Maintaining function and well-being in later life: A longitudinal cohort studyh

Lead Research Organisation: Bangor University
Department Name: Sch of Psychology

Abstract

Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details.

Publications

10 25 50
 
Title Belonging 
Description Assisted Re-live theatre company in development and dissemination of theatre production 'Belonging', performed at PONTIO arts centre Bangor and a number of other North Wales venues. 
Type Of Art Performance (Music, Dance, Drama, etc) 
Year Produced 2016 
Impact Awareness raising and improved attitudes around ageing and cognitive Impairment, 
URL http://www.re-live.org.uk/belonging/
 
Title Hen Blant Bach 
Description BW worked with a TV production company 'Darlun TV' to develop concept for a TV pilot programme on intergenerational work between older people and children from a nursery for S4C (Welsh language with sub-titles). CHJ, previously a CFAS Wales interviewer, provided on-camera psychological insights e.g. importance of biography, resilience, social networks etc. 
Type Of Art Film/Video/Animation 
Year Produced 2016 
Impact The programme has been very well received and a series has now been commissioned, and the concept may be taken internationally by Sony, who part-funded the pilot. A series of three further programmes were shown on S4C in December 2017, and a fourth programme (in English) is scheduled to be shown on BBC Wales in May 2018. 
URL http://www.bbc.co.uk/programmes/p04lhcd7
 
Title Lost in the Neuron Forest 
Description A theatre production, involving audience participation, developed by the Bread and Goose Theatre company, raising public awareness of cognitive impairment and dementia. Scientific input was provided by Prof. Bob Woods 
Type Of Art Performance (Music, Dance, Drama, etc) 
Year Produced 2014 
Impact The production toured England and Wales in the autumn of 2014, receiving good reviews and drawing good audiences. An associated exhibition 'Memory Store' also generated interest. 
URL http://www.breadandgoose.co.uk/Lost_In_The_Neuron_Forest.html
 
