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Evidence to inform the commissioning of day centres for older people
- Authors:
- ORELLANA Katharine, MANTHORPE Jill, TINKER Anthea
- Publisher:
- King's College London. Institute of Gerontology
- Publication year:
- 2017
- Pagination:
- 2
- Place of publication:
- London
This briefing summarises the findings of research into the role and purpose of generalist day centres for older people. The results show that day centres result in benefits for older people attending centres, their family carers and centre volunteers. These include enriching the lives of socially isolated people who were unable to go out without support and improvements in the quality of life for family carers. In addition, day centres can provide access to information and support, monitoring of health and wellbeing and signposting to health and care services. The study also identified the potential for their development and optimisation to improve older people’s health and wellbeing, support carers and maximise the impact of health and social care services. The briefing highlights the implications of the findings for commissioners, which include the need to look beyond the obvious costs when commissioning or reviewing day centre provision. (Edited publisher abstract)
Is exercise helpful for women aged 50 and over with mental health problems and what are the barriers to exercise?
- Authors:
- TINKER Anthea, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 18(2), 2017, pp.93-103.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to examine the influence of exercise on the mental health problems of older women. Design/methodology/approach: The paper is based on information from academic literature, government publications and publications from other relevant bodies. It is a scoping study and is not a systematic review because of the constraints of the resources. Findings: There is growing evidence about the value of exercise for the mental health of older women but few evaluated examples of how this can be achieved. Research limitations/implications: There is a gap in the literature about this topic with few evaluated examples of how more older women can be encouraged to take more exercise. Practical implications: Policy makers, practitioners and older people themselves would gain from a greater emphasis on exercise as a means of improving quality of life and for reducing healthcare budgets through fewer referrals to services. Social implications: Greater emphasis on exercise for older women would increase their quality of life through a reduction in mental health problems. Originality/value: There is limited research which links mental health, exercise and older women, especially regarding the barriers to exercise that older women with diagnosed mental health problems may face. (Publisher abstract)
Computer classes for older people: motivations and outcomes
- Authors:
- ZAIDMAN Sebastian, TINKER Anthea
- Journal article citation:
- Working with Older People, 20(2), 2016, pp.121-130.
- Publisher:
- Emerald
Purpose: A “digital divide” exists between older and younger people in terms of computer use and older people’s uptake of computer training programmes in the UK remains low. The purpose of this paper is to identify the motivations and outcomes of computer classes for some older people and the contributory factors. Design/methodology/approach: One-to-one qualitative semi-structured interviews were conducted with eight participants at a computer class in a London community centre. Using a topic guide, interview transcripts underwent thematic analysis. The theoretical perspective of “ageing in place” (the ability to stay in one’s own home in later life) was used when interpreting the findings. Findings: Participants had been motivated to attend the class initially to gain computer skills. Initial motivation was influenced by the death of a spouse and the desire to remain mentally active. The main outcome by the class was acquisition of computer skills. Psychological and social benefits were also reported, the latter constituting motivation for continued attendance. Computer ownership and gender differences in preferred teaching style influenced class outcomes. Research limitations/implications: Although this was a small sample comprising older people solely from one community, participant backgrounds varied and the findings suggest that further research with a larger, more culturally heterogeneous sample would be valuable. Originality/value: Computer classes benefit older people wishing to learn computer skills which may facilitate “ageing in place”. There has been little research in this area. (Publisher abstract)
Why is it important to consider so-called 'invisible' older people in UK healthcare?
- Authors:
- TINKER Anthea, et al
- Journal article citation:
- Quality in Ageing and Older Adults, 15(4), 2014, pp.187-196.
