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Results for 'social isolation'

Results 1 - 10 of 66

A review of the basic principles of sustainable community-based volunteering approaches to tackling loneliness and social isolation among older people

PARKINSON Andy, GRIFFITHS Endaf, TRIER Eva
2018

This study examines the social, economic and environmental conditions that enable community-based volunteering projects to reduce loneliness and isolation in older people to become successful. It also identifies barriers to volunteering approaches, and how they can be tackled. The study involved a literature review, consultation with stakeholders, and an analysis of eight case studies in Wales. Drawing on the findings, it also sets out a Theory of Change to show how programmes have the potential to reduce loneliness and social isolation and provides a framework for the future self-evaluation of programmes. The study found that schemes employ a range of approaches in order to engage and support their clients, including in-home visits, telephone befriending, and group activities. This can be influenced by funding or its ability to support the project’s aims and outcomes. Other key findings highlight the need for schemes to be able to accurately assess the social and emotional status of older people so as to deliver appropriate interventions; for schemes to target effectively to reach those most at risk. It also found that schemes adopting a participatory approach which places local people at the heart and schemes which focused on smaller geographical areas tended to be more effective. The report makes eight recommendations, which include the development of a standard method or tools for monitoring and evaluating volunteer-led schemes.

The association between physical activity and social isolation in community-dwelling older adults

ROBINS Lauren M., et al
2018

Objectives: Social isolation is an increasing concern in older community-dwelling adults. There is growing need to determine effective interventions addressing social isolation. This study aimed to determine whether a relationship exists between physical activity (recreational and/or household-based) and social isolation. An examination was conducted for whether group- or home-based falls prevention exercise was associated with social isolation. Methods: Cross-sectional analysis of telephone survey data was used to investigate relationships between physical activity, health, age, gender, living arrangements, ethnicity and participation in group- or home-based falls prevention exercise on social isolation. Univariable and multivariable ordered logistic regression analyses were conducted. Results: Factors found to be significantly associated with reduced social isolation in multivariable analysis included living with a partner/spouse, reporting better general health, higher levels of household-based physical activity (OR = 1.03, CI = 1.01–1.05) and feeling less downhearted/depressed. Being more socially isolated was associated with symptoms of depression and a diagnosis of congestive heart failure (pseudo R2 = 0.104). Discussion: Findings suggest that household-based physical activity is related to social isolation in community-dwelling older adults. Further research is required to determine the nature of this relationship and to investigate the impact of group physical activity interventions on social isolation.

What do older people experiencing loneliness think about primary care or community based interventions to reduce loneliness? A qualitative study in England

KHARICHA Kalpa, et al
2017

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.

Evaluation of Hale Community Connectors Social Prescribing Service 2017

DAYSON Chris, LEATHER David
2018

Reports on initial findings of an independent evaluation of the Community Connectors Social Prescribing Service in Bradford, covering the first nine months of the service (March-November 2017). It aims to answer some key questions about the Community Connectors Social Prescribing Service to support future commissioning by the CCG and its partners. The service was commissioned to improve the health, well-being and social connectedness of local people and reduce unplanned and unnecessary demand on primary and secondary health services. The service involves a referral from a GP of patients who could benefit from additional socially focussed support, followed by a home visit from a Community Connector to help identify what services and activities are available. The evaluation shows that a total of 703 local people were referred to the service for support by their GP. The majority of referrals were to address social issues such as anxiety and social isolation, however, a significant proportion of service users were also in poor health with long term conditions. It also identifies positive outcomes in relation to health, mental well-being, trust of people in their community, social connectedness and service users’ ability to self-care. Although too early to assess the impact on demand for primary and secondary care, service users recording up to nine per cent fewer Accident and Emergency and up to seven per cent fewer GP attendances after referral to the service.

An evaluation of the Standing Together project

MENTAL HEALTH FOUNDATION
2018

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.

Asset based approaches and inequalities: briefing

AMBITION FOR AGEING
2018

Asset-based approaches can make significant and positive changes to people’s lives. However, if implemented without an understanding of marginalisation, asset-based approaches risk contributing to existing inequalities, excluding those who are the most socially isolated. Using learning from the Ambition for Ageing programme, this briefing highlights the need for recognition of the barriers faced by marginalised groups as a key part of asset-based work. It puts forward a number of solutions, such as supporting marginalised groups to be involved in genuine co-production and asset mapping, using targeted approaches to identify marginalised and social isolated groups, and well-planned processes for enhancing community capacity. It also includes case studies and key findings from the Ambition for Ageing programme in Greater Manchester.

Tackling loneliness and social isolation: the role of commissioners

HOLMES Pamela, THOMSON Lousia
2018

This briefing explores the opportunities and barriers faced by commissioners seeking to address loneliness and social isolation in older people. It identifies evidence that points the way to a better understanding of effective interventions to tackle loneliness and social isolation, provides examples of emerging practice across the country, and examines what needs to happen next to improve the commissioning environment, and the changes that need to happen in other parts of society. It draws on discussions from a seminar organised by SCIE and Renaisi attended by commissioners, local authorities and third sector representatives, as well as the findings from previous research and evaluation.

Connect for a kinder tomorrow: new approaches to loneliness

KENNEDY Seema, REEVES Rachel
2017

This report, from the Jo Cox Commission on Loneliness, argues that loneliness is everybody’s business and calls for every individual to make better connections in order to tackle the problem. It provides suggestions for individuals, voluntary and community groups, employers, local and central government on what they can do to tackle loneliness on a day to day basis. It also makes reference to examples of good practice throughout. In order to build a less lonely nation, it recommends people to adopt a ‘five a day’ rule and have a minimum of five conversations each day and take a ‘Connect 4’ approach, where individuals have four meaningful relationships they can count on.

Combatting loneliness one conversation at a time: a call to action

JO COX COMMISSION ON LONELINESS
2017

This final report of the Jo Cox Loneliness Commission shares the ideas that the Commission have worked on over the past year and makes recommendations for national government. The report highlights the consequences of loneliness for individuals' wellbeing and health, and for the economic stability of wider society. It also provides individual case studies and examples of good practice initiatives to show the benefits of tackling loneliness. It identifies three key areas for government action in order to tackle loneliness: leadership - including the development of a UK wide strategy for loneliness; measuring progress - with the creation of a national indicator and development of evidence around 'what works'; and funding for communities in order to spread promising approaches and best practice.

Physical activity interventions for treatment of social isolation, loneliness or low social support in older adults: a systematic review and meta-analysis of randomised controlled trials

SHVEDKO Anastasia, et al
2018

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.

Results 1 - 10 of 66

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