Providing Care for Persons with Dementia in Rural Communities: Informal Caregivers’ Perceptions of Supports and Services

Dementia is one of the costliest and most time-consuming diseases among older persons. Although informal caregivers provide the majority of care for persons with dementia, little is known about the self-perceived need for social services of caregivers of persons with dementia within rural areas. This pilot study examined the knowledge, access and intent of the practice-oriented service model of caregivers of persons with dementia in rural communities in the Midwest U.S. After a systematic training, researchers interviewed 11 rural caregivers of persons with dementia (n = 11). Data were analyzed using thematic analysis. Although similarities with other caregivers of persons with dementia were found, important differences suggesting unique issues among these rural caregivers of persons with dementia. Many participants found strength in their community, which often served as a safety net of support. Consistent with existing literature, participants expressed financial concerns, geographic barriers and lack of dementia-specific services when using formal services. The need for more specialized formal services in rural areas to supplement existing informal care networks is discussed. Policies and services based on rural caregivers’ unique concerns and challenges and that build upon their existing care networks are recommended.     

Meditation Program Enhances Self-efficacy and Resilience of Home-based Caregivers of Older Adults with Alzheimer’s: A Five-year Follow-up Study in Two South Asian Cities

This article reports a five-year follow-up study in two South Asian cities on the impact of a long-term meditation program in enhancing self-efficacy and resilience of home-based caregivers of older adults with Alzheimer’s. Intervention group caregivers (pre-test N = 96; post-test N = 78) reported lower perceived caregiving burden, higher self-efficacy in obtaining respite, responding to disruptive patient behaviors and controlling upsetting thoughts, and greater resilience, post-test, in comparison to the control group (pre-test N = 89; post-test N = 67). Gender and relationship with the patient were two strong moderators determining program impact. Caregiver women, spouses, Hindus, middle class, with college and higher education, homemakers, who attended at least 75% of the meditation lessons and regularly practiced at home (i.e. once weekly for at least 75% of the weeks) reported lower post-test perceived caregiving burden, higher self-efficacy, and resilience. Results of the Tobit regression models confirmed the meditation-related moderators and indicated that home practice was the strongest predictor of post-test scores. Overall the meditation program is an effective intervention, however, would need to be refined for specific caregiver subgroups such as men, children and children-in-law and those working outside the home, to suit their realities.     

Korean War Studies in China:A Review of the Last Decade

Considerable progress has been made in the study of the Korean War in China since the late 1970s. Its course of development can be divided into three stages.     

A Model for Implementing an Evidence-Based Practice in Student Fieldwork Placements: Barriers and Facilitators to the Use of “SBIRT”

ABSTRACT

This article reports on focus group data analysis that was used to understand initial, largely positive outcomes from a university-based initiative to disseminate and implement an evidence-based practice (EBP)—Screening, Brief Intervention, and Referral to Treatment for Substance Use (SBIRT)—into student fieldwork placements, which are usual care social work settings. Focus groups were conducted with three groups of stakeholders involved in the ongoing project: social work department faculty (n = 10), bachelor- and master-level social work students (n = 8), and social work fieldwork instructors (n = 6). Dimensional analysis of the focus group data yielded results indicating that dissemination and implementation of SBIRT was influenced by agency- and school-level factors and perceived fit between the EBP and individual professional identity, intrapersonal characteristics, and timing. The resulting model, developed through the focus group analysis, is offered and shows how these factors interacted and affected training, supervision, and use of the EBP. The model provides social work educational programs and agencies a working tool for diagnosing and proactively addressing barriers and breakdowns in the EBP implementation process. Future research that tests the model as a diagnostic tool and generates knowledge about its influence in developing competent evidence-based practitioners is indicated. Future focus groups in relation to this initiative are needed to better understand these barriers and facilitators in the EBP implementation process and their critical roles in the process of translating SBIRT into standard social work practice.     

Toward the Development of a More Integrated Aged Care Assessment Process for Rural Older Australians: Practitioners’ Perspectives

There is an identified need for more effective assessment processes in rural Australia, with prior research revealing little knowledge sharing and even duplication across existing services. This article aims to explore the challenges to more closely integrated assessment processes, drawing on interview data with practitioners from three agencies located in the same rural region. Findings highlight the challenges of rural assessment, both demand-driven (more older people with complex needs, geographic isolation) and supply issues (time and distance, funding formulae, workforce shortages). The need for closer collaboration is recognized but significant systemic issues require addressing if it is to be achieved.     

