Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 10 of 97
Motivators and barriers to exercise adherence
- Author:
- ROLLER Maureen
- Journal article citation:
- Nursing and Residential Care, 14(9), September 2012, pp.482-485.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
Adults over the age of 65 are at increased risk if disabling injuries, diminished independence and vitality owing to a decline in strength, endurance and balance. Assisting this population in increased adherence to exercise programmes may promote a healthier life and improved function and quality of life. This article details findings from research which examined motivators and barriers to a 12-week exercise programme. The pre-study motivator scores were lower than the post-study scores, indicating that motivation factors increased after the programme. The more that people participated in the exercises, the lower the barriers became. The author concluded that access to exercise that is convenient may encourage older people to adhere to similar programmes and overcome any remaining barriers.
Strategic moves: thinking, planning and delivering differently: strategic commissioning services for older people
- Authors:
- SUFFOLK FILMS, (Producer)
- Publisher:
- Great Britain. Department of Health. Health and Social Care Change Agent Team
- Publication year:
- 2005
- Pagination:
- CD ROM
- Place of publication:
- London
Strategic Commissioning for Older People's Services is a Workbook/CD designed to help partnerships develop better commissioning to fit the outcomes they want to achieve. It builds on 'Preparing older people's and housing strategies' ODPM and DH 2002, and 'A Catalyst for change: commissioning non acute services for older people'.
Do direct payments improve outcomes for older people who receive social care? Differences in outcome between people aged 75+ who have a managed personal budget or a direct payment
- Authors:
- WOOLHAM John, et al
- Journal article citation:
- Ageing and Society, 37(5), 2017, pp.961-984.
- Publisher:
- Cambridge University Press
Direct payments - cash for people eligible for adult social care and spent by them on care and support - are claimed to enable care to better reflect user preferences and goals which improve outcomes. This paper compares outcomes of older direct payment users and those receiving care via a managed personal budget (where the budget is spent on the recipients behalf by a third party). The study adopted a retrospective, comparative design using a postal questionnaire in three English councils with adult social care responsibilities in 2012–13. Included in the study were 1,341 budget users aged 75+, living in ordinary community settings. The overall response rate was 27.1 per cent (339 respondents). Three validated scales measured outcomes: EQ-5D-3L (health status), the Sheldon–Cohen Perceived Stress Scale and the Adult Social Care Outcomes Toolkit (social care-related quality of life). The study found that direct payment users appreciated the control conferred by budget ownership, but in practice, for many it did not ‘translate’ into improved living arrangements. It also found no statistically significant difference in outcomes between direct payment and managed personal budget users. The paper argues that despite policy and other guidance and research evidence about effective implementation of direct payments for older people, the absence of evidence for better outcomes may at least in part be attributable to values underpinning policies relating to personalisation and personal budgets. (Publisher abstract)
Developing a joint outcomes contracting model for integrated health and social care for older people
- Authors:
- BILLINGS Jenny, DAVIS Alison
- Journal article citation:
- Journal of Integrated Care, 24(5/6), 2016, pp.282-299.
- Publisher:
- Emerald
Purpose: Current debates surrounding the NHS contract in England are suggesting that it is in need of change to support an integrated health and social care transformation agenda that meets the needs of an ageing chronically ill population. The purpose of this paper is to describe a three-phase project in England that sought to develop and validate a whole systems contracting model for integrated health and social care focusing on older people with long-term conditions, and based on joint outcomes. Design/methodology/approach: A participative mixed-method approach for the development of the contracting model was used; this consisted of a literature review, a design phase drawing on consensus method through stakeholder discussions and an international validation phase. Findings: The final contracting model consists of four overarching and interrelated core elements: outcomes; partnership, collaboration and leadership; financial: incentives and risk; and legal criteria. Each core element has a series of more detailed contracting criteria, followed by further specifications attached to each criteria. Research limitations/implications: While the policy environment appears to be conducive to change and encourages the adoption of new ways of thinking, there are difficulties with the implementation of new innovative models that challenge the status quo, and this is discussed. Practical implications: The paper concludes with reflections on the way forward for local development and implementation. Originality/value: There is currently much discussion for the need to realign contracting for integrated care that has a better fit for the transformation agenda, but until now, there have been no attempts to develop a whole systems approach that focusses on joint outcomes. This research bridges the gap but recognizes the challenges to implementation. (Publisher abstract)
The effects of learning on wellbeing for older adults in England
- Authors:
- JENKINS Andrew, MOSTAFA Tarek
- Journal article citation:
- Ageing and Society, 35(10), 2015, pp.2053-2070.
- Publisher:
- Cambridge University Press
There is growing interest in factors which can contribute to the wellbeing of older adults. Participation in learning could have beneficial effects, but to date research on the benefits of learning has tended to focus on young people or those in mid-life and there is currently little evidence on the impact of learning on the wellbeing of older adults. In this paper we provide new, quantitative evidence on the relationship between participation in learning and the wellbeing of older adults. Our study used data from the English Longitudinal Study of Ageing (ELSA), a continuing, longitudinal survey of older adults. To measure wellbeing we used the CASP-19 instrument, a subjective wellbeing measure which is available at all waves of the ELSA survey. Respondents were asked about four types of learning activity: obtaining qualifications; attendance at formal education/training courses; membership of education, music or arts groups or evening classes; membership of sports clubs, gym and exercise classes. To take account of unobservable factors which might influence wellbeing, we applied fixed effects panel regressions to four waves of ELSA data. Learning was associated with higher wellbeing after controlling for a range of other factors. We found evidence that more informal types of learning were associated with higher wellbeing. There was no evidence that formal education/training courses were associated with higher wellbeing. (Edited publisher abstract)
Older people's experiences of cash-for-care schemes: evidence from the English Individual Budget pilot projects
- Authors:
- MORAN Nicola, et al
- Journal article citation:
- Ageing and Society, 33(5), 2013, pp.826-851.
