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European Year of Older People and Solidarity Between Generations 1993: historical report and evaluation
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 1995
- Pagination:
- 70p.
- Place of publication:
- London
Looks at the achievements of the European Year of Older People and Solidarity between Generations which occurred in 1993. Also gives an independent evaluation of the Year's activities.
A realist evaluation of loneliness interventions for older people
- Authors:
- DAY Alice, et al
- Journal article citation:
- Age and Ageing, 50(6), 2021, pp.2246-2253.
- Publisher:
- Oxford University Press
Introduction: the aim of this study was to develop a programme theory to inform the design of loneliness interventions and guide any future evaluations. Methods: we undertook a mixed-method evaluation, informed by the realist approach, of different approaches to loneliness in one health and social care system in the East Midlands, UK. We used a combination of documentary analysis, interviews/focus groups with service providers and users and quantitative analysis to develop an initial programme theory. Results: common aims of local interventions included enhancing social connectivity, providing emotional support and advice/information; recurring interventions included social activities, emotional support, advice and information, lunch clubs, learning new skills and practical support. None were robustly evaluated. Fifty-six service user or providers were involved in interviews or focus groups, which highlighted the causes of loneliness, preferred services, access to services, thoughts about intervention configuration and desired outcomes from services. The themes emerging from the interviews/focus groups from both service provider and service user perspectives were combined with all of the previous emerging data to create an overarching programme theory. Statements were constructed to allow service providers to think about which interventions might be useful to achieve specific outcomes in different contexts. Conclusion: the causes and consequences of loneliness vary widely between individuals, so a personalised approach is required to identify the causes and potential solutions. This study provides some high-level principles that can help commissioners and providers to tailor interventions to the individual needs of service users. (Edited publisher abstract)
Care coordination for older people: an exploratory framework
- Authors:
- HUGHES Jane, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 16(3), 2015, pp.130-139.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present a framework for examining variation in care coordination arrangements for older people. Design/methodology/approach: A multi-method approach was adopted combining analysis of secondary data and primary data. There were two stages: the development of the framework and its constituent attributes and indicators; and its validation from two perspectives: a meeting with managers and focus groups with practitioners. It was informed by an existing generic framework; subsequent policy guidance; data from an English national survey; previous research; and international literature. Findings: The framework comprises 19 attributes each with indicators measuring performance relating to: organisational arrangements influencing service delivery; the performance of core tasks of care coordination; and differentiation within the process to distinguish between responses to different levels of need. Originality/value: Care coordination arrangements in England are characterised by diversity. This paper provides a framework for evaluating local arrangements thereby highlighting strengths and where improvements are needed. It offers a means to promote programme fidelity. As such it has utility for both service commissioners and providers. (Edited publisher abstract)
Improving personal budgets for older people: a review: phase one report
- Authors:
- ROUTLEDGE Martin, CARR Sarah
- Publisher:
- Think Local Act Personal
- Publication year:
- 2013
- Pagination:
- 21p.
- Place of publication:
- London
This project explores the challenges, identifies positive practice and makes recommendations for central and local government action with respect to improving personal budgets. Think Local Act Personal (TLAP) published, Personal Budgets: Taking Stock and Moving Forward (2011) which reviewed progress, challenges and possibilities with PBs and has initiated a National Self-Directed Support Forum. This brings together relevant groups and individuals to identify challenges and agree actions to achieve improvements. Approaches to making personal budgets work well for older people emerged as a high priority and TLAP has committed to do more work in this area. This report is the first stage. It draws on two key surveys: the ADASS personalisation survey (2012); and the TLAP National Personal Budgets Survey (2011). It reviews the literature and research on key challenges to successful implementation of personal budgets for older people, reviews data on numbers and outcomes including from ADASS and Personal Budgets Outcomes Evaluation Tool (POET) surveys. It also gives an initial overview of promising practice responding to the challenges from literature and the ADASS survey. Relatively strong average progress with numbers for people aged 65 and over is being made. The recent significant increase in numbers has been via more managed personal budgets with direct payment numbers steady but significantly lower for older people than for under 65s. There is very significant variation in direct payment numbers across councils and regions.
Development of short versions for the WHOQOL-OLD module
- Authors:
- FANG Jiqian, et al
- Journal article citation:
- Gerontologist, 52(1), February 2012, pp.56-65.
- Publisher:
- Oxford University Press
The World Health Organization Quality of Life (WHOQOL) research group has developed several quality of life instruments including the WHOQOL-OLD module for older adults. The aim of this study was to develop 1 or more short versions of the 24-item WHOQOL-OLD module with acceptable psychometric properties. A secondary analysis was conducted based on the data from the WHOQOL-OLD field study. The data set included 5,566 respondents from 20 international centres. Two-thirds of them randomly selected as a developmental sample, and the remaining third as a validation sample. Three approaches (item response theory [IRT] and regression analysis [REG], classical test theory [CTT] and REG, and CTT and IRT and REG) were performed to develop 3 short-form scales with 6 items each using the developmental sample. The reliability and criterion validity of the 3 short-form scales were evaluated using the validation sample. The 3 versions of short-form WHOQOL-OLD showed similar reliability and validity. The article concludes that the new versions contain the best items of the original module, are much shorter, and have good internal consistency and criterion validity as a whole.
