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Evaluation of the H4All Wellbeing Service pilot: April 1st 2016 - January 31st 2017
- Authors:
- JAMMU Dalvinder, BOND Andy
- Publisher:
- NHS Hillingdon Clinical Commissioning Group
- Publication year:
- 2017
- Pagination:
- 41
- Place of publication:
- London
An evaluation of the first 10 months of the Hillingdon H4All Wellbeing Service pilot, commissioned by Hillingdon CCG in April 2016. The service is a collaboration between 5 local third sector charities and provides older patients in Hillingdon with a range of services, including: information and advice, practical support, goal setting and ongoing support to manage LTCs, befriending and mentoring, and signposting and referral to voluntary and statutory services. During the evaluation period the H4All service supported 1,099 patients with 2,729 enquiries resulting in 11,675 contacts with/for patients. Analysis of completed Patient Activation Measure (PAM) outcome questionnaires found that most people accessing the service increased their PAM score, with an average movement of 8 points per patient in their individual scores. A total of 44 of the Hillingdon GP practices referred to the Wellbeing Service during the evaluation period in the first ten months and gave very positive feedback. The appendices include individual patient case studies highlight how they have benefitted from the service. (Edited publisher abstract)
Hospital-at-home Integrated Care Programme for the management of disabling health crises in older patients: comparison with bed-based Intermediate Care
- Authors:
- MAS Miquel A., et al
- Journal article citation:
- Age and Ageing, 46(6), 2017, pp.925-931.
- Publisher:
- Oxford University Press
Objective: To analyse the clinical impact of a home-based Intermediate Care model in the Catalan health system, comparing it with usual bed-based care. Design: Quasi-experimental longitudinal study. Setting: Hospital Municipal de Badalona and El Carme Intermediate Care Hospital, Badalona, Catalonia, Spain. Participants: Older patients with medical and orthopaedic disabling health crises in need of Comprehensive Geriatric Assessment (CGA) and rehabilitation. Methods: A CGA-based hospital-at-home Integrated Care Programme (acute care and rehabilitation) was compared with a propensity score matched cohort of contemporary patients attended by usual inpatient hospital care (acute care plus intermediate care hospitalisation), for the management of medical and orthopaedics processes. Main outcomes measures were: (a) Health crisis resolution (referral to primary care at the end of the intervention); (b) functional resolution: relative functional gain and (c) favourable crisis resolution (health + functional) = a + b. The article compared between-groups outcomes using uni/multivariable logistic regression models. Results: Clinical characteristics were similar between home-based and bed-based groups. Acute stay was shorter in home group: 6.1 (5.3–6.9) versus 11.2 (10.5–11.9) days, P < 0.001. The home-based scheme showed better results on functional resolution and on favourable crisis resolution, with shorter length of intervention, with a reduction of −5.72 (−9.75 and −1.69) days. Conclusions: In the study, the extended CGA-based hospital-at-home programme was associated with shorter stay and favourable clinical outcomes. Future studies might test this intervention to the whole Catalan integrated care system. (Edited publisher abstract)
Impact of the Village model: results of a national survey
- Authors:
- GRAHAM Carrie L., SCHARLACH Andrew E., STARK Bradford
- Journal article citation:
- Journal of Gerontological Social Work, 60(5), 2017, pp.335-354.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Villages are a relatively new, consumer-directed model that brings together older adults in a community who have a mutual interest in ageing in place. These membership organisations provide social and civic engagement opportunities, volunteer provided support services, and referral to vetted community providers to achieve their primary goals of promoting independence and preventing undesired relocations. This cross sectional survey of 1,753 active Village members from 28 Villages across the US measured members’ perceived impacts in the areas of social connection, civic engagement, service access, health and well-being, and ability to age in place. Results showed that involvement in the Village was a key factor associated with greater perceived impacts. Over half of members perceive that the Village has improved their sense of connection to others and their feeling that they have someone to count on. Though younger members in better health were more likely to perceive impacts in social connections, results suggest older women, living alone with some disability may be the most likely to experience improved health, quality of life, and mobility. The implications for social work practice are discussed. (Edited publisher abstract)
Evaluation of age & dementia friendly gymnastics programme
- Author:
- KARANIA Vinal Khushal
- Journal article citation:
- Working with Older People, 21(3), 2017, pp.140-146.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to evaluate the impact of a bilaterally asymmetric gymnastics-based exercise programme on older people participating in a care home and day centre setting. Design/methodology/approach: The research design comprised a small-scale pilot in two care homes and one day care centre in Cambridgeshire, England. The research was a qualitative evaluation that included observing sessions delivered; interviews with older people participating, their spouses, family members and friends; interviews with staff; and a review of the diary of each session written by the person delivering the exercise programme. Findings: Older people participating in the programme showed a demonstrable improvement with aspects of their physical, emotional and cognitive ability. Older people with mild to advanced forms of dementia appeared to benefit most. The sessions were enjoyable and a real bond developed between the older people. Research limitations/implications: Future research will benefit from understanding whether the observed improvements are reflected in objective measures. The inclusion of a comparison group will be important to further add to the belief that the observed changes are caused by the programme. The inclusion of a large sample size covering different geographic areas will be needed to test more widely the viability of this programme. Originality/value: This research is the first to investigate the impact of an asymmetric gymnastics-based exercise programme on older people, with varying levels of dementia, in a care home and day centre setting. (Publisher abstract)
