Browsing by Person "Donaldson, Caroline"

Now showing 1 - 9 of 9

Direct payments: the views of older people from rural communities and ethnic minority groups.
(Queen Margaret University College, 2005) Dewar, Belinda; O'May, Fiona; Donaldson, Caroline
The origins of the direct payments scheme lie with the Disabled People’s movement and the revolutionary idea of providing disabled people with cash to pay directly for their assessed care and support needs. Authorisation was given in 1997 to local authorities in England to offer cash payments to purchase care and support services through the implementation of The Community Care 1996 (Direct Payments) Act. This scheme was initially restricted to those aged between the ages of 18-65 years. However since February 2000 (July 2000 in Scotland) this has been extended to include disabled people aged 65 and over, and further expanded in 2001 to include young disabled people between the ages of 16 and 18 years. Prior to the implementation of the Community Care Act, procedures following a community care assessment placed the local authority in complete control regarding arranging and coordinating an individual’s care package. The local authority arranged when and where services were provided, and who would provide them. The direct payments scheme could offer an alternative, more flexible approach, with the potential to empower individuals choosing to opt into this scheme. Individuals in receipt of direct payments have control in making arrangements for the provision of services that work with their lifestyle as opposed to their lifestyle ‘fitting around’ local authority organised care and support services. Direct payments position the individual at the centre of control for their own service provision. Initially, direct payments as a scheme was relaxed and local authorities were not obliged to offer direct payments as an alternative to everyone. However, since April 2003 (June 2003 in Scotland), local authorities are now obliged to offer direct payments to all those eligible. Key criteria for eligibility to opt into this scheme are that direct payments in the form of cash can only be offered to those deemed able to consent and manage the direct payment, either alone or with support
External evaluation of the Dumfries and Galloway Better Neighbourhood Services Fund (BNSF) Vulnerable Older People's Pathfinder.
(Queen Margaret University College, 2005) Newall, Elinor; Gilloran, Alan; O'May, Fiona; Donaldson, Caroline
In January 2001, the Better Neighbourhood Services Fund (BNSF) was set up by the Scottish Executive to enable local authorities and their community planning partners to improve services in Scotland in accordance with the Social Justice initiative. Twelve local authorities were asked to put forward strategies for the delivery of better services within neighbourhoods in their pathfinder area. Dumfries and Galloway council developed a strategy for older people called the Vulnerable Older People Pathfinder (VOPP), known locally as ‘Guid Services for Older Folk’, which was funded by BNSF for a three year period. The VOPP, together with the Scottish Executive, developed a Local Outcome Agreement (LOA), with a headline aim, or outcome, to: “Enable more vulnerable people to stay living in their own homes for longer, by increasing the range, quality and accessibility of preventative services”. To that end BNSF has funded a number of projects providing preventative services for older people. This approach is underpinned by a wealth of research that highlights the benefits of low-level preventative services to older people’s quality of life (e.g. Clark,et al. 1998).
Good Ideas. A practical handbook for supporting older people in their own homes.
(COPA, Queen Margaret University; NHS Health Scotland and City of Edinburgh Council, 2009) Wilkinson, H.; Lewin, Melanie; Donaldson, Caroline
Good Ideas. Good Ideas for day carers and respite carers who provide support for older people in their own homes.
(Queen Margaret University, 2009) Wilkinson, H.; Lewin, Melanie; Donaldson, Caroline
Maternal communication style and treatment adherence in young children with type 1 diabetes.
(Sage, 2010) Chisholm, Vivienne; Atkinson, Leslie; Donaldson, Caroline; Noyes, Kathryn; Payne, A.; Kelnar, Chris
The incidence of type 1 diabetes (T1D) in young children is increasing markedly however young children have been overlooked in paediatric adherence research despite the unique challenges their care presents. We investigated the relation between maternal communication style and adherence to the dietary regimen in 40 children with T1D, aged 2-8 years, and their mothers. Mothers completed measures of children's sugar consumption, parent-child communication quality, and child psychological functioning. Mothers and children engaged in a videotaped problem-solving task related to the dietary regimen, with maternal utterances analysed for behavioural control style (e.g., commands versus suggestions) and cognitive complexity (e.g., provision of labels versus questions). Maternal communications which engaged children, behaviourally and cognitively, in the task were associated with better adherence, medical, communication quality, and child adjustment outcomes. We conclude that adherence and health (medical and psychological) are optimised when young children are given opportunities to participate in their care.
