Results for 'online services'
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BOULTON Elisabeth R., et al
Background: During the 2020 coronavirus (COVID-19) crisis, millions of older adults (70+) across the UK (and elsewhere) are being advised to be particularly stringent about social distancing, and to avoid contact with those outside their household. Social distancing places them at even higher risk than normal of social isolation and loneliness, which can adversely affect quality of life, wellbeing and mental health, and are associated with physical ill health and mortality. Methodology: the researchers followed a ‘review of reviews’ methodology to synthesise evidence from related (but differing) remote interventions for social isolation and loneliness, to help inform decisions about different approaches. Findings: the review reports on the following interventions: supported video-communication interventions; telephone befriending; online discussion groups and forums; social networking sites and multi-tool interventions (PC, training, messaging, chat groups). Interventions vary greatly, making it difficult to isolate the effective elements. Concepts of loneliness and social isolation vary, making comparisons and conclusions challenging. Conclusion: the findings from this review do not lead to recommending particular modes of delivering befriending, social support, or low intensity psychological interventions (e.g. videoconferencing, telephone calls, chat rooms or forums), but they do suggest that the characteristics identified through the detailed analysis of components should be incorporated into the delivery of an intervention.
NOONE Chris, et al
A rapid review to assess the effectiveness of video calls for reducing social isolation and loneliness in older adults. The review also sought to address the effectiveness of video calls on reducing symptoms of depression and improving quality of life. Selection criteria: Randomised controlled trials (RCTs) and quasi‐RCTs (including cluster designs) were eligible for inclusion. Main results: Three cluster quasi-randomised trials, which together included 201 participants were included in this review. The included studies compared video call interventions to usual care in nursing homes. None of these studies were conducted during the COVID-19 pandemic. Each study measured loneliness using the UCLA Loneliness Scale. The evidence was very uncertain and suggests that video calls may result in little to no difference in scores on the Geriatric Depression Scale compared to usual care at three months' follow-up. Conclusion: Based on this review there is currently very uncertain evidence on the effectiveness of video call interventions to reduce loneliness in older adults. The review did not include any studies that reported evidence of the effectiveness of video call interventions to address social isolation in older adults. The evidence regarding the effectiveness of video calls for outcomes of symptoms of depression was very uncertain. Future research in this area needs to use more rigorous methods and more diverse and representative participants.
PRESTON Claire, MOORE Stephen
The drive to deliver services addressing loneliness in older people by telephone and online makes it increasingly relevant to consider how the mode of communication affects the way people interact with services and the capacity of services to meet their needs. This paper is based on the qualitative strand of a larger mixed-methods study of a national phoneline tackling loneliness in older people in the United Kingdom. The research comprised thematic analysis of four focus groups with staff and 42 semi-structured interviews with callers. It explored the associations between telephone-delivery, how individuals used the services and how the services were able to respond. To understand these associations, it was useful to identify some constituent characteristics of telephone communication in this context: namely its availability, reach and non-visual nature. This enabled various insights and comparison with other communication media. For example, the availability of the services attracted people seeking frequent emotional support but this presented challenges to staff. More positively, the ability of the services to connect disparate individuals enabled them to form different kinds of satisfying relationships. The evolution of mixed communication forms, such as internet-based voice communication and smartphone-based visual communication, makes analysis at the level of a technology's characteristics useful. Such a cross-cutting perspective can inform both the design of interventions and assessment of their suitability for different manifestations of loneliness.
SIDE BY SIDE RESEARCH CONSORTIUM
A toolkit to help people to plan and run mental health peer support in the community. The toolkit will be especially useful for those wanting to set up new projects or those involved in commissioning peer support. It outlines the three main approaches to community-based peer support and lists a core set of values underpinning peer support, and make it different from other forms of mental health support. It also looks at how peer support might be organised and provides guidance on how to better understand and communicate the impact of groups. Sections of the toolkit include reflection questions and activities which were developed alongside more than 10 groups and projects. Links to useful resources are included. The toolkit is based upon research undertaken by the Side by Side evaluation partners, which included St George’s, University of London, the McPin Foundation, and the London School of Economics.
Evaluation of the Tinder Foundation and NHS England Widening Digital Participation programme, which set out to improve the digital health skills of people in hard-to-reach communities in order to help them take charge of their own heath. It aimed to ensure that health inequalities resulting from digital exclusion do not become more pronounced. The programme involved: building a Digital Health Information network of local providers who provided face-to-face support to help people improve their skills; developing digital health information; supporting people to access health information online and learn how to complete digital medical transactions; and funding Innovation Pathfinder organisations to test innovative approaches to help people improve their digital health skills. This report evaluates the key figures and learning from the final year of the project and also provides a summary of the key findings across the three-year programme. It discusses the scale and impact of behaviour change on frontline services; priority audiences participating, including people with dementia and people with learning disabilities; and new models of care. The evaluation found that during the duration of the project 221,941 people were trained to use digital health resources. This has resulted in more people using the internet as their first port of call for information, and potential savings from reduced GP and A&E visits. The report estimates that the combined annual cost savings of reduced visits to GPs and A&E comes to approximately £6 millon against an NHS investment of £810,000 in year three.
This booklet sets out research findings of the benefits of supporting people to self-manage. It also sets out the evidence for the impact of self-management education for patients, proactive telephone and psychosocial support, home-based self-monitoring and simplified dosing strategies and information. Self-management includes all the actions taken by people to recognise, treat and manage their own healthcare independently of or in partnership with the healthcare system. People feel more confident and engaged when they are encouraged to self-manage by professionals, therefore supporting self-management is key to prioritising person-centred care. Drawing on the findings from 228 systematic reviews, the paper concludes that the top three things that might most usefully be invested in are disease specific, generic and on-line self-management courses, proactive telephone support and self monitoring of symptoms and vital signs.
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