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Table 5 Evidence base for projects

From: A survey of local health promotion initiatives for older people in Wales

Project type No of regional or local projects No said to be evidence based Evidence cited
Physical activity 42 12 National Service Frameworks for falls, coronary heart disease, healthy living
    WAG Strategy For Older People
    WAG Strategy For Health, Social Care & Wellbeing
    Better Health Strategic Planning Group Action Plan
    Healthy & Active Lifestyles in Wales Task Force (2002)
    Welsh Health Survey 1998
    British Heart Foundation research (no references)
    WAG research (no references)
    Department of Health research (no references)
    Good practice guidance for health (no references)
    Needs assessment
Healthy eating 14 9 National Service Framework for coronary heart disease
    WAG Strategy For Older People
    Evidence from pilot projects
    Success of previous initiatives & other similar projects
Home safety & warmth 19 7 National Service Frameworks for older people (Wales and England)
    WAG Strategy For Older People
    WAG Health Promotion Action Plan For Older People
    Health Development Agency 2002
    Evidence from Royal Society for the Prevention of Accidents (no references)
    Risk assessments of homes
Emotional health 11 4 Published research (no references)
    Guidelines (unspecified)
    10 years past experience of scheme
Health protection 4 3 National Service Frameworks for older people, diabetes, coronary heart disease, heart failure
    WAG Strategy For Older People
    Diabetic Guidelines/Standards Wales
Smoking 1 1 Evidence base for the provision of smoking cessation services
Alcohol 1 1 Evidence of need from referrals
Other 17 9 National Service Frameworks for coronary heart disease, older people
    WAG Health, Social Care & Wellbeing Strategy
    Welsh Health Survey 1998
    St John Ambulance & British Telecom survey of carers 2000
    Carers Outreach study 1999 (no reference)
    Sports Council for Wales focus on increasing physical activity
    Health needs analysis funded by the Big Lottery Fund
    Feasibility study
    Local demographics (30% aged 60+)
    Anecdotal evidence
Overarching programmes or national campaigns
Keep Well This Winter WAG initiative
    National Service Framework for older people
    Service and Financial Framework guidance
    Welsh Health Circulars
    WAG literature(unspecified)
    National Public Health Service literature (unspecified)
    Evaluation of previous campaigns
Immunisation Welsh Health Circular (2004) 063 (influenza immunisation)
    Welsh Health Circular (2004) 065 (pneumococcal immunisation)
Luncheon clubs Evidence from Social Services & Communities First
    Ageing Well UK programme evaluation by Age Concern/WAG
    Food Standards Agency nutrition strategy for Wales
    Local needs assessments
Free swimming for the over 60s WAG Strategy For Older People
    Local Strategy For Older People
    WAG Strategy For Health, Social Care & Wellbeing
    Better Health Strategic Planning Group Action Plan
    NSF for older people
    Welsh Health Survey (1998)
    Healthy & Active Lifestyles in Wales Task Force (2002)
    Evidence highlighting inactivity in target group (unspecified)
Walking the Way to Health British Heart Foundation support
    WAG Strategy For Older People
    WAG Strategy For Health, Social Care & Wellbeing
    Climbing Higher (WAG strategy for sport & physical activity)
    Wag Health Promotion Action Plan For Older People
    Better Health Strategic Planning Group Action Plan
    Healthy & Active Lifestyles in Wales Task Force (2002)
    Welsh Health Survey (1998)
    Published research: Morris & Hardman 1997; Ashley A, Bartlett H, Howells K 1997 (incomplete references)
    Countryside Agency research
    Needs assessments
EXTEND National Service Frameworks for older people, promoting wellbeing & reducing social isolation (standard 8)
    Published research: Windle et al; Skelton D, Dinan S (incomplete references)
    Research (unspecified) supporting hypothesis that EXTEND improves quality of life