77 research outputs found
Leaving Home, Attending College, Partnership and Parenthood: The Role of Life Transition Events in Leisure Pattern Stability From Adolescence to Young Adulthood
Few researchers have examined the role that life transition events play in the maintenance of or change in leisure behaviors across the transition from adolescence to young adulthood. This study examines the role that leaving home, going to college, having a committed partner, and becoming a parent played in intraindividual change and stability in leisure patterns. The data were from the Michigan Study of Adolescent Life Transitions (MSALT), and were collected during the final year of high school and 3 years following high school. Results suggest that transition events are particularly useful in predicting female leisure pattern stability or change; going to college and leaving home were generally predictive of the maintenance of a stable leisure pattern, while becoming a partner and becoming a parent were predictive of change. For males, the most useful predictor of stability or change was leaving home. However, the nature of the relation of the transition events to pattern stability or change depended on the type of initial leisure pattern.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45290/1/10964_2004_Article_300250.pd
The UK Pharmacy Care Plan service: Description, recruitment and initial views on a new community pharmacy intervention
Introduction: The UK government advocates person-centred healthcare which is ideal for supporting patients to make appropriate lifestyle choices and to address non-adherence. The Community Pharmacy Future group, a collaboration between community pharmacy companies and independents in the UK, introduced a person-centred service for patients with multiple long-term conditions in 50 pharmacies in Northern England. Objective: Describe the initial findings from the set up and delivery of a novel community pharmacy-based person-centred service. Method: Patients over fifty years of age prescribed more than one medicine including at least one for cardiovascular disease or diabetes were enrolled. Medication review and person-centred consultation resulted in agreed health goals and steps towards achieving them. Data were collated and analysed to determine appropriateness of patient recruitment process and quality of outcome data collection. A focus group of seven pharmacists was used to ascertain initial views on the service. Results: Within 3 months of service initiation, 683 patients had baseline clinical data recorded, of which 86.9% were overweight or obese, 53.7% had hypertension and 80.8% had high cardiovascular risk. 544 (77.2%) patients set at least one goal during the first consultation with 120 (22.1%) setting multiple goals. A majority of patients identified their goals as improvement in condition, activity or quality of life. Pharmacists could see the potential patient benefit and the extended role opportunities the service provided. Allowing patients to set their own goals occasionally identified gaps to be addressed in pharmacist knowledge. Conclusion: Pharmacists successfully recruited a large number of patients who were appropriate for such a service. Patients were willing to identify goals with the pharmacist, the majority of which, if met, may result in improvements in quality of life. While challenges in delivery were acknowledged, allowing patients to identify their own personalised goals was seen as a positive approach to providing patient services
The substructure of three repetitive DNA regions of Schistosoma haematobium group species as a potential marker for species recognition and interbreeding detection
The file attached is the Published/publisher’s pdf version of the article.© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
Advice About Life Plans and Personal Problems in Late Adolescent Sibling Relationships
This study examined older adolescents' perceptions of the following sibling relationship characteristics: advice about life plans and personal problems, satisfaction with support, and sibling influence on interests and goals. Little is known about late adolescent sibling relationships and siblings' role in the identity formation process. Differences between first- and secondborns, males and females, and opposite- and same-gender sibling pairs were explored. Participants were 223 adolescents ( M = 17.5 years old) who filled out a survey in their senior year of high school. All adolescents were from always-married families and had one sibling between the ages of 13 and 23. Analyses revealed that both secondborns and females reported receiving more advice, being more satisfied with sibling support, and being influenced more by their sibling than firstborns and males, respectively. In addition, those in female–female sibling pairs received more advice from their siblings than those in male–male and mixed gender pairs. Findings revealed that adolescents do sometimes rely on their siblings as a source of advice about life plans and personal problems.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45282/1/10964_2004_Article_423236.pd
Advice about Life Plans from Mothers, Fathers, and Siblings in Always-Married and Divorced Families during Late Adolescence
The frequency of advice about life plans that older adolescents in always-married and divorced families received from mothers, fathers, and siblings was examined. Also, a pattern-analytic approach that grouped adolescents according to the amount of advice about life plans received from each parent and a sibling was employed to explore the connections between patterns of advice and adolescents' future occupational, educational, and family plans. The sample included 544 and 95 older adolescents in always-married and divorced families, respectively. Findings suggested that while adolescents relied on mothers for advice in both always-married and divorced families, adolescents in divorced families depended on fathers and siblings for advice less often than did adolescents in always-married families. Although there was some evidence of family context differences in the connections between patterns of advice and life plans, overall, adolescents in both family contexts who received more advice from a parent and, in some cases, a sibling compared to other adolescents were the most positive about their future life plans.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45291/1/10964_2004_Article_345952.pd
Leisure Behavior Pattern Stability During the Transition from Adolescence to Young Adulthood
