Falls prevention advice and visual feedback to those at risk of falling : study protocol for a pilot randomized controlled trial

Studies have shown that functional strength and balance exercises can reduce the risk of falling in older people if they are done on a regular basis. However, the repetitive nature of these exercises; combined with the inherent lack of feedback of progress may discourage seniors from exercising in the home, thereby rendering such an intervention ineffective. This study hypothesizes that the use of visual feedback and multimodal games will be more effective in encouraging adherence to home rehabilitation than standard care; thereby promoting independence and improving the quality of life in older adults at risk of falling

Helping Students Make Informed Decisions About Transition Via Web-Based Resources

Although there are many transitions that occur in a young person’s life, transition from high school to adulthood can be one of the most challenging. This transition requires autonomy and decision-making skills. To support youth in having positive outcomes after high school, it is imperative for teachers to have strategies to guide students in making informed decisions as they begin the transition process. This article provides teachers with strategies and resources to help youth build autonomy, make informed decisions, and gain information via web-based resources to support the transition from high school into postschool life. Steps for building autonomy, evaluating web-based resources, and investigating web-based resources to support transition are included

THE EFFECTS OF CLASSROOM SIMULATION USING STATIC PICTURE PROMPTS TO TEACH STUDENTS WITH DISABILITIES TO MAKE PURCHASES WITH A DEBIT CARD AND TRACK THEIR EXPENSES

This study used a multiple probe design across participants to examine the effects of classroom simulation using static picture prompts to teach students to make a purchase using a debit card and track expenses by subtracting purchase amounts and adding deposits into a check register. Results demonstrated a functional relation between simulated instruction and students’ ability to complete a 20-step task analysis of debit card use and expense and deposit tracking in a check register. Students were also able to generalize the skills of purchasing with a debit card and tracking expenses and deposits in community settings up to five weeks post-intervention. Implications for practice and recommendations for future research are described

Productivity and Engagement in an Aging America: The Role of Volunteerism

Volunteering in late life is associated with health benefits such as reduced risk of hypertension, improved self-related health and well-being, delayed physical disability, enhanced cognition, and lower mortality. Although the mechanisms of these correlations are not clear, increases in physical activity, cognitive engagement, and social interactions likely play contributing roles. Volunteers are typically thought to represent a select group, often possessing higher levels of education and income, good health, and strong social networks. However, group evidence indicates that there are many members of groups of lower socioeconomic status (SES), including elderly adults, who serve their communities on a regular basis and in high-priority programs. We propose that the impact of volunteering in an aging population be recognized and invested into, and that effective programs harness social capital of older adults to address critical societal needs and also improve the well-being of older adults. While members of low-SES groups are less likely to volunteer, they exhibit disproportionately great benefits. The Experience Corps represents a model of an effective volunteerism program, in which elders work with young schoolchildren. Existing federal initiatives, in cluding the Foster Grandparent Program and Senior Companion Program – which target low-income elders – have had low participation with long waiting lists. Given the proven benefits and relatively low proportion of older persons who volunteer, enhancement of elder volunteerism presents a significant opportunity for health promotion and deserves consideration as a national public health priority

Photometric Phase Variations of Long-Period Eccentric Planets

The field of exoplanetary science has diversified rapidly over recent years as the field has progressed from exoplanet detection to exoplanet characterization. For those planets known to transit, the primary transit and secondary eclipse observations have a high yield of information regarding planetary structure and atmospheres. The current restriction of these information sources to short-period planets may be abated in part through refinement of orbital parameters. This allows precision targeting of transit windows and phase variations which constrain the dynamics of the orbit and the geometric albedo of the atmosphere. Here we describe the expected phase function variations at optical wavelengths for long-period planets, particularly those in the high-eccentricity regime and multiple systems in resonant and non-coplanar orbits. We apply this to the known exoplanets and discuss detection prospects and how observations of these signatures may be optimized by refining the orbital parameters.Comment: 9 pages, 8 figures, accepted for publication in Ap

Secondary Transition Predictors of Postschool Success: An Update to the Research Base

Research suggests youth with disabilities are less likely to experience positive outcomes compared to peers without disabilities. Identification of in-school predictors of postschool success can provide teachers (e.g., special education, general education, career technical education), administrators, district-level personnel, and vocational rehabilitation counselors with information to design, evaluate, and improve transition programs. The purpose of this systematic literature review was to examine secondary transition correlational literature to identify additional evidence to support existing predictors and identify new predictors of postschool success. Results provided additional evidence for 14 existing predictors and identified three new predictors. Limitations and implications for research, policy, and practice are discussed

West End Walkers 65+: using programme theory to enhance outcome assessment in a randomised controlled trial

