Assessing physical activity in inpatient rehabilitation—sensor-based validation of the PAIR

Increased physical activity is positively associated with better health in community-dwelling older persons. It is unclear whether physical activity also influences success of inpatient rehabilitation. For the assessment of physical activity in inpatient rehabilitation the Physical Activity in Inpatient Rehabilitation Assessment (PAIR), a short questionnaire based on five questions, was developed and preliminary validated. In this study, the PAIR was validated against a sensor-based physical activity measurement. Seventy functionally impaired and cognitively mostly intact patients of a German geriatric inpatient rehabilitation clinic who had undergone hip surgery (n?=?62 women, median age?=?83 years) participated. Physical activity was measured using the PAIR and a sensor-based activity monitor (Physilog ®; BioAGM, CH). Assessments were conducted at admission (T1) and 2 weeks later (T2) during the rehabilitation process. To assess concurrent and predictive validity, Spearman correlations and linear regression models were calculated using sensor-based walking activity and uptime activity (walking and standing time) as dependent variables. Criterion-related concurrent validity using physical activity sensors was weak to moderate. Correlations were slightly higher at T2 (r?=?0.45-0.53) than at T1 (r?=?0.44-0.46). The objectively measured variance of physical activity, explained by the PAIR, ranged from 25 to 43 %. PAIR activity scores and sensor-based walking or total activity increased in a dose-dependent manner, confirming the scoring system of the PAIR. The application time was usually less than 2 min. The validity of the PAIR is weak to moderate when compared to a sensor-based activity monitor and comparable to existing physical activity assessments for community-dwelling older adults.     

Differentiation from Ex-Spouses and Stepfamily Marital Intimacy

Based on Masheter's (1991) results supporting the relationship between attachment to an ex-spouse and personal functioning, this study explored the relationship between attachment to an ex-spouse and spousal well-being, specifically marital intimacy in stepfamilies. The sample consisted of 127 volunteer spouses who completed the Masheter (1991) inventory as the measure of differentiation from ex-spouses and the PAIR as the measure of marital intimacy. The study found a significant positive relationship between the two variables. These findings suggest that the relationship between ex-spouses and between current spouses is an important component of counseling with stepfamily couples.     

Bullying in schools: what is the problem, and how can educators solve it?

This chapter reviews recent research on bullying from an educator's perspective. It is well known that bullying, a serious issue in schools, can be prevented when educators intervene. But research has shown that it is difficult for educators to detect bullying situations in their school and intervene competently and effectively. This chapter examines how educators can detect bullying, how they can best tackle serious cases of bullying, and how they can best prevent bullying in the long run.     

Constructing Clean Dreams: Accounts,Future Selves,and Social and Structural Support as Desistance Work

This article investigates the discourse individuals use when talking about desisting from criminal offending. I analyze the links between offenders’ accounts of past negative behavior, their construction of their possible “clean” future selves, and the social and structural conditions in which they were raised and continue to be embedded. Applying Scott and Lyman's (1968) framework on accounts and Markus and Nurius's (1986) framework of possible selves to interview data with twenty‐eight criminal offenders, I illustrate how excuses for past behavior provide a way for people to distance themselves from their past selves in attempts to preserve or re‐create a possible self that is still worthy to be redeemed in the future. This discourse becomes one mechanism that motivates individuals to change their lives—but it can be short‐lived. The analysis highlights how limited structural opportunities influence individuals’ lifestyles and behaviors, how individuals approach the desistance process even in the face of structural deprivation, and how they attempt to sustain this desistance process.     

Education and training for social work: A response to Tony Novak

Novak's proposal (1995) that student social workers should be taught on the basis of how social work should be practised rather than how it actually is being practised within the current market economy, is challenged as an unhelpful ‘head in the sand’ approach to current dilemmas in social work education. The revised Diploma in Social Work (CCETSW, 1995a) is defended on the grounds that it prepares social workers for the jobs they will have to do on qualifying; that it retains a user-centred anti-racist and anti-discriminatory value basis and that, in spite of serious political threats, it remains rooted in higher education and emphasises the importance of holistic assessment and critical reflection in practice.     

