Journey to work:exploring difficulties, solutions and the impact of aging

A study was conducted in the UK, as part of the New Dynamics of Ageing Working Late project, of the journey to work among 1215 older workers (age groups 45-49, 50-55, 56-60 and 60 + ). The aim was to identify problems or concerns that they might have with their commute, strategies that have been adopted to address them, and the role that employers can play to assist them. Follow-up interviews with 36 employees identified many strategies for assisting with the problems of journeys to work, ranging from car share and using public transport to flexible working and working some days from home. Further interviews with a sample of 12 mainly larger companies showed that employers feel a responsibility for their workers’ commute, with some offering schemes to assist them, such as adjusting work shift timings to facilitate easier parking. The research suggests that the journey to work presents difficulties for a significant minority of those aged over 45, including issues with cost, stress, health, fatigue and journey time. It may be possible to reduce the impact of these difficulties on employee decisions to change jobs or retire by assisting them to adopt mitigating strategies. It does not appear that the likelihood of experiencing a problem with the journey to work increases as the employee approaches retirement; therefore, any mitigating strategy is likely to help employees of all ages. These strategies have been disseminated to a wider audience through an online resource at www.workinglate.org

The association between employment and the health of people with intellectual disabilities:a systematic review

Background:  There is strong evidence indicating that paid employment is generally good for the physical and mental health of the general population. This systematic review considers the association between employment and the health of people with intellectual disabilities.  Methods:  Studies published from 1990 to 2018 were identified via electronic literature databases, email requests and cross-citations. Identified studies were reviewed narratively.  Results: Twelve studies were identified. Studies were generally consistent in reporting an association between being in paid employment and better physical or mental health status.  Conclusions: This review supports the view that the well-established association between employment and better health is similar for adults with and without intellectual disabilities. However, evidence establishing causality is lacking and further research to determine specific health benefits attributable to employment for people with intellectual disabilities and the causal pathways that operate is required

Autism and the transition to university from the student perspective

University provides individuals with the opportunity to develop greater independence in living skills and social networks, while also gaining valuable qualifications. Despite a high proportion of autistic individuals aspiring to attend university, many either do not seek or gain entry or drop out prematurely. Although some steps have been taken to develop effective support, a recent review highlighted the scarcity of research into programmes designed to support autistic students transitioning to university. In addition, few studies have examined the views of autistic students themselves. This study investigated the perspectives of autistic students transitioning to university. Three focus groups were conducted with 25 autistic students preparing to start university. Participants were asked about their hopes for starting university, as well as their worries and concerns. Data were analysed using thematic analysis, from which five main themes were identified: The Social World, Academic Demands, Practicalities of University Living, Leaving the Scaffolding of Home and Transition to Adulthood. The results provide an important account of the challenges autistic students face when transitioning to university, as well as their aspirations. These findings have a number of practical implications

Fighting for a (wide enough) seat at the table: weight stigma in law and policy

Few jurisdictions provide legal protection against discrimination on the basis of weight despite evidence of pervasive inequalities faced by fat individuals in employment, healthcare, education, and other domains. Yet, in the last two decades, advocacy efforts in several countries aimed to remedy this situation have been largely unsuccessful. We present a cross-national conceptual analysis of three significant anti-discrimination developments regarding weight in the United Kingdom, the United States, and Iceland, respectively, to highlight how the creation, implementation, and enforcement of legal and policy mechanisms that prohibit weight discrimination ironically suffer under the very burden of deeply rooted structural stigmas against fatness and fat bodies that such efforts seek to counter. However, drawing on research around policy change in response to other social movements, we conclude that we may be at a time where broad-ranging policy change could become a reality

A systematic review of the evidence on home care reablement services

Objective To determine whether publically funded ‘reablement services’ have any effect on patient health or use of services. Design Systematic review of randomised controlled trials and non-randomized studies in which reablement interventions were compared to no care or usual care in people referred to public funded personal care services. Data sources included: Cochrane central register of controlled trials, EPOC register of studies, trials registers, Medline, Embase, and Cinhal. Searches were from 2000 up to end February 2015. Setting Not applicable. Participants Investigators’ definition of the target population for reablement interventions. Main outcome measures Use of publically-funded personal care services and dependence in personal activities of daily living (PADL). Results We found no studies fulfilling our inclusion criteria that assessed the effectiveness of reablement interventions. We did note the lack of an agreed understanding of the nature of reablement. Conclusions Reablement is an ill-defined intervention targeted towards an ill-defined and potentially highly heterogeneous population/ patient group. There is no evidence to suggest it is effective at either of its goals, increasing personal independence or reducing use of personal care services

Diversity in the workplace: an overview of disability employment disclosures among UK firms

