Occupational Therapy and Arts Therapies
Permanent URI for this collectionhttps://eresearch.qmu.ac.uk/handle/20.500.12289/25
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Item Reset: Designing Community-Based, Resilience-Affirming Support for Older Adults Through Participatory Action Research - An Environmental Perspective(Emerald, 2025) Górska, Sylwia; Desogus, S.; Moffat, P.; Gunn, L.; Irvine Fitzpatrick, L.Purpose: This paper presents key learning from the Reset programme, an innovative, intersectoral collaboration designed to transform community-based health and social care (HSC) for older adults. The programme aimed to deepen understanding of and enhance post-hospitalisation resilience, improve access to existing resources, and strengthen community connections. Methodology: The programme employed a Participatory Action Research methodology to co-produce and implement resilience-focused, evidence-based HSC across four localities in the city of Edinburgh, Scotland. Data was collected through interviews and focus groups with older adults, referring agencies, community partners, informal carers, and the HSC support team. Narrative data was also gathered by HSC support staff through one-to-one key work, while ongoing reflective practice informed continuous learning and adaptation. Findings: The research confirmed a dynamic, reciprocal relationship between older adults and their environment in shaping resilience outcomes. It expanded understanding of how physical, digital, and social environments can enable or hinder resilience, highlighting the impact of systemic cultural factors within HSC, and broader societal structures. Originality/value: This study offers original insights into participatory, intersectoral approaches to supporting ageing in place. It deepens understanding of environmental determinants of resilience in later life and provides evidence-based recommendations for policy, practice, and research. The co-produced, community-centred approach highlights the value of relational support in improving outcomes for older adults.Item Resetting the Standard: A Collaborative Approach to Community Resilience for Older People. [Case Study](2025-07-15) Moffat, P; Górska, Sylwia; Desogus, S; Gunn, L; Irvine Fitzpatrick, LItem Outpatient Child and Adolescent Mental Health Services in Lothian Wait Times. Retrospective notes analysis(Queen Margaret University, 2015) Constantinescu, Alexandra C.; Forsyth, Kirsty; Gibson, Amanda; Górska, Sylwia; Harrison, Michele; Irvine, Linda; Murray, Richard; Pentland, Jacqueline M.; Prior, SusanItem Edinburgh Older People Mental Health Services: outcomes of the qualitative evaluation(Queen Margaret University, 2015-01) Forsyth, Kirsty; Górska, Sylwia; Harrison, Michele; Irvine, Linda; Pentland, Jacqueline M.; Prior, SusanItem Edinburgh Behaviour Support Service: Secondary Data Analysis(Queen Margaret University, 2013) Constantinescu, Alexandra C.; Forsyth, Kirsty; Górska, Sylwia; Harrison, Michele; Irvine, Linda; Pentland, Jacqueline M.; Prior, SusanItem Family Group Conferencing for People with Dementia. Evaluation of the Midlothian Pilot 2012/2013(Queen Margaret University, 2013) Forsyth, Kirsty; Górska, Sylwia; Harrison, Michele; Haughey, Peter; Irvine, Linda; Prior, SusanItem Perspectives of Those with Lived Experience of Dementia and their Care Givers within the Cultural Context of Midlothian. A Narrative Study.(Queen Margaret University, 2012) Fairnie, Jane; Flockhart, Janice; Forsyth, Kirsty; Górska, Sylwia; Irvine, Linda; Maciver, Donald; Prior, Susan; Reid, Jenny; Whtehead, JacquelineItem Reset: Resilience, Relationships, Resources. Planning and delivering resilience-affirming community support for older people(Reset Partnership, 2024) Górska, Sylwia; Irvine Fitzpatrick, L.; Moffat, P.; Leśniewska, S.; Dalton, A.; Desogus, S.; Macdonald, H.; Gunn, L.; Ashworth, L.; Hall, B.; Horton, L.; Simpson, R.; Brown, N.Item Differences in assistive technology installed for people with dementia living at home who have wandering and safety risks(BMC, 2021-10-30) Curnow, Eleanor; Rush, Robert; Górska, Sylwia; Forsyth, KirstyBackground: Assistive Technology for people with dementia living at home is not meeting their care needs. Reasons for this may be due to limited understanding of variation in multiple characteristics of people with dementia including their safety and wandering risks, and how these affect their assistive technology requirements. This study therefore aimed to explore the possibility of grouping people with dementia according to data describing multiple person characteristics. Then to investigate the relationships between these groupings and installed Assistive Technology interventions. Methods: Partitioning Around Medoids cluster analysis was used to determine participant groupings based upon secondary data which described the person characteristics of 451 people with dementia with Assistive Technology needs. Relationships between installed Assistive Technology and participant groupings were then examined. Results: Two robust clustering solutions were identified within the person characteristics data. Relationships between the clustering solutions and installed Assistive Technology data indicate the utility of this method for exploring the impact of multiple characteristics on Assistive technology installations. Living situation and caregiver support influence installation of assistive technology more strongly than level of risk or cognitive impairment. People with dementia living alone received different AT from those living with others. Conclusions: Results suggest that caregiver support and the living situation of the person with dementia influence the type and frequency of installed Assistive Technology. Reasons for this include the needs of the caregiver themselves, the caregiver view of the participants’ needs, caregiver response to alerts, and the caregiver contribution to the assistive technology assessment and selection process. Selection processes should be refined to account for the needs and views of both caregivers and people with dementia. This will require additional assessor training, and the development of validated assessments for people with dementia who have additional impairments. Policies should support the development of services which provide a wider range of AT to facilitate interventions which are focused on the needs of the person with dementia.Item Psychometric evaluation of the Making it CLEAR questionnaire, a resilience measure for older adults(Oxford University Press, 2021-09-28) Whitehall, Lucy; Górska, Sylwia; Rush, Robert; Singh Roy, Anusua; Irvine-Fitzpatrick, Linda; Forsyth, KirstyBackground and Objectives: Previous efforts to develop a resilience measure for older adults have largely failed to consider the environmental influences on their resilience, and have primarily concentrated on the resilience of community dwelling older adults. Our objective was to validate a new multidimensional measure of resilience, the Making it CLEAR (MiC) questionnaire, for use with older adults at the point of discharge from hospital.