Improving Primary Care for Persons with Disabilities: the nature of expertise

It has been well documented that persons with disabilities (PWDs) have a more vulnerable health status than persons without disabilities; yet, they often receive inadequate primary care within the US health care system. This study explores how PWDs think about the health care they receive, particularly how primary care providers facilitate or hinder quality care for PWDs. The findings from this study expand the concept of expertise in health care, suggesting it goes well beyond technical competence of health care providers. For PWDs, expertise is multi-dimensional, not solely the domain of providers and includes having knowledge and using that knowledge within the context of the provider-patient relationship. PWDs identified three distinct areas of expertise: medical/technical, medical/biographical, and systems. Expertise can be brought to health care encounters by both PWDs and providers, and it can be developed through collaboration during interactions between providers and PWDs.     

Bureaucratic Role Perceptions and Gender Mainstreaming in Canada

Since the mid‐1990s, governments have adopted gender mainstreaming (GM) as a strategy for achieving gender equality and improving women's social, economic and political conditions. Yet, studies indicate that GM continues to be unevenly implemented, both within and across countries. To explain this outcome, this paper focuses on the local implementers of GM — the gender focal points — and how they understand GM and interpret it in their everyday work. Drawing upon interviews with gender focal points in the Canadian public service, we explore how bureaucratic role perceptions shape how these local actors understand GM and how they navigate the complex terrain between bureaucratic neutrality and the equality agenda of gender mainstreaming. Our exploratory study shows no common understanding among our interviewees, revealing how the meaning of gender mainstreaming varies depending on whether the public servant views himself or herself as policy analyst, policy advisor or policy advocate. Based on these insights, we conclude with suggestions for future research on gender mainstreaming.     

Migrant narratives as photo stories: on the properties of photography and the mediation of migrant voices

This article examines how the properties of photography might mediate voice, defined as the capacity to speak and to be heard speaking about one’s life and the social conditions in which one’s life is embedded. It focuses on the affordances that the image provides for migrant cultural minorities to articulate such a voice within the context of collaborative research. I look at the case of Shutter Stories, a collaborative photography exhibition featuring the photo stories of Indian and Korean migrants from Manila, The Philippines. Using participant observation data, I show that it was photography’s ability to be all at once indexical, iconic, and symbolic that became important in voice as ‘speaking’. It allowed migrants to tell rich, multimodal narratives about their lives, albeit with some key limitations. I also show that it was photography’s inability to fix meanings with finality that mattered in voice as ‘being heard’. Although the locals who visited the exhibition engaged with the photo stories in an overwhelmingly positive manner, they often did not completely grasp the migrants’ complex narratives. All these data indicate that collaborative photography exhibition projects should not just be about how migrants speak and are heard. They should also be about how migrants can listen, so that they can adjust what they say to how they are being heard. This is a valuable reminder that in conceptualising photography and migrant cultural minority voices, we also need to take into account the broader process of multicultural dialogue.     

The terrors of night and the arrows of day. Social workers' processes in the aftermath of murder

This paper provides extended extracts from interviews conducted with three social workers interviewed for a study enquiring into social workers' experiences of stress. For the purposes of this study, experienced practitioners were asked to recall a time that stood out for them in their minds as causing them stress. They were asked to describe the experience, to say how it had affected them, how they responded to it and what they had found helpful and unhelpful when attempting to deal with the experience. The three participants quoted in the paper all talked of their involvement with service users who had killed others. They describe personal and organisational responses to the murders and tell of internal processes and responses from others that were found to be helpful and unhelpful. The 'haunting' quality of such experiences is apparent throughout accounts, as is the relevance of psychodynamic theory and concepts. The importance of creating and using a therapeutic space in which it is possible to have ideas about how such stress can be thought about is emphasised.     

BIG DATA AND BIG CITIES: THE PROMISES AND LIMITATIONS OF IMPROVED MEASURES OF URBAN LIFE

New, “big data” sources allow measurement of city characteristics and outcome variables at higher collection frequencies and more granular geographic scales than ever before. However, big data will not solve large urban social science questions on its own. Big urban data has the most value for the study of cities when it allows measurement of the previously opaque, or when it can be coupled with exogenous shocks to people or place. We describe a number of new urban data sources and illustrate how they can be used to improve the study and function of cities. We first show how Google Street View images can be used to predict income in New York City, suggesting that similar imagery data can be used to map wealth and poverty in previously unmeasured areas of the developing world. We then discuss how survey techniques can be improved to better measure willingness to pay for urban amenities. Finally, we explain how Internet data is being used to improve the quality of city services. (JEL R1, C8, C18)     

