Systematic review of functional training on muscle strength,physical functioning,and activities of daily living in older adults

Exercise programs are often recommended for preventing or delaying late-life disability. Programs that incorporate functional training, which uses movements similar to performing activities of daily living, may be suitable for such recommendation. The purpose of this systematic review was to examine the effects of functional training on muscle strength, physical functioning, and activities of daily living in older adults. Studies in three electronic databases (MEDLINE, CINAHL, and SPORTDiscus) were searched, screened, and appraised. Thirteen studies were included in the review. These studies vary greatly in participant recruitment criteria, functional training content, and selection of comparison groups. Mobility exercises were the most common element in functional training across studies. Results show beneficial effects on muscle strength, balance, mobility, and activities of daily living, particularly when the training content was specific to that outcome. Functional training may be used to improve functional performance in older adults.     

Work-to-Family and Family-to-Work Spillover: The Implications of Childcare Policy and Maximum Work-Hour Legislation

This paper addresses the relationship between individual-level work-to-family and family-to-work spillover and two country-level policy measures: childcare policy and maximum work hour legislation. Coupling Gornick and Meyers?? (Families that work: policies for reconciling parenthood and employment, 2003) policy measures with individual-level data (N?=?7,895) from the 2002 International Social Survey Programme, the authors analyze whether men and women in countries with stronger childcare policies and maximum work-hour legislation exhibit work-to-family and family-to-work spillover. The authors find that neither childcare policy nor maximum work-hour legislation is significantly associated with work-to-family spillover. Stronger childcare policy is associated with lower family-to-work spillover for women, especially for women with young children. Maximum-hour legislation is associated with greater family-to-work spillover for women, with a significantly larger effect for mothers of young children.     

“My heart is very painful”: Physical, mental and social wellbeing of older women at the times of HIV/AIDS in rural South Africa

The meanings of health and illness as well as people's beliefs about the required response to illness vary widely according to time and place and represents the culture and society in which people live. A double burden of disease in rural South Africa - an emerging epidemic of non-communicable diseases alongside high HIV-prevalence - defines illness as a ‘normal’ part of older persons' everyday lives. Against this background we analyze qualitative interviews with 30 women over the age of 60 in a rural community to provide an in-depth portrait of older women's physical, mental and social wellbeing and how these women make sense of it all in a changing and challenging social and economic context. These women, while making the connections between the various dimensions, view their own physical, mental and social wellbeing as impaired, and make use of a variety of health and help-seeking behaviors in order to feel better. However, poverty and the unavailability of health resources shape older women's constructions of the meaning of their health and their control, or lack thereof, over how healthy or ill they are. This study demonstrates the usefulness of the broader psycho-socio-environmental model in explaining old-age and wellbeing by providing a context specific and nuanced understanding.     

Depression and caregiver burden among rural elder caregivers

Family caregivers of older adults frequently experience feelings of burden and depression though they may not come to the attention to health and service providers until they are at a point of crisis. Through a simple screening tool, the Maine Primary Partners in Caring (MPPC) project identified individuals providing care to older adults through rural primary care practices, in order to provide upstream interventions before caregivers were in crisis. This paper describes a sample (n=62) of rural family caregivers identified through their physicians' offices. High levels of caregiver burden and depression were reported. Family support and knowledge of caregiver tasks predicted decreased caregiver burden and depression, while isolation predicted increased caregiver burden. Implications of these results for gerontological social workers are outlined.     

The Relational Contexts of Migration: Mexican Women in New Destination Sites

This article assesses Mexican immigrant women's experiences of isolation and autonomy in three new destination sites in Montana, Ohio, and New Jersey. We highlight six case studies from our cross‐comparative data set of in‐depth interviews and field work with 98 women to illustrate the intersections between contexts of reception and gender relations in shaping women's settlement experiences. We find that women in sites with a concentrated Mexican population and a well‐developed social service infrastructure are relatively autonomous in accomplishing daily activities independent of their relationships with husbands or partners. In contrast, for women living in sites with few social support services, relationships with the men in their lives, what we call their “relational contexts,” matter for women's experiences of isolation or autonomy outside the home. Relational contexts have not been emphasized in previous literature on gender and migration but may be significant in shaping women's experiences across varying contexts of reception.     

It Takes a Village to Deliver and Test Child and Family-Focused Services

OBJECTIVES: The purpose of this article is to highlight the benefits of collaboration in child focused mental health services research. METHOD: Three unique research projects are described. These projects address the mental health needs of vulnerable, urban, minority children and their families. In each one, service delivery was codesigned, interventions were co-delivered and a team of stakeholders collaboratively tested the impact of each one. RESULTS: The results indicate that the three interventions designed, delivered, and tested are associated with reductions in youth mental health symptoms. CONCLUSION: These interventions are feasible alternatives to traditional individualized outpatient treatment.     

Ageing Adults with Intellectual Disabilities: Self-advocates' and Family Members' Perspectives about the Future

Abstract

Although the numbers of ageing adults with intellectual disabilities are increasing, current systems are ill-prepared to meet the unique needs of this population and research is needed to direct policies and practices aimed at supporting ageing adults with intellectual disabilities. This article presents the qualitative findings of research conducted in British Columbia (BC), Canada, which explored the future perspectives of 11 ageing adults with intellectual disabilities and 11 family members. Future concerns of the adults with intellectual disabilities included concerns for their ageing parents, for their future living arrangements, and about loneliness. Family members concerns centred on ensuring the future security of their loved one with an intellectual disability, addressing legal issues and financial security, and promoting future choice and self-determination. The results point to the importance of early and intentional planning that supports and balances the needs and desires of both ageing adults with intellectual disabilities and family members.     

Birth cohort and sex differences in the age of gambling initiation in the United States: evidence from the National Comorbidity Survey Replication

Youth gambling has become a significant public health concern, and it appears that individuals are gambling at younger ages than they did in earlier generations. We tested this question by examining birth cohort differences in the age of onset of gambling in a national epidemiologic survey. Data were drawn from the United States National Comorbidity Survey Replication, a nationally representative general population survey of adults born 1904–84. Individuals were divided into four birth cohorts. The cohorts were compared on their lifetime gambling involvement and age of onset of gambling. Significant birth cohort and sex differences were found in the age of gambling initiation, with more recently born cohorts starting to gamble at progressively earlier ages, and men starting to gamble at younger ages than women. The mean age of onset of gambling for individuals born before 1942 was 32.9 years, and for those born between 1973 and 1984 it was 16.9 years. The overall mean ages of onset of gambling were 20.8 for men and 26.4 for women, but more recently born women appear to be ‘catching up’ with their male counterparts. This decreasing age of gambling initiation may help explain the increasing prevalence of disordered gambling in the United States.