Background and Objectives Although telehealth research among the general population is voluminous... more Background and Objectives Although telehealth research among the general population is voluminous, the quality of studies is low and results are mixed. Little is known specifically concerning older people and their self-efficacy to engage with and benefit from such technologies. This article reviews the evidence for which self-care telehealth technology supports the self-efficacy of older people with long-term conditions (LTCs) living at home. Research Design and Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA) guidelines, this overview of systematic reviews focused on four LTCs and the concept of “self-efficacy.” Quality was appraised using R-AMSTAR and study evaluation was guided by the PRISMS taxonomy for reporting of self-management support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesized. Results Five included articles contained 74 primary studies involving 9,004 participants wit...
Period of award April 2000 to April 2001Available from British Library Document Supply Centre-DSC... more Period of award April 2000 to April 2001Available from British Library Document Supply Centre-DSC:3739.0605(000223093) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo
1. INTRODUCTION TO THE STATE OF THE ART The main objective of this presentation is to pull togeth... more 1. INTRODUCTION TO THE STATE OF THE ART The main objective of this presentation is to pull together findings from research in the social sciences and elsewhere, on how healthcare provision is being shaped by shifts in spatial and technological development, and identify the gendered nature of these shifts. By focusing on the home as a site of care, on new technologies and on the elderly population, the presentation aims to add value firstly, to recent EU FP5 sponsored research into care employ..
Within human geography we have seen the emergence of a wide - ranging debate around care in recen... more Within human geography we have seen the emergence of a wide - ranging debate around care in recent years. One significant strand of this debate has focused on care as an ethical concern one that incorporates such issues as difference, benefi-cence, citizenship, rights, and ...
Abstract Objective To assess the extent to which a grants programme to fund improvements to Engli... more Abstract Objective To assess the extent to which a grants programme to fund improvements to English inpatient hospice buildings achieved its goals of involving and directly benefiting older people. Method Qualitative content analysis was undertaken of all grant application forms which (a) resulted in funding, and (b) proposed to refurbish or replace inpatient hospice buildings. Data were extracted, and themes identified, on the nature and extent of the benefits envisaged for older people, and how older people were involved in the proposed building projects. Results Of 227 grant applications, 139 (from 111 hospices) met the inclusion criteria. Four categories of building improvement were identified: interior decoration or equipment (n = 386, or 36% of the total); public spaces (n = 291, or 27%), private spaces (n = 283, or 26%), and health and safety (n = 116, or 11%). These improvements, while generally beneficial, were rarely targeted at older people. Most grant applicants stated that they had consulted service users, but only 13 specified that they consulted older people. Limited information was supplied about the methods or findings of these consultations. In 15 grant applications, older people were not mentioned at all. Conclusions Older hospice inpatients, their relatives and advocacy groups should be involved more fully in decisions relating to the physical environment of care. Staff who prepare funding bids should receive training in conducting consultations with service users, and identifying and evaluating other relevant evidence. To ensure a consistently high standard of environmental provision for older people in hospices, evidence-based assessment tools and guidelines should be developed.
Foreword Over the past five years the number of people online, aged 65 and over, has remained rel... more Foreword Over the past five years the number of people online, aged 65 and over, has remained relatively static, with between 25% and 35% using the internet (Oxford Internet Institute Survey 2011). As new online services become available and more benefits of being digitally connected are highlighted, this figure presents a real challenge to those working with this demographic group as there seems to be little impact aggregated to a national scale. Yet the over-65 population describes a diverse group. There can be up to 40 years' life experience between those in early old age and those in late old age; it can describe people in good health and poor health; those who are physically or socially isolated or those living with, or supported by families. As such, a diverse range of approaches need to be put in place if we are to support them to benefit from using the internet. Similarly, when the online/offline figure is broken down into smaller age groups or correlated with other socioeconomic characteristics (such as housing status, educational attainment, income levels etc) a clearer picture of internet use and the mechanisms of support for novice and advanced users becomes apparent. This publication sets out the latest research into how the internet is, and can be, used to support those over 65 as well as highlighting the mechanisms, themes and social situations that best enable this group to benefit from the internet. By doing so, it sets out a number of ways in which we can look to develop new approaches to supporting people over the age of 65 to get online in a sustained and meaningful way. Foreword Ageing and the use of the Internet – current engagement and future needs 3 > About the series About the series Nominet Trust State of the Art Reviews are undertaken by leading academics to collate and analyse the latest research at the intersection of the internet and society. Drawing on national and international work, these reviews aim to share the latest research to inform the work of the Trust, those applying to the Trust for support and our wider partner organisations. We value your comments and suggestions for how to act on the recommendations in these Reviews, and how we can build the series, so that it is more useful to us all as we work towards a safer, more accessible internet, used for social good. …
ABSTRACT In the last decade or so a body of geographical work has begun to emerge that examines, ... more ABSTRACT In the last decade or so a body of geographical work has begun to emerge that examines, in various ways, the interrelationship between people, place, volunteering and the voluntary sector. Work in this field is spread across a number of geographical subdisciplines, from social, health and development to political geography. As a body of work it is increasingly being referred to as ‘geographies of voluntarism’. Focusing specifically on voluntary activity around health and welfare, this article reviews how geographers have begun to critically engage with issues of voluntary activity and space. It draws out how geographical perspectives on voluntarism are contributing to a wider understanding of how and why disparities in voluntary activity occur and the implications for people and places at a range of spatial scales from the global to the local.
