Self- and caregiver-reported experiences of young adults with developmental disabilities

The purpose of this study was to describe the experiences of young adults with developmental disabilities (DD) who were living in community settings with the aid of government-supported services. Six male and 10 female volunteer subjects (mean age = 24 years) were interviewed and the narrative data were analyzed revealing themes in six categories: (1) Home Life, (2) Relationships, (3) Health and Health Care, (4) Personal Growth and Accomplishments, (5) Occupation, and (6) Transportation. Subjects' most positive experiences were associated with integrated, comprehensive and timely services delivered by knowledgeable and sensitive service providers. Strong parental advocacy facilitated these features. Additionally, experiences were most positive when daily activities occurred within the sphere of either family or the disability community, as opposed to the broader community. Research is suggested to further understand the dynamics of integration in the broader community and to devise strategies to successfully facilitate this integration.     

Tai Chi-based exercise for older adults with Parkinson's disease: a pilot-program evaluation

The primary objective of this study was to provide preliminary evaluation of the feasibility, safety, and efficacy of a newly developed Tai Chi-based exercise program for older adults with Parkinson's disease (PD). Using a one-group pretest-posttest design, 17 community-dwelling adults (mean age 71.51 years) with mild to moderate idiopathic PD (Stage I, II, or III on the Hoehn and Yahr scale) and stable medication use completed a 5-day, 90-min/day Tai Chi exercise-evaluation program. Outcome measures included face-to-face exit interviews on appropriateness and safety and physical performance (i.e., 50-ft speed walk, up-and-go, functional reach). At the end of this brief intervention, exercise adherence was 100% and the program was shown to be safe. Exit interviews indicated that the program was well received by all participants with respect to program appropriateness, participant satisfaction and enjoyment, and intentions to continue. Furthermore, a significant pretest-to-posttest change was observed at the end of the 5-day program in all three physical-performance measures (p < .05). The results of this pilot evaluation suggest that Tai Chi is an appropriate physical activity for older adults with PD and might also be useful as a therapeutic exercise modality for improving and maintaining physical function. These preliminary findings warrant further investigation.     

The development of a rubric for peer assessment of individual teamwork skills in undergraduate midwifery students

BackgroundPoor teamwork is cited as one of the major root causes of adverse events in healthcare. Bullying, resulting in illness for staff, is an expression of poor teamwork skills. Despite this knowledge, poor teamwork persists in healthcare and teamwork skills are rarely the focus of teaching and assessment in undergraduate health courses.AimTo develop and implement an assessment tool for use in facilitating midwifery students’ learning of teamwork skills.MethodsThis paper describes how the TeamUP rubric tool was developed. A review of the literature found no research reports on how to teach and assess health students’ teamwork skills in standing teams. The literature, however, gives guidance about how university educators should evaluate individual students using peer assessment. The developmental processes of the rubric were grounded in the theoretical literature and feminist collaborative conversations. The rubric incorporates five domains of teamwork skills: Fostering a Team Climate; Project Planning; Facilitating Teams; Managing Conflict and Quality Individual Contribution. The process and outcomes of student and academic content validation are described.ConclusionThe TeamUP rubric is useful for articulating, teaching and assessing teamwork skills for health professional students. The TeamUP rubric is a robust, theoretically grounded model that defines and details effective teamwork skills and related behaviours. If these skills are mastered, we predict that graduates will be more effective in teams. Our assumption is that graduates, empowered by having these skills, are more likely to manage conflict effectively and less likely to engage in bullying behaviours.     

Family Configurations and Child-Care Patterns: Familes with Two or More Preschool-Age Children

Objectives . This article examines the extent to which mothers must find child-care arrangements for more than one preschool child and, when they do, the strategies they adopt to juggle their work and family roles. Methods . We use national data from numerous studies with information on fertility and child care among employed mothers with children. Results . We find that it is a common life-course experience for mothers to need child care for two or more preschool-age children. Employed mothers' preferred strategy for child care for their multiple preschool-age children is to place all preschoolers in the same type of arrangement, choosing parental care more often and center care less often than employed mothers with one preschooler. Conclusions . Previous child-care research has ignored the complexities parents face when they must make child-care decisions about all their preschool-age children simultaneously. Child-care decisions need to be studied within the family and household context.     

Children's Moral Reasoning Regarding Physical and Relational Aggression

Elementary school children's moral reasoning concerning physical and relational aggression was explored. Fourth and fifth graders rated physical aggression as more wrong and harmful than relational aggression but tended to adopt a moral orientation about both forms of aggression. Gender differences in moral judgments of aggression were observed, with girls rating physical and relational aggression as more wrong and relational aggression as more harmful than boys. In addition, girls were more likely to adopt a moral orientation when judging physical and relational aggression and girls more often judged relational aggression than physical aggression from the moral domain. Finally, moral reasoning about aggression was associated with physically and relationally aggressive behavior. Considered together, the results indicate that children tend to adopt a moral orientation about aggression, but that they nonetheless differentiate between physical and relational aggression in their moral judgments.     

Developing Evidence-Based Interventions for Foster Children: An Example of a Randomized Clinical Trial with Infants and Toddlers

Children who enter foster care have usually experienced maltreatment as well as disruptions in relationships with primary caregivers. These children are at risk for a host of problematic outcomes. However, there are few evidence-based interventions that target foster children. This article presents preliminary data testing the effectiveness of an intervention, Attachment and Biobehavioral Catch-up, to target relationship formation in young children in the foster care system. Children were randomly assigned to the experimental intervention that was designed to enhance regulatory capabilities or to a control intervention. In both conditions, the foster parents received in-home training for 10 weekly sessions. Post-intervention measures were collected 1 month following the completion of the training. Outcome measures included children's diurnal production of cortisol (a stress hormone), and parent report of children's problem behaviors. Children in the experimental intervention group had lower cortisol values than children in the control intervention. Also, the experimental intervention parents reported fewer behavior problems for older versus younger foster children. Results provide preliminary evidence of the effectiveness of an intervention that targets children's regulatory capabilities and serve as an example of how interventions can effectively target foster children in the child welfare system.