- Publisher:
- Emerald
Design/methodology/approach: Using information obtained from academic literature, government statistics and other publications from relevant organisations, this paper discusses older people who are in groups that are not readily visible to policy makers and practitioners. The authors investigated one 'invisible' group each and comparisons and conclusions were then made collaboratively. The six underserved populations covered were older people with physical disabilities, learning disabilities, those from LGBT communities, older prisoners, older people with chronic long-term mental health problems (in particular depression and dementia) and those who are homeless. The issues of health needs, access to health care and provision of services are discussed. Findings: Many groups of older people seem to be absent from statistics and from policy making. The paper suggests that there needs to be more research to identify the scale of any problems and how they may be solved. Practical implications: There are practical implications for health and social care professionals if they do not recognise that there are groups in society about whom little is known. Lack of knowledge and empathy may affect their approach to these groups. (Edited publisher abstract)
Assisted living platform: the long term care revolution
- Authors:
- TINKER Anthea, et al
- Publisher:
- Housing Learning and Improvement Network
- Publication year:
- 2013
- Pagination:
- 71
- Place of publication:
- London
This report outlines the case for a revolution in long term care, set in a time scale of 2012, 2020 and 2050. Based on desk-based research of reports and peer reviewed article, it sets out a vision for an alternative to institutional care, drawing on substantial evidence about the views of older people and their carers in the UK and lessons from abroad, . The findings are set in the context of demographic concerns about the rise in numbers of older people, increased prevalence of long term conditions, the role of informal carers, numbers in institutions and costs, poor care both in institutions and at home, financial constraints and the complexity of funding. The paper also identifies practical examples of care provision. Key areas covered include a person-centred approach to care, long term care at home, the role of appropriate housing and health, extra care housing and the potential of technology to enhance people's lives and maintain their independence. The paper highlights implications for providers and makes recommendations to government and industry leaders on key factors for revolutionizing long term care for older people. (Edited publisher abstract)
Improving the provision of information about assistive technology for older people
- Authors:
- MCCREADIE Claudine, WRIGHT Fay, TINKER Anthea
- Journal article citation:
- Quality in Ageing, 7(2), June 2006, pp.13-22.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
This article looks at a small piece of research, funded by the Helen Hamlyn Foundation, that looked at the provision of relevant and appropriate information about assistive technology (AT) for older people. It the study the definition of assistive technology included: housing adaptations, aids for daily living and electronic assistive technology. The research involved mapping both AT and information sources, focus groups with 28 users aged 75 and over and 12 carers, interviews with 40 professionals and information providers and a postal questionnaire to 131 care home managers (response rate of 45 percent). The findings point to the large volume of available information, but suggest that there are problems in identifying needs and in accessing all necessary information. Professionals share these problems and organisational issues impact on professional capacity to provide satisfactory information. The situation in care homes appears to be ambiguous in terms of responsibility for AT provision for residence and hence for information. The researchers concluded that there is considerable scope for improving both access to information and the design of that information.
Admission to nursing homes in Taiwan
- Authors:
- LIU Li-Fan, TINKER Anthea
- Journal article citation:
- Social Policy and Administration, 37(4), August 2003, pp.376-394.
- Publisher:
- Wiley
The population of Taiwan is facing a radical ageing process. A proportion of the growing number of people aged 65 and over is expected to need nursing home care. This research concerns the family context of decision-making in the process of admission to a nursing home in Taiwan. Employing survey data from interviews with elderly people in nursing homes (235 interviews) and their carers/key families (265 interviews), the factors affecting their views about admission were explored. Bivariate analysis and a logistic regression model were also used to examine perceptions of alternatives to nursing home care among family members with elderly relatives in nursing homes. Most elderly people in Taiwan are cared for in their own homes by their families but, in some circumstances, entry to a nursing home seemed inevitable. This research found that the decisions were taken mainly within a family context. The adult children of the elderly people, carers/key families' preferences and the availability of carers influenced the decision. Apart from the important need factors of elders, families' views about alternatives to nursing homes were significantly influenced by their preferences. This study has important implications for long-term care in Taiwan. It is hoped that this will be needs-led, both by elderly people and their families.
Factors associated with nursing home entry for older people in Taiwan Republic of China
- Authors:
- LIU Li-Fan, TINKER Anthea
- Journal article citation:
- Journal of Interprofessional Care, 15(3), August 2001, pp.245-255.
- Publisher:
- Taylor and Francis
Taiwan is facing a rapid change in the composition of its population. As the population ages, a greater demand for long-term care services and, in particular, nursing homes is expected. This research assess the relative importance of predisposing, enabling and need factors that lie behind admission to nursing homes. It is based on a survey of elderly people in registered nursing homes, a comparison with a national sample of elderly people in their own homes and interviews with the lucid elderly patients and their carers. It was found that nursing home entry was associated with advanced age, gender, educational level and dependency levels of elderly people. After controlling for age, need factors have the greatest impact on admission. Specific medical problems such as cardiovascular, neurological and skeletal muscular diseases were also major contributors. Decisions about nursing home entry were mainly taken within a family context with adult children the main players while professionals played a relatively minimal role.
Older people in modern society
- Author:
- TINKER Anthea
- Publisher:
- Addison Wesley Longman
- Publication year:
- 1997
- Pagination:
- 384p.,tables,bibliog.
- Place of publication:
- Harlow
Examines research, policy and practice relating to older people; analyses changes in policy following legislation introduced since 1992; looks at recent changes in the organisation and provision of services, including the NHS; and highlights issues of current concern, such as continuing care and the abuse of older people.
Some key policy issues and debates in relation to services for older people
- Author:
- TINKER Anthea
- Journal article citation:
- Research Policy and Planning, 14(2), 1997, pp.1-3.
- Publisher:
- Social Services Research Group
Over the next 20 years, projections suggest that the percentage of over 65 years olds in the population will not increase significantly, but in the 20 years after that much greater increases are predicted. Against this backdrop, a range of current and anticipated policy and practice issues are explored.