Perceptions of Peace Agreements and Political Trust in Post-War Guatemala, Nepal, and Northern Ireland

(Re)gaining citizens’ trust is a challenge for post-war governments. Political trust is crucial for understanding both the risk of civil war in the first place and the state-society relationships that emerge afterwards. Peace agreements are tools to stop the fighting, address war’s injustices, and provide a blueprint for the state’s future – and they do so to varying degrees. Yet we have little systematic knowledge of how people react to such agreements and with what consequences. We argue that in post-war societies, people’s perceptions of the strategies aimed at ending the violence and (re)building the state have an enduring impact on people’s view of the state. In this study, we examine the association between post-conflict political trust and people’s approval of peace agreements analyzing a set of nationally representative, comparative surveys from Guatemala, Nepal, and Northern Ireland, three cases where long civil wars were ended by peace agreements. We find that individuals’ approval of the agreement and the perception that it has been implemented are positively associated with political trust, and that accounting for views of the peace agreement substantially improve on conventional explanations for political trust

A review of the literature on patient participation in transitions of the elderly

Patient participation is highlighted in healthcare policy documents as an important area to address in order to improve and secure healthcare quality. The literature on healthcare quality and safety furthermore reveals that transitional care carries a risk of adverse events. Elderly persons with co-morbidities are in need of treatment and healthcare from several care professionals and are transferred between different care levels. Patient-centered care, shared decision-making and user involvement are concepts of care that incorporate patient participation and the patients’ experiences with care. Even though these care concepts are highlighted in healthcare policy documents, limited knowledge exists about their use in transitions, and therefore points to a need for a review of the existing literature. The purpose of the paper is to give an overview of studies including patient participation as applied in transitional care of the elderly. The methodology used is a literature review searching electronic databases. Results show that participation from elderly in discharge planning and decision-making was low, although patients wanted to participate. Some tools were successfully implemented, but several did not stimulate patient participation. The paper has documented that improvements in quality of transitional care of elderly is called for, but has not been well explored in the research literature and a need for future research is revealed. Clinical practice should take into consideration implementing tools to support patient participation to improve the quality of transitional care of the elderly

Вплив трьох спортивних ігор з фізичного виховання на фізичну підготовленість студентів чоловічої статі

