a range of experts from six countries, including insight from medical professionals, social workers, academic researchers, technologists. The report focuses on why it is important for organisations understand loneliness and ageing, the triggers for loneliness, and why loneliness is so difficult to alleviate. It also looks at what is being done to alleviate loneliness in the ageing population today and potential future solutions. The report shows that for older people, loneliness is an emerging risk factor that has implications for personal, economic, and societal well-being. It identifies three areas for developing future solutions to address loneliness: detecting loneliness earlier and intervening earlier; helping people feel more engaged with others, and helping people rebuild social capital. It also outlines suggested actions for providers, business and employers. Short case studies of initiatives are included.

WRVS: delivering the preventative social care agenda

BERRY Lynne
2010

This article starts by outlining the importance of increased prevention investment and produces a series of evidence that emphasises how preventative approaches improve the quality of life of older people, whilst providing value for money. It describes prevention in this context as: giving older people respect for who they are; giving older people the feeling they are in control; having people older people trust around them; and giving older people the help they want, when they need it. After providing simple statistics outlining the success, this article moves on to illustrate, through personal stories, how the work of the Women's Royal Voluntary Service (WRVS) sits at the heart of delivering the preventative social care agenda. The paper ends by putting out a question for debate: what will the entitlement to preventative support mean in practice in a reformed social care system?

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.

Hospital to a Healthier Home: evaluation of a winter pressures pilot service

CARE AND REPAIR CYMRU
2019

An evaluation of the Hospital to a Healthier Home pilot scheme, delivered by Care and Repair, which ran from 11 hospitals between January and March 2019. The scheme aimed to support older people to be safely and more quickly discharged from hospitals to their homes and prevent them being re-admitted by making their homes safe and more accessible. This evaluation describes how the Hospital to a Health Home case worker service started, what type of interventions have been provided to patients and hospital staff, costs, benefits and the difference it has made to patient well-being, quicker safe discharges, and preventing re-admissions. The pilot involved dedicated Care and Repair case workers based at each hospital to facilitate practical improvements to a patient’s home and offer practical support on issues such as benefits entitlements. During the evaluation period: 626 patients were referred through Hospital to a Healthier Home service; 508 patients received work that helped quicker safe discharge. Based on a local assessment of bed day savings, the evaluation found that service costs are fully substantiated, and return £2.80 for every £1 invested (both revenue and capital). NHS frontline staff interviewed for the evaluation study also felt the service was of significant benefit and had the potential to deliver more.

Results 41 - 50 of 328

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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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