“Music in Mind” and Manchester Camerata: an exploratory qualitative evaluation of engagement in one care home in Northwest England
- Author:
- CAMPBELL Sarah
- Journal article citation:
- Quality in Ageing and Older Adults, 18(1), 2017, pp.69-80.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to consider the work conducted by Manchester Camerata (an internationally renowned and world-class chamber orchestra) programme for people with dementia in one care home in the north west of England. The study aim was to undertake an exploratory qualitative evaluation of experiences of those taking part in its ten week “Music in Mind” programme, namely care home staff, Manchester Camerata musicians/organisational staff, care home activity workers, the assigned music therapist and visiting family carers. Design/methodology/approach: During July-September 2014 a sample of 11 participants was recruited and a total of 19 interviews conducted over ten weeks. All respondents were offered the opportunity to be interviewed more than once. Interview data were supplemented by information gathered at two musicians de-brief sessions and from two activity workers’ diaries. All data was organised using NVivo 10 and thematic analysis applied to the whole data set. People with dementia could not be included in the sample owing to the time limitations on starting and completing the evaluation. Findings: This analytical process generated three overarching themes: Making it Happen, which referred to the contextual, structural and organisational considerations necessary for setting up the engagement programme; Orchestrating Person-centred Care, which addressed the importance of building relationships through person to person communication; Making Musical Connections, which identified the sensory and embodied qualities of live music and the need to capture in-the-moment experiences. Originality/value: Whilst each of these theme headings has slightly different meanings and applications to each of the participating stakeholders, the evaluation highlights the potential power of improvised music making to equalise and harmonise the group dynamics by co-creating “in-the-moment” experiences. (Publisher abstract)
The impact and measurement of social dysfunction in late-life depression: an evaluation of current methods with a focus on wearable technology
- Authors:
- HODGETTS Sophie, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 32(3), 2017, pp.247-255.
- Publisher:
- Wiley
Objective: Depression is known to negatively impact social functioning, with patients commonly reporting difficulties maintaining social relationships. Moreover, a large body of evidence suggests poor social functioning is not only present in depression but that social functioning is an important factor in illness course and outcome. In addition, good social relationships can play a protective role against the onset of depressive symptoms, particularly in late-life depression. However, the majority of research in this area has employed self-report measures of social function. This approach is problematic, as due to their reliance on memory, such measures are prone to error from the neurocognitive impairments of depression, as well as mood-congruent biases. Method: Narrative review based on searches of the Web of Science and PubMed database(s) from the start of the databases, until the end of 2015. Results: The present review provides an overview of the literature on social functioning in (late-life) depression and discusses the potential for new technologies to improve the measurement of social function in depressed older adults. In particular, the use of wearable technology to collect direct, objective measures of social activity, such as physical activity and speech, is considered. Conclusion: In order to develop a greater understanding of social functioning in late-life depression, future research should include the development and validation of more direct, objective measures in conjunction with subjective self-report measures. (Publisher abstract)
Exploring the challenge: the impact of the design process
- Author:
- DESIGN COUNCIL
- Publisher:
- Design Council
- Publication year:
- 2017
- Pagination:
- 60
- Place of publication:
- London
An ethnographic evaluation of the ‘Exploring the Challenge’ phase of Transform Ageing, a design-led programme which aims to improve people’s experience of ageing. Transforming Ageing brought together older people, social entrepreneurs and health and social care leaders to develop new solutions that better support the needs and aspirations of ageing communities. Teams were formed around challenges relevant to each location (Torbay, Somerset, North Devon and Cornwall). These included social isolation, hospital discharge, assistive technology, feeling supported as a carer, and being physically active. This evaluation reviews the successes and challenges of using a design-led approach with multiple stakeholders in a community setting. The evaluation uncovered impacts on the participants, documented the process of applying a design-led approach in a community setting and identified opportunities for improvement. The findings are organised around the following themes: diversity and collaboration; accessibility and inclusiveness; human beings first, professionals second; the process and language of design; and ownership and legacy. It is written for those interested in the approach taken in Transform Ageing and those eager to make change to improve people's later life. (Edited publisher abstract)
cARTrefu: creating artists in residents. A national arts in care homes participatory and mentoring programme. Evaluation report 2015-2017
- Authors:
- ALGAR-SKAIFE K., CAULFIELD M., WOODS B.
