Understanding and improving transitions of older people: a user and carer centred approach
Award Number
08/1809/228Programme
Health and Social Care Delivery ResearchStatus / Stage
CompletedDates
1 November 2008 -31 October 2011
Duration (calculated)
02 years 11 monthsFunder(s)
NIHRFunding Amount
£350,830.00Funder/Grant study page
NIHRContracted Centre
University of BirminghamContracted Centre Webpage
Principal Investigator
Professor Jon GlasbyPI Contact
j.glasby@bham.ac.ukPI ORCID
0000-0003-3960-7988WHO Catergories
Methodologies and approaches for risk reduction researchModels across the continuum of care
Disease Type
Dementia (Unspecified)CPEC Review Info
| Reference ID | 189 |
|---|---|
| Researcher | Reside Team |
| Published | 12/06/2023 |
Data
| Award Number | 08/1809/228 |
|---|---|
| Status / Stage | Completed |
| Start Date | 20081101 |
| End Date | 20111031 |
| Duration (calculated) | 02 years 11 months |
| Funder/Grant study page | NIHR |
| Contracted Centre | University of Birmingham |
| Contracted Centre Webpage | |
| Funding Amount | £350,830.00 |
Abstract
Despite a series of positive changes following the 2001 National Service Framework for Older People, research and inspection reports continue to reveal that transition between services is one of the most problematic areas of policy and practice. This project seeks to investigate the information, advice and support needs of older people experiencing a transition between services, as well as conducting the research in a way that helps to embed the findings in health and social care policy and practice. The project will be conducted across four case study areas, which will be purposively chosen to reflect different locality characteristics and focusing on different user/carer groups to include: – An area with a high proportion of older people from a minority ethnic community. – A site where the research focuses of the experiences of people with dementia and their families. – A rural area. – An area with a low proportion of older people. Following a participative action research methodology, service users and carers from each area will be recruited, trained and supported to participate as co-researchers. Working with academic project team members, co-researchers will jointly conduct two waves of in-depth interviews to explore the experience of care transitions from a user/carer perspective. In the final stage of the project, a series of feedback and change management activities will be undertaken to facilitate implementation of the research findings into practice, and support a process of learning about how to improve transitions for older people. The project team will work with local advisory groups and stakeholders to co-design the change processes, so that local capability and capacity is enhanced throughout the process and sustained beyond the research period. In addition, a local and national dissemination strategy will be developed to translate the findings into policy recommendations and usable outputs, as well as sharing learning from the case study examples. Given that poorly managed transitions can lead to a worsening of patient health, increased risk of complications and costly additional care, the study has the potential to support both economic and quality gains in the NHS.
Aims
Specifically the project aims to: – Explore older people’s experiences of moving across service boundaries, identifying positive and negative experiences, information and advice needs, access to services and needs for ongoing support. – Identify how the needs of particular groups of older people may differ from each other, and the different needs of service users and carers. – Investigate these issues over time, to illuminate how previous transitions impact on current and future needs. – Draw out policy and practice implications for the way in which services prepare and support older people and their carers for transition between services. – Support, and share the learning from, implementation of project findings in four health and social care communities.