Background and Study Aim. Few controlled studies have been conducted on the effect of sports games as a physical education (PE) course on the health-related fitness of university students. The aim of the study was to determine whether three sports in a PE course will help improve the health-related fitness of male university students. Material and Methods. Students from two universities participated in the study, with one university acting as a control group. There were two PE courses which students registered for: a football and volleyball (FVG, n=169) course and a badminton (BG, n=97) course. The students received basic training drills and competed with one another. The duration of the activities was 50 minutes sessions for eight weeks. The following tests were taken before and after eight weeks: Cooper test, sit-and-reach test, 60-s curl test, standing long jump test, and body mass index. Paired t-tests were used to compare the baseline and post data of each group. The Welch t-test, ANCOVA, and analysis of gains scores were used to compare each of the PE groups to the control group. ANCOVA was used to account for baseline differences, while analysis of gains scores was used whenever ANCOVA could not be used. The Vargha-Delaney Effect Size (VD) and the Common Language Effect Size (CLES) were used to determine the effect sizes for the Welch t-tests and ANCOVA, respectively. Significant changes were set at p ≤ 0.05 and VD ≤ 42% or VD ≥ 58%, or if p ≤ 0.05 and CLES ≥ 58 %. Results.  Both PE groups showed significant improvements in all the measured fitness parameters except body composition. Moreover, the measured parameters of the control group reduced after eight weeks. Conclusion. The study shows evidence that PE courses can serve male universities in improving their health-related fitness. Moreover, students who do not participate in a PE course may be at risk of losing their fitness.Предпосылки и цель исследования. Было проведено мало контролируемых исследований о влиянии спортивных игр в качестве курса по физическому воспитанию (PE) на состояние здоровья студентов университетов. Цель исследования состояла в том, чтобы определить, помогут ли три вида спорта на курсе физического воспитания улучшить состояние здоровья студентов мужского пола.Материал и методы. В исследовании приняли участие студенты из двух университетов, один из которых выступал в качестве контрольной группы. Были два курса физическоого воспитания, на которые зарегистрировались студенты: курс по футболу и волейболу (FVG, n = 169) и курс по бадминтону (BG, n = 97). Студенты проходили базовые тренировки и соревновались друг с другом. Продолжительность занятий составляла 50 минут сеансов по восемь недель. Следующие тесты были взяты до и после восьми недель: тест Купера, тест гибкости, 60-секундный тест сгибания, тест прыжка в длину с места и индекс массы тела. Парные t-тесты использовались для сравнения базовых и пост-данных каждой группы. Для сравнения каждой из групп PE с контрольной группой использовались t-критерий Уэлча, ANCOVA и анализ результатов. ANCOVA использовалась для учета базовых различий, в то время как анализ показателей выигрышей использовался всякий раз, когда ANCOVA нельзя было использовать. Размер эффекта Варга-Делани (VD) и Размер эффекта общего языка (CLES) использовались для определения размеров эффекта для t-тестов Уэлча и ANCOVA, соответственно. Значительные изменения были установлены при p ≤ 0,05 и VD ≤ 42% или VD ≥ 58%, или если p ≤ 0,05 и CLES ≥ 58%.Результаты. Обе группы PE показали значительное улучшение всех измеренных параметров физической формы, кроме состава тела. Более того, измеренные параметры контрольной группы снизились через восемь недель.Выводы. Исследование показывает, что курсы PE могут помочь студентам улучшить свою физическую форму. Кроме того, студенты, которые не участвуют в курсе PE, могут подвергаться риску потерять свою физическую форму.Передумови та мета дослідження. Було проведено мало контрольованих досліджень про вплив спортивних ігор в якості курсу з фізичного виховання (PE) на стан здоров'я студентів університетів. Мета дослідження полягала в тому, щоб визначити, чи допоможуть три види спорту на курсі фізічного виховання поліпшити стан здоров'я студентів чоловічої статі.Матеріал і методи. У дослідженні взяли участь студенти з двох університетів, один з яких виступав в якості контрольної групи. Були два курси фізічного виховання, на які зареєструвалися студенти: курс по футболу і волейболу (FVG, n = 169) і курс з бадмінтону (BG, n = 97). Студенти проходили базові тренування і змагалися один з одним. Тривалість занять складала 50 хвилин сеансів по вісім тижнів. Наступні тести були взяті до і після восьми тижнів: тест Купера, тест гнучкості, 60-секундний тест згинання, тест стрибка в довжину з місця та індекс маси тіла. Парні t-тести використовувалися для порівняння базових і пост-даних кожної групи. Для порівняння кожної з груп PE з контрольною групою використовувалися t-критерій Уелча, ANCOVA і аналіз результатів. ANCOVA використовувалася для обліку базових відмінностей, в той час як аналіз показників виграшів використовувався щоразу, коли ANCOVA не можна було використовувати. Розмір ефекту Варга-Делані (VD) і розмір ефекту спільної мови (CLES) використовувалися для визначення розмірів ефекту для t-тестів Уелча і ANCOVA, відповідно. Значні зміни були встановлені при p ≤ 0,05 і VD ≤ 42% або VD ≥ 58%, або якщо p ≤ 0,05 і CLES ≥ 58%.Результати. Обидві групи PE показали значне поліпшення всіх виміряних параметрів фізичної форми, крім складу тіла. Більш того, виміряні параметри контрольної групи знизилися через вісім тижнів.Висновки. Дослідження показує, що курси PE можуть допомогти студентам покращити свою фізичну форму. Крім того, студенти, які не беруть участі в курсі PE, можуть піддаватися ризику втратити свою фізичну форму

Older adults’ preferences for, adherence to and experiences of two self-management falls prevention home exercise programmes: a comparison between a digital programme and a paper booklet

