Results for 'social activities'
Results 1 - 10 of 11
SHVEDKO Anastasia, et al
Objectives: This article reviews the effects of physical activity (PA) interventions on social isolation, loneliness or low social support in older adults.
Design: Systematic review and meta-analysis of randomised controlled trials (RCTs).
Method: MEDLINE, EMBASE, PsycINFO, the Cochrane CENTRAL, CINAHL, were screened up to February 2017. RCTs comparing PA versus non-PA interventions or control (sedentary) condition were included. Risk of bias was assessed using the 12 criteria Cochrane Review Book Group risk of bias. The outcome measures were: social isolation, loneliness, social support, social networks, and social functioning. Standardised mean differences (SMDs) with associated 95% confidence intervals (CIs) were calculated for continuous outcomes. Meta-analysis was performed using a random effects model.
Results: The search strategy identified 38 RCTs, with a total of 5288 participants, of which 26 had a low risk of bias and 12 had a high risk of bias. Meta-analysis was performed on 23 RCTs. A small significant positive effect favouring the experimental condition was found for social functioning with strongest effects obtained for PA interventions, diseased populations, group exercise setting, and delivery by a medical healthcare provider. No effect of PA was found for loneliness, social support, or social networks.
Conclusion: This review shows, for social functioning, the specific aspects of PA interventions can successfully influence social health. PA did not appear to be effective for loneliness, social support and social networks.
GREEN Marcus, et al
The Wellbeing in Later Life Index, developed by Age UK and the University of Southampton, provides a measure to assess the wellbeing of older people in the UK. The measure looked at wellbeing across 40 indicators covering five key areas – social, personal (living arrangements, thinking skills, family status), health, financial and environmental. This report summarises the work carried out to develop the index and presents results of an analysis of data from 15,000 people aged 60. It provides a picture of older people’s wellbeing across the population and factors that contributed to people having the highest and lowest wellbeing scores. The analysis found that a range of factors under each of the key areas play a part in contributing to a person’s overall sense of wellbeing in later life. It also identified a large gap between older people with the highest and lowest wellbeing. The results identified the importance of being engaged in the world around you, whether through social or creative or physical activities or belonging to a community group. Other domains also played a supporting role, as adequate income, good health, good social network, and access to local facilities make it easier to participate in society. Those in the lowest wellbeing group were more likely to report being on means-tested benefits, having poor health and low satisfaction with local services.
STEADMAN Karen, THOMAS Rosemary, DONNALOJA Victoria
This paper considers the social prescribing model through an employment lens. An initial review of the grey and academic literature uncovered little reference to the role of work in this context. This has not been a key feature of previous large-scale studies on social prescribing, which is itself a relatively new area of research and practice. The study took a two stage exploratory approach, comprising: a short survey with members of the UK Social Prescribing Network to better understand their experience of social prescribing, and where work fits in their views; and four case studies of social prescribing services, to explore how each service works, is delivered and experienced by clients in order to learn how social prescribing is, in practice, achieving a wide range of health and social outcomes, potentially including work. The aim of social prescribing is to help individuals find non-clinical solutions which will improve their health and wellbeing. Though it is unlikely that people will access or be referred to social prescribing services for the primary purpose of achieving work the paper argues that there are benefits in making work a more central part of the services, given that work is an important determinant of health and wellbeing. The paper identifies a number of elements that are critical to ensuring social prescribing can contribute positively to improving work-related outcomes for clients. These are: an engaged link worker; a patient-centred approach; strong links with a wide range of good quality community support; the ability to fill gaps in existing community support; and strong links (preferably co-location) with GPs. The paper also considers a number of barriers to improving work outcomes through social prescribing, which are: limited focus on health and wellbeing and health service use; lack of expertise around work and related challenges (e.g. welfare system); short-termism in service provision; low availability and quality of local service provision; and poor awareness of work as a health outcome.
LANGFORD Katharine, BAECK Peter, HAMPSON Martha
Examines the constitutive elements of the ‘more than medicine’ approach, looking at social prescribing, signposting through link workers, health trainers and navigators, and community-based services. ‘More than medicine’ creates a set of tools for clinicians to use with patients to address the behavioural and social aspects of long term conditions. It connects the clinical consultation with interventions such as peer support groups, debt counselling, walking groups, befriending, one-to-one coaching and community cooking classes that help people to manage their long-term conditions and improve their health and wellbeing. These activities, places and people help service users and patients to live healthier lives, make friends and learn new skills. The report provides a description of each element of ‘more than medicine’ - social prescribing, signposting and community services - and illustrates the discussion with case studies and summaries of the evidence.
FARENDEN Clair, et al
An evaluation of the community navigation service, a one-year social prescribing pilot. The model for the pilot was based on Age UK national templates, drawing from their vast knowledge and experience of delivering other similar services across the UK. Community navigators work in GP surgeries to assess patients non-medical support needs and help them access groups, services and activities that can broadly improve their health and wellbeing. The evaluation found that navigation is effective for patients, GP surgeries and volunteers. Patients feel listened to and understood by navigators, have increased access to the right services at the right time and are able to take the next steps towards improving their health and wellbeing. GPs continue to increase referrals, are satisfied with the quality of the service and are seeing positive benefits for their patients. Navigators value their volunteering role and suggest the training and support provided by the staff team enables them to carry it out effectively. 393 patients were referred across 16 surgeries during the first 12 months of the pilot and 741 referrals were made to groups, services and activities patients would not have otherwise accessed. The service attracted a highly experienced and skilled volunteer team to carry out the community navigator role. Most navigators have a previous or current career in healthcare, social services, teaching or counselling. The evaluation examines in detail: the impact on primary and secondary care; community navigation activities, outputs and outcomes; the social value; cost-benefit analysis; lessons, challenges and successes; and risk and opportunities. A set of key recommendations derived from the learning from the pilot are included.