The Collegiate Learning Assessment: facts and fantasies

The Collegiate Learning Assessment (CLA) is a computer administered, open-ended (as opposed to multiple-choice) test of analytic reasoning, critical thinking, problem solving, and written communication skills. Because the CLA has been endorsed by several national higher education commissions, it has come under intense scrutiny by faculty members, college administrators, testing experts, legislators, and others. This article describes the CLA's measures and what they do and do not assess, how dependably they measure what they claim to measure, and how CLA scores differ from those on other direct and indirect measures of college student learning. For instance, analyses are conducted at the school rather than the student level and results are adjusted for input to assess whether the progress students are making at their school is better or worse than what would be expected given the progress of "similarly situated" students (in terms of incoming ability) at other colleges.     

Establishing shelters for battered women: Local manifestations of a social movement

This paper analyzes how decentralized social movements manifest themselves on the local level, by studying twenty-five social movement organizations within the battered women's movement. Data consist of in-depth interviews with group members, the study focuses on six issues faced by the groups: how they recognized the need in their communities for alternative services for battered women; how they enlisted community support; how they defined themselves in terms of feminism and the participation of men, how they developed a working relationship with the battered women whom they wanted to help; how they structured their organizations; and how they established goals and strategies. Since the groups were at different stages of development, a dynamic analysis is made of each issue. Groups dealt with the issues on the basis of local resources, values, and other conditions. The movement's structure allowed this independence, which strengthened each group's ability to mobilize resources and accomplish goals. However, it also resulted in local decisions that were often inconsistent with movement goals and weakened the ability of movement leaders to control strategy.The author is grateful to Barrie Thorne, Kathleen Ferraro, the editors and two anonymous reviewers of QUALITATIVE SOCIOLOGY for their extensive reviews of earlier drafts of this paper. Support for writing the paper was provided by a summer fellowship from the Faculty Research Committee of the University of Richmond.     

Characteristics of the mass media's coverage of nuclear energy and its risk: A literature review

Media coverage of nuclear energy is a crucial source of information about the risk of nuclear energy for the general public. As a result, scholars of communication science are very interested in the media's coverage of the nuclear energy risk. This literature review provides an overview of the state of research in this field. This article will describe the findings of empirical research and focus on how much attention the nuclear energy issue receives from the media, the tone in which it is communicated, how it is framed, and how the media depict the risk of this technology. It also argues that empirical risk‐coverage studies would be more informative if they took a broader perspective on risk. Finally, it will discuss areas for future research.     

“Let's Talk About Race”: Exploring Racial Stereotypes Using Popular Culture in Social Studies Classrooms

Imagery and sounds from television, film, music, the Internet, and other media bombard American youth; dictating to them how they should act, think, or what they should believe. They often do not realize that they find much of their identity and belief systems in messages put forth to them by popular culture (Du Gay 1997; Hall 1997). Young people should think critically about their media choices and reflect on the degree that they shape their identity (Considine 2009; Youngbauer 2013). Even when it comes to the topic of race, the media has messages and values readily available for youth to adopt (Bresnahan and Carmen 2011). Based on the work of many popular musicians, African American identity is associated with violence, misogyny, materialism, and deviancy (Balkaran 1999; Ruffner-Ceaser 2012; West 1993). Other forms of popular culture, such as television and film, communicate the same negative messages. In what ways are black stereotypes perpetuated through popular culture? Can social studies classrooms facilitate conversations about race? This article explores how social studies educators can integrate popular culture into their curriculum to unpack racial stereotypes in American society, thereby helping students become more critically aware of the media they consume and how it impacts their lives and self-image.     

