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Results for 'prevention'

Results 1 - 10 of 134

Call&Check: a community service which disrupts the norm

DICKINSON Joe
2019

In this project presentation the author, inventor of Call&Check UK, describes the service which is designed to enable people to live independently and confidently in their own homes. Regular visits are made by a postman/postal operator and who asks five short questions to find out how the recipient is and if there is anything they need. Call&Check works not only for older people in communities but for many others who need that little extra support to live at home.

Agents for change: an evaluation of the Somerset Village Agents programme

COMMUNITY COUNCIL FOR SOMERSET
2017

An evaluation of the Somerset Village Agents programme, which aims to reduce isolation and help connect excluded and vulnerable people with services that support them to improve their independence, health and wellbeing. It uses locally based staff who act as first point of contact for people needing information and support. The evaluation, undertaken jointly by South West Forum and Clarity CiC with support from University of Gloucestershire, included analysis of client data, interviews with clients and discussions with locally based staff. Analysis was carried out between October 2016 and February 2017. The results of the evaluation found that the Somerset Village Agents programme is highly regarded by clients, statutory agencies and voluntary and public organisations who have a connection with the programme. It is also helping the most isolated, lonely and vulnerable people in the community, especially older people and those with disabilities and/or long-term health conditions. Areas for potential improvement identified by the evaluation included expanding reach of the programme to reach more younger people and more work to build community capacity. A cost benefit analysis of the programme estimates that for the 21-month period reviewed the Village Agents programme cost £646,000 to deliver and generated £2.5 million in direct savings to the state and a further £2.74 million in wider social value. The report makes recommendations for the future development of the programme.

Bringing people together: how community action can tackle loneliness and social isolation

ANDERSON Zoe, et al
2019

Learning and examples from a range of community and voluntary sector projects tackling social isolation and loneliness in the UK. Drawing on the work of charities, the report considers the causes of loneliness, looks at 'what works' to prevent it and suggests ways to offer support to those who are isolated or lonely. Preventative initiatives include giving something back through volunteering, helping people to take on new interests, and investing in community spaces to help people share interests together. Examples to support those who are lonely or isolated include giving people choices in how to get involved and to make steps manageable, simple solutions such as befriending and peer support, tailoring solutions for different age groups, and using technology such as such as social media and computer tablets to widen access to support. The report shows that supporting people to improve their mindset, building new connections with others, building confidence and developing a new sense of purpose, can have a big impact in reducing feelings of loneliness and isolation. The report is based on interviews with funded organisations and staff in The National Lottery Community Fund staff.

Reducing older people's need for care: exploring risk factors for loss of independence

WHYARD Julia
2019

An executive summary of a report commissioned by Nottinghamshire County Council to explore recent evidence and identify a set of risk factors to older people’s independence. It explores risk factors in three areas: Social and Psychosocial Domain; Long term or Personal Conditions Domain; and Life Events Domain. Risk factors are then further grouped into: modifiable risk factors such as depression or loneliness, where specific support or services can be offered to minimise their impact; and non-modifiable risk factors such as age or history of falls; which can help identify older people at greater risk and who may potentially benefit from some preventative services and support. The report identifies the following factors as being the most significant, primary risk factors to older people’s independence and institutionalisation: Dementia with co-morbidity; Co-morbidity; carer burden; falls; social isolation and loneliness; poor confidence and self-esteem; and poor perception of own health status. The report also highlights examples of preventative tools and interventions that could stop, delay or defer the need for long-term institutional care for older people. The findings will be used to inform Nottinghamshire County Council’s ongoing local development of an “early warning system”.

10 tips to help your project reduce loneliness

KAZIMIRSKI Anne, ABRAMS Thomas, MAN Michelle
2019

This guide shares insights from the existing evidence base on promising approaches to delivering programmes to combat loneliness. It focuses on how services are delivered, rather than what they deliver, and provides tips on what is more likely to make interventions effective. The tips are grouped into four themes which cover: Involving users; Building new relationships; Reducing stigma; and Reducing barriers to access. It includes advice on: working with volunteers, building on local assets and strengths, using language carefully, focussing on the neighbourhood, facilitating transport, and using digital technology. Warnings are included where there are common pitfalls. Short practice examples and a list of additional resources are also included.

Interventions to improve adherence to exercise therapy for falls prevention in community-dwelling older adults: systematic review and meta-analysis

