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.     

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.     

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.     

The Validity of Career Maturity Attitude Measures Among Black and White High School Students

To investigate the validity of five career maturity attitude measures among Black and White high school students, the Counseling Form of the Career Maturity Inventory Attitude Scale and a measure of appropriateness of career choices were administered to 83 Black and 239 White high school students. White students scored significantly higher than Black students on Involvement, Independence, and Compromise in Career Decision Making, and on Appropriateness of Career Choices. Reliability coefficients are mostly in the .50s and .60s. None of the five Attitude Scale subscales are related to appropriateness of career choices of Black students, and only one subscale, Compromise, is significantly correlated with appropriateness of career choices of White students. The data do not support the theoretical expectation that career maturity attitudes are related to appropriateness of career choices, and raise questions regarding the validity of inferences made about the career maturity of both Black and White students. Some practical and theoretical implications of the study are identified.     

SAUNA, SISU AND SIBELIUS:

This article uses an ethnographic approach to explore ethnic identity among second- and third-generation Finnish Americans. Analysis of qualitative data yielded four second- and twelve first-order latent dimensions: (1) ethnicity and the self (affinity, recognition, behavior and identity), (2) orientation to Finland (immigrant generation, ancestral homeland, and contemporary Finland), (3) real world ethnicity (ethnic infrastructure, family and ethnicity, and everyday life), and (4) ethnicity as social construction (symbolic ethnicity and creating ethnicity). This multidimensional measurement model reflects a constructionist approach to ethnicity.