Longitudinal impact of active supported living environments on physical and cognitive health.

Longitudinal impact of active supported living environments on physical and cognitive health.

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Activity details

This commitment is a continuation of the longitudinal evaluation of the impact of moving into an active supportive living environment (ExtraCare) for older adults with a range of healthcare needs, including those with no needs and those who are significantly frail or have serious cognitive decline. The environment includes on-site informal health support in the form of a drop-in clinic, accessible social engagement and prevention services including a gym and falls prevention, and person-centred support for people with dementias and their carers. The commitment is a research project, with the report from the first 18 months available on http://www.aston.ac.uk/lhs/research/centres-facilities/archa/extracare-project/. Findings demonstrated significant reductions in healthcare use and improvements in perceived health, depression and aspects of cognitive assessments, specifically including those related to perceived functional impairments. A frailty index was calculated using an accumulation of deficits model and demonstrated malleability for some residents. The continuation will further develop work on this index for use in this community setting, and explore roles of psychosocial additions to the index in terms of predicting need for care and prognoses of variables such as increase in care needs or dependence or quality of life. The impact of interventions on assessed frailty will be assessed.
Action Group:
Other organisations participating in the commitment: 
ExtraCare Charitable Trust
Lead organisation name: 
Aston Research Centre for Healthy Ageing, Aston University.
Organisation country:
Contact person: 
Carol Holland
Contact person email: 
Activity type:
Start date: 
End date: 
Last update: 22/03/2019

Current Status

Please see http://www.aston.ac.uk/lhs/research/centres-facilities/archa/extracare-project/ for a summary of findings (final report and factsheets). See also documents uploaded to the A3 Yammer site under cognitive decline heading. The project now has further funding to continue the research with a particular aim of developing the use of the frailty index and examining the impact of additional variables of social isolation and loneliness, and the impact of specific interventions on the index.


Title Planned Deadline Current Status Category Attachments
Final report of first 18 months of data 29/05/2015 Achieved Research: Reports (reports, articles, findings) PDF icon Final report of first 18 months of data


Indicator Target indicator Current status
Health care costs ~4000 people ~4000 people
Length of stay when admitted to hospital ~4000 people ~4000 people
Numbers of people with significant depression ~4000 people ~4000 people
Reduction in numbers of people identified as frail 4000 people 4000 people
Reduction in functional limitations ~4000 people ~4000 people
Reduction in falls or injuries from falls ~4000 people 4000 people
Improvement in socially relevant aspects of cognition (autobiographical memory) 4000 people 4000 people
Reduction in unplanned GP visits 4000 people ~4000 people