The FARSEEING real-world fall repository: a large-scale collaborative database to collect and share sensor signals from real-world falls

Background

Real-world fall events objectively measured by body-worn sensors can improve the understanding of fall events in older people. However, these events are rare and hence challenging to capture. Therefore, the FARSEEING (FAll Repository for the design of Smart and sElf-adaptive Environments prolonging Independent livinG) consortium and associated partners started to build up a meta-database of real-world falls.

Results

Between January 2012 and December 2015 more than 300 real-world fall events have been recorded. This is currently the largest collection of real-world fall data recorded with inertial sensors. A signal processing and fall verification procedure has been developed and applied to the data. Since the end of 2015, 208 verified real-world fall events are available for analyses. The fall events have been recorded within several studies, with different methods, and in different populations. All sensor signals include at least accelerometer measurements and 58 % additionally include gyroscope and magnetometer measurements. The collection of data is ongoing and open to further partners contributing with fall signals. The FARSEEING consortium also aims to share the collected real-world falls data with other researchers on request.

Conclusions

The FARSEEING meta-database will help to improve the understanding of falls and enable new approaches in fall risk assessment, fall prevention, and fall detection in both aging and disease.

     

Trust and recognition: a comparative study of client attitudes and workers' experiences in the welfare services

Since professional conduct is important in the lives of many people, trust and recognition between professionals and their clients are critical. Social professionals administer public resources on behalf of the welfare state, and their approaches and methods of intervention are mostly founded in current welfare policy. Despite this mandate, social professionals receive little acknowledgement and recognition. This article investigates the level of public trust in the Norwegian social services compared to the national insurance agencies, and to what extent the providers of these welfare services experience recognition and public approval. A central question is whether these aspects of external appreciation influence the professionals' motivation and feelings of accomplishment. Findings indicate that the social services receive less public support than the social insurance agencies, owing to the discretionary services provided and the stigma related to social assistance. The variation in institutional trust is reflected by the differences in workers' subjective experiences. That result notwithstanding, the service providers reveal a split view of themselves: while they experience themselves positively with respect to involvement and pride in their work, they also see themselves through the deprecating eyes of the public.     

Costs and Outcomes of an Extra Care Housing Scheme in England

Extra care housing, which provides support and care for people in specially designed accommodations, has now been part of the range of housing and care services available to older people in England for several years. Currently, the United Kingdom evidence base tells us little about the financing, estimation of the costs, or burden to the public purse of housing with care. The United Kingdom has significant state welfare provision in the areas of health and social care. The objective of this in-depth case study was to investigate the cost and outcome consequences for a sample of people who moved into an extra care housing scheme in Bradford, England, and to reflect on the methodological implications for future research in this developing area. The main finding of the study was that the overall cost per person increased after a move to extra care housing, but that this increase was associated with improved social care outcomes and improvements in quality of life.     

Narrative reasoning and coherent alignment in field placement

ABSTRACT

In social work, field placement is considered an essential component to prepare students for professional practice. A significant degree of disjunction between academic and practical learning also is asserted. The present study aims to explore how students develop their professional competence in field placement and relate their learning outcomes across the university setting and the field. Data from students’ learning contracts and placement reports and a focus-group interview are analysed. Concrete practical experiences and the complexity of problems in specific contexts seem to provide inputs on the development of students’ knowledge, skills and personal competence outside the university setting. Although the students were asked to account for these three dimensions separately, the findings demonstrate their ability to connect and integrate them in the narrative reasoning that characterises students’ reflections on their learning from placement. Moreover, our findings show that all three dimensions are developed in both the university setting and in field placement. Preparing students properly for placement training and calling for specific reports on learning outcomes allow access to meaningful connections that are created and developed between the university setting and field placement.     

Leveraging blockchain technology in humanitarian settings – opportunities and risks for women and girls

ABSTRACT

There is an increasing acknowledgement among policymakers and private-sector partners that we cannot overcome the challenges of our time without harnessing the potential of emerging technologies. As blockchain technology is rapidly being introduced to support work across a wide number of areas of humanitarian action, this article considers its potential impact on women and girls. The article draws on experiences emerging from UN Women’s explorations of blockchain technology and the first gender-responsive pilot targeting Syrian refugee women in UN Women’s cash-for-work programme in Jordan. The article reminds us how important it is to introduce technologies in ways that maximise their potential to advance gender equality and the empowerment of women and girls in humanitarian settings, and minimise the risk of doing harm. Without conscious commitment to these aims, blockchain technology may exacerbate the marginalisation of women and girls.     

