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Promoting health and wellbeing in later life: interventions in primary care and community settings
- Authors:
- FROST Helen, HAW Sally, FRANK John
- Publisher:
- Scottish Collaboration for Public Health Research and Policy
- Publication year:
- 2010
- Pagination:
- 157p.
- Place of publication:
- Edinburgh
In Scotland, the population of older people is expected to rise and it will become increasingly difficult to maintain independent living for older people in their own homes or provide adequate pensions and social security systems. Disability and ill health in older people has been shown to be strongly linked to socioeconomic position. The aim of this review is to provide an overview of the evidence for interventions that prevent or delay physical disablement in later life with a view to informing policy makers and developing equitable intervention strategies. A search was conducted to find information relevant to research, interventions, policies and programmes delivered in Scotland or internationally that aim to impact on health and reduce inequalities in older people. The key policies and frameworks that have been published internationally and in Scotland relevant to the care of an increasingly ageing population are discussed. Specific interventions are then considered under the following categories: complex interventions; interventions to prevent falls and fractures; physical activity and exercise interventions; nutritional interventions; information and communication technology interventions; interventions to prevent social isolation and loneliness; and medication review.
Interventions in community settings that prevent or delay disablement in later life: an overview of the evidence
- Authors:
- FROST Helen, HAW Sally, FRANK John
- Journal article citation:
- Quality in Ageing and Older Adults, 13(3), 2012, pp.212-230.
- Publisher:
- Emerald
A literature review was undertaken to identify reviews and meta-analyses published between 1999 and 2009 on interventions aimed at preventing disablement in community-dwelling older people. This article presents an overview of the conclusions and quality of the 62 reviews selected for inclusion, and summarises the evidence for interventions. The selected reviews covered the following types of interventions: preventative home visits, integrated service delivery/case management and comprehensive geriatric assessment, falls prevention, exercise, nutritional needs, medication review, telecare/telehealth, social integration interventions, and vision screening. The authors discuss the findings and their implications for policies for healthy ageing. They report that the review identified areas of conflicting evidence and unknown effectiveness, partly due to lack of standardisation of outcome measures and poor research design, but that there are some promising interventions, such as integrated care delivery programmes, and there is evidence to support the implementation of exercise interventions, particularly for prevention of falls.