- Publisher:
- Bangor University
- Publication year:
- 2017
- Pagination:
- 98
- Place of publication:
- Bangor
An evaluation of the cARTrefu project, which aimed to increase opportunities for care home residents and staff to participate in the arts and to develop mentor artists to deliver sessions for older people in care homes across Wales. The evaluation report provides information on the impact of cARTrefu, the mentoring process, provides tips for delivering an art residency, and identifies challenges and recommendations for future projects. The results of the evaluation found that involvement in a cARTrefu art residency had: significantly improved the well-being of care home residents; significantly improved the attitudes of care staff and artist practitioners towards residents, especially those with dementia; and significantly improved the confidence of care staff to lead sessions in the home. cARTrefu also influenced the likelihood of care staff to engage in creative and cultural activities both outside of work and with residents. (Edited publisher abstract)
Evaluation of Time to Shine: year 2 interim findings
- Authors:
- WIGFIELD Andrea, ALDEN Sarah
- Publisher:
- University of Sheffield
- Publication year:
- 2017
- Pagination:
- 111
- Place of publication:
- Leeds
Interim evaluation of Time to Shine, the Big Lottery funded Ageing Better programme running in Leeds, which is funding projects for specific groups most likely to experience isolation and loneliness. These include older men; Lesbian, Gay, Bisexual and Transgender older people (LGBT), Black and Minority Ethnic (BME) older people; and older people with learning disabilities. Based on analysis of the monitoring and evaluation data, the report provides an overview of what has been learnt about what works in reducing social isolation and loneliness and how the programme is leading to change at the individual, local, and citywide level drawing. It also reports on the commissioning process and looks at how co-production has been incorporated into design, and delivery and evaluation of the programme. It reports that as of 30 June 2017, over 5,600 people of all ages have been involved in Time to Shine projects in some way, including: over 2,600 older people participating regularly in Time to Shine projects and 335 older volunteers and 140 volunteers aged 49 or under helping to plan, deliver or steer projects. The results suggest that being involved in Time to Shine helped some people to feel they were more involved in their local area, improved life satisfaction scores. (Edited publisher abstract)
Giving a voice: advocacy on behalf of people with dementia and people with cancer: a study of the effects on service users' lives
- Authors:
- COFFEY Ann, SMITH Liz
- Publisher:
- Beth Johnson Foundation
- Publication year:
- 2017
- Pagination:
- 36
- Place of publication:
- Stoke-on-Trent
An evaluation of two projects providing advocacy services to older people with different needs - those affected by dementia and those affected by cancer. The dementia project facilitated an advocacy peer support group for people with mild to moderate dementia and the cancer project worked with trained peer volunteer advocates, who had personal experience of cancer. The projects were delivered by the Beth Johnson Foundation and the evaluation conducted by the University of Salford. The evaluation methodology involved interviews with project managers and users of the cancer project; focus group discussions with members of the dementia project peer support group, the coordinator and volunteers; and individual interviews with two relatives of individuals affected by severe dementia. This report provides findings and evidence for the value of each project separately and also provides a summary of overall conclusions and recommendations. The evaluation found that both advocacy services had a very positive impact on people's lives. Benefits ranged from helping people to arrange practical issues such as bills, adjustments to their homes and complex entitlement issues, to providing emotional support, and providing a voice for them or their carers when needed. It recommends that the two projects should continue. Specific recommendations for improving the current dementia advocacy service include: developing greater involvement of health professionals, particularly GP practices and carers of people affected by dementia. (Edited publisher abstract)