Commentary on “The Effects of Financial Incentives in Experiments: A Review and Capital-Labor-Production Framework”

Journal of Risk and Uncertainty -     

Reification: A New Symptom in Women’s Writing in the Context of Consumer Culture

A major evil of capitalist society denounced by Marx, Lukacs, Adorno, Horkheimer and Marcuse, reification developed as a concept thanks to the work     

Two Faculty Groups’ Process in Delivering a Joint MSW Program: Evaluating the Outcome

ABSTRACT

In 1995, two state universities’ Schools of Social Work, 30 miles apart, agreed to implement a joint master's of social work program. In 2011, the Council on Social Work Education reaccredited the program. This qualitative study describes the stages of development of the group of faculty members based on Tuckman's perspective. Through surveys, interviews, and focus-group reports, a combination of convenience and purposive subsamples with a total of 22 participants provided data on the program strengths and limitations, as well as the new trends identified in the field of social work. The findings of this exploratory design study include program strengths such as availability of personal and technical resources, adequate faculty communication processes, and their willingness to change and embrace innovations. The program limitations include the diversity of faculty members and their different subcultures, the large number of students, and the recurrent disruptions of the distance-learning technology system. The inclusion of new trends in the field of social work is required to effectively educate students to meet their future clients’ expectations. Due to its qualitative methodology using nonprobability sampling strategies and a small sample size, the generalizability of this study is limited.     

A Group-Based Intervention for Persons Living in Poverty: Psychosocial Improvements Noted among Participants of “Getting Ahead in a Just-Gettin’-by World”

This study reviews the results of a national study of Getting Ahead in a Just-Gettin’-By World (“GA”), a widely used group-based intervention for helping persons in poverty assess their resources and create a plan for increasing them. Findings from a national study of a diverse sample (N = 215) suggest that the program is facilitating positive changes in poverty-related knowledge, perceived stress, mental health and well-being, social support, hope, and goal-directed behavior and planning. Implications of these findings for practice and future research are discussed.     

On the instability of majority decision-making: testing the implications of the ‘chaos theorems’ in a laboratory experiment

In light of the so-called ‘chaos theorems’ from social choice theory, William Riker (W. H. Freeman and Company, San Francisco, 1982) argues that the indeterminacy of majority rule leads to voting cycles making democratic decisions arbitrary and meaningless. Moreover, when the core is empty, majority instability correlates with the level of conflict among actors. This study uses laboratory committee decision-making experiments to provide an empirical test of both aspects of Riker’s argument. Committees make repeated majority decisions over 20 periods picking points from a two-dimensional policy space. The experiment manipulates committee members’ preferences and thus varies the existence of a core and the level of conflict between group members. The experimental results contradict Riker’s interpretation of the chaos theorems’ implications. Thus, the core exhibits less attraction than generally assumed. Moreover, an empty core is not associated with increased majority rule instability. Instead, conflicting preferences lead to more instability irrespective of the existence of an equilibrium.

     

A Person Without a Past: Robert Michels and Alfred Schutz and the Sociology of the “Stranger”

Robert Michels and Alfred Schutz might not seem to have much in common. Michels was a political sociologist and Schütz was a philosopher of phenomenology, but they shared one crucial thing: they were both strangers in foreign countries. Michels left Germany for Italy and Switzerland because he was not permitted to complete the second degree necessary to teach at the university level while Schutz was compelled to leave Austria for France and the United States because of his Jewish background. Their experiences of trying to adapt in a foreign country prompted them to reflect on what it means to be “the stranger” (“Der Fremde”). Michels wrote “Materialien zu einer Soziologie des Fremden” in 1925 and Schutz published “The Stranger: An Essay in Social Psychology” in 1944. While Schutz’ article has been repeatedly cited, there does not seem to be a study devoted to it. Michels' article remains among his most neglected writings. However, both works offer a theoretical and contextual account of the obstacles the stranger encounters when trying to understand and to acclimate oneself to a new environment. As Schutz noted, the stranger is a person “without a past”, and Michels suggested, is also a person with an uncertain future.     

The measurement and implication of the older people’s social function in the community: a Shanghai experience

Abstract

The study employed a quantitative approach to measure the social function of the older people. From a questionnaire survey in a Shanghai community, we found that participants’ party affiliation, education, age group, functional capacity (IADL) and occupational status were the major factors affecting older people’s social function. The older people participated more actively, tended to trust others more and enjoyed better social function in the community. These findings lead to implications for social work practices and policymaking procedures on active ageing.     

