Results for 'social activities'
Results 1 - 10 of 14
ARCHER Libby, et al
This report explores the benefits of participating in creative and cultural activities for wellbeing in later life. It discusses what creative and cultural participation means and the types of activities people take part in, such as dance, craft, literary activities, music and historical activities. It also looks at the factors that can help people get involved and how levels of involvement can differ depending on people’s overall level of wellbeing. It includes examples of initiatives for older people, including Independent Arts’ participatory arts Time & Tide project and Out in the City’, a social initiative for lesbian, gay, bisexual and transgender people over 50. It concludes with recommendations for practitioners and policymakers.
KHARICHA Kalpa, et al
Twenty-eight community dwelling people, aged 65 and over who reported being ‘lonely much of the time’ or identified as lonely from the de Jong Gierveld six-item loneliness scale in a larger study, participated in in-depth interviews, between June 2013 and May 2014. Views and experiences on seeking support from primary care and community based one-to-one and group based activities, including social and shared interest groups, were explored. Interviews were recorded and transcribed. Thematic analysis was conducted by a multidisciplinary team, including older people. Using two different measures of loneliness enabled a spectrum of loneliness experience to be explored. Two-thirds of the participants were the ‘younger old’ and all were able to leave their homes independently. Older people with characteristics of loneliness were generally knowledgeable about local social and community resources but, for the majority, community and primary care based services for their loneliness were not considered desirable or helpful at this point in their lives. However, group based activities with a shared interest were thought preferable to one-to-one support (befriending) or groups with a social focus. Descriptions of support as being for loneliness and specific to older people discouraged engagement. Older people experiencing or at risk of loneliness did not consider that primary care has a role in alleviating loneliness because it is not an illness. They thought primary care practitioners lack understanding of non-physical problems and that a good relationship was necessary to discuss sensitive issues like loneliness. For many, loneliness was a complex and private matter that they wished to manage without external support.
MENTAL HEALTH FOUNDATION
An evaluation of the Standing Together project, which examines the impact of peer-support groups on the emotional and social wellbeing of people living in extra care housing. Specifically, it looks at whether participation in the Standing Together programme had an effect on the outcomes of loneliness and social isolation; emotional wellbeing; and meaningful activity and community engagement. The groups ran once a week for six months in 19 extra care housing schemes within Housing & Care 21 and Notting Hill Housing Trust. Each group was led by two trained facilitators. Facilitators sought to include all residents from the extra care housing group including individuals with mental health difficulties, dementia, learning disability and/or significant loneliness. Focus group findings, which consisted of 45 residents at baseline and 57 at follow-up, demonstrated that most residents felt that participating in the groups led to positive impacts in all the outcome areas. Residents also expressed a desire for the groups to continue. Staff involved in the programme also felt that the groups led to reduced feelings of isolation and loneliness, increased companionship, mental stimulation and social inclusion. The process evaluation also emphasised the value in having two skilled tactful facilitators in each group who are able to effectively manage a group of residents, some of whom may have dementia or cognitive impairments. The report includes recommendations for conducting evaluations of group work in later life.
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.
Results 1 - 10 of 14