Evaluating the Harmony project
- Authors:
- MCCABE Louise, GREASLEY-ADAMS Corinne
- Journal article citation:
- Journal of Dementia Care, 20(3), May 2012, pp.38-39.
- Publisher:
- Hawker
The charity Harmony provides musical concerts for older, frail people who live in care homes and attend day centres. This article reports on the key findings on an evaluation of Harmony. The evaluation drew on the perspectives of care service managers and explored what impact, if any, the project had on the lives of frail and older people, the impact on professionals and frontline carers, and the impact on family and friends. An online survey was developed and sent to services that interact with the Harmony project. Fifteen people completed the survey, and 5 people also took part in a follow-up interview. All participants had been involved with the Harmony project for at least 2 years. The evaluation showed that the project is having a positive impact for all those engaging in the concerts. The concerns provide opportunities for fun and enjoyment for service users and have a positive emotional, social and cognitive impact. They also have a positive impact on the frontline care staff as well as friends and family of service users. The benefits are not just during and immediately after the concerts but were also noted to have a longer lasting impact.
Opening doors evaluation: the story so far
- Authors:
- PHILLIPS Mike, KNOCKER Sally
- Publisher:
- Age Concern
- Publication year:
- 2010
- Pagination:
- 117p.
- Place of publication:
- London
The evaluation report explores the impact of a three year Big Lottery funded project Opening Doors in Central London, working with older lesbian, gay, bisexual and transgender (LGBT) older people 2008-2010. The evaluation was conducted over a six month period July-December 2009; at a half-way point in the project’s activities to enable recommendations to inform the third year of the project. Large numbers of older LGBT people have experienced high levels of isolation, discrimination and mental health issues related to their sexuality and the service was established because there are no other older LGBT services in the five boroughs and many care services do not even acknowledge the existence of service users who are not heterosexual. Key findings from the evaluation revealed that 70% of those surveyed said they didn’t feel safe in their community. Also, 75% of those surveyed reported fear of moving into sheltered housing or a care home for fear of discrimination and many chose not to be open about their sexuality with anyone other than close friends. The evaluation recommended that Opening Doors be extended across London, and should consider running more events.
Opening doors evaluation: the story so far: executive summary
- Authors:
- PHILLIPS Mike, KNOCKER Sally
- Publisher:
- Age Concern
- Publication year:
- 2010
- Pagination:
- 8p.
- Place of publication:
- London
The evaluation report explores the impact of a three year Big Lottery funded project Opening Doors in Central London, working with older lesbian, gay, bisexual and transgender (LGBT) older people 2008-2010. The evaluation was conducted over a six month period July-December 2009; at a half-way point in the project’s activities to enable recommendations to inform the third year of the project. Large numbers of older LGBT people have experienced high levels of isolation, discrimination and mental health issues related to their sexuality and the service was established because there are no other older LGBT services in the five boroughs and many care services do not even acknowledge the existence of service users who are not heterosexual. Key findings from the evaluation revealed that 70% of those surveyed said they didn’t feel safe in their community. Also, 75% of those surveyed reported fear of moving into sheltered housing or a care home for fear of discrimination and many chose not to be open about their sexuality with anyone other than close friends. The evaluation recommended that Opening Doors be extended across London, and should consider running more events.
Review of the Scottish Helpline for Older People
- Authors:
- SCOTT John, et al
- Publisher:
- Scotland. Scottish Government Social Research
- Publication year:
- 2009
- Pagination:
- 83p.
- Place of publication:
- Edinburgh
In June 2009 the Older People and Age team within the Scottish Government commissioned ODS Consulting to undertake a review of the Scottish Helpline for Older People (SHOP). SHOP is a telephone helpline service and website for older people (aged 50 and over), supported by a consortium committed to improving the delivery of information and advice to older people. The study was undertaken between June and September 2009. It involved a desktop review; consultations with members of the consortium, staff and volunteers working for the helpline, a sample of service users and a selection of organisations representing older people not using the service. This report identifies the current and emerging context in which SHOP is operating, its achievements to date, together with the views of a range of stakeholders. It makes recommendations for strengthening the service in the short term and considering how best to provide and how best to provide a helpline service for older people in the longer term.
Review of the Scottish Helpline for Older People
- Authors:
- SCOTT John, et al
- Publisher:
- Scotland. Scottish Government Social Research
- Publication year:
- 2009
- Pagination:
- 4p.
- Place of publication:
- Edinburgh
The Scottish Helpline for Older People (SHOP) is a telephone helpline service and website for older people providing an independent, confidential information service on a wide range of topics. SHOP is supported by a consortium committed to improving the delivery of information and advice to older people. SHOP is managed by Age Concern and Help the Aged in Scotland. This review was commissioned to assess the development of the helpline; explore whether the aims of the service are still relevant and whether it is best placed to deliver these aims; evaluate the effectiveness of the service; and make recommendations for its future. Main findings are presented.