Occupational rehabilitation services provided by a community workers health centre in Hong Kong: a case study

Ergonomics is commonly known as "the scientific study of human work" [14, p. 3] and "the application of scientific information concerning human beings to the design of objects, systems, and environments" (p. 4). The American Occupational Therapy Association defines occupational therapy as "skilled treatment that helps individuals achieve independence in all facets of their lives. It gives people the 'skills for the job of living' necessary for independent and satisfying lives [1]." Both professions share common backgrounds. Occupational therapy has been involved in health care and ergonomics is looking for its place in the health care field.     

Comparability of the 6-min walk test using different test configurations

The 6-min walk test (6MWT) is a common component of fitness assessments of older adults; however, differing course configurations might affect 6MWT performance. It is unclear how comparable 2 different configurations are. To determine the comparability of 2 courses, 35 adults >65 years of age completed two 6MWT, once walking around a 20- by 5-yd outdoor rectangle and once on an indoor oval track (circumference 144.3 yd). Scores for the 2 tests were internally consistent (intraclass correlation coefficient = .95). The participants walked farther on the oval track than around the rectangle (639 +/- 19 vs. 582 +/- 16 yd; p < .0001), but responses to the rectangular configuration could be readily estimated using the equation 66.7 yd + 0.807 x (oval walking distance), R2 = .85. Thus, within-participant responses are similar across both 6MWT, but the course configuration affects the distance walked.     

Coming of age and awakening to spiritual consciousness through rites of passage

A contemporary American form of the ancient idea of rites of passage can guide young people toward deeper meaning and strengthen their sense of identity and connection to the community.     

Women's risk for revictimization by a new abusive partner: for what should we be looking?

The purpose of this article was to examine the prevalence of, as well as risk factors for, revictimization by a new partner. Data was collected via face-to-face interviews at Time 1 (about 5 weeks after obtaining a protective order against a violent partner [DVO partner]) and at Time 2 (approximately 12 months later). Of those women who reported having a new partner at Time 2 (n = 412), 35.2% reported abuse. Findings indicate that there is a subset of women who are at greater risk of experiencing abuse by future partners: women with greater cumulative lifetime victimization and those who abuse or are dependent on illicit drugs. Intervening with women when they obtain a protective order is a critical point of intervention to reduce women's risk for revictimization.     

A social capital approach to the prevention of elder mistreatment

The current demographic landscape features an increasing number of elderly individuals in the care of some trusted other. Being cared for by a trusted other raises the potential for mistreatment of the elder by that trusted other. The goal of this paper is to explore the possibility of preventing elder mistreatment by increasing the bridging and bonding social capital available to caretakers. Attending to social capital lets researchers expand their focus toward areas rarely examined through current stress-outcome models (e.g., interpersonal interactions). First, elder mistreatment and social capital are defined and discussed. Then, a model is forwarded that details how social capital might mitigate the effects of caretaker stress and decrease the probability that caretakers will engage in elder mistreatment in both home and long-term care institutional settings. Finally, implications for future research and practical intervention are discussed.     

A test of explanations for the effect of harsh parenting on the perpetration of dating violence and sexual coercion among college males

This study uses structural equation modeling (SEM) with a sample of 760 college males to test various hypotheses regarding the avenues whereby harsh corporal punishment and a troubled relationship with parents increase the risk that a boy will grow up to engage in sexual coercion and dating violence. We found that three variables--a general antisocial orientation, sexually permissive attitudes, and believing that violence is a legitimate component of romantic relationships--mediated most of the association between negative parenting and our two outcomes. In addition to this indirect influence, we found that harsh corporal punishment had a direct effect upon dating violence. The findings are discussed with regard to various theoretical perspectives regarding the manner in which family of origin experiences increase the chances that a young man will direct violence toward a romantic partner.     

The conceptualization and measurement of quality of life: implications for program planning and evaluation in the field of intellectual disabilities

The concept of quality of life (QOL) is increasingly being used in the field of intellectual disabilities as a conceptual and measurement framework for program planning and evaluation. This article describes the development of a QOL conceptual and measurement framework, and summarizes how this framework is currently being used both nationally and internationally to assess and report personal QOL-related outcomes, to guide quality improvement strategies, and to evaluate the effectiveness of those strategies. Implications of such use are discussed, including those related to understanding mental models, developing internal data systems, supporting organization change, and building on current public policies. The article concludes with reference to the evolving nature of the QOL concept and the impact of this on model development and transdisciplinary research.     

Adaptive changes in gait of older and younger adults as responses to challenges to dynamic balance

The study proposed to identify balance strategies used by younger and older adults during gait under proprioceptive, visual, and simultaneous proprioceptive-visual challenges. Participants ambulated under 4 conditions: consistent, noncompliant surface; inconsistent, compliant surface (C); consistent, noncompliant surface with vision obscured (NCVO); and inconsistent, compliant surface with vision obscured (CVO). Balance adaptations were measured as changes in gait velocity, cadence, and gait-stability ratio (GSR). Participants were 5 younger (mean age = 27.2) and 5 older (mean age = 68) healthy adults. Significant age differences were found for GSR (p = .03) on all surfaces. Older adults adopted a more stable gait pattern than younger adults regardless of the challenge presented by surface. Significant condition differences were found for velocity (p < .001) and cadence (p = .001). All participants exhibited significantly decreased velocity and increased cadence on surfaces C and CVO. Gait speed and cadence did not significantly change in NCVO. Younger and older adults exhibited similar adaptive balance strategies, slowing and increasing steps/s, under proprioceptive and proprioceptive-visual challenges to dynamic balance.     

Work rehabilitation for migrant workers with work injury--the magic of Chinese paper cutting

As China has gradually transformed from agricultural economy into industrial economy since 1978, occupational injuries and diseases become a serious social problem in China. For occupational rehabilitation professionals, helping workers with occupational injuries and diseases, return to work and re-integrate to community are the ultimate goals of occupational rehabilitation. This article reports a new indigenous initiative with cultural notions in occupational rehabilitation piloted by Guangdong Provincial Rehabilitation Center. Case studies reflected that by learning and practicing traditional Chinese paper cutting, workers with occupational injury and disease could regain their self confidence, identity their strengths, learn more vocational skills as well as to re-integrate into community.