Description 1) A new, broadly representative cohort of older people has been established and followed over a two year period across diverse geographical areas in Wales. In total, 3,593 people aged 65 and older took part in the first wave of the study, with 2,237 being interviewed two years later.
2) CFAS Wales has been successful in demonstrating the feasibility of purposively sampling from a longitudinal cohort for in-depth qualitative interviews. Several qualitative studies have been completed, or are close to completion e.g. relating to loneliness and social isolation; resilience; nutrition and shopping; and cognitive reserve.
3) A collaboration has been established with the International Centre for Lifecourse Studies, examining social exclusion in relation to both the Understanding Society and the CFAS Wales studies. This has led to purposive sampling from the Understanding Society cohort, for qualitative interviews, as well as quantitative analyses.
4) Selected emerging findings:
i) The concept of 'cognitive reserve' has been suggested as a potentially significant pathway towards the prevention or delay of cognitive impairment in later life. Cognitive reserve is developed through education and cognitively stimulating occupations and activities across the life-span. Our initial analyses of the wave 1 CFAS Wales data indicate that potentially modifiable healthy lifestyle behaviours - including not smoking, healthy diet, physical activity and cognitive and social activity - are associated with less risk of cognitive impairment, but that cognitive reserve plays a significant role in adding to these associations. This work will be developed in longitudinal analyses, and is expected to add further support to the drive to encourage a preventative approach to cognitive impairment and dementia in later life. Qualitative analyses are currently exploring the perceptions of older people themselves regarding what contributes to healthy lifestyles, which will influence how best to bring older people on board in this endeavour.
ii) The relationship between loneliness and cognitive impairment has been explored in analyses of the wave 1 dataset, as well as in qualitative interviews. Significant relationships were identified between disability and loneliness and between cognitive impairment and loneliness. The social resources available to the older person through supportive family and friendship networks were important in contributing to these relationships. Pathways to loneliness in later life are important to consider - whilst reduced social networks may be a risk factor for the development of cognitive impairment, there are also significant difficulties for older people with disability and cognitive impairment to maintain their social roles and networks, and a tendency for isolation to develop. Our analyses have also shown that those who meet criteria for 'Mild Cognitive Impairment' (MCI) i.e. scoring below expectations on cognitive tests, but not meeting criteria for dementia, report having smaller social networks, as do older people with low mood. Size of social network appeared to be an important contributor to the low mood reported by many people with MCI.
iii) Increasing attention is being given to subjective memory complaints (SMC) as a potential precursor of MCI, and accordingly of dementia. Criteria for MCI vary greatly, but most include a requirement for the person to have SMC as well as objective impairment as shown on cognitive tests. Our analyses of wave 1 data have indicated that there are a substantial number of older people who would otherwise meet MCI criteria, but do not have SMC. These might be viewed as people who, for whatever reason, appear not to acknowledge the impairments shown on cognitive testing. The often reported association between MCI and low mood is only present in those who have SMC; those with objective cognitive impairment without SMC report levels of anxiety and depression consistent with those who have no cognitive impairment. Similarly, those without SMC report less health problems generally, whereas those with MCI have a higher rate of reporting.
iv) Initial analyses have been completed relating to resilience in older people with a degree of cognitive impairment, using data from waves 1 and 2. Around a fifth of those with cognitive impairment showed good mental well-being at both wave 1 and wave 2. These individuals were more likely to be male, to be married, to have higher self-esteem and better social resources, and to consider their health to be better.
v) CFAS Wales dementia diagnoses have been cross-checked with primary care dementia registers, in the first direct comparison of epidemiological diagnosis and this widely used indicator of diagnosis rates, which it is hoped will shed light on the low diagnosis rates repeatedly reported in Wales. The majority of participants with a CFAS Wales dementia diagnosis were not included on the primary care dementia register, but a number of participants who did not meet CFAS diagnostic criteria at the time of interview were on the register. Characteristics of those individuals where CFAS Wales diagnosis and dementia register listing do not concur will be examined in greater depth.
vi) Social exclusion is a complex multidimensional process, which although not directly measureable is evident by the presence of associated indicators. The choice of indicators however can be problematic, often overlapping with variables considered drivers or outcomes of social exclusion, obscuring our understanding of the process and mechanisms through which it occurs. Through the cross-investment work with the International Centre for Life-course Studies at UCL, we have constructed a working framework of individual social exclusion from which to directly examine some of the relationships between these interconnected variables. Rooted in this new working framework we constructed later life social exclusion measures for use with Understanding Society - the United Kingdom Household Longitudinal Study, and investigated longitudinal associations between health and social exclusion, and the effects of environmental press and ageing in place on social exclusion. Poor self-rated health, long-standing illness and psychological distress were found to predict social exclusion in those aged 65 years and over, however these associations were moderated by mobile phone, car, and internet use, suggesting a protective role of technology for older adults in poor health from social exclusion. Furthermore, controlling for baseline health we also found that higher social exclusion scores were associated with poorer health outcomes two years later. Qualitative analyses are currently exploring older people's experiences of using the internet and technology, examining possible barriers preventing people from fully engaging with technology. We also found environmental press, ageing in place and social exclusion to be interrelated, with neighbourhood problems and disintegration found to contribute to social exclusion, whilst social exclusion was alleviated by the attachment a person had towards the neighbourhood in which they live.
vii) Existing health behaviour models inadequately explain individuals' behaviour prior to or in the absence of contact with services yet understanding why older people do not seek assistance is crucial to the development of policies and services that enable local government to meet their obligations to provide preventative care packages. Using qualitative methods, with samples from both Understanding Society and CFAS Wales, the cross-investment work with the International Centre for Life-course Studies at UCL explored older adults' explanations of why they do not seek or receive assistance from services or other sources. We identified a recursive process whereby participants assessed their need for assistance on an issue-by-issue basis. Participants described responding to emerging needs with avoidant behaviours, modified expectations and their own solutions, only pursuing assistance when these strategies were no longer possible, and crucially, when they were prepared to admit that they needed assistance. These findings demonstrate how older adults' responses to emerging needs might deter them from taking-up assistance, putting them at risk for emergency intervention and presenting a serious challenge for local authorities' planning and development of appropriate policies and services.
Exploitation Route The Welsh Government, through Health & Care Research Wales, have funded the Centre for Ageing & Dementia Research (CADR), led by members of the CFAS Wales team, with the explicit intention of taking further analyses of the CFAS Wales dataset from waves 1 and 2 and developing data linkage with the SAIL database, so that health outcomes can be monitored over time. This will be the main vehicle for taking forward the findings from this project, alongside collaborations with other members of the CFAS Wales team. The team are contributing to relevant Welsh Government policy initiatives e.g. in relation to its dementia strategy.
The CADR collaboration has led to the genotyping of the DNA samples collected during the CFAS Wales fieldwork, and participation in the European AD DNA Bank and its outputs.
The deposit of the data with the UK Data Archive has led to external research teams being able to analyse and publish results from the CFAS Wales cohort.
Sectors Communities and Social Services/Policy,Healthcare