Maternal communication style, problem-solving and dietary adherence in young children with type 1 diabetes
(2011-07) Chisholm, Vivienne; Atkinson, Leslie; Donaldson, Caroline; Noyes, Kathryn; Payne, Anne; Kelnar, Chris
The incidence of type 1 diabetes (T1D) in young children is increasing markedly however young children have been overlooked in paediatric adherence research despite the unique challenges their care presents. We investigated the relation between maternal communication style and adherence to the dietary regimen in 40 children with T1D, aged 2-8 years, and their mothers. Mothers completed measures of children's sugar consumption, parent-child communication quality, and child psychological functioning. Mothers and children engaged in a videotaped problem-solving task related to the dietary regimen, with maternal utterances analysed for behavioural control style (e.g., commands versus suggestions) and cognitive complexity (e.g., provision of labels versus questions). Maternal communications which engaged children, behaviourally and cognitively, in the task were associated with better adherence, medical, communication quality, and child adjustment outcomes. We conclude that adherence and health (medical and psychological) are optimized when young children are given opportunities to participate in their care.
Predictors of treatment adherence in young children with type 1 diabetes.
(Blackwell Publishing Ltd, 2007) Chisholm, Vivienne; Atkinson, Leslie; Donaldson, Caroline; Noyes, Kathryn; Payne, A.; Kelnar, Chris
Aim. This paper reports a study to investigate whether diabetes-specific, demographic and psychosocial variables predict adherence in young children with type 1 diabetes. Background. Paediatric diabetes rates are increasing worldwide; however, young children are neglected in treatment adherence research, despite the importance of adherence for health. Greater understanding of adherence in this group could enhance nurses' ability to provide care tailored to families' needs. Method. A cross-sectional study was carried out between 2001 and 2003 with 65 children aged 2-8 years and their mothers in Britain. Mothers were interviewed about children's diabetes care, nutritional analyses were conducted and mothers completed assessments of diabetes knowledge, parenting stress, family functioning and child psychological adjustment. Demographic and medical information was collected from patient records. Findings. Consistent with older populations, blood glucose monitoring and dietary regimens showed greater adherence variability than injection frequency and injection time consistency. Better maternal diabetes knowledge correlated with less injection time variability, more frequent blood glucose monitoring, lower percentage energy intake from extrinsic sugars, lower glycosylated haemoglobin levels and fewer relationship difficulties. Longer diabetes duration, greater injection time variability and higher percentage energy intake from extrinsic sugars predicted less frequent blood glucose monitoring. More relationship difficulties and less frequent blood glucose monitoring predicted higher percentage energy intake from extrinsic sugars. Conclusions. Nurses can facilitate treatment adherence through provision of educational, practical and socio-emotional support. Nursing interventions should target blood glucose monitoring and dietary regimens in particular, and nurses should be sensitive to the various caretaking challenges presented to parents by different components of the diabetes regimen.
Recipe for Life Practice Development Projects: Nutrition in Later Life Education Course for Home Care Staff; Intergenerational Kitchen
(Queen Margaret University, 2008) Coull, Yvonne; Donaldson, Caroline; Duffy, Maresa; Paget, A.
Social effects of collaborative learning in primary schools
(2010-06) Tolmie, Andrew Kenneth; Topping, Keith J.; Christie, Donald; Donaldson, Caroline; Howe, Christine; Jessiman, Emma; Livingston, Kay; Thurston, Allen
There is conflicting evidence on whether collaborative group work leads to improved classroom relations, and if so how. A before and after design was used to measure the impact on work and play relations of a collaborative learning programme involving 575 students 9-12 years old in single- and mixed-age classes across urban and rural schools. Data were also collected on student interactions and teacher ratings of their group-work skills. Analysis of variance revealed significant gains for both types of relation. Multilevel modelling indicated that better work relations were the product of improving group skills, which offset tensions produced by transactive dialogue, and this effect fed through in turn to play relations. Although before intervention rural children were familiar with each other neither this nor age mix affected outcomes. The results suggest the social benefits of collaborative learning are a separate outcome of group work, rather than being either a pre-condition for, or a direct consequence of successful activity, but that initial training in group skills may serve to enhance these benefits. 2009 Elsevier Ltd. All rights reserved.