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Making a strategic shift towards prevention and early intervention: key messages for decision makers
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 18p.
- Place of publication:
- London
This document is designed to provide practical guidance to local authorities and health communities on how to make a strategic shift to prevention and early intervention In doing this it draws on the experiences and evidence emerging from the first two years of the Partnerships for Older People Projects (POPP) programme and other related initiatives such as the Department for Work and Pensions’ Linkage Plus programme. The guide focuses on promoting the independence and wellbeing of older people and is intended to develop over time to include transferable learning for other client groups.
How balance can overcome barriers
- Author:
- CARTER Kathy
- Journal article citation:
- Quality in Ageing, 9(1), March 2008, pp.41-44.
- Publisher:
- Pier Professional
- Place of publication:
- Brighton
Balance is key to improving the quality of life for older patients. This article looks at barriers to participation which exist in different forms in all areas of fitness and exercise, and are of an emotional or practical nature. The article also highlights the BalanceMaster machine, a piece of equipment that helps with balance and confidence.
Change of approach needed in fracture prevention
- Author:
- HAIRON Nerys
- Journal article citation:
- Nursing Times, 29.1.08, 2008, pp.23-24.
- Publisher:
- Nursing Times
New research suggests that the NHS approach to fracture prevention should shift its focus from osteoporosis to preventing falls. The analysis says that falling is the strongest single risk factor for fracture. This article summarises the research findings and also highlights NICE (2004) guidance on assessing and preventing falls in older people.
Effect of community-based intervention using depression screening on elderly suicide risk: a meta-analysis of the evidence from Japan
- Authors:
- OYAMA Hirofumi, et al
- Journal article citation:
- Community Mental Health Journal, 44(5), October 2008, pp.311-320.
- Publisher:
- Springer
A systematic review was undertaken to quantify the effect of community-based depression screening (CDS) with follow-up on the completed suicide risk for residents aged 65 and over. Five quasi-experimental studies in Japanese regions with high suicide rates were included in the meta-analysis. Combined incidence rate ratios (95% confidence intervals) by the Mantel–Haenszel method and by the DerSimonian–Laird method in two homogenous studies implementing the follow-up conducted by psychiatrists were 0.30 (0.13–0.68) and 0.33 (0.14–0.80) in men, and 0.33 (0.19–0.58) and 0.33 (0.19–0.60) in women, respectively; and those in three homogenous studies implementing the follow-up conducted by general practitioners were 0.73 (0.45–1.18) and 0.74 (0.45–1.23) in men, and 0.36 (0.21–0.60) and 0.39 (0.22–0.66) in women, respectively. There are very few studies included, however, to demonstrate an association between CDS and the reduced risk, suggesting gender difference in the effectiveness.
Making a strategic shift to prevention and early intervention: a guide
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2008
- Pagination:
- 99p.
- Place of publication:
- London
This document is designed to provide practical guidance to local authorities and health communities on how to make a strategic shift to prevention and early intervention In doing this it draws on the experiences and evidence emerging from the first two years of the Partnerships for Older People Projects (POPP) programme and other related initiatives such as the Department for Work and Pensions’ Linkage Plus programme. The guide focuses on promoting the independence and wellbeing of older people and is intended to develop over time to include transferable learning for other client groups.
A new vision for older people
- Author:
- STEVENSON Annie
- Journal article citation:
- Community Care, 30.10.08, 2008, p.32.
- Publisher:
- Reed Business Information
Key issues on promoting well-being and independent lives for older people are outlined. The article highlights the importance of making connections between a wide range of services and continuing to engage effectively with older people.
Learning for living: helping to prevent social exclusion among older people
- Author:
- HELP THE AGED
- Publisher:
- Help the Aged
- Publication year:
- 2008
- Pagination:
- 32p.
- Place of publication:
- London
Learning for Living: Helping to prevent social exclusion among older people, warns that unless older people are able to further their skills and learn new ones, there is a danger that they will become more and more excluded from society. With more than one third of older people saying they feel out of touch with modern life, Help the Aged is calling for all Government departments to recognise that older people need skills to play an active role in society and ensure these are made available to them.
The effects of fall prevention trials on depressive symptoms and fear of falling among the aged: a systematic review
- Authors:
- SJOSTEN N., VAAPIO S., KIVELA S. L.
- Journal article citation:
- Aging and Mental Health, 12(1), January 2008, pp.30-46.
- Publisher:
- Taylor and Francis
Firstly, to explore whether depressive symptoms and fear of falling have been used as outcome measures in fall prevention trials. Secondly, to determine the effects of fall prevention trials on these variables among the aged. A literature search covering various medical databases was conducted to identify randomised controlled trials regarding the effects of fall prevention programmes on depressive symptoms and fear of falling among the aged. The studies were classified according to the intervention method (single/multifactorial) and study results (positive/negative) regarding depressive symptoms or fear of falling. Methodological quality was assessed in relation to blinding at outcome assessment, follow-up and whether intention-to-treat analysis was used. Depressive symptoms were used as an outcome measure in eight and fear of falling in 21 studies. A multifactorial approach seems the most effective method in reducing fear of falling, while some single methods such as Tai Chi also seem beneficial. Little evidence was found relating to the effects of fall prevention trials on depressive symptoms. Fear of falling may be reduced by fall prevention programmes. More studies assessing the effects on depressive symptoms, especially among the depressed aged are needed.
Theory-based community practice for HIV prevention in midlife and older women
- Author:
- JACOBS Robin J.
- Journal article citation:
- Journal of Community Practice, 16(4), 2008, pp.403-421.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philapelphia, USA
The number of women aged 50 and over diagnosed with HIV in the USA, especially from racial and ethnic minorities, has increased significantly over the past decade for reasons including reduced use of contraception, physical changes that heighten susceptibility to infection, and increased sexual activity as the result of the use of Viagra by older men. However, they are rarely included in HIV prevention strategies. This paper discusses the integration of social capital and social justice/empowerment themes into a socio-ecological framework for community practice that can improve the efficacy of HIV prevention programmes for this population. These can include dialogical approaches, peer-led interventions, programmes run by faith-based organisations, and programmes such as Popular Opinion Leaders that capitalise on social networks.
POW (Protect Our Women): results of a breast cancer prevention project targeted on older African-American women
- Author:
- KIDDER Beverly
- Journal article citation:
- Social Work in Health Care, 47(1), 2008, pp.60-72.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Breast cancer deaths for older African American women are higher than for their Caucasian counterparts, and this study evaluates an outreach education programme about mammography and breast examination. Given the ineffectiveness of traditional outreach strategies with this group, the project worked with a panel of African American women who were recognised as community leaders. A total of 112 women were identified as participants and received a package of written information and details of an awareness workshop, which was attended by 62. Of these, 72% had a mammogram within a month of attendance, 9% had one scheduled, 16% were unsure about having a mammogram and 3% did not respond. Of those who did not attend the workshop, 58% did not respond to follow-up. Of those who did, 22% had had a mammogram, while 20% had no plans to have one. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).