 
Description 1) Public health prevention: The CFAS findings have been used in Wales, alongside converging findings from other studies, to inform a high profile public health campaign 'ACT NOW' launched in 2017, to prompt people to make lifestyle changes in mid-life to reduce the risk of developing dementia later. This campaign has been reinforced in the Welsh Government's Dementia Action Plan for Wales 2018-2022, launched in February 2018. http://gov.wales/newsroom/health-and-socialservices/2017/dementia-risk/?lang=en http://gov.wales/topics/health/nhswales/mental-health-services/policy/dementia/?lang=en 2) Dementia diagnosis rates: The findings on lower prevalence rates of dementia identified in the CFAS studies are now being used by Welsh Government to establish the expected prevalence of dementia, in calculating the diagnosis rates across Health Boards in Wales. http://gov.wales/statistics-and-research/general-medical-services-contract These figures then form the basis for one of the key targets established in the Dementia Action Plan for Wales. This aims to increase the diagnosis rate by 3% per annum from the 2017 baseline of 51%, with the primary care dementia register being used as the indicator that a diagnosis has been made. 3) Loneliness: Ageing Well in Wales is a national Programme, hosted by the Older People's Commissioner for Wales, 'bringing together individuals and communities with public, private and voluntary sectors to develop and promote innovative and practical ways to make Wales a good place to grow older for everyone.' Through our engagement in the Centre for Ageing & Dementia Research, CFAS Wales has worked closely with Ageing Well in Wales to bring a research perspective to their workstreams, which include one aiming to reduce loneliness and isolation in older people. This collaboration has led directly to widely available resources, based directly on research undertaken as part of the CFAS Wales project. These include 'Making a difference' a pocket guide to reducing loneliness, which has been circulated widely at a number of public-facing events, and which is downloadable from: http://www.ageingwellinwales.com/Libraries/Documents/Loneliness-pocket-guide-eng.pdf In addition, a brief animated film exploring the link between cognitive impairment and loneliness has been produced, drawing on the CFAS Wales findings, and is included on the Ageing Well in Wales web-site: http://www.ageingwellinwales.com/en/resource-hub/li-resources and may also be viewed at: https://youtu.be/pl3xfMFJ-EQ This work has been taken beyond Wales, through the involvement of Professor Burholt in the Campaign to end Loneliness Research Hub. 4) Briefing papers: Professors Linda Clare and Bob Woods have been members of the British Psychological Society Dementia Advisory Group from 2015-2017. The group produced a position paper 'Psychological Dimensions of Dementia: putting the person at the centre of care' (November 2016) which Professor Woods launched at the Senedd, Cardiff to policy makers and public in February 2017. The document was subsequently launched at the Houses of Parliament by Professor Clare in November 2017. Two briefing papers, which draw heavily on the CFAS Wales project have now been published. These cover early detection and Mild Cognitive Impairment respectively.
First Year Of Impact 2016
Sector Communities and Social Services/Policy,Healthcare
Impact Types Societal,Policy & public services

 
Description Alzheimer's Society up-date of Dementia UK report
Geographic Reach National 
Policy Influence Type Participation in a guidance/advisory committee
Impact The revision of the prevalence figures led to the Dept. of Health changing the denominator for calculating diagnosis rates for dementia in England, leading to more realistic targets for improvement.
URL http://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=2759
 
Description Citation in National Assembly for Wales Health, Social Care and Sport Committee Inquiry into loneliness and isolation.
Geographic Reach National 
Policy Influence Type Contribution to a national consultation/review
URL http://www.assembly.wales/laid%20documents/cr-ld11310/cr-ld11310-e.pdf
 
Description Inclusion in Understanding Society 2018-2019 Insights Report
Geographic Reach National 
Policy Influence Type Citation in other policy documents
URL https://www.understandingsociety.ac.uk/research/findings
 
Description NICE - management of dementia
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
 
