Project LIFE: a partnership to increase physical activity in elders with multiple chronic illnesses

The authors describe a medical center-based randomized trial aimed at determining the feasibility and effectiveness of partnering patients and primary-care providers with an exercise health counselor. Study participants included 165 veterans age 70 years and older. The primary end point was change in physical activity at 3 and 6 months comparing patients receiving high-intensity physical activity counseling, attention control counseling, and usual care after receiving standardized clinic-based counseling. We noted a significant Group x Time interaction (p = .041) for physical activity frequency and a similar effect for caloric expenditure (p = .054). Participants receiving high-intensity counseling and usual care increased physical activity over the short term, but those with usual care returned to baseline by the end of the study. The intervention was well received by practitioners and patients. We conclude that partnering primary-care providers with specialized exercise counselors for age- and health-appropriate physical activity counseling is effective.     

Urban Mortgage Loan Statistics in One Life Company

For much of 1970 and during the early part of 1971 some forty members of the American Statistical Association, working as seven task force groups under the guidance of a special Steering Committee, gave much time and thought to an examination of the objectives and activities of ASA. Their purpose was to try to determine what those objectives should be and how best to accomplish them. After careful review and study by the Board of ASA, the task force and steering committee findings and recommendations were adopted, modified or supplemented and issued as an integrated Board report under the title of A Study of Future Goals of ASA.     

Developmental Characteristics of African American and Caribbean Black Adolescents' Attributions Regarding Discrimination

The present study examined discrimination attributions in the psychological well‐being of Black adolescents. Findings are based on a representative sample of 810 African American and 360 Caribbean Black youth, aged 13–17, who participated in the National Survey of American Life. Youth completed measures of perceived discrimination, discrimination attributions, depressive symptoms, self‐esteem, and life satisfaction. Approximately half the youth attributed discrimination to race/ethnicity (43%), followed by age (17%), physical appearance (16.5%), and gender (7.5%), and there were no ethnic, gender, or age differences regarding discrimination attributions. Key findings suggest that the association between perceived discrimination and psychological well‐being did not vary according to discrimination attribution, which implies that discrimination is harmful for Black youth regardless of the attribution.     

Exploring the ethics of treatments for depression: The ethics of care perspective

This article explores the ethics of current treatments for depression through the lenses of social work values and ethics. As a vehicle for analysis, the approach associated with ethics of care will be utilized. Particular attention is paid to ethical dilemmas in the treatment of depression under the auspices of managed care companies. A case example is presented to help social workers understand these dilemmas in the context of practice. Adopting an ethics of care perspective would mandate that social workers become more politically active, and work toward integrating direct and indirect practice approaches in treating people who suffer from depression and similar problems.     

Skills for Recovery: A Recovery-Oriented Dual Diagnosis Group for Veterans with Serious Mental Illness and Substance Abuse

Individuals with serious mental illness (SMI) are at a high risk for abusing alcohol and illicit substances relative to the general population. This use, even in small quantities, can negatively affect mental and physical health. Group therapy is an evidence-based treatment for individuals dually diagnosed with SMI and a substance abuse disorder. The Skills for Recovery group used a recovery-oriented therapy manual for dual diagnoses and was informed by the International Association for Social Work with Groups' Standards for Social Work Practice with Groups throughout the development and implementation of the group.     

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.     

Public attitudes toward fetal diagnosis and the termination of life

As measured in two recent national surveys, public attitudes toward prenatal genetic testing are overwhelmingly favorable, and attitudes toward genetic testing in general are also predominantly favorable on both surveys. Unlike genetic testing, however, abortion in case of fetal defect is endorsed by only a minority of both samples. The unreliability of the scales used to measure these attitudes in both surveys suggests that attitudes toward fetal diagnosis and genetic testing have not yet crystallized. In part, this unreliability undoubtedly reflects the nature and number of the questions asked; but in part the low reliability of the scale seems to reflect the novel subject matter and the public's lack of familiarity with it. At present, attitudes toward prenatal diagnosis and testing appear to be distinct from attitudes toward abortion and the termination of life. But attitudes toward prenatal testing predict attitudes toward the termination of life, and vice versa. Thus, as the public becomes more knowledgeable about the new technology and its implications, there is at least the potential for these two attitudes to become more closely linked in the future.     

Feelings of power in a corporate society

One aspect of the well-being of individuals in society is the extent to which they feel that they have the power to affect their well-being within the society. Coleman (1973b) specifies such a feeling of power as a function of the ability to control events in those arenas of action which are of high interest to the individual. In advanced societies, control of resources has shifted into the hands of corporate actors so that those arenas of action which are of interest to corporate actors are dominatd by corporate actors rather than individual persons. The following proposition can therefore be deduced: persons interested in the arenas of action of interest to corporate actors will have lower feelings of power over their well-being than will persons predominantly interested in arenas of action of little or no interest to corporate actors. Using a national probability sample of households in the United States, this proposition is assessed both directly and after controlling for confounding influences of exogenous concepts. The proposition can be rejected as erroneous unless respondent differences in socioeconomic states are controlled. Respondent differences in major demographic characteristics do not greatly affect the proposition.     

Advanced Networked Technologies in the U.K. Voluntary Sector

Advanced networked technologies have the potential to support deep strategic and operational transformation within voluntary organizations as they seek to respond to shifts in the social, economic, and political spheres in which they operate. Evidence form our study of U.K. voluntary organizations demonstrates relatively low uptake of the core networking technologies and applications essential to support such transformation. Friends of the Earth and The Samaritans are exceptions to this trend. Case studies of these organizations demonstrate that they are using advanced networked technologies to reconfigure key information flows and relationships, in support of enhanced campaigning and more effective user services. The extent to which these organizations are able to exploit the transformational potential that the technologies present is tempered by historically institutionalized relationships and values by which they are characterized.     

Supporting ethical use of electronic monitoring for people living with dementia: Social work’s role in assessment,decision-making,and review

Walking outdoors supports health and well-being, but some people living with dementia are at increased risk of getting lost and of harm while missing. Electronic monitoring can potentially play an important preventative role by enabling the person’s location to be continuously monitored by caregivers. However, there are considerable ethical concerns arising from electronic monitoring. This paper explores these thematically, drawing attention to its implications for autonomy and liberty; privacy; dignity; the rights and needs of caregivers and families; beneficence and nonmaleficence. Following from this, key questions for consideration in social work assessment are identified. The ethical issues necessitate assessment of the person’s unique circumstances and preferences and that of their caregivers, and careful ethical deliberation in decision-making. Social work can play an important role in facilitating inclusive assessment and decision-making, leading to consensus on intervening with electronic monitoring. The need for the ongoing review following implementation is discussed to track whether decisions need modification in light of the experience of usage. In conclusion, while legislative instruments and professional codes of ethics frame social work practice responses, there is need for a nuanced debate about ethical use of electronic monitoring and specific guidance to inform assessment, decision-making, and review.