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Results for 'user views'

Results 1 - 10 of 30

Strategies employed by older people to manage loneliness: systematic review of qualitative studies and model development

KHARICHA Kalpa, et al
2018

Objectives: To (i) systematically identify and review strategies employed by community dwelling lonely older people to manage their loneliness and (ii) develop a model for managing loneliness. Methods: A narrative synthesis review of English-language qualitative evidence, following Economic and Social Research Council guidance. Seven electronic databases were searched (1990–January 2017). The narrative synthesis included tabulation, thematic analysis, and conceptual model development. All co-authors assessed eligibility of final papers and reached a consensus on analytic themes. Results: From 3,043 records, 11 studies were eligible including a total of 502 older people. Strategies employed to manage loneliness can be described by a model with two overarching dimensions, one related to the context of coping (alone or with/in reference to others), the other related to strategy type (prevention/action or acceptance/endurance of loneliness). The dynamic and subjective nature of loneliness is reflected in the variety of coping mechanisms, drawing on individual coping styles and highlighting considerable efforts in managing time, contacting others, and keeping loneliness hidden. Cognitive strategies were used to re-frame negative feelings, to make them more manageable or to shift the focus from the present or themselves. Few unsuccessful strategies were described. Conclusion: Strategies to manage loneliness vary from prevention/action through to acceptance and endurance. There are distinct preferences to cope alone or involve others; only those in the latter category are likely to engage with services and social activities. Older people who deal with their loneliness privately may find it difficult to articulate an inability to cope.

Small but significant: the impact and cost benefits of handyperson services

ADAMS Sue
2018

An evaluation of the impacts and cost benefits of handyperson services carrying out small repairs and minor adaptations in the home for older people. It looks at how handyperson service fit into the current policy landscape summarises current evidence on their impact and cost effectiveness. It then provides an in depth evaluation of the of Preston Care and Repair handyperson service, with analysis of outputs, outcomes and examines the cost benefits in relation to falls prevention. The evaluation involved data analysis of jobs completed, a survey of users of the service and interviews with staff and service users. It reports that during the 9 month evaluation period 1,399 jobs were carried out in the homes of 697 older people, which exceeded outcome targets. Of people using the service, 46 percent were over 80 years and 72 percent were older people living alone. Older people also valued the service. Ninety-six percent of those surveyed said that the Preston Care and Repair handyperson service made them less worried about their home and 100 percent said that they would recommend the service to others. Analysis of the falls prevention impact on a small number of higher risk cases, found that for every £1 spent on the handyperson service the saving to health and care was £4.28. Other health and social care related outcomes included a risk reduction for hospital admission risk reduction and faster discharge to home, improved wellbeing, safer independent living, and reduced isolation. The report illustrates the impacts of handyperson services cover health, housing and social care aims and objectives. They also offer a cost effective solution with significant cost benefits and a high rate of return on investment, both financial and social.

Men’s sheds: the perceived health and wellbeing benefits

CRABTREE Lois, TINKER Anthea, GLASER Karen
2018

Purpose: The purpose of this paper is to explore older men’s perceptions of the health and wellbeing benefits of participating in men’s sheds. Design/methodology/approach: Qualitative semi-structured interviews with eight men aged 65 and over from men’s sheds in London. Interviews were audio recorded and transcribed by hand, and analysis was conducted through coding of the transcripts. Findings: The results of this study suggested that men’s sheds improved older men’s perceived level of social interaction, men’s outlook, led to self-reported improvements in depression, and all perceived themselves to be fitter since joining. Despite the research being conducted in an urban area, it highlighted the lack of prior community engagement. Research limitations/implications: The sample size used in the research was small and may not be representative of other men’s sheds in different areas, therefore further research with a larger sample should be conducted. Practical implications: A health policy dedicated to males which includes the promotion and funding of men’s sheds, such as in Ireland, should be considered by the government. In addition, clinical commissioning groups should recognise men’s sheds as a non-clinical alternative for their patients through social prescribing in general practice. Finally, in order to achieve the World Health Organisation initiative of creating “age friendly cities” community groups such as men’s sheds need to be promoted and further utilised. Originality/value: There has been little research in the UK.

“It was the whole picture” a mixed methods study of successful components in an integrated wellness service in North East England

CHEETHAM M., et al
2018

Background: A growing number of Local Authorities (LAs) have introduced integrated wellness services as part of efforts to deliver cost effective, preventive services that address the social determinants of health. This study examined which elements of an integrated wellness service in the north east of England were effective in improving health and wellbeing (HWB). Methods: The study used a mixed-methods approach. In-depth semi-structured interviews (IVs) were conducted with integrated wellness service users (n = 25) and focus groups (FGs) with group based service users (n = 14) and non-service users (n = 23) to gather the views of stakeholders. Findings are presented here alongside analysis of routine monitoring data. The different data were compared to examine what each data source revealed about the effectiveness of the service. Results: Findings suggest that integrated wellness services work by addressing the social determinants of health and respond to multiple complex health and social concerns rather than single issues. The paper identifies examples of ‘active ingredients’ at the heart of the programme, such as sustained relationships, peer support and confidence building, as well as the activities through which changes take place, such as sports and leisure opportunities which in turn encourage social interaction. Wider wellbeing outcomes, including reduced social isolation and increased self-efficacy are also reported. Practical and motivational support helped build community capacity by encouraging community groups to access funding, helped navigate bureaucratic systems, and promoted understanding of marginalised communities. Fully integrated wellness services could support progression opportunities through volunteering and mentoring. Conclusions: An integrated wellness service that offers a holistic approach was valued by service users and allowed them to address complex issues simultaneously. Few of the reported health gains were captured in routine data. Quantitative and qualitative data each offered a partial view of how effectively services were working.