Description NICE - promoting well-being in later life
Geographic Reach National 
Policy Influence Type Participation in a guidance/advisory committee
 
Description Welsh Government Dementia Strategy Task & Finish Group
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Membership of a guideline committee
URL http://gov.wales/topics/health/nhswales/mental-health-services/policy/dementia/?lang=en
 
Description Alzheimer's Society Centres of Excellence Competition
Amount £2,000,000 (GBP)
Organisation Alzheimer's Society 
Sector Charity/Non Profit
Country United Kingdom
Start 01/2018 
End 12/2023
 
Description Alzheimer's Society Doctoral Training Centre competition
Amount £87,500 (GBP)
Organisation Alzheimer's Society 
Sector Charity/Non Profit
Country United Kingdom
Start 10/2015 
End 09/2018
 
Description Health and Care Research Wales Social Care PhD studentship
Amount £59,972 (GBP)
Organisation Health and Care Research Wales 
Sector Public
Country United Kingdom
Start 01/2018 
End 12/2020
 
Description NISCHR Centres and Units Competition
Amount £3,000,000 (GBP)
Organisation Health and Care Research Wales 
Sector Public
Country United Kingdom
Start 04/2015 
End 03/2020
 
Description NISCHR Social Care Research Award
Amount £212,500 (GBP)
Organisation Health and Care Research Wales 
Sector Public
Country United Kingdom
Start 10/2013 
End 09/2016
 
Description Social Care Fellowship
Amount £269,306 (GBP)
Funding ID SCF-16-1268 
Organisation Health and Care Research Wales 
Sector Public
Country United Kingdom
Start 10/2017 
End 09/2020
 
Title CFAS Wales database 
Description This database includes the quantitative interview data from waves 1 and 2 of CFAS Wales, as well as the qualitative data, and has been lodged with the UK data archive. The citation is: Woods, R., Windle, G., Burholt, V., Brayne, C., Bennett, K., McCracken, C., Clare, L., Matthews, F., Phillips, J., Macleod, C. (2019). Cognitive Function and Ageing Study - Wales: Waves 1-2, 2011-2016. [data collection]. UK Data Service. SN: 8281, The data from the UK Data Archive is also available through the Dementia Platform UK data portal. The genetic data collected during the project is also now available on the DPUK portal. The data sharing agreement between Bangor and Swansea Universities to facilitate this was finalised in March 2022. 
Type Of Material Database/Collection of data 
Year Produced 2017 
Provided To Others? Yes  
Impact A number of journal papers have now been published using the dataset by other research groups internationally and requests to use the data continue. 
URL https://discover.ukdataservice.ac.uk/catalogue/?sn=8281&type=Data%20catalogue
 
Description CFAS Wales biosamples collaboration 
Organisation Cardiff University
Country United Kingdom 
Sector Academic/University 
PI Contribution CFAS Wales is supplying approximately 3000 saliva samples from wave 1 participants.
Collaborator Contribution Cardiff has extracted the DNA from the saliva samples. Further funding has now been obtained for genotyping of the extracted DNA. This funding comes from: a) the European Alzheimer's Disease DNA Bank (EADB), which will genotype half the samples. Rebecca Sims at Cardiff University is a co-investigator of the EADB, which is a European collaboration funded under the JPND programme. b) the genotyping for the remaining 50% of the samples has been included in the funding for the extension from April 2018 to March 2020 of the Centre for Ageing & Dementia Research, funded by Health & Care Research Wales.
Impact This collaboration has led to a successful proposal to NISCHR / Health & Care Research Wales for a Centre for Ageing and Dementia Research (2015-2020).
Start Year 2014
 
Description Cross-investment collaboration 
Organisation University College London
Department International Centre for Lifecourse Studies in Society and Health (ICLS)
Country United Kingdom 
Sector Academic/University 
PI Contribution Brings together CFAS Wales and Understanding Society - our team have identified policy relevant research questions to address from the US cohort, including additional qualitative interviews with both US and CFAS Wales participants.
Collaborator Contribution Our partners bring their wealth of experience with longitudinal surveys, and related analytic skills - they are engaged in carrying out the interviews with the US participants.
Impact Brings together psychology and epidemiology. A number of journal papers have resulted from this collaboration.
Start Year 2013
 