Background and Objectives Although telehealth research among the general population is voluminous... more Background and Objectives Although telehealth research among the general population is voluminous, the quality of studies is low and results are mixed. Little is known specifically concerning older people and their self-efficacy to engage with and benefit from such technologies. This article reviews the evidence for which self-care telehealth technology supports the self-efficacy of older people with long-term conditions (LTCs) living at home. Research Design and Methods Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement (PRISMA) guidelines, this overview of systematic reviews focused on four LTCs and the concept of “self-efficacy.” Quality was appraised using R-AMSTAR and study evaluation was guided by the PRISMS taxonomy for reporting of self-management support. Heterogeneous data evidencing technology-enhanced self-efficacy were narratively synthesized. Results Five included articles contained 74 primary studies involving 9,004 participants wit...
Period of award April 2000 to April 2001Available from British Library Document Supply Centre-DSC... more Period of award April 2000 to April 2001Available from British Library Document Supply Centre-DSC:3739.0605(000223093) / BLDSC - British Library Document Supply CentreSIGLEGBUnited Kingdo
1. INTRODUCTION TO THE STATE OF THE ART The main objective of this presentation is to pull togeth... more 1. INTRODUCTION TO THE STATE OF THE ART The main objective of this presentation is to pull together findings from research in the social sciences and elsewhere, on how healthcare provision is being shaped by shifts in spatial and technological development, and identify the gendered nature of these shifts. By focusing on the home as a site of care, on new technologies and on the elderly population, the presentation aims to add value firstly, to recent EU FP5 sponsored research into care employ..
Within human geography we have seen the emergence of a wide - ranging debate around care in recen... more Within human geography we have seen the emergence of a wide - ranging debate around care in recent years. One significant strand of this debate has focused on care as an ethical concern one that incorporates such issues as difference, benefi-cence, citizenship, rights, and ...
Abstract Objective To assess the extent to which a grants programme to fund improvements to Engli... more Abstract Objective To assess the extent to which a grants programme to fund improvements to English inpatient hospice buildings achieved its goals of involving and directly benefiting older people. Method Qualitative content analysis was undertaken of all grant application forms which (a) resulted in funding, and (b) proposed to refurbish or replace inpatient hospice buildings. Data were extracted, and themes identified, on the nature and extent of the benefits envisaged for older people, and how older people were involved in the proposed building projects. Results Of 227 grant applications, 139 (from 111 hospices) met the inclusion criteria. Four categories of building improvement were identified: interior decoration or equipment (n = 386, or 36% of the total); public spaces (n = 291, or 27%), private spaces (n = 283, or 26%), and health and safety (n = 116, or 11%). These improvements, while generally beneficial, were rarely targeted at older people. Most grant applicants stated that they had consulted service users, but only 13 specified that they consulted older people. Limited information was supplied about the methods or findings of these consultations. In 15 grant applications, older people were not mentioned at all. Conclusions Older hospice inpatients, their relatives and advocacy groups should be involved more fully in decisions relating to the physical environment of care. Staff who prepare funding bids should receive training in conducting consultations with service users, and identifying and evaluating other relevant evidence. To ensure a consistently high standard of environmental provision for older people in hospices, evidence-based assessment tools and guidelines should be developed.
Foreword Over the past five years the number of people online, aged 65 and over, has remained rel... more Foreword Over the past five years the number of people online, aged 65 and over, has remained relatively static, with between 25% and 35% using the internet (Oxford Internet Institute Survey 2011). As new online services become available and more benefits of being digitally connected are highlighted, this figure presents a real challenge to those working with this demographic group as there seems to be little impact aggregated to a national scale. Yet the over-65 population describes a diverse group. There can be up to 40 years' life experience between those in early old age and those in late old age; it can describe people in good health and poor health; those who are physically or socially isolated or those living with, or supported by families. As such, a diverse range of approaches need to be put in place if we are to support them to benefit from using the internet. Similarly, when the online/offline figure is broken down into smaller age groups or correlated with other socioeconomic characteristics (such as housing status, educational attainment, income levels etc) a clearer picture of internet use and the mechanisms of support for novice and advanced users becomes apparent. This publication sets out the latest research into how the internet is, and can be, used to support those over 65 as well as highlighting the mechanisms, themes and social situations that best enable this group to benefit from the internet. By doing so, it sets out a number of ways in which we can look to develop new approaches to supporting people over the age of 65 to get online in a sustained and meaningful way. Foreword Ageing and the use of the Internet – current engagement and future needs 3 > About the series About the series Nominet Trust State of the Art Reviews are undertaken by leading academics to collate and analyse the latest research at the intersection of the internet and society. Drawing on national and international work, these reviews aim to share the latest research to inform the work of the Trust, those applying to the Trust for support and our wider partner organisations. We value your comments and suggestions for how to act on the recommendations in these Reviews, and how we can build the series, so that it is more useful to us all as we work towards a safer, more accessible internet, used for social good. …
ABSTRACT In the last decade or so a body of geographical work has begun to emerge that examines, ... more ABSTRACT In the last decade or so a body of geographical work has begun to emerge that examines, in various ways, the interrelationship between people, place, volunteering and the voluntary sector. Work in this field is spread across a number of geographical subdisciplines, from social, health and development to political geography. As a body of work it is increasingly being referred to as ‘geographies of voluntarism’. Focusing specifically on voluntary activity around health and welfare, this article reviews how geographers have begun to critically engage with issues of voluntary activity and space. It draws out how geographical perspectives on voluntarism are contributing to a wider understanding of how and why disparities in voluntary activity occur and the implications for people and places at a range of spatial scales from the global to the local.
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Papers by C. Milligan