Leisure is an important context in which human development occurs. Changes in leisure behavior patterns may indicate changing developmental needs or reflect contextual changes that impact leisure behavior. The transition from adolescence to young adulthood provides an excellent opportunity for the study of the stability of leisure behavior as individuals' contexts are changed with the adoption of adult roles and the potential for disruption of leisure patterns exists. Previous studies investigating leisure and the transition from adolescence to young adulthood have tended to be cross-sectional and focus on specific leisure behaviors rather than identifying patterns of leisure behavior. The present study involved a longitudinal investigation of leisure behavior patterns over a three-year period during the transition from adolescence to young adulthood, and determined the nature of leisure pattern stability and instability during this period. In general, leisure pattern stability was the most common pathway into young adulthood. The patterns of leisure behavior and the nature of the changes that occurred with the transition from adolescence to young adulthood differed to some degree for males and females, although similarities in patterns and transitions were also found.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/45285/1/10964_2004_Article_411255.pd
PATCH: posture and mobility training for care staff versus usual care in care homes: study protocol for a randomised controlled trial
Background: Residents of care homes have high levels of disability and poor mobility, but the promotion of health and wellbeing within care homes is poorly realised. Residents spend the majority of their time sedentary which leads to increased dependency and, coupled with poor postural management, can have many adverse outcomes including pressure sores, pain and reduced social interaction. The intervention being tested in this project (the Skilful Care Training Package) aims to increase the awareness and skills of care staff in relation to poor posture in the older, less mobile adult and highlight the benefits of activity, and how to skilfully assist activity, in this group to enable mobility and reduce falls risk. Feasibility work will be undertaken to inform the design of a definitive cluster randomised controlled trial.
Methods: This is a cluster randomised controlled feasibility trial, aiming to recruit at least 12–15 residents at each of 10 care homes across Yorkshire. Care homes will be randomly allocated on a 1:1 basis to receive either the Skilful Care Training Package alongside usual care or to continue to provide usual care alone. Assessments will be undertaken by blinded researchers with participating residents at baseline (before care home randomisation) and at three and six months post randomisation. Data relating to changes in physical activity, mobility, posture, mood and quality of life will be collected. Data at the level of the home will also be collected and will include staff experience of care and changes in the numbers and types of adverse events residents experience (for example, hospital admissions, falls). Details of NHS service usage will be collected to inform the economic analysis. An embedded process evaluation will explore intervention delivery and its acceptability to staff and residents.
Discussion: Participant uptake, engagement and retention are key feasibility outcomes. Exploration of barriers and facilitators to intervention delivery will inform intervention optimisation. Study results will inform progression to a definitive trial and add to the body of evidence for good practice in care home research.
Trial registration: ISRCTN Registry, ISRCTN50080330. Registered on 27 March 2017
Preventive Interventions in Early Adolescence: Developmental and Contextual Challenges
Adolescence today is broadly perceived as a more difficult and dangerous period than in previous decades. Those holding this view point to increases in teenage pregnancy and childbearing, sexually transmitted diseases, alcohol abuse, drug addiction, juvenile arrests, depression, and suicide as indicators of changing conditions. Although uncommon in childhood, these problems increase in early adolescence, and they can lead to greater likelihood of negative developmental trajectories. Because young adolescents are at the age when these issues are surfacing, they are a particularly important target group for interventions designed to prevent or delay the onset of negative behavior patterns (Crockett & Petersen, in press). Preventive interventions targeting older youth often start too late, after the onset of the behavior they are designed to prevent. Early adolescence is a good time to intervene, before behavior patterns solidify, increasing the risks of more serious problems
Exploring the association between adolescent sports participation and externalising behaviours: The moderating role of prosocial and risky peers
Objective Sporting contexts have been found to be both a protective and risk factor in terms of externalising behaviours in adolescence. The current study sought to explain the inconsistent findings by examining the attributes of peers in sporting environments. Specifically, the prosocial and risky attributes of sporting co‐participants were examined as moderators to the relationship between the intensity of sports participation in adolescence and externalising behaviours. Method Australian adolescents (N = 1,816) were sampled from an economically and geographically diverse range of high schools in Years 9 and 11 (female = 54.7%, Mage = 15.1). The 1,405 sport participants reported on the frequency they engaged in externalising behaviours including minor delinquency and school‐conduct issues. They also reported the proportion of friends in their sport who engaged in prosocial and risky behaviours. Results The positive association between sports participation intensity and externalising behaviours was moderated by both prosocial and risky peers. More time spent in sport was associated with higher levels of externalising behaviours when the sport exposed the participants to more peers who engaged in risky behaviours and fewer peers who engaged in prosocial behaviours. In contrast, there was no significant association between sports participation intensity and externalising behaviours when the sporting environment included moderate or lower levels of risky peers, irrespective of the level of prosocial peers. Conclusions This research highlights the need to consider the attributes of co‐participants in structured activities when predicting risks or benefits
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