Description Resilience in caregivers 
Organisation VU University Medical Center
Country Netherlands 
Sector Academic/University 
PI Contribution We have provided facilities for a 3 month visit to access our database from studies involving family care-givers (including REMCARE), using a resilience framework developed for CFAS Wales.
Collaborator Contribution Visiting fellow, funded by Alzheimer's Nederland and Dutch datasets.
Impact Two journal articles have been published.
Start Year 2014
 
Description 'Dementia in Mind' - PONTIO 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Co-hosted an evening event at the PONTIO arts centre, Bangor. Ticketed event -sold out. Mix of music, poetry, interviews regarding dementia and care-giving, and film. Led to raised awareness and profile of our research (including prevention aspects).
Year(s) Of Engagement Activity 2016
 
Description Campaign to end loneliness 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Third sector organisations
Results and Impact Talk on "The impact of exclusion from social resources on loneliness in later life of older people in Wales: The CFAS Wales Study" at the Campaign to End Loneliness Research Showcase, Loneliness, prevention and well-being, held at the New Theatre, London School of Economics, 17 April 2015.

Loneliness is increasingly seen as key issue for older people, and ensuring research evidence is fed into the debate is essential.
Year(s) Of Engagement Activity 2015
 
Description Campaign to end loneliness - Wales 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Third sector organisations
Results and Impact Presentation on "Loneliness. What is the research telling us?" at the Campaign to End Loneliness/Ageing Well in Wales Annual Learning Event, held at City, Hall Cardiff, 20 January 2016.

Bringing research and policy and practice perspectives vital in this arena.
Year(s) Of Engagement Activity 2016
 
Description How to live to be 100 - BBC TV 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Interview on TV programme and living to advanced age - led to related radio interviews also.
Year(s) Of Engagement Activity 2015
 
Description ITV Wales 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact TV and press in relation to launch of 'Join Dementia Research' in Wales.

Provided opportunity for discussing current projects and for interaction with Health Minister for Wales, who performed the formal launch.
Year(s) Of Engagement Activity 2015
 
Description Living with loneliness - the invisible epidemic 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact CFAS Wales team member Dr Deborah Morgan input her research expertise to this ITV Wales documentary.
Year(s) Of Engagement Activity 2019
URL https://www.itv.com/news/wales/2019-02-14/the-invisible-epidemic-living-with-loneliness/
 
Description Making the case for the Social Sciences - dementia 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Policymakers/politicians
Results and Impact Chaired project group producing a booklet (available in hard copy and digital) presenting a dozen or so case studies of the impact of social sciences-based dementia research on policy and practice. Launch at House of Commons, generating much interest.
Year(s) Of Engagement Activity 2016
 
Description North Wales Dementia Network 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Patients, carers and/or patient groups
Results and Impact Network established with a series of events and meetings aiming to identify key issues for people with dementia and carers, and encouraging creative partnerships with third sector organisations and professionals, culminating in a co-produced event with 120+ people attending, launch pad for additional collaboration. In March 2018, a follow-up event with 200 attendees, brought together health, social services, third sector, people living with dementia and carers in an event many described as inspirational.
Year(s) Of Engagement Activity 2016,2017,2018
URL http://dsdc.bangor.ac.uk/projects/NorthWalesDementiaNetwork.php.en
 
Description Oral presentation at the 'Ageing and Dementia @ Bangor' Launch 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Other audiences
Results and Impact Talk titled 'Social Exclusion and Use of Care Services in Wales presented at the 'Ageing and Dementia @ Bangor' Launch in Bangor on the 15th January 2019. Sixty-four people attended the conference. The talk presented an overview of our recent research on social exlcusion in later life, why people don't use services, and our ongoing work looking at experiences of people with dementia and mild cognitive impairment. Requests for further information: 27 copies of the published paper "Health and social exclusion in older age: Evidence from Understanding Society, the UK Household Longitudinal Study.", 20 copies of the published paper "Seeking assistance in later life: How do older people evaluate their need for assistance?", and all 15 copies of the published paper "Re-thinking social exclusion in later life: A case for a new framework for measurement." were taken.
Year(s) Of Engagement Activity 2019
 