Background: Fall prevention exercise programmes are known to be effective, but access to these programmes is not always possible. The use of eHealth solutions might be a way forward to increase access and reach a wider population. In this feasibility study the aim was to explore the choice of programme, adherence, and self-reported experiences comparing two exercise programmes – a digital programme and a paper booklet. Methods: A participant preference trial of two self-managed fall prevention exercise interventions. Community-dwelling adults aged 70 years and older exercised independently for four months after one introduction meeting. Baseline information was collected at study start, including a short introduction of the exercise programme, a short physical assessment, and completion of questionnaires. During the four months intervention period, participants self-reported their performed exercises in an exercise diary. At a final meeting, questionnaires about their experiences, and post-assessments, were completed. For adherence analyses data from diaries were used and four subgroups for different levels of participation were compared. Exercise maintenance was followed up with a survey 12 months after study start. Results: Sixty-seven participants, with mean age 77 ± 4 years were included, 72% were women. Forty-three percent chose the digital programme. Attrition rate was 17% in the digital programme group and 37% in the paper booklet group (p = .078). In both groups 50–59% reported exercise at least 75% of the intervention period. The only significant difference for adherence was in the subgroup that completed ≥75% of exercise duration, the digital programme users exercised more minutes per week (p = .001). Participants in both groups were content with their programme but digital programme users reported a significantly higher (p = .026) degree of being content, and feeling supported by the programme (p = .044). At 12 months follow-up 67% of participants using the digital programme continued to exercise regularly compared with 35% for the paper booklet (p = .036). Conclusions: Exercise interventions based on either a digital programme or a paper booklet can be used as a self-managed, independent fall prevention programme. There is a similar adherence in both programmes during a 4-month intervention, but the digital programme seems to facilitate long-term maintenance in regular exercise

Scientists’ warning on affluence

For over half a century, worldwide growth in affluence has continuously increased resource use and pollutant emissions far more rapidly than these have been reduced through better technology. The affluent citizens of the world are responsible for most environmental impacts and are central to any future prospect of retreating to safer environmental conditions. We summarise the evidence and present possible solution approaches. Any transition towards sustainability can only be effective if far-reaching lifestyle changes complement technological advancements. However, existing societies, economies and cultures incite consumption expansion and the structural imperative for growth in competitive market economies inhibits necessary societal change

The role of sports clubs in helping older people to stay active and prevent frailty: a longitudinal mediation analysis

Background Frailty is a common syndrome in older adults characterised by increased vulnerability to adverse health outcomes as a result of decline in functional and physiological measures. Frailty predicts a range of poor health and social outcomes and is associated with increased risk of hospital admission. The health benefits of sport and physical activity and the health risks of inactivity are well known. However, less is known about the role of sports clubs and physical activity in preventing and managing frailty in older adults. The objective of this study is to examine the role of membership of sports clubs in promoting physical activity and reducing levels of frailty in older adults. Methods We used data from waves 1 to 7 of the English Longitudinal Study of Ageing (ELSA). Survey items on physical activity were combined to produce a measure of moderate or vigorous physical activity for each wave. Frailty was measured using an index of accumulated deficits. A total of sixty deficits, including symptoms, disabilities and diseases were recorded through self-report and tests. Direct and indirect relationships between sports club membership, levels of physical activity and frailty were examined using a cross-lagged panel model. Results We found evidence for an indirect relationship between sports club membership and frailty, mediated by physical activity. This finding was observed when examining time-specific indirect pathways and the total of all indirect pathways across seven waves of survey data (Est = −0.097 [95% CI = −0.124,-0.070], p = <0.001). Conclusions These analyses provide evidence to suggest that sports clubs may be useful in preventing and managing frailty in older adults, both directly and indirectly through increased physical activity levels. Sports clubs accessible to older people may improve health in this demographic by increasing activity levels and reducing frailty and associated comorbidities. There is a need for investment in these organisations to provide opportunities for older people to achieve the levels of physical activity necessary to prevent health problems associated with inactivity