Search results for ‘Subject term:"older people"’ Sort:
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Evidence review of home adaptations in the UK and other OECD countries: a tripartite framework
- Authors:
- WANG Yang, GIBB Kenneth, MCCALL Vikki
- Publisher:
- UK Collaborative Centre for Housing Evidence
- Publication year:
- 2022
- Pagination:
- 47
- Place of publication:
- Glasgow
The main objective of this review was to provide overview of what we know about home adaptations, examining the latest knowledge advancement, identifying gaps for future research, and informing policy and practice. We directed our enquires of the literature following three questions: 1. Who need home adaptations? 2. How are home adaptations placed and what works or would work as examples of good practices? 3. What are the outcomes of home adaptations? This led to the development of a three-dimensional framework - client, process and outcome - which can accommodate the old, new and growing evidence, themes and theories of home adaptations. The review is concerned mainly with adaptations in relation to community-dwelling older people. The digital search process yielded 706 papers falling within search criteria (after excluding duplicates and other similar anomalies). A series of further exclusions reduced this to 153. Further manual examination produced a final set of 76 papers. The client dimension reviewed ways in which the characteristics of home adaptation applicants/users had been explored in the contemporary literature. Some are quite revealing and clearly demonstrate the importance of increasing our knowledge about the characteristics of adaptations clients, such as the investigation of ethnic disparities in the use of adaptations (e.g. Bakk et al., 2017) which further draws our attention to wider issues of inequality in housing and the health and social care system. In the process dimension, we explored the frequently reported delays during adaptation services in the UK and what we called 'elective delays' that resulted from stigmatisations associated with home adaptations. We organised evidence about the outcomes of adaptations into three broad categories: functional performance and safety, health gains, and economic benefits. While improvements of functional performance and safety as the primary focus of adaptations studies have been documented in greater depth following RCT studies, health gains and economic benefits were relatively weakly evidenced. (Edited publisher abstract)
Social marketing strategies for reaching older people with disabilities: findings from a survey of centers for independent living participants
- Authors:
- MOONE Rajean Paul, LIGHTFOOT Elizabeth
- Journal article citation:
- Journal of Social Work in Disability and Rehabilitation, 8(2), April 2009, pp.65-81.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Centres for independent living (CILs) provide critical support, services, and advocacy to help people with disabilities live independently. In the light of the rapid increase in the number of older people with disabilities, many CILs are now considering how to actively engage older adults in their organisations. The main aim of this study was to investigate which social marketing techniques might be of use for reaching this population. Data was drawn from a postal survey sent to all individuals aged over 50 years who had received services from one of Minnesota’s eight CILs during a 2-year period between 2001 and 2003 (n=528); 264 usable surveys were processed. The study revealed that many older people with disabilities are not familiar with CILs. It is suggested that utilising the components of the social marketing mix in designing outreach efforts, including a critical examination of product, place, price, participants, and partnering, CILs and other community agencies can better reach older adults with disabilities.
Research and development work relating to assistive technology: 2019-20
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2020
- Pagination:
- 48
- Place of publication:
- London
An annual report setting out progress made in government-funded projects which support the development, introduction and evaluation of equipment and assistive technology to increase the independence or well-being of older and disabled people. This report aims to reflect research relating to a wide range of impairments and conditions, and to cover research on service provision and patterns of use as well as development and evaluation of technologies. It highlights developments in priority setting and funding for assistive technology research and innovation and some particular areas of research activity. The Annex provides a listing of Government-funded assistive technology research and development projects current in 2019-20. (Edited publisher abstract)
Research and development work relating to assistive technology: 2020-21
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2021
- Pagination:
- 54
- Place of publication:
- London
An annual report setting out progress made in government-funded projects which support the development, introduction and evaluation of equipment and assistive technology to increase the independence or well-being of older and disabled people. This report aims to reflect research relating to a wide range of impairments and conditions, and to cover research on service provision and patterns of use as well as development and evaluation of technologies. It highlights developments in priority setting and funding for assistive technology research and innovation and some particular areas of research activity. The Annex provides a list of Government-funded assistive technology research and development projects current in 2020-21. (Edited publisher abstract)
Research and development work relating to assistive technology: 2018-19
- Author:
- GREAT BRITAIN. Department of Health and Social Care
- Publisher:
- Great Britain. Department of Health and Social Care
- Publication year:
- 2019
- Pagination:
- 62
- Place of publication:
- London
An annual report setting out progress made in government-funded projects which support the development, introduction and evaluation of equipment and assistive technology to increase the independence or well-being of older and disabled people. This report aims to reflect research relating to a wide range of impairments and conditions, and to cover research on service provision and patterns of use as well as development and evaluation of technologies. It highlights developments in priority setting and funding for assistive technology research and innovation, some particular areas of research activity, and any developments in supporting uptake and spread of assistive technology. The Annex provides a listing of government-funded assistive technology research and development projects current in 2018-19. (Edited publisher abstract)
Making the extra years count: inequalities in disability and dependency with increasing longevity
- Author:
- BEACH Brian
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2021
- Pagination:
- 31
- Place of publication:
- London
