Multi-dimensional Health Risk Appraisal for Older People: embedding promotion of health and well-being in practice

目前的政策强调采取有针对性的方法来预防健康不良，在卫生部门和地方政府之间建立伙伴关系，并在地方解决方案中促进老年人的福祉。然而，关于实现这些目标的最佳方法的证据有限。这项研究将评估使用新的自我评估系统来确定健康、社会、经济和环境需求并促进老年人福祉的可行性和成本。这个系统被称为老年人多维风险评估？(MRAO)。它提供全面的评估，针对S个人的需求提供量身定制的个性化反馈，以及关于国家和地方满足这些需求的资源的信息。有需要的人将由NHS、社会关怀或志愿团体的某人联系，如果他们愿意，他们可以支持他们满足他们的需求。这可能包括，例如，健康的生活方式建议，关于帮助老年人福利/财务或当地社会/教育团体的建议。这项研究涉及到成立当地的工作组？与老年人、来自NHS(全科医生、社区护士)、地方政府(社会护理、交通、规划、住房/环境)和志愿/社区组织的成员合作。MRAO与老年人的联合匿名评估结果将提交给这些团体，以使用这些信息来建议服务变化，以更密切地满足当地老年人的需求。这是一项可行性研究，目的是看看这一进程在实践中是否可行，并有可能在促进老年人福祉方面做出积极变化。MRAO系统已经开发完成，但尚未在Real？设置。我们将观察老年人在MRAO评估前和评估后3个月在需求、生活质量、残疾和幸福感方面是否存在差异。我们将了解建立/运行MRAO和工作组的成本。我们将利用收集到的信息来设计未来更大规模的MRAO试验，以测试这是否是一种可以在全国范围内推荐的具有成本效益的方法。我们将观察/采访工作组，以评估不同部门/机构如何利用MRAO共同努力满足当地需求，并就最佳做法提供指导。我们将采访那些参与其中的老年人，询问他们在维持幸福感方面的帮助和障碍。这项研究的信息可能会对确保老年人得到支持以防止问题恶化并使他们能够为社区做出贡献的政策和做法产生重大影响。

Current policy emphasises tailored approaches to preventing ill-health, working in partnerships across health and local government, and local solutions to promoting wellbeing for older people. There is however limited evidence on the best approaches to meet these aims. This study will assess the feasibility and costs of a using a new self-assessment system to identify health, social, economic and environmental needs and promote well-being among older people. The system is called ?Multi-dimensional Risk Appraisal for Older people? (MRAO). It provides comprehensive assessment, tailored personalised feedback on individual?s needs and information on resources nationally and locally to meet these needs. Those with needs would be contacted by someone from NHS, social care or voluntary groups who could support them in meeting their need, if they wished. This might include, for example, healthy lifestyle advice, advice on help with benefits/finances or local social/educational groups for older people. The study involves forming local ?working groups? with older people, members from NHS (GPs, community nurses), local government (social care, transport, planning, housing/environment) and voluntary/community organisations. The combined anonymous results of MRAO assessments with older people will be presented to these groups, to use this information to recommend changes in services to more closely meet the needs of older people living locally. This is a feasibility study, to see if this process can work in practice, with the potential to make positive changes in promoting well-being among older people. The MRAO system has already been developed but not implemented in ?real? settings. We will see if there are differences in needs, quality of life, disability and well-being among older people from before and 3 months after the MRAO assessments. We will find out how much setting up/running the MRAO and working groups costs. We will use information collected to design a future bigger trial of MRAO, to test if this is a cost-effective approach that can be recommended across the country. We will observe/interview working groups to evaluate how different sectors/agencies can work together to meet local needs using MRAO and provide guidance on best practice. We will interview older people who have taken part about their experiences; asking what helps and hinders them in sustaining well-being. The information from this study would potentially have a big impact on policy and practice in making sure that older people receive support to prevent problems getting worse and in enabling them to contribute to their communities.