People with disabilities (PWD) have been defined as the world’s largest minority group. This societal group continues to face significant barriers to labor market entry and social inclusion. The associated costs to supporting non-working PWDs can be high and long term. Yet, their potential as motivation, contribution and impact to human capital, adaptability, firm productivity and the innovative capacity of business entities is valuable and underutilised. PWD employment is a pressing ‘advanced market’ issue with strong implications on the nature of equitable opportunities, social mobility and diversity in the workplace. A better level of responsiveness by firms is needed to endorse enabling conditions towards broader social sustainability and as impact on PWDs quality of life. This study attempts to assess the quality of corporate reporting disclosure on disability issues by U.K. firms, as a stepping stone for mainstreaming integration of PWDs into labor markets under the scope of corporate social accountability. The information published in 274 sustainability reports highlights trends pertaining to disability employment. We benchmark U.K. sustainability reports against PWD-adapted indicators of the Global Reporting Initiative guidelines. Findings suggest that U.K. corporate disclosures on PWD employment are lacking in key respects, leaving much to be desired, and with plenty of room for improvement in order to clearly set out their commitment in favor of PWD employment. Drawing on these findings, implications for PWD employee policy and practice are outlined

A randomised controlled trial to evaluate the impact of a human rights based approach to dementia care in inpatient ward and care home settings

BackgroundAlthough it is widely recognised that adopting a person-centred approach is beneficial in the care of people living with dementia, a gap remains between the rhetoric and the reality of quality care. Some widely adopted care practices can result in the personhood of this group being threatened and their human rights being undermined.ObjectivesTo evaluate the impact of applying a human rights based approach in dementia inpatient wards and care homes on the quality of care delivered and the well-being of the person living with dementia.DesignA cluster randomised design was employed to compare the impact of implementing a human rights based approach intervention (i.e. training, applying the ‘Getting It Right’ assessment tool and receiving booster sessions) at 10 intervention sites with 10 control sites.SettingEight NHS dementia inpatient wards and 12 care homes in the north-west of England.ParticipantsPeople living with dementia who were residing on dementia inpatient wards or in care homes, and staff working at these sites. The aim was to recruit 280 people living with dementia.InterventionsA sample of staff (an average of 8.9 per site) at each of the sites was trained in a human rights based approach to care, including the application of the ‘Getting It Right’ assessment tool. The tool was then introduced at the site and monthly booster sessions were delivered.Main outcome measuresThe primary outcome measure used in the research was the Quality of Life in Alzheimer’s Disease scale to assess the subjective well-being of the person with dementia. Secondary outcome measures included measures of the quality of care provided (dementia care mapping) and direct measures of the effectiveness of the training in increasing knowledge of and attitudes towards human rights. The study also included an economic evaluation utilising the EuroQol-5 Dimensions, three-level version, and the Adult Social Care Outcomes Toolkit measure.ResultsThe study recruited 439 people living with dementia: 213 to the intervention arm and 226 to the control arm. Primary outcome data were analysed using a linear mixed model. There were no significant differences found in the reported quality of life of residents between the control and intervention groups after the intervention [F(1,16.51) = 3.63;p = 0.074]. The mean difference between the groups was 1.48 (95% confidence interval –7.86 to 10.82).ConclusionsDespite the fact that the training increased staff knowledge of and positive attitudes towards human rights, and although there were some changes in staff decision-making strategies in clinical situations, there was no change in the quality of care provided or in the reported well-being of people living with dementia in these settings. This led to questions about the efficacy of training in bringing about cultural change and improving care practices.LimitationsThere was limited uptake of the training and booster sessions that were integral to the intervention.Future workFuture work could usefully focus on understanding the difficulty in translating change in attitude and knowledge into behaviour.Trial registrationCurrent Controlled Trials ISRCTN94553028.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 6, No. 13. See the NIHR Journals Library website for further project information.</jats:sec

Experiences and Expectations of Disabled People, 2007

Abstract copyright UK Data Service and data collection copyright owner.In 2006, the Office for Disability Issues commissioned a research project to explore the lives of disabled people in Great Britain today. The study aimed to develop a generalised picture to better understand disabled people’s experiences and opinions. It also aimed to provide information to aid the monitoring of progress towards the Government’s vision of achieving substantive equality for disabled people by 2025. The research project interviewed 1,860 disabled people in Britain during July and August 2007 and was unusual because it actively involved disabled people at all stages of the study. The scope of the study, including the issues to be included in the research, was guided by disabled people. The study covered a wide range of issues including home life, social activities, transport, education, employment and finances. The study also looked at experiences of discrimination. Main Topics:The dataset contains information on the following topics:demographics and household structureaids and adaptationstransport and getting aroundsocial networksemployment and workincome and benefitshealtheducation and qualificationssources of information the Disability Discrimination Act (DDA)quality of life</ul