Impediments to policy implementation: The offer of free installation of central heating to an elderly community has limited uptake

Armstrong, David; Winder, Russel; Wallis, Rodney

doi:10.1016/j.puhe.2005.07.004

Cited by 18 publications

(17 citation statements)

References 10 publications

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“…There is an indication that older people may see extreme temperatures as something to ‘put up with’ and that little can be done to help outside of common sense, reactive behaviours such as wearing extra clothes and consuming hot food and drink 1920 Uptake and use of affordable warmth and heating installations by older people is also compromised by perceptions of central heating being unhealthy21 and the complex nature of attitudes to comfort 22. In an evaluation of the ‘Warm Front’ affordable warmth installation scheme in England, preferences for low temperatures and a belief these make you hardy accounted for persistent cold home temperatures after installation 22.…”

Section: Introductionmentioning

confidence: 99%

Understanding factors influencing vulnerable older people keeping warm and well in winter: a qualitative study using social marketing techniques

et al. 2012

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ObjectivesTo understand the influences and decisions of vulnerable older people in relation to keeping warm in winter.DesignA qualitative study incorporating in-depth, semi-structured individual and group interviews, framework analysis and social marketing segmentation techniques.SettingRotherham, South Yorkshire, UK.Participants50 older people (>55) and 25 health and social care staff underwent individual interview. The older people also had household temperature measurements. 24 older people and 19 health and social care staff participated in one of the six group interviews.ResultsMultiple complex factors emerged to explain whether vulnerable older people were able to keep warm. These influences combined in various ways that meant older people were not able to or preferred not to access help or change home heating behaviour. Factors influencing behaviours and decisions relating to use of heating, spending money, accessing cheaper tariffs, accessing benefits or asking for help fell into three main categories. These were situational and contextual factors, attitudes and values, and barriers. Barriers included poor knowledge and awareness, technology, disjointed systems and the invisibility of fuel and fuel payment. Findings formed the basis of a social marketing segmentation model used to develop six pen portraits that illustrated how factors that conspire against older people being able to keep warm.ConclusionsThe findings illustrate how and why vulnerable older people may be at risk of a cold home. The pen portraits provide an accessible vehicle and reflective tool to raise the capacity of the NHS in responding to their needs in line with the Cold Weather Plan.

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Section: Introductionmentioning

confidence: 99%

Understanding factors influencing vulnerable older people keeping warm and well in winter: a qualitative study using social marketing techniques

et al. 2012

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“…Although the benefits of weatherization seem evident, challenges exist in encouraging participation in retrofit programs, particularly due to concerns about increased maintenance and usage costs (57). Education and outreach to homeowners, building managers, and others can address these concerns and highlight the long-term financial and health benefits.…”

Section: Adaptationmentioning

confidence: 99%

Preventing cold-related morbidity and mortality in a changing climate

et al. 2011

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Winter weather patterns are anticipated to become more variable with increasing average global temperatures. Research shows that excess morbidity and mortality occurs during cold weather periods. We critically reviewed evidence relating temperature variability, health outcomes, and adaptation strategies to cold weather. Health outcomes included cardiovascular-, respiratory-, cerebrovascular-, and all-cause morbidity and mortality. Individual and contextual risk factors were assessed to highlight associations between individual- and neighborhood- level characteristics that contribute to a person’s vulnerability to variability in cold weather events. Epidemiologic studies indicate that the populations most vulnerable to variations in cold winter weather are the elderly, rural and, generally, populations living in moderate winter climates. Fortunately, cold-related morbidity and mortality are preventable and strategies exist for protecting populations from these adverse health outcomes. We present a range of adaptation strategies that can be implemented at the individual, building, and neighborhood level to protect vulnerable populations from cold-related morbidity and mortality. The existing research justifies the need for increased outreach to individuals and communities for education on protective adaptations in cold weather. We propose that future climate change adaptation research couple building energy and thermal comfort models with epidemiological data to evaluate and quantify the impacts of adaptation strategies.

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“…Central to knowledge translation approaches, such as the knowledge-to-action framework (Graham et al 2006), it is recommended that end-users be included at the early stage of guideline or intervention development to ensure that the knowledge and its subsequent implementation are relevant to their needs. This is even the case when the benefits of an initiative seem as obvious as warmer homes for older adults in a United Kingdom policy initiative (Armstrong et al 2006). There was little uptake of free central heating among eligible individuals given potential recipient concerns about upheaval and mess, health concerns, and fear of increased heating costs.…”

Section: Introductionmentioning

confidence: 99%

Canadian 24-Hour Movement Guidelines for Children and Youth: Exploring the perceptions of stakeholders regarding their acceptability, barriers to uptake, and dissemination

Faulkner

White

Riazi

et al. 2016

Appl. Physiol. Nutr. Metab.

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Engaging stakeholders in the development of guidelines and plans for implementation is vital. The purpose of this study was to examine stakeholders' (parents, teachers, exercise professionals, paediatricians, and youth) perceptions of the Canadian 24-Hour Movement Behaviour Guidelines for Children and Youth ("Movement Guidelines"). Stakeholders (n = 104) engaged in semi-structured focus groups or interviews to discuss the perceived acceptability of the guidelines, potential barriers to implementation, and preferred methods and messengers of dissemination. A thematic analysis was conducted. Overall, there was consistent support across all stakeholder groups, with the exception of youth participants, for the Movement Guidelines. Stakeholders identified a range of barriers to the uptake of the guidelines including concerns with accurately defining key terms such as "recreational" screen time; everyday challenges such as financial and time constraints; and the possibility of the Movement Guidelines becoming just another source of stress and guilt for already busy and overwhelmed parents. Participants identified a range of recommended methods and messengers for future dissemination. School and medical settings were the most commonly recommended settings through which dissemination efforts should be delivered. Overall, participants representing a range of stakeholder groups were receptive to the new Movement Guidelines and endorsed their value. In complementing the Movement Guidelines, messaging and resources will need to be developed that address common concerns participants had regarding their dissemination and implementation.

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Impediments to policy implementation: The offer of free installation of central heating to an elderly community has limited uptake

Cited by 18 publications

References 10 publications

Understanding factors influencing vulnerable older people keeping warm and well in winter: a qualitative study using social marketing techniques

Understanding factors influencing vulnerable older people keeping warm and well in winter: a qualitative study using social marketing techniques

Preventing cold-related morbidity and mortality in a changing climate

Canadian 24-Hour Movement Guidelines for Children and Youth: Exploring the perceptions of stakeholders regarding their acceptability, barriers to uptake, and dissemination

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