Asset-Building Programs for People With Disabilities in Rural Areas: Including Independent Living and Long-Term Care Planning Education

This paper presents findings from a case study of individuals with multiple sclerosis examining their planning and preparation activities for their future independent living and long-term care needs. Data collected from a representative sample of National Multiple Sclerosis Society members in the greater metropolitan St. Louis and eastern Illinois area indicate significant differences in income, assets, education, health and functional limitation status between individuals living in rural versus urban areas. Additionally, findings show respondents with greater levels of education and assets, and those living in urban areas, are more likely to have saved for retirement, made legal preparations, or engaged in planning activities for future needs. Recommendations for asset building programs include incorporating education and training on planning for independent living and long-term care into financial planning curriculum, particularly for people with disabilities living in rural areas

Melinda Beth Dill and Natalie Michelle Putnam in a Joint Senior Voice Recital

This is the program for the joint senior recital of mezzo-soprano Melinda Beth Dill and soprano Natalie Michelle Putnam. Ms. Dill and Ms. Putnam were accompanied on the piano and organ by Cindy Fuller. This recital took place on March 30, 2001, in the McBeth Recital Hall in the Mabee Fine Arts Center

Profile of Older Adults Participating IDAs: Findings from the American Dream Demonstration

This research report is the first of a three-part series aimed at developing a greater understanding of older adults and their use of Individual Development Accounts (IDAs). The intent of this first report is to answer the following three questions: 1) Who are the older adults participating in IDAs? 2) What are they saving for? and 3) What do we know about IDAs and saving for retirement? These questions are answered using data from the American Dream Demonstration (ADD), the first nation-wide evaluation of IDAs as tools for asset building and community development. In this report, comparisons are made between older (50 years or older) and younger (49 years or younger) adults for the purpose of identifying variations in IDA participation by age

Savings Outcomes of Older Adults Participating IDAs: Findings from the American Dream Demonstration

This research report is the second of a three-part series aimed at developing a greater understanding of older adults and their use of Individual Development Accounts (IDAs). The intent of this second report is to answer the following question: What individual and IDA program characteristics are associated with saving outcomes among older adults participating in IDA? These questions are answered using data from the American Dream Demonstration programs (ADD), the first nation-wide evaluation of IDAs as tools for asset building and community development. In this report, comparisons are made between older (50 years or older) and younger (49 years or younger) adults for the purpose of identifying variations in IDA participation by age

Bridging knowledge, policies and practices across the ageing and disability fields: A protocol for a scoping review to inform the development of a taxonomy

Introduction Bridging is a term used to describe activities, or tasks, used to promote collaboration and knowledge exchange across fields. This paper reports the protocol for a scoping review which aims to identify and characterise peer reviewed evidence describing bridging activities, between the ageing and disability fields. The purpose is to clarify the concepts underpinning bridging to inform the development of a taxonomy, and identify research strengths and gaps. Methods A scoping review will be conducted. We will search Medline, Cumulative Index to Nursing and Allied Health Literature, Embase, PsycInfo, Sociological Abstracts and the Cochrane Library, to identify peer reviewed publications (reviews, experimental, observational, qualitative designs and expert commentaries) describing bridging activities. Grey literature, and articles not published in English will be excluded. Two investigators will independently complete article selection and data abstraction to minimise bias. A data extraction form will be iteratively developed and information from each publication will be extracted: (1) bibliographic, (2) methodological, (3) demographic, and (4) bridging information. Qualitative content analysis will be used to describe key concepts related to bridging. Conclusions To our knowledge, this will be the first scoping review to describe bridging of ageing and disability knowledge, services and policies. The findings will inform the development of a taxonomy to define models of bridging that can be implemented and further evaluated to enable integrated care and improve systems and services for those ageing with disability. Ethics and dissemination Ethics is not required because this is a scoping review of published literature. Findings will be disseminated through stakeholder meetings, conference presentations and peer reviewed publication.This work is supported by the Canadian Institutes of Health Research Planning and Dissemination Grant through the Institute of Aging