Rethinking respite for people affected by dementia

OLDER PEOPLE'S COMMISSIONER FOR WALES
2018

This report provides evidence of how respite care for people affected by dementia can be positively transformed and aims to help policy makers, commissioners and providers to deliver change. It brings together the results of an engagement exercise with over 120 people affected by dementia, undertaken in partnership with My Home Life Cymru (Swansea University); a literature review by the University of Worcester Association for Dementia Studies; and a call for examples of practice. The report identifies key challenges facing people who need to accessing respite when they need it, covering the following themes: navigating the health and care system; availability; quality, flexibility and choice; information, advice and advocacy; meaningful occupation; home or away?; complex needs and keeping people active; safeguarding and positive risk taking; diversity; maintaining and building relationships; social inclusion and having an ‘ordinary’ life. Drawing on people’s experiences and examples from practice, it provides enablers to help overcome these barriers. The report shows that not all ‘routes to respite’ are clear to the public, there is uneven access across the country, many people feel that current options are not delivering the quality, flexibility or accessibility they need; and there were concerns that money is being spent on respite services that do not deliver meaningful outcomes. It concludes that there is a need to rethink the language and terminology around respite; make better use of the knowledge and experiences of people living with dementia and carers to develop new models of care and support; and to align the outcomes with the National Outcomes Framework. Whilst the report focuses specifically on people affected by dementia, many of the key messages will be relevant to other people who need respite.

Volunteer peer support and befriending for carers of people living with dementia: an exploration of volunteers’ experiences

SMITH Raymond, et al
2018

With ageing populations and greater reliance on the voluntary sector, the number of volunteer‐led peer support and befriending services for carers of people with dementia in England is set to increase. However, little is known about the experiences of the volunteers who deliver these interventions, many of whom are former carers. Using in‐depth semi‐structured interviews with 10 volunteer peer supporters and befrienders, this exploratory study investigated volunteers’ experiences of delivering the support, the types of relationships they form with carers and their perceptions of its impact upon them and on carers. Data were analysed using framework analysis. Findings showed that volunteers benefitted from their role due to the ‘two‐way’ flow of support. Experiential similarity and having common interests with carers were considered important to the development of mutually beneficial relationships. Volunteers perceived that carers gained emotional and social support, which in turn improved the carers’ coping ability. Being able to see positive changes to carers’ lives was important for volunteers to gain enjoyment and satisfaction from their role. However, volunteers also identified challenges with their role, such as dealing with carers’ emotions. Future research should investigate ways of reducing potential burden on volunteers and explore the impact of volunteering specifically on former carers of people with dementia.

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.

Carers Leeds Health and Wellbeing programme evaluation

BUNYAN Ann-Marie, WOODALL James, RAINE Gary
2017

Highlights outcomes and learning from a programme to support carers to look after their own physical health and emotional wellbeing, delivered by the charity Carers Leeds. The programme provides one-to-one support to encourage carers to eat more healthily, be more physically active, cut down on alcohol and smoking, manage stress and anxiety and be more socially connected. Health and Wellbeing Support Workers work with carers to help them set and prioritise their health goals, providing carers with the tools and guidance to be able to make changes. The evaluation aimed to establish the impact of the Programme on the health and wellbeing of carers, examine the experiences of carers engaged in the Programme, and provide training and support to the Carers Leeds staff to build capacity for future self-evaluation. It a workshop to develop an understanding of the programme’s Theory of Change; analysis of monitoring data, including carers evaluation forms; telephone interviews with service users, and analysis of Support Worker' reflections on delivering the programme. The evaluation found evidence that the Programme provides meaningful support to carers, which has a positive impact on their health and wellbeing. Positive benefits for carers included reduced social isolation, increased confidence, improved mental wellbeing, improved diet and physical activity levels. Individuals who were previously unable to distinguish themselves as a carer were also able to recognise how vital it is to take of care of their own health. The report also highlights learning for future projects.

The obstacle course: overcoming the barriers to a better later life

CHRISTIE Amelia, McDOWELL Adrian
2017

This report looks at some of the issues older people and their families face in accessing the services and support they need to remain independent and live healthy, enjoyable lives. The report draws on an analysis of calls received to the Independent Age advice Helpline in 2016 and findings from other charities, think tanks and government reports. It focuses on four topic areas: help with serious health needs; understanding social care and the barriers to accessing support when they need personal care and practical help, securing a decent income and access to benefits; and staying in control which looks at some of the major life changes older people can experience, in relation to their finances and housing. For each topic area, the report examines the most common issues older people face and includes individual stories older people and their family members which show the difference early intervention can make, as well as where things are going wrong. It also highlights emerging issues which may get worse in the future, if not addressed. The report concludes that the country is still not responding well enough for a rapidly ageing population. It offers some recommendations to improve health, care and social security services for older people.

The shed effect: stories from shedders in Scotland

AGE SCOTLAND
2017

This report outlines the positive impact that the growing men’s shed movement is having on later life, and how it is improving men’s health and wellbeing. It gathered individual stories, experiences and observations from 8 men’s sheds, recording 30 individual conversations with shedders, to find out why sheds work for them. It also held 2 conversations with shed supporters. Using direct quotations from the conversations, the report looks at the following themes: how people got involved in their shed; what makes the shed work for them; the importance of sheds as a place to develop new skills and knowledge; the social, health and welfare benefits – including the development of friendships and reduction in loneliness and social isolation; and the positive impact on communities, such as helping other community groups and promoting connections between the generations. The personal stories may be helpful in promoting the benefits of sheds other men and other communities, raising awareness of the shed movement amongst the general public, and providing funders and policy makers with a better understanding of the importance of men’s sheds’ importance, and of why they should continue to value and support them.

Results 1 - 10 of 30

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