Search results for ‘Subject term:"older people"’ Sort:
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Working together with older people
- Authors:
- UNIVERSITY OF BRIGHTON, AGE UK BRIGHTON AND HOVE
- Publishers:
- University of Brighton, Age UK Brighton & Hove
- Publication year:
- 2013
- Pagination:
- 6 minutes 46 seconds
- Place of publication:
- Brighton
One of six films made as part of an ESRC funded participatory research project which explored what well-being means to older people and how it is generated. The research was carried out by a team of older people, university researchers and a voluntary sector manager. In this film the older people who took part in this research reflect on their experiences. The researchers discuss what they learnt about working with older people to do this research and suggest that this is useful in other contexts where groups of older people come together and share their experience and knowledge to shape services. The film is a scripted scenario based on interviews. (Edited publisher abstract)
Older people’s views on what they need to successfully adjust to life with a hearing aid
- Author:
- KELLY Timothy B.
- Journal article citation:
- Health and Social Care in the Community, 21(3), 2013, pp.293-302.
- Publisher:
- Wiley
This article reports a study exploring what older people believe would enable them to adjust to and gain maximum benefit from wearing a hearing aid. A mixed methods approach was employed during 2006 involving interviews with key stakeholders, a survey across three Scottish health board areas and focus groups. Nine key stakeholders from six national and local organisations were interviewed about the needs of older people being fitted with hearing aids. In total, 240 older people belonging to three different types of hearing impaired older people were surveyed: long-term users of hearing aids, new hearing aid users, and those on a waiting list from urban and rural areas (response rate = 24%). A series of eight follow-up focus groups with 31 audiology patients was held. Health professionals appeared to neglect appropriate provision of information and overly rely on technological interventions. Of 154 older people already fitted with hearing aids, only 52% of hearing aid users reported receiving enough practical help post fitting and only 41% reported receiving enough support. Approximately 40% reported not feeling confident in the use of their aids or their controls. Older people wanted more information than they received both before and after hearing aid fitting. Information provision and attention to the psychosocial aspects of care are key to enabling older people to adjust and optimise hearing aid benefit. (Publisher abstract)
Perceptions and views of self-neglect: a client-centered perspective
- Authors:
- DAY Mary Rose, LEAHY-WARREN Patricia, MCCARTHY Geraldine
- Journal article citation:
- Journal of Elder Abuse and Neglect, 25(1), 2013, pp.76-94.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Introduction to wellbeing
- Authors:
- UNIVERSITY OF BRIGHTON, AGE UK BRIGHTON AND HOVE
- Publishers:
- University of Brighton, Age UK Brighton & Hove
- Publication year:
- 2013
- Pagination:
- 6 minutes 46 seconds
- Place of publication:
- Brighton
One of six films made as part of an ESRC funded participatory research project which explored what well-being means to older people and how it is generated. The research was carried out by a team of older people, university researchers and a voluntary sector manager. This film starts by considering the idea of wellbeing. It then describes the process of making the project and what the team learnt about ethical practice in working with older people collectively in carrying out the research. It introduces ideas about care ethics. Members of the research team also talk about what they learnt about well-being and about their experiences of taking part in the research. The film is a scripted scenario based on interviews. (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)
The relationship between independence, inclusion and wellbeing: the perspective of older citizens living in Coventry, UK
- Authors:
- WOOLHAM John, HUGHES Elizabeth, DALY Guy
- Journal article citation:
- Research Policy and Planning, 30(1), 2013, pp.3-21.
- Publisher:
- Social Services Research Group
Independence, inclusion and wellbeing are commonly seen in a complementary relationship in policy and research literature. This paper examines the meaning of these terms for older citizens living in Coventry and the implications for policy implementation. The data presented, obtained from a large community survey of citizens of 55 years and over living in Coventry, found that although most survey participants were able to function independently, participate in ordinary community life and enjoyed reasonable physical and mental health, many others experienced a series of significant barriers to inclusion and wellbeing. The paper concludes that there is no automatic convergence between independence, inclusion and wellbeing at the level of the individual citizen and that to address this issue, more socially inclusive rather than individualistic forms of independence may be more appropriate goals for local public agencies. (Publisher abstract)
Flourishing lives
- Author:
- OLIVER Alex
- Publisher:
- Oliver Boo
- Publication year:
- 2013
- Pagination:
- 39
- Place of publication:
- London
Reports on research commissioned by the Claremont Project, a charity which aims to create opportunities for older people to live happier and socially connected lives, through creativity and community arts. The research aimed to inform their Flourishing Lives programme, support the day centre sector to review the role that social and creative activities play in improving the well-being and connectedness of people, and provide evidence around the needs and wants of older people in relation to day services. The study incorporated findings from a literature review, interviews with sector experts, and primary research with older people who were both using and not involved in services. The report presents the views of older people on the advantages and disadvantages of old age. It then discusses the findings under the five 'actions' from the New Economics Foundation’s well-being framework: ‘connect’, ‘be active’, ‘take notice’, ‘keep learning’, and ‘give’. Drawing on both the literature and interviews the report looks at what each of these five ‘actions’ means to older people and the implications for day centre services, and activities, including participatory arts. The research highlights the importance of treating older people as individuals and not defining them in terms of their age. Key findings also include that older people can still aspire to achieve and that achievement drives well-being; that providers involved in offering day services should aim to offer opportunities for older people to acquire new skills and develop these appropriately. Older people want to contribute and have a role in services, which services can facilitate this by encouraging volunteering and creating a culture of reciprocity. (Edited publisher abstract)