A brief review of the literature on social prescribing. Social prescribing is a way of linking primary care patients with psycho-social issues, with sources of appropriate, non-medical support in the community. Suitable referrals to social prescribing initiatives are vulnerable and at risk groups such as: people with mild to moderate depression and anxiety; low income single parents; recently bereaved older people; people with long term conditions and frequent attendees in primary and secondary care. The review highlights that prescribed activities have typically included arts and creative activities, physical activity, learning and volunteering opportunities and courses, self-care and support with practical issues such as benefits, housing, debt and employment. The evidence on the impact of social prescribing is currently limited and inconsistent. While some initiatives have shown improved outcomes for patients and potential for cost-savings (in the longer term), few have been subject to economic analysis or the kind of rigorous evaluation which would inform commissioners. The report recommends that any new, local social prescribing initiatives should aim to add to the current evidence base and conduct transparent and thorough.
DAYSON Chris, BASHIR Nadia
Provides a detailed assessment of the social and economic impact of the Rotherham Social Prescribing Pilot from the perspective of key stakeholders. Social prescribing provides a way of linking patients in primary care and their carers with nonmedical sources of support within the community. Over the course of the pilot: 24 voluntary and community organisations (VCOs) received grants with a total value of just over £600,000 to deliver a menu of 31 separate social prescribing services; 1,607 patients were referred to the service, of whom 1,118 were referred on to funded VCS services; the five most common types of funded services referred to were information and advice, community activity, physical activities, befriending and enabling. The evaluation looked at the impact on the demand for hospital care and the economic and social benefits. The findings demonstrate that economic and social outcomes have been created for three main stakeholder groups: patients with LTCs and their carers, who have experienced improved mental health and greater engagement with the community; the local public sector, in particular health bodies, which have benefited from the reduced use of hospital resources; and the local voluntary and community sector, which has benefited from a catalytic investment in community level service provision.
This report summarises a series of studies carried out on behalf of the Campaign for Real Ale (CAMRA) on the role that community pubs play in people’s health, happiness and social cohesion. To set the scene, the paper first provides a brief overview of how people create their friendships. It then raises the problem of large scale social cohesion and provides some insights into how social cohesion has been engineered in the past. Finally, it presents the findings from a national poll of pub use and two studies of behaviour in pubs undertaken to assess the social value of small community pubs compared to large city centre pubs. The evidence suggests that while 40 per cent of people in the UK now typically socialise with friends in someone’s home, a third of the population prefer to do so in pubs, and regard pubs as a safe place to meet friends. People who said they have a ‘local’ or those who patronise small community pubs appear to have more close friends on whom they can depend for support, are more satisfied with their lives and feel more embedded in their local communities than those who said they do not have a local pub. The paper makes a number of recommendations for publicans, city planners and policy makers to ensure pubs play a role in people’s health, wellbeing and community cohesion.
HOLLAND Carol, et al
Report presenting findings from a longitudinal study to evaluate whether the ExtraCare Charitable Trust housing approach provides positive outcomes for healthy ageing which also results in health and social care cost savings. For the study 162 volunteer new residents were assessed prior to moving into ExtraCare accommodation in the 14 locations on their health, illness, well-being and level of activity. They were then assessed on the same measures at 6, 12 and 18 months after entry. Residents were compared against 39 control participants. The main focuse was to measure health, illness, well-being, activity and personal perceptions .Qualitative data were also collected through focus groups, interviews, and case studies to gather residents views and perceptions. Statistical modelling was used to identify the most important factors in predicting outcome measures of cost. Key findings identified: significant saving for NHS budgets, with total NHS costs reducing by 38% over a 12-month period for residents in the sample; a reduction in the duration of unplanned hospital stays; potential savings in the cost of social care; improvements in residents who were designated as in a 'pre-frail' state on entry to ExtraCare housing; and improvements in residents psychological wellbeing, memory and social interaction.
This report raises concerns that loneliness and social isolation among older people is becoming a serious public health issue. It draws on the views of experts and research evidence to set out a new framework for understanding and tackling loneliness in older people. The approach is based around three key challenges: reaching individuals; understanding the specific circumstances of an individual's loneliness; and supporting individuals to take up services that would help. Sections of the report cover: the foundation services (reaching, understanding and supporting individuals); the types of intervention that are most likely to meet older people's need for social contact; how technology and transport can facilitate social connection; and 'structural enablers' focusing on how services are delivered (i.e., at neighbourhood level, community development, volunteering, and age positive approaches). It also highlights areas where a greater understanding of how to address loneliness within the older community is needed: within care settings; in black and minority ethnic groups; and with lesbian, gay, bisexual and trans older people. Case studies are used throughout to demonstrate the variety of solutions needed to address a very personal and individual problem. Includes specific recommendations for service providers, commissioners and those involved with search.
Results 1 - 10 of 11