The Effects of Trauma History and Prenatal Affective Symptoms on Obstetric Outcomes: Trauma, Anxiety, and Birthweight

Prenatal maternal mood may explain the adverse obstetric outcomes seen in disadvantaged populations yet the effects of trauma history are not well studied. We examined the impact of trauma exposure and mood symptoms on obstetric outcomes in 358 women. Women with antecedent trauma were more likely to have a history of depression χ2(1, N = 358) = 19.2, p =.001; OR = 2.83, 95% CI [1.81, 4.42], were younger at their first pregnancy t(356) = −2.97, p = .003 and had a higher number of previous pregnancies t(356) = 2.77, p = .011 compared to those with no trauma exposure. Women with prenatal anxiety had significantly smaller babies than nonanxious women F(1, 322) = 5.32, p = .024. Trauma history magnified the effects of maternal prenatal mood on birth weight; the moderating effect was limited to those who first experienced a trauma under 18 years of age F(14, 320) = 2.44, p =.005. Childhood trauma exposure increases vulnerability for low birthweight delivery associated with prenatal mood disturbance. Screening pregnant women for trauma history and current mood symptoms is indicated

Aging with long-term physical disability: Cohort analysis of survey sample in the U.S. [version 2; peer review: 2 approved, 1 approved with reservations]

Background Chronic health conditions, secondary conditions, and decreasing functional ability related to aging and/or changes in underlying impairment may influence participation for persons aging with long-term physical disability (AwD). Objective To examine sample integrity and baseline findings through exploration of associations of sociodemographic, health, and disability factors with social participation for persons AwD. Methods This is a longitudinal cohort study following persons AwD over three years, reporting baseline cohort study data. A convenience sample of 474 persons AwD aged 45–65 reporting physical disability of ≥5 years’ duration was recruited through community organizations and social media. The cohort was majority female (66.7%) and single (62.0%), and over one-third (38.6%) was non-White. Pain, fatigue, depression, ability to participate in, and satisfaction with, social roles and activities were measured with the Patient Reported Outcomes Measurement Information System. Results were manually compared against AwD study samples identified through a focused literature review and national census data. Results Participants aged 55–60 and 61–65 had significantly lower rates of employment and marriage and higher rates of living alone than participants aged 45–54. Participants reported higher rates of fatigue, pain, and depression and lower ability to participate in, and satisfaction with, participation in, social roles and activities than the general population. Ability to participate and satisfaction with participation were highest among Black/African American participants. Conclusions Participants reported higher rates of common AwD symptoms and lower ability to participate and satisfaction with participation than the general population, consistent with prior studies of AwD samples. This cohort reflects the AwD population and can be considered an AwD sample, comparable to those found in existing literature. The focus of future analyses will be to gain a greater understanding of chronic health conditions, incidence of falls, engagement in everyday life activities, and the impact of the environment

One HACCP, two approaches: experiences with and perceptions of the Hazard Analysis and Critical Control Points (HACCP) food safety management systems in the US and the EU

This paper explores the differences in the use of the Hazard Analysis Critical Control Point (HACCP) system to manage food safety risks in the food chain from farm to fork in the EU and the US. In particular, this paper investigates the current uses and potential expansion of HACCP as a mechanism for the delivery of safe agricultural products, particularly safe produce. It considers not only whether HACCP systems are the best mode of governance for delivering safe food, and describes why HACCP has achieved an important role in the regulatory framework that governs food safety, but asks why this role is different in the EU and US. Within the EU, HACCP is compulsory at all stages of the food chain other than primary production, whereas the mandatory use of HACCP in the US is less widespread. However, the empirical work found that HACCP is being used by businesses in both the EU and US as a basis for organizing their business, even when not required by regulation. Using data derived from semi-structured interviews with regulatory actors in the EU and US, this paper argues that the different approach to HACCP is a result of differing ideas about the role that it plays in the governance of food safety, and the different concepts of the role of regulation in securing safe food. Finally, the paper explores the difficulties of utilizing HACCP to manage produce safety risks, and raises further challenges that must be met in order to ensure that HACCP can successfully fulfill its potential as a governance mechanism