Background: Walking has great potential to engage people in physical activity (PA), and could address health problems associated with sedentary living. Previous research showed increasing walking behaviour in inactive adults aged 18-65 years is feasible 1. However, a systematic review showed that evidence on how to encourage older adults to increase walking is lacking 2. This study aims to test a pedometer-based walking programme in combination with a PA consultation with adults aged 65 years+ in a primary care setting and to design a study protocol that enables shared learning outcomes. Methods: Over 12 months, West End Walkers 65+ will recruit 46 participants, aged 65 years+. Participants will be allocated to: Group 1 PA consultation, individualised walking programme and pedometer; or Group 2 a waiting list control group. Step counts, activity patterns and psychological measures will be assessed pre and post intervention. Focus groups and interviews will be completed with participants and stakeholders post intervention. Programme Theory: Feasibility of the intervention will be assessed using a programme theory. A programme’s theory conceptualises what must be done to bring about desired outcomes. This allows comparison between project planning and design and programme processes3. A triangulation of qualitative and quantitative research measures will inform this assessment. Feasibility will be assessed using goals designed to promote shared and transferrable learning outcomes

Understanding Exoplanet Atmospheres with UV Observations I: NUV and Blue/Optical

Much of the focus of exoplanet atmosphere analysis in the coming decade will be atinfrared wavelengths, with the planned launches of the James Webb Space Telescope (JWST) and the Wide-Field Infrared Survey Telescope (WFIRST). However, without being placed in the context of broader wavelength coverage, especially in the optical and ultraviolet, infrared observations produce an incomplete picture of exoplanet atmospheres. Scattering information encoded in blue optical and near-UV observations can help determine whether muted spectral features observed in the infrared are due to a hazy/cloudy atmosphere, or a clear atmosphere with a higher mean molecular weight. UV observations can identify atmospheric escape and mass loss from exoplanet atmospheres, providing a greater understanding of the atmospheric evolution of exoplanets, along with composition information from above the cloud deck. In this white paper we focus on the science case for exoplanet observations in the near-UV; an accompanying white paper led by Eric Lopez will focus on the science case in the far-UV

The State of Personnel Preparation: Secondary Transition

Presentation at the CEC Division on Career Development and Transition (DCDT) Annual Conference

Improving pneumonia case-management in Benin: a randomized trial of a multi-faceted intervention to support health worker adherence to Integrated Management of Childhood Illness guidelines

<p>Abstract</p> <p>Background</p> <p>Pneumonia is a leading cause of death among children under five years of age. The Integrated Management of Childhood Illness strategy can improve the quality of care for pneumonia and other common illnesses in developing countries, but adherence to these guidelines could be improved. We evaluated an intervention in Benin to support health worker adherence to the guidelines after training, focusing on pneumonia case management.</p> <p>Methods</p> <p>We conducted a randomized trial. After a health facility survey in 1999 to assess health care quality before Integrated Management of Childhood Illness training, health workers received training plus either study supports (job aids, non-financial incentives and supervision of workers and supervisors) or "usual" supports. Follow-up surveys were conducted in 2001, 2002 and 2004. Outcomes were indicators of health care quality for Integrated Management-defined pneumonia. Further analyses included a graphical pathway analysis and multivariable logistic regression modelling to identify factors influencing case-management quality.</p> <p>Results</p> <p>We observed 301 consultations of children with non-severe pneumonia that were performed by 128 health workers in 88 public and private health facilities. Although outcomes improved in both intervention and control groups, we found no statistically significant difference between groups. However, training proceeded slowly, and low-quality care from untrained health workers diluted intervention effects. Per-protocol analyses suggested that health workers with training plus study supports performed better than those with training plus usual supports (20.4 and 19.2 percentage-point improvements for recommended treatment [p = 0.08] and "recommended or adequate" treatment [p = 0.01], respectively). Both groups tended to perform better than untrained health workers. Analyses of treatment errors revealed that incomplete assessment and difficulties processing clinical findings led to missed pneumonia diagnoses, and missed diagnoses led to inadequate treatment. Increased supervision frequency was associated with better care (odds ratio for recommended treatment = 2.1 [95% confidence interval: 1.13.9] per additional supervisory visit).</p> <p>Conclusion</p> <p>Integrated Management of Childhood Illness training was useful, but insufficient, to achieve high-quality pneumonia case management. Our study supports led to additional improvements, although large gaps in performance still remained. A simple graphical pathway analysis can identify specific, common errors that health workers make in the case-management process; this information could be used to target quality improvement activities, such as supervision (ClinicalTrials.gov number NCT00510679).</p