- Publisher:
- Cambridge University Press
Cash-for-care schemes offering cash payments in place of conventional social services are becoming commonplace in developed welfare states; however, there is little evidence about the impact of such schemes on older people. This paper reports on the impact and outcomes for older people of the recent English Individual Budget (IB) pilot projects (2005–07). It presents quantitative data on outcome measures from structured interviews with 263 older people who took part in a randomised controlled trial and findings from semi-structured interviews with 40 older people in receipt of IBs and with IB project leads in each of the 13 pilot sites. Older people spent their IBs predominantly on personal care, with little resources left for social or leisure activities; and had higher levels of psychological ill-health, lower levels of wellbeing, and worse self-perceived health than older people in receipt of conventional services. The qualitative interviews provide insights into these results. Potential advantages of IBs included increased choice and control, continuity of care worker, and the ability to reward some family carers. However, older people reported anxieties about the responsibility of organising their own support and managing their budget. For older people to benefit fully from cash-for-care schemes they need sufficient resources to purchase more than basic personal care; and access to help and advice in planning and managing their budget. (Publisher abstract)
Outcomes and well-being part 1: a comparative longitudinal study of two models of homecare delivery and their impact upon the older person self-reported subjective well-being
- Author:
- GETHIN-JONES Stephen
- Journal article citation:
- Working with Older People, 16(1), 2012, pp.22-30.
- Publisher:
- Emerald
This paper investigated the impact of two models of home care delivery for older people, and how these two models impact on the older persons' self-reported well-being. It examined whether altering the delivery of care to an outcome-focused model would improve the individual participant's subjective well-being and save money for the local authority. An 18 month longitudinal study was conducted on 40 service users aged 65 and over whom all had critical and substantial care needs. Half of the sample of service users was receiving the new form of outcome-focused care and the other half were a comparison group who were receiving care packages according to the traditional form of delivery that could be characterised as a “task-focused” model. Participants identified: quality of life issues; where they were seeking improvement; and change over time in relation to these. Findings revealed an improvement in subjective well-being in the group receiving outcome-focused care. Implications for practice are discussed.
Have you been down to the woods today?
- Author:
- MAPES Neil
- Journal article citation:
- Working with Older People, 16(1), 2012, pp.7-16.
- Publisher:
- Emerald
To date, research exploring the benefits of “green” exercise and experiences of people living with dementia in care taking activity out in nature is very limited. This paper reports on findings from the Wandering in the Woods action research project conducted by Dementia Adventure, based in Essex, England. The project is designed to help people living with dementia connect with nature. Qualitative and quantitative data were gathered using the participatory appraisal method in small groups both before and after woodland adventure days out. The research was conducted with three relatively small groups, which varied in composition across the study, for practical reasons associated with care and capability of participants. Findings revealed a 41% increase in participants rating exercise as a factor which was very important to them. A number of potential physical, emotional, and social benefits of activity out in woodlands were identified. Practical implications for changing practices in the dementia care and health and well-being sectors are discussed.
Meeting through music
- Author:
- DOWSON Becky
- Journal article citation:
- Journal of Dementia Care, 20(2), March 2012, pp.26-28.
- Publisher:
- Hawker
The Guideposts Trust’s Music Therapy service, in Oxfordshire, England, has been supporting people with dementia by helping them maintain their sense of identity and express themselves through music. This article, based on client feedback, describes the positive difference the service has made to many people. The service, staffed by three part-time music therapists, services 15 people in individual weekly sessions, and a further 35 who attend in group sessions. The therapy allows for non-verbal communication, and facilitates social interaction at a time when attendees are at risk from social isolation. Clients enjoyed playing together as a group, listening to others, singing, and playing instruments. The therapy simultaneously fulfilled a range of different needs.
Objections to routine clinical outcomes measurement in mental health services: any evidence so far?
- Authors:
- MACDONALD Alastair J. D., TRAUER Tom
- Journal article citation:
- Journal of Mental Health, 19(6), December 2010, pp.517-522.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Routine clinical outcomes measurement (RCOM) is gaining importance in mental health services. Warnings about RCOM, particularly relating to selection, attrition and detection bias, were published when RCOM was at an early stage of development. The aim of this study was to examine whether these criticisms still apply by looking at data from a recent RCOM programme. An observational study in an old age psychiatric service in a SE London NHS Trust examined routine ratings using HoNOS65+ at admission and again at discharge from 1997 to 2008. Testable hypotheses were generated from each criticism amenable to empirical examination. Inter-rater reliability estimates were applied to observed differences between scores between community and ward patients using resampling. A total of 5,180 community inceptions and 862 admissions had HoNOS65+ ratings at admission and discharge. Analysis of these found no evidence of gaming (artificially worse scores at inception and better at discharge), selection, attrition or detection bias, and ratings were consistent with diagnosis and level of service. Anticipated low levels of inter-rater reliability did not vitiate differences between levels of service. The article concludes that no evidence of the alleged biases was found, and that RCOM seems valid and practical in mental health services.