Disordered Gambling Prevalence: Methodological Innovations in a General Danish Population Survey

We study Danish adult gambling behavior with an emphasis on discovering patterns relevant to public health forecasting and economic welfare assessment of policy. Methodological innovations include measurement of formative in addition to reflective constructs, estimation of prospective risk for developing gambling disorder rather than risk of being falsely negatively diagnosed, analysis with attention to sample weights and correction for sample selection bias, estimation of the impact of trigger questions on prevalence estimates and sample characteristics, and distinguishing between total and marginal effects of risk-indicating factors. The most significant novelty in our design is that nobody was excluded on the basis of their response to a ‘trigger’ or ‘gateway’ question about previous gambling history. Our sample consists of 8405 adult Danes. We administered the Focal Adult Gambling Screen to all subjects and estimate prospective risk for disordered gambling. We find that 87.6% of the population is indicated for no detectable risk, 5.4% is indicated for early risk, 1.7% is indicated for intermediate risk, 2.6% is indicated for advanced risk, and 2.6% is indicated for disordered gambling. Correcting for sample weights and controlling for sample selection has a significant effect on prevalence rates. Although these estimates of the ‘at risk’ fraction of the population are significantly higher than conventionally reported, we infer a significant decrease in overall prevalence rates of detectable risk with these corrections, since gambling behavior is positively correlated with the decision to participate in gambling surveys. We also find that imposing a threshold gambling history leads to underestimation of the prevalence of gambling problems.     

Insurability and Mitigation of Flood Losses in Private Households in Germany

In Germany, flood insurance is provided by private insurers as a supplement to building or contents insurance. This article presents the results of a survey of insurance companies with regard to eligibility conditions for flood insurance changes after August 2002, when a severe flood caused 1.8 billion euro of insured losses in the Elbe and the Danube catchment areas, and the general role of insurance in flood risk management in Germany. Besides insurance coverage, governmental funding and public donations played an important role in loss compensation after the August 2002 flood. Therefore, this article also analyzes flood loss compensation, risk awareness, and mitigation in insured and uninsured private households. Insured households received loss compensation earlier. They also showed slightly better risk awareness and mitigation strategies. Appropriate incentives should be combined with flood insurance in order to strengthen future private flood loss mitigation. However, there is some evidence that the surveyed insurance companies do little to encourage precautionary measures. To overcome this problem, flood hazards and mitigation strategies should be better communicated to both insurance companies and property owners.     

‘Civilising’ Deaf people in Tibet and Inner Mongolia: governing linguistic,ethnic and bodily difference in China

The People’s Republic of China is home to over 20 million d/Deaf and hard-of-hearing people, many among them belonging to ethnic minorities. Drawing on ethnographic fieldwork in two minority regions, the Tibet Autonomous Region and the Inner Mongolian Autonomous Region, this article comparatively discusses findings on sign language use, education and state welfare policies. The situation in these domains is analysed through the framework of the ‘civilising project’, coined by Harrell, and its impacts on the d/Deaf and hard-of-hearing among ethnic minorities are shown. For instance, through the promotion of Chinese and Chinese Sign Language over and above the use of local sign and written languages as well as through education and the medicalisation of disabilities.     

New venture creation in the farm sector - Critical resources and capabilities

New venture activities and diversification at farms seem to be perceived as inherently beneficial both to farmers and to rural development. However, the benefit of such efforts and the critical resources and capabilities leading to them seem not to be well understood yet. The purpose of this paper is therefore to explore critical resources and capabilities for farm businesses engaged in entrepreneurial activities through on-farm diversification. The theoretical framework builds upon the resource-based view (RBV) and the dynamic capability (DC) perspective which have emerged as significant research streams within entrepreneurship and strategic management literature. A longitudinal study of three Norwegian farms engaged in on-farm diversification was undertaken through farm visits and in-depth interviews. Analyses show that the farm setting, its traditional production, its relative location, buildings and landscape might all be important resources which add value and uniqueness to the final product that is not easily copied by others. However, in order to reconfigure their resource base and perform necessary changes these farm businesses also rely heavily on developing appropriate dynamic capabilities. The farm businesses appear active in learning and integration of external resources and knowledge, but seem to struggle on building appropriate networks and strategic alliances. Implications for policy makers and practitioners are discussed.