This report investigates the trends in longevity, disability, and dependence between 1991 and 2011. The research also explores how these trends relate to long-term conditions and socioeconomic inequalities. The research has found key elements of these trends to be: between 1991 and 2011, the proportion of life remaining at age 65 spent without disability has remained about the same for men but increased for women; long-term conditions have become more prevalent, but people are spending more extra years disability-free than years with disability on average – in other words, more people are living with chronic illness, but this doesn’t directly translate to disability; in terms of life expectancy without disability at age 65, the gap between the most and least deprived tripled between 1991 and 2011 – this growing gap is mainly explained by the most advantaged people seeing a reduced incidence (onset) of and increased recovery from disability. This new evidence adds weight to the findings of ILC’s ‘Prevention in an ageing world’ programme and our recommendations for action: democratise access to prevention to alleviate health inequalities; inspire and engage policymakers, healthcare professionals and individuals to consider, support and access prevention; use technology effectively. (Edited publisher abstract)
Homes for life: it's time to build the homes we need
- Author:
- CENTRE FOR AGEING BETTER
- Publisher:
- Centre for Ageing Better
- Publication year:
- 2020
- Pagination:
- 11
- Place of publication:
- London
Findings of a survey of local authorities across England exploring the growing demand for more accessible homes. Of the local authorities that responded to the survey, 97% said their need for accessible homes will increase in the next 10 years, with a quarter already describing their need as severe. The biggest barrier to securing accessibility of new homes is arguments over viability (79%), followed by challenges from developers to policies with higher accessibility standards (48%). And only 21% said that they would be able to deliver the number of accessible homes needed without changes to national policy. Currently, local authorities set out plans of how many accessible homes are needed, once they can demonstrate demand in the area. But via viability assessments, developers can argue that accessible housing is prohibitively expensive, and negotiate that homes are built to the lowest allowable standards. The report calls for a change of building regulations to make all new homes ‘accessible and adaptable’ as the baseline standard – also known as M4(2) in building regulations. (Edited publisher abstract)
A review of independent living adaptations
- Authors:
- BIBBINGS Jennie, et al
- Publisher:
- Welsh Government Social Research
- Publication year:
- 2015
- Pagination:
- 143
- Place of publication:
- Cardiff
A review of the provision of independent living adaptations within Wales, providing a map of the current system, including performance indicators, and exploring the feasibility of options for change. The review identified a fragmented service delivery system with many points of access and a range of diverse pathways with a variety of funding streams for different tenures. Funding for adaptations has developed in an ad hoc way in response to wider policy changes, leading to complexity in funding streams as well as eligibility criteria. Based on the qualitative and quantitative research undertaken as part of this review, three models for change were developed and analysed: option 1 - 'Status quo' - maintains existing funding streams and delivery agencies, with a strong focus on adopting best practice; option 2 - 'Unified system' -merges all existing funding streams into a single pot, to be delivered by a single organisation across all tenures and ages; option 3 - 'Tiered system' , which this review recommends - retains existing funding streams but with a greater focus on building on elements of best practice. The emphasis is on streamlining the front end of service delivery in a way which is more equitable for service users, while maintaining a range of funding streams to relieve pressure across the system. (Edited publisher abstract)
Avoiding institutional outcomes for older adults living with disability: the use of community-based aged care supports
- Authors:
- ELLISON Caroline, WHITE Amy, CHAPMAN Libby
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 36(3), September 2011, pp.175-183.
- Publisher:
- Taylor and Francis
Most people, regardless of ability or impairment, want to remain independent and living in their own home as they age. This study aimed to establish if accessing community-based aged care supports was perceived as assisting individuals ageing with a disability to remain living in their own homes and to avoid more institutional models of service. Sixty individuals aged 50 years and over with an intellectual, physical or neurological disability were interviewed to determine their perceptions in relation to ageing and the supports needed to remain living in the community. In addition, 26 staff and 6 family members were interviewed. The findings indicated that the participants receiving community-based aged care supports reported benefits including opportunities to develop relationships, maintain daily living skills, and participate in community activities. However, due to a lack of confidence in the availability of access to mainstream community-based aged care services, many participants felt vulnerable or unsure about their future and ability to remain living in their own home. Several participants commented that this meant that an undesired early relocation into residential aged care or congregate disability services appeared inevitable.
Livindhome: living independently at home: reforms in home care in 9 European countries
- Authors:
- ROSTGAARD Tina, et al
- Publisher:
- Danish National Centre for Social Research
- Publication year:
- 2011
- Pagination:
- 252p., bibliog.
- Place of publication:
- Copenhagen
This report presents findings from the project Living Independently at Home: Reforms in organisation and governance of European home care for older people and people with disabilities (LIVINDHOME). The study provides an overview of recent and current reforms in the organisation and governance of home care systems in nine European countries, and analyses the intended and unintended results of these reforms, in particular, how the reforms have affected the organisation, supply and quality of care. The focus of the study is home care for older people and for people with disabilities. In countries that have more family-oriented welfare traditions (Austria, Germany, Italy, Ireland), comprehensive approaches to long-term care have started to develop only relatively recently. Despite increases in funding for long-term care, home care provision in Italy and Ireland remains highly fragmented, with major local variations in access to services. The second group of countries (Denmark, England, Finland, Norway, and Sweden) have had more or less comprehensive home care services in place for many years. These have been delivered by local authorities under a legislative framework set by central government. Reforms have here involved the introduction of market- and consumer-related mechanisms into the supply and delivery of home care.