Leading the Way?: Maine's Initial Experience in Expanding Coverage Through Dirigo Health Reforms

Examines interim indicators -- enrollment of the previously uninsured, responses from small firms and the working poor, and the impact on costs -- of Maine's progress in providing affordable health insurance through the Dirigo Health program

Educational interfaces, software, and technology

One of the primary goals of teaching is to prepare learners for life in the real world. In this ever changing world of technologies such as mobile interaction, cloud computing, natural user interfaces, and gestural interfaces like the Nintendo Wii and Microsoft Kinect people have a greater selection of tools for the task at hand. Teachers and students can leverage these tools to improve learning outcomes. Educational interfaces and software are needed to ensure that new technologies serve a clear purpose in the classrooms and homes of the future. Since teachers are always looking for creative ways to engage 21st century learners there needs to be an academic venue for researchers to discuss novel educational tools and their role in improving learning outcomes. This workshop aims at filling this void: combining the pedagogical expertise of the cooperative learning, and learning sciences communities with the technical creativity of the CHI, UIST and interactive surface communities. The objective of this workshop is to become a conference within two years

Protocol for SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home): feasibility of a home-based double-blind randomised controlled trial to improve gait and cognition in individuals at risk for dementia

IntroductionPhysical exercise and cognitive training have the potential to enhance cognitive function and mobility in older adults at risk of Alzheimer's disease and related dementia (ADRD), but little is known about the feasibility of delivering multidomain interventions in home settings of older adults at risk of ADRD. This study aims to assess the feasibility of home-based delivery of exercise and cognitive interventions, and to evaluate the relationship between participants' intervention preferences and their subsequent adherence. Secondary objectives include the effect of the interventions on ADRD risk factors, including frailty, mobility, sleep, diet and psychological health.Methods and analysisThe SYNchronising Exercises, Remedies in GaIt and Cognition at Home (SYNERGIC@Home) feasibility trial is a randomised control trial that follows a 2×2 factorial design, with a 16-week home-based intervention programme (3 sessions per week) of physical exercises and cognitive training. Participants will be randomised in blocks of four to one of the following four arms: (1) combined exercise (aerobic and resistance)+cognitive training (NEUROPEAK); (2) combined exercise+control cognitive training (web searching); (3) control exercise (balance and toning)+cognitive training; and (4) control exercise+control cognitive training. SYNERGIC@Home will be implemented through video conferencing. Baseline and post-intervention assessments at 4-month and 10-month follow-up will include measures of cognition, frailty, mobility, sleep, diet and psychological health. Primary feasibility outcome is adherence to the interventions. Primary analytic outcome is the relationship between pre-allocation preference for a given intervention and subsequent adherence to the allocated intervention. A series of secondary analytic outcomes examining the potential effect of the individual and combined interventions on cognitive, mobility and general well-being will be measured at baseline and follow-up.Ethics and disseminationEthics approval was granted by the relevant research ethics boards. Findings of the study will be presented to stakeholders and published in peer-reviewed journals and at provincial, national and international conferences.Trial registration numberNCT04997681, Pre-results