Evidence

Surveillance report 2018 – Mental wellbeing in over 65s: occupational therapy and physical activity interventions (2008) NICE guideline PH16 and Older people: independence and mental wellbeing (2015) NICE guideline NG32

Surveillance decision

Surveillance decision

We will plan a partial update of the guideline on mental wellbeing in over 65s: occupational therapy and physical activity interventions. During surveillance editorial or factual corrections were identified. Details are included in appendix A: summary of evidence from surveillance.

We will not update the guideline on older people: independence and mental wellbeing at this time.

Reason for the decision

The surveillance review on NICE guidelines that are within the theme of mental health and wellbeing includes 2 NICE guidelines on older adults:

  • Mental wellbeing in over 65s: occupational therapy and physical activity interventions (2008) NICE guideline PH16

  • Older people: independence and mental wellbeing (2015) NICE guideline NG32

Mental wellbeing in over 65s: occupational therapy and physical activity interventions

For NICE guideline PH16 new evidence that could affect recommendations was identified on the impact of relaxation and balance activities on mental wellbeing in older adults. There was new evidence to indicate that physical activity interventions such as yoga, pilates and tai chi that focus on relaxation and balance, are effective at improving mental health and wellbeing in older adults. As these types of physical activity are not currently recommended in NICE guideline PH16, it is recommended that this is an area for update.

We also found new evidence on the impact of other physical activity and occupational therapy interventions on mental health and wellbeing in older adults that supports current recommendations. We did not find any evidence related to training professionals on the delivery of interventions.

Older people: independence and mental wellbeing

For NICE guideline NG32 we identified new evidence that supports current recommendations on the effects of group-based interventions, one-to-one activities and volunteering on the mental wellbeing of older adults. We did not find any new evidence related to principles of good practice or on identifying those most at risk of a decline in their independence and mental wellbeing.

Overall decision

After considering all the evidence and views of topic experts and stakeholders, we decided that a partial update is necessary for NICE guideline PH16 and that no update is necessary for NICE guideline NG32.


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