HUGHES Katie J., et al
2019

Background: exercise therapy is highly recommended for falls prevention in older adults; however, poor exercise adherence may limit treatment effectiveness. Objective: to assess the effectiveness of interventions to improve exercise adherence for community-dwelling adults (aged over 65 years), at risk of falling. Methods: eight databases were searched to identify randomised/quasi-randomised trials. The Capability, Opportunity, Motivation model of behaviour (COM-B) was used to categorise the identified adherence interventions. Studies with similar interventions that provided adherence outcome data per group were analysed to establish pooled intervention effect. Protocol registration with Propsero: (CRD42016033677). Results: of the 20 trials included (n = 4419), five provided data per group for adherence outcome. Meta-analysis of four studies (n = 482), containing interventions exploring the way exercise is delivered, demonstrated significantly better adherence in the intervention group (n = 166 experimental, n = 161 control Fixed effects model (FEM), SMD = 0.48 95% CI [0.26–0.70] P < 0.0001 I2 = 0%, very low GRADE evidence). Within this limited evidence base, interventions using telecommunication and the integration of exercise into activities of daily living appear most promising when delivering exercise at home. Meta-analysis to explore the effect that these interventions to improve adherence had on balance (n = 166 experimental, n = 161 control Random-effects model (REM), SMD = 0.82, 95% CI [−1.20–2.84] P = 0.43 I2 = 52%) and gait (n = 59 experimental, n = 56 control REM, SMD = 0.29, 95% CI [−1.62–2.20] P = 0.77 I2= 48%), found no statistically significant effect. Conclusions: adherence to exercise can be positively influenced; however, insufficient data exists to support any single intervention that also achieves effective outcomes for balance and gait.

Cultural engagement and incident depression in older adults: evidence from the English Longitudinal Study of Ageing

FANCOURT Daisy, TYMOSZUK Urszula
2019

Background: There is a recognised need for the identification of factors that might be protective against the development of depression in older adults. Over the past decade, there has been growing research demonstrating the effects of cultural engagement (which combines a number of protective factors including social interaction, cognitive stimulation and gentle physical activity) on the treatment of depression, but as yet not on its prevention. Aims: To explore whether cultural engagement in older adults is associated with a reduced risk of developing depression over the following decade. Method: Working with data from 2148 adults in the English Longitudinal Study of Ageing who were free from depression at baseline, the study used logistic regression models to explore associations between frequency of cultural engagement (including going to museums, theatre and cinema) and the risk of developing depression over the following 10 years using a combined index of the Centre for Epidemiological Studies Depression Scale (CES-D) and physician-diagnosed depression. Results: There was a dose–response relationship between frequency of cultural engagement and the risk of developing depression independent of sociodemographic, health-related and social confounders. This equated to a 32% lower risk of developing depression for people who attended every few months (odds ratio (OR) = 0.68, 95% CI 0.47–0.99, P = 0.046) and a 48% lower risk for people who attended once a month or more (OR = 0.52, 95% CI 0.34–0.80, P = 0.003). Results were robust to sensitivity analyses exploring reverse causality, subclinical depressive symptoms and alternative CES-D thresholds. Conclusions: Cultural engagement appears to be an independent risk-reducing factor for the development of depression in older age.

Harnessing technology to tackle loneliness

WPI ECONOMICS, OAKLEY Matthew, ROSE Christina Bovill
2019

This report, commissioned by Vodafone and produced by WPI Economics, looks at the prevalence of loneliness in the UK and role technology can play in alleviating loneliness in older people by keeping them connected to their family and friends for longer. Focusing on chronic loneliness amongst people aged over 50, the report also provides new estimates of the potential scale of costs associated with loneliness, which it estimates as £1.8 billion per year to the UK economy. It highlights how technology can be used alongside more traditional community services to facilitate social interaction, and that learning how to use it more fully can reduce loneliness and promote an active lifestyle. This can help older people remain independent in their homes and communities and increase confidence and the likelihood of positive interactions. It can also help to maintain and build networks and contacts, with technology used as a way of keeping in touch with friends and family and accessing new communities and groups. The report outlines five recommendations to promote the use of technology in tackling loneliness, which over improving access to technology, increasing confidence and skills in the use of technology and supporting innovative technological solutions.

A menu of interventions for productive healthy ageing: for pharmacy teams working in different settings

PUBLIC HEALTH ENGLAND
2019

This guide lists interventions that pharmacy teams working in different healthcare settings can use to support older people to improve the quality of their lives. It includes evidence-based interventions on: preventing and reducing falls; increasing levels of physical activity; maintaining a healthy weight and preventing malnutrition; reducing the risk of social isolation and loneliness; reducing the risk of dementia; supporting people diagnosed with dementia; delaying the progress of dementia and reducing the need for medicines. For each area the guide includes the rationale for intervention, a list of suggested interventions and evidence of impact. The guidance will also be useful for pharmaceutical and medical committees, local authorities, clinical commissioning groups and local NHS England teams.

Evaluation of the H4All Wellbeing Service pilot: April 1st 2016 - January 31st 2017

JAMMU Dalvinder, BOND Andy
2017

An evaluation of the first 10 months of the Hillingdon H4All Wellbeing Service pilot, commissioned by Hillingdon CCG in April 2016. The service is a collaboration between 5 local third sector charities and provides older patients in Hillingdon with a range of services, including: information and advice, practical support, goal setting and ongoing support to manage LTCs, befriending and mentoring, and signposting and referral to voluntary and statutory services. During the evaluation period the H4All service supported 1,099 patients with 2,729 enquiries resulting in 11,675 contacts with/for patients. Analysis of completed Patient Activation Measure (PAM) outcome questionnaires found that most people accessing the service increased their PAM score, with an average movement of 8 points per patient in their individual scores. A total of 44 of the Hillingdon GP practices referred to the Wellbeing Service during the evaluation period in the first ten months and gave very positive feedback. The appendices include individual patient case studies highlight how they have benefitted from the service.

Results 1 - 10 of 134

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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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