Description Poster Presentation at Dementia Conference 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Policymakers/politicians
Results and Impact Poster titled 'Why don't older adults seek assistance' presented at the dementia conference in Llandudno on the 7th March 2018. Over 200 people attended the conference. The audience comprised representatives from national, devolved and local government (30%), Social care professionals and care organisations / homes (15%), Health professionals and health organisations (15%), People with dementia, their carers and the organisations that represent and support them (11%), Academics / researchers / teachers / students (10%), Third sector organisations (7%), with the remaining from other types of organisations or unknown affliation. All copies of the pubished paper displayed next to the poster were taken, along with a number of leaflets that outlined the main findings of the work.
Year(s) Of Engagement Activity 2018
 
Description Public lecture (Llandudno) 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact Bob Woods has presented a public lecture on the theme of dementia at Venue Cymru, Llandudno as part of a lecture series organised by Bangor University on Health and Well-being over 4 consecutive years, with audiences from 125 to 300 people - family carers, practitioners, volunteers, general public. Each has led to considerable discussion and interest.

A number of care homes have followed up with further enquiries.
Year(s) Of Engagement Activity 2011,2012,2013,2014
 
Description Radio Cymru 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact There was some interest generated.

Further contacts made.
Year(s) Of Engagement Activity 2014,2015,2016
 
Description Shaping research to support older people in Wales - A joint engagement event with Ageing Well in Wales. 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Third sector organisations
Results and Impact A joint Ageing Well in Wales and Centre for Ageing and Dementia Research event in which research findings from the maintaining function and well being in later life grant, on factors affecting the choice of older people to use services were presented. A workshop followed which included discussions around how people identify services; what encourages people to use services; what act as barriers stopping people from using services; and how can we design more effective services for older people? Approximately 50 people attended the event from a variety of organisations including local councils, the health board, a range of charities, small businesses, and members of the public. This event provided a platform for people to network with others involved in providing services for older adults, to share knowledge and best practice, to learn about current research findings and talk about how research can inform practice and what work needs to be undertaken. Participants welcomed the idea of holding such events on a couple of times a year, and a request was made for a regularly newsletter of the latest research findings with links to the published work that could be circulated to those attending.
Year(s) Of Engagement Activity 2018
URL https://www.eventbrite.co.uk/e/shaping-research-to-support-older-people-in-wales-tickets-41423720463...
 
Description TEDx Swansea - A life less lonely 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact TEDx talk by Dr Deborah Morgan, drawing on her extensive experience of loneliness research, commencing with her PhD as part of the CFAS Wales project. Talk is available on You Tube.
Year(s) Of Engagement Activity 2018
URL https://www.youtube.com/watch?v=KowlgUIBVdE
 
Description Talk to the Angelsey Older People's Council on Why don't older adults seek assistance? 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Other audiences
Results and Impact Presentation given to the Angelsey Older People's Council on "Why don't older adults seek assistance?" There were approximately 13 people at the meeting representatives from local older adult organisations, a local councillor, and representatives from third sector organisations, Ynys Mon Council, and the community nursing team. The presentation was well received, and generated questions and discussion afterwards. Audience members expressed their thanks for the talk and requested more information about the work, including copies of the published paper.
Year(s) Of Engagement Activity 2019
 
Description Talk to the Gwynedd Older People's Forum on Social Exclusion and Use of Care Services in Wales. 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Presentation given to the Gwynedd Older People's Forum on "Social Exclusion and Use of Care Services in Wales." There were approximately 15 people at the meeting with members of the public and representatives from gwynedd council. The presentation was well received, and generated discussion and debate amongst the audience. Audience members expressed their thanks for the talk and requested more information about the work. It also stimulated audience members to think about the support people they know may need and they requested signposting to possible support organisations.
Year(s) Of Engagement Activity 2019
 
Description Talk to the North Wales Ageing Well in Wales Network on "Seeking assistance in later life: How do older people evaluate their need for assistance?" 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Third sector organisations
Results and Impact Gave a talk to the North Wales Ageing Well network on "Seeking assistance in later life: How do older people evaluate their need for assistance?" There were approximately 15 people at the meeting with representatives from the local councils, Age Cymru, Alzheimer's Society, Macmillan, contact the elderly, the national ageing well programme, and other organisations. The presentation was really well received, and generated discussion about the types of services people do access and what we can do to further encourage those who don't use services. People were very interested in the work and were keen to have a copy of the paper when it comes out.
Year(s) Of Engagement Activity 2017