How could conditional cash transfer programme conditionalities reinforce vulnerability? Non‐compliers and policy implementation gaps in Uruguay's Family Allowances

Influential research shows that conditionalities could incentivize recipients of conditional cash transfer programmes (CCTs) to send their children to school and to regular health check‐ups. However, a growing literature is elucidating the risks of conditional transfers, from both a philosophical and an empirical perspective. This article highlights the varied deficits that have accompanied the implementation process in some Latin American countries, as well as the consequences that these deficits might have on the beneficiaries. In particular, it suggests that, rather than reducing vulnerability by improving access to services, conditionalities could be reinforcing vulnerability among non‐compliers if non‐compliance leads to the immediate suspension of the cash transfer and if this sanction is poorly implemented. While this hypothesis has gained attention and is part of both an academic and a political debate, empirical research around it is scarce. This article is an attempt to start filling this gap by focusing on the implementation process of conditionalities in a CCT programme in Uruguay (Family Allowances) and how this is experienced by a group of recipients who failed to comply with the conditionalities and were sanctioned with the suspension of the benefit. In particular, it identifies the main reasons why these beneficiaries did not comply, how they experience the sanction and how they managed—when they do—to apply for the benefit to be restored. Based on a qualitative design of in‐depth interviews, it provides empirical evidence to unpack causal relationships linking conditionalities to increased vulnerability among non‐compliers. Our findings offer evidence on the role played by the conditionalities in reinforcing vulnerability and the possible causal mechanisms that could be operating between both phenomena. This picture of policy implementation constraints that could lead conditionalities to reinforce vulnerability among recipients could be relevant to policy‐makers having to deal with non‐compliance and managing sanctions in CCTs.     

Visualizing ‘community’: an experiment in participatory photography among Kurdish diasporic workers in London

Most accounts of research methods in academic journals give an impression that research progresses in an orderly, logical and linear manner. Yet, in reality it is often more ‘messy’ than we admit. This paper reports on an experiment on the use of visual photographic methods in a study of Kurdish migrant workers in London who have had problems at work. The aim was to understand the type of problems workers faced and how they attempted to solve or deal with the issues they encountered. We were interested in the extent to which workers looked to local communities for support and if or how their identity impacted on the actions they took. The use of participant‐generated photography developed while the research was in progress and was utilized in addition to individual and group interviews in order to explore if this was helpful (to us and to research participants) in explaining issues, such as identity and ‘community’, which can often be difficult to verbalize or articulate. As a first foray into incorporating visual methods we struggled at first with ways to explain to participants the type of data we wanted, before learning that it was important to ‘lose control’ and allow participants to ‘speak’ for themselves using the lens of their cameras. The paper explores theoretical justifications that influenced our approach in our first attempt at participatory photography. It will look at the use of images constructed by research participants and how these were used in focus group situations to explore how or whether individual meanings of work, identity, community and belonging have resonance in the wider Kurdish community.     

Enriching the Group and Investigation in the Intercultural Classroom

Cooperative learning requires teachers to change their traditional role as transmitters of information and take on the role of guides and facilitators in the cooperative learning process. As they gain confidence in this role teachers adopt more diverse and complex cooperative procedures. When they feel that their students are used to working together to achieve academic goals, they can introduce Group Investigation as an additional cooperative learning method. Investigating in groups calls for students to apply basic cooperative learning skills to the planning of what they want to study and how they want to study. Students cooperate in carrying out their investigation, in planning how to integrate and present their findings, and, together with the teacher, collaborate in evaluating their academic and interpersonal effort.

Group Investigation places much of the responsibility for learning on the students, but the teacher must know how to prepare for the investigation project, how to prepare the students, and how to facilitate the project as it unfolds. Because the content of a Group Investigation project is determined by the diversity of the students’ interests, experiences and prior knowledge, it is the cooperative learning strategy most suited for interdisciplinary studies in an intercultural classroom.     

Talking about money: public participation and expert knowledge in the Euro referendum

This paper uses the proposed UK referendum on the single European currency as a means of investigating the effect of democratizing science on the scrutiny of conflicting expert advice. Although the referendum has not happened yet, and may not happen at all, the campaigners for and against the Euro have none the less been working for several years to ensure that if, and when, it does happen they are in a position to win it. By exploring how campaigners on both sides of the debate understand the concerns of voters, the paper shows how they are working towards a referendum in which the political dimensions of the Euro are actively minimized in order to avoid alienating key 'floating voters'. Instead, the campaign is expected to focus on the economic costs and benefits of the Euro for individuals and households, with only limited discussion of issues relating to sovereignty. Whether or not the campaign groups, particularly those that oppose the Euro, can maintain this line remains to be seen but if there is a full and frank public debate about the economic, social and political stakes, then this will be despite the referendum rather than because of it.