A Qualitative Evaluation of a Conditional Cash Transfer Program in Turkey: The Beneficiaries’ and Key Informants’ Perspectives

ABSTRACT

Since the 2001 economic crisis, conditional cash transfers (CCTs) have been provided to poor families in Turkey to improve education and health outcomes of children. Under the framework of CCT programs, grants provide an incentive for poor households to use available basic social services. The aim of this study is to explore beneficiaries’ perspectives in relation to a CCT program in Turkey. The in-depth study design entailed semistructured qualitative interviews with beneficiary households and key informants. A total of 397 in-depth interviews were conducted. Analysis results suggest that the CCT program not only positively affected health and educational outcomes, but also contributed to the empowerment of women and improved the self-esteem and self-confidence of beneficiary children. Recommendations for future research are made including the need for an impact evaluation analysis that employs quantitative research methods designed to improve the provision and quality of the basic social services.     

From “State and Society” to “Institutions and Life”: A Shift in the Study of Social Change in China

Abstract

The term “institutions and life” is proposed as an alternative perspective to “state and society.” Here, “institutions” refers to formal institutions set up in the name of the state and supporting its agents at various levels and in different departments in the exercise of their functions. “Life” refers to the everyday activities of social beings, involving not only the interests, powers and rights-based claims of expedient production and life strategies and techniques, but also relatively routine popular mores and informal institutions. The purpose of constructing and applying this perspective is to probe the complex mechanism of the interaction between living subjects and the agents of formal institutions in institutional practice and thereby analyze the actual logic and changing direction of China’s formal institutions and explore the mechanisms behind changes in mores so as to grasp the main thread running through China’s modern nation building.     

‘Fragmented authoritarianism’ – the facilitator behind the Chinese reform miracle: a case study in central China

Although it maintains an authoritarian power structure, China has been widely perceived as one of most decentralized nations in the world in terms of government spending. The concept of ‘fragmented authoritarianism’ has figured largely in academic discussions of China's regime. It raises the question of how such apparently opposed states – ‘fragmentation’ and ‘authoritarianism’ – co-exist. In particular, how can so many important economic and political reforms have been launched in a milieu of fragmented authoritarianism? An analysis of an intergovernmental jurisdiction reform launched by city leaders suggests that fragmented authoritarianism facilitated the reform miracle. Fragmentation supplies the room and space for reform and change, while authoritarianism provides the power and authority for leaders to launch such reforms. That is why China has been able to remain united through a process of dramatic change.     

Vietnam’s extraordinary performance in the PISA assessment: A cultural explanation of an education paradox

This paper examines the nature and drivers of Vietnam’s paradoxical performance in the Program for International Student Assessment (PISA) – consistently high student achievement despite being the poorest of all participating countries and a centralized education system. We first document ‘Vietnam advantage’ in a wide-range of supply and demand-related indicators such as school participation rate, educational inequality, inputs and expenditure in cross-country regression models. We then estimate an augmented educational production function to show that these supply and demand-side advantages don’t explain away Vietnam’s positive deviance in PISA when compared to other participating developing and developed countries. We then conduct student-level analysis to examine Vietnam’s performance in PISA 2012 in a regional context, vis-à-vis three high-spending but low-performing ASEAN member countries (Malaysia, Indonesia and Thailand) and two high performing Asian countries (South Korea and Singapore). Pooled regression estimates show that, holding differences in various indices of socioeconomic background, the gap in average student test scores between Vietnam and South Korea in Reading and Science becomes statistically insignificant. Moreover, once school-specific differences are also accounted for, Vietnamese students do just as well as Singaporean across all subjects – equalizing for existing socioeconomic differences between countries would give Vietnam an even better advantage in PISA. A similar gain in PISA scores is absent in the case of Malaysia, Indonesia and Thailand. The paper concludes by offering a cultural explanation for the significant variation in educational performance among high-spending East Asian countries.     

China's ‘Socializing Social Welfare’ policy: a study on service quality in society-run homes for the aged in Beijing

This study aims to examine service quality in the emergent society-run homes (SRH) in Beijing from the perspective of residents in the context of ‘Socializing Social Welfare’ policy reform. Quantitative and qualitative research methods were combined to provide a comprehensive approach. A novel instrument for measuring service quality was developed and validated. Nine dimensions and three domains of service quality were identified and explored. The measuring instrument reveals that service quality in the SRH is barely satisfactory. With the findings of this study and the corresponding recommendations, it is hoped that the quality of institutional care service for the elderly can be improved, the social capital of the SRH can be promoted, and an integrated system of diversified care services can be formed and serve the needs of the increasing population of aged people.     

Consumption Rationality: Evaluation of Consumption in a“Economical Society”

Besieged with environmental crises and resource exhaustion, modern man is now left with but a single choice: to build an economical society. Human behavior is not determined by the species but is under the control of purpose and will. However, these often reflect merely the individual's particular or temporary interest,