A question of behaviours: why delivering care integration and managing acute demand depends as much on changing behaviour as new systems and structures
- Author:
- KHALDI Alex
- Publisher:
- IMPOWER
- Publication year:
- 2013
- Pagination:
- 40
- Place of publication:
- London
A behavioural insight specialist at iMPOWER highlights the importance of behaviours, attitudes and motivations alongside structures and systems as we integrate care. This report considers two connected challenges: the increasing dependency on acute settings and urgent care, particularly for older people; and the positive agenda to integrate care in home and community settings. It is based on a survey of 200 older people in Sandwell. West Midlands, a review of the relevant literature, a friends and family survey, a survey of more than 600 GPs, and interviews of leaders and managers in the care and health services. Evidence from the survey suggests that structural ‘big system’ change alone will not work, as 56% of the GPs think that their relationship with social care is poor or very poor, and less than half of the older people (46%) have the confidence to know how to access the health and social care system. Therefore, the priority must be to shift the focus of care to the most appropriate level, where the benefits of changing behaviour would be: being able to manage demand better; avoiding costs and saving money; improving outcomes and performance; and changing the patient and user experience. (Edited publisher abstract)
A systematic narrative review of consumer-directed care for older people: implications for model development
- Authors:
- OTTMANN Goetz, ALLEN Jacqui, FELDMAN Peter
- Journal article citation:
- Health and Social Care in the Community, 21(6), 2013, pp.563-581.
- Publisher:
- Wiley
This systematical review examined user preferences for and satisfaction with services associated with consumer-directed care programmes for older people in the community. Twelve databases were searched, including MedLine, BioMed Central, Cinahl, Expanded Academic ASAP, PsychInfo, ProQuest, Age Line, Science Direct, Social Citation Index, Sociological Abstracts, Web of Science and the Cochrane Library. Google Scholar and Google were also searched. Eligible studies were those reporting on choice, user preferences and service satisfaction outcomes regarding a programme or model of home-based care in the United States or United Kingdom. This systematic narrative review retrieved literature published from January 1992 to August 2011. A total of 277 references were identified. Of these 17 met the selection criteria. Older people reported varying preferences for consumer-directed care with some demonstrating limited interest. Clients and carers reported good service satisfaction. Research comparing user preferences across countries or investigating how ecological factors shape user preferences has received limited attention. Policy-makers and practitioners need to carefully consider the diverse contexts, needs and preferences of older adults in adopting consumer-directed care approaches in community aged care. The review calls for the development of consumer-directed care programmes offering a broad range of options that allow for personalisation and greater control over services without necessarily transferring the responsibility for administrative responsibilities to service users. Review findings suggest that consumer-directed care approaches have the potential to empower older people. (Edited publisher abstract)
Differences in causal attributions of caseworkers and elderly clients in the USA: impact on case resolution and cessation of abuse
- Authors:
- JACKSON Shelly L., HAFEMEISTER Thomas L.
- Journal article citation:
- Journal of Adult Protection, 15(5), 2013, pp.246-257.
- Publisher:
- Emerald
Purpose: The purpose of this paper was to test whether differences in attributions between caseworkers and their elderly clients regarding the cause of reported elder abuse occurring in a domestic setting impact the ability of caseworkers to effectively intervene in elder abuse cases. Design/methodology/approach: Interviews were conducted with 63 pairs of caseworkers and either the elderly client with a substantiated report of elder abuse or their surrogate. Findings: Initially, 61.9 percent of the pairs of interviewees held discordant attributions regarding the cause of the elderly person's abuse. However, at the close of the investigation, only 41.3 percent of the pairs of interviewees held discordant causal attributions, with 13 elderly persons having changed their attributions to be in alignment with the caseworker. Discordant causal attributions at the close of the investigation was related to an inability to find a resolution and achieving cessation of abuse. Research limitations/implications: It will be beneficial to determine methods APS caseworkers can employ to narrow the causal attribution gap. Practical implications: Reconciling discordant causal attributions while maintaining victim autonomy can enhance the likelihood of effective interventions and lead to greater victim safety. However, this takes more time than most APS caseworkers in the USA are allowed by statute to allocate to one case and may necessitate statutory changes that accompany changes in practice. Originality/value: This is the first study to assess differences between caseworkers and their elderly clients regarding their causal attributions of reported abuse occurring and whether those differences are related to the likelihood of reaching a resolution and the cessation of abuse. (Publisher abstract)