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Praised in the International Design for All Foundation Awards 2013 as "rigorous, empathic and very thoughtful", Inclusive Design for Getting Outdoors (I'DGO) has changed both policy and practice relating to the design of outdoor environments. Focusing on meeting the needs of older people and disabled people, the consortium's practical guidance has been utilised locally, nationally and internationally by bodies ranging from the UK Department for Transport to the World Health Organization. Through media such as the British Science Festival and the BBC, the researchers have promoted the need for age-friendly design to the public, including older stakeholders. Their findings have impacted upon industry in a cross-cutting way, underpinning the training of professionals, from occupational therapists to urban designers and have changed people's lives for the better, supporting older people and disabled people to go out more through developing user led approaches to shaping outdoor environments.
This case study details the impact of research on the biomechanics of ageing, and the translation of novel methods developed in this research into clinical applications for Parkinson's disease. Our work, commissioned by and developed with English National Ballet (ENB), has raised the profile of dance as a novel health intervention, promoting the health of patients and facilitating the public services of ENB. The reach of our impact is international, and includes a wide range of beneficiaries including Parkinson's patients, dance and health professionals, the general public, ENB and other dance organisations. The significance of our work is indicated by the profound differences it has made to the beneficiaries, awards that the project has received, and the substantial press coverage it has attracted.
Since 2009, research has been undertaken into strategies, practice and provision for active-ageing, specifically examining the mental and physical health and well-being benefits of group activities on culturally diverse older people. The main impact of this research has been the establishment of twelve Movers and Shakers groups. This has benefited approximately 500 older people. There are plans to establish four more groups in Buckinghamshire, including a group for people with learning disabilities. Outside of the County, interest in adoption of the model has been expressed by Hillingdon Borough Council and by a housing group operating in Hertfordshire.
We have contributed, nationally and internationally, to a changing approach, content and implementation of planning policy by including the needs of our ageing society in streetscape design, to address the requirements of older people, benefitting their independence, welfare and quality of life. In the UK 23% of the population is projected to be aged over 65 by 2035, according to the Office of National Statistics (2010). Our focus upon the needs of an ageing society has been adopted as part of the skills and knowledge development agenda in sustainable planning through the Royal Town Planning Institute (RTPI). Tools have been developed, policy informed and reformed, and our findings included in a House of Lords report on assistive technology for older people.
Research into participative practice and well-being with older people has contributed directly to the development and application of an ethic of care in policy and service delivery, as well as to practices in older people's participation, locally, nationally and internationally. The research has directly impacted on practitioners and practice developments in services for older people, with learning resources (co-designed with practitioners and older people) being used in professional education and training across the UK and in New Zealand. An innovative participatory methodology has both enhanced older people's participation locally and been adopted more widely by university community research collaborators working to enhance older people's citizenship and well-being (eg in Netherlands). Research has directly informed policy concerning older people's needs assessments by recognising the centrality of relationships to well-being in older age. The well-being research involving collaboration with service users and providers has been described as `exemplary' by the leading national charity Age UK.
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Research undertaken at Keele has made the social exclusion of older people visible to opinion- leaders and policy makers, helping to shape their perceptions of ageing. These changes in attitude have contributed to transforming provision for older people and promoting inter-generational interaction within local communities through both policy and practice, in both national and local government. The research has had a direct impact on national government policies, and has also coalesced into national campaigns to improve older people's lives. Regional impacts initially focussed on making Manchester an `age-friendly city' which has subsequently been used as a model for other local councils across the country.
To facilitate physical and emotional recovery after a stroke, knee replacement, and falls we created assistive rehabilitation technology that enabled patients to evaluate their own rehabilitation progress. This technology is delivered wherever the person is (e.g. home or community settings) so that the optimum care can be delivered. 6 doctors, 15 physiotherapists and 80 patients in the Greater Glasgow area confirmed the benefits for enhancing recovery of patients. Similar technology inspired the development of three children's physical activity games in collaboration with a commercial company Numiko, the games were used by the BBC on its CBeebies children's website.
Many children and young people are not sufficiently active to achieve a range of physical and mental health benefits. Extensive research undertaken at the University of Bristol has developed gold-standard methods of quantifying the important contribution that time spent outdoors and greater child independence make to children's daily physical activity. This work has provided unique data to support the development of a new, low-cost approach to adapting residential streets in Bristol for regular outdoor play. The Bristol model has been adopted nationally to provide street-play opportunities in the most disadvantaged areas. It is building capacity to promote outdoor play in a range of public- and third-sector agencies at local, regional and national levels. As a result, children are spending more time outdoors and undertaking increased physical activity, while both children and adults are engaging in more social interaction on residential streets. The model has also been showcased internationally, supporting a cultural shift towards reintroducing the street as a place for children's outdoor play. This shift is necessary to combat the marked decline in street play and child independence which has occurred in recent decades.
This case study demonstrates the impact of an inter-related body of research, undertaken by The Open University's (OU) Centre for Ageing and Biographical Studies, upon the ways in which older people experience everyday ageism, housing and design, and end-of-life care. The research has provided evidence for charities and non-governmental organisations (NGOs) seeking to shape government legislation, initiate action on age-friendly environments, and to change care practice. As a result it has helped inform the UK's Equality Act 2010, new guidance on toilets in public spaces, user-friendly extra-care housing and an exemplary training programme on end-of-life care in care homes.