Academic literature on the topic 'Long-term community living'
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Journal articles on the topic "Long-term community living"
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Koltz, Daniel, and Rebecca Koltz. "SUCCESSFUL TRANSITIONS TO LONG-TERM CARE COMMUNITIES." Innovation in Aging 6, Supplement_1 (November 1, 2022): 701. http://dx.doi.org/10.1093/geroni/igac059.2566.
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Abstract Older adults who transition to independent and assisted-living communities perceive their transition experience differently. This research focused on understanding what factors were predominant for a successful transition from a long-time home to a dependent living community. A constructivist grounded theory method was used to explore the experiences of 18 older adults who had relocated within the past year. The participants of this study were aged 65-95 years and are equally represented by gender. Equal numbers of respondents transitioned into independent and assisted-living accommodations. Five factors related to a central concept of behavioral attitude were found to be key for a successful transition. When an older adult reported a successful transition, their behavioral attitude was positive about their new living environment. The five factors that contributed to their positive attitude are creating a new place, increased community integration, sense of safety and security, independence while dependent, and accepting a new life stage. The theory that emerged from the research emphasizes that when an older adult has increased awareness about the five factors associated with adapting to a dependent living community, this awareness will promote a positive behavioral attitude and increase the opportunity for success during and after a transition. Family members, LTC community administrators and social workers could all benefit from understanding these factors for a successful transition. Enhancing a positive experience for an older adult and improving their behavioral attitude toward the new transition.
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Bentley, David W. "Tuberculosis in Long-Term Care Facilities." Infection Control & Hospital Epidemiology 11, no. 1 (January 1990): 42–46. http://dx.doi.org/10.1086/646077.
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Persons age 65 and over constitute the largest reservoir of Mycobacterium tuberculosis infection in the United States today. During 1987, 6,150 tuberculosis cases were reported among this high-risk group. These cases represent 27% of the total US tuberculosis morbidity, although this age group constitutes only 12% of the US population. Tuberculosis case rates in the United States are higher among the elderly (20.6 per 100,000) than among all other age groups (average 9.3 per 100,000).More Americans live in nursing homes than in any other type of residential institution; on any given day approximately 5% of all elderly persons are living in a nursing home. Elderly nursing home residents are at greater risk for tuberculosis than elderly persons living in the community. In a Centers for Disease Control (CDC)-sponsored survey of 15,379 routinely-reported tuberculosis cases from 29 states, 8% of the 4,919 cases that occurred among elderly persons occurred among residents of nursing homes. The incidence of tuberculosis among nursing home residents was 39.2 per 100,000 person years, whereas the incidence of tuberculosis among elderly persons living in the community was 21.5 per 100,000. The observed rate of tuberculosis among nursing home employees was three times the rate expected in employed adults of similar age, race and sex (CDC, unpublished data).
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Hobbs, Coletta, Lesley Newton, Christopher Tennant, Alan Rosen, and Kate Tribe. "Deinstitutionalization for Long-Term Mental Illness: A 6-Year Evaluation." Australian & New Zealand Journal of Psychiatry 36, no. 1 (February 2002): 60–66. http://dx.doi.org/10.1046/j.1440-1614.2002.00984.x.
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Objective: Forty-seven patients with long-term mental illness were transferred to the community following the closure of a psychiatric hospital in Sydney. This 6-year evaluation is an extension of a detailed clinical, ethnographic and economic study of the initial 2-years of community transition. Method: Quantitative evaluation was conducted using the Brief Psychiatric Rating Scale, Life Skills Profile, Social Behaviour Scale, Montgomery Asberg Depression Rating Scale and Quality Of Life measures. Assessments were completed prior to discharge and at two- and 6-year intervals following community transfer. Repeated measures analysis was utilized to determine changes in outcome variables over time. The residents' perception of 6-years of community living was explored in qualitative semistructured interviews. Details of accommodation, level of care, readmissions, incidents and medication were also documented. Results: During the 6 years following community relocation a total of seven residents returned to hospital for long-term care, three residents died from medical causes and one resident required detention in a corrective services facility. The 36 residents who remained in the community at the 6-year follow-up no longer required intensive 24-h supervision. Living semi-independently, 23 residents resided in two to three person accommodation with either daily or weekly case manager visits. Clinically, community residents remained stable over the 6 years without significant changes in psychiatric symptoms, depression, living skills or social behaviour problems. Clinical stability was achieved with significant reduction in medication levels over the 6 years. Community-based residents continued to experience improved quality of life and reported their marked preference for living in the community. Conclusion: The residents maintained community tenure with significant improvement in quality of life and a reduction in medication, supported by a mental health system with adequate community resources. Issues regarding continuing rehabilitation and social integration need to be addressed. Further deinstitutionalization will require 24-h supervision for most initially and for some on a continuing basis. An ageing population will require specific age related medical and psychiatric services.
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Jorm, Anthony F., David Grayson, Helen Creasey, Louise Waite, and G. A. Broe. "Long-term benzodiazepine use by elderly people living in the community." Australian and New Zealand Journal of Public Health 24, no. 1 (February 2000): 7–10. http://dx.doi.org/10.1111/j.1467-842x.2000.tb00715.x.
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Kinney, Eleanor D., Jay A. Freedman, and Cynthia A. Loveland Cook. "Quality Improvement in Community-Based, Long-Term Care: Theory and Reality." American Journal of Law & Medicine 20, no. 1-2 (1994): 59–77. http://dx.doi.org/10.1017/s0098858800006432.
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Community-based, long-term care has become an increasingly popular and needed service for the aged and disabled populations in recent years. These services witnessed a major expansion in 1981 when Congress created the Home and Community-Based Waiver authority for the Medicaid program. Currently, all states offer some complement of community-based, long-term care services to their elderly and disabled populations and nearly all states have Medicaid Home and Community-Based Services waivers which extend these services to their Medicaid eligible clients.An ever increasing proportion of the population is in need of community-based, long-term care services. Between nine and eleven million Americans of all ages are chronically disabled and require some help with tasks of daily living. In 1990, thirty percent of the elderly with at least one impaired activity of daily living used a community-based, long-term care service. Not surprisingly, expenditures for community-based, long-term care have increased.
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Panes, Vanessa Clivelaro Bertassi, Magali de Lourdes Caldana, Maria José Sanches Marin, Patricia Ribeiro Mattar Damiance, and Patrick Alexander Wachholz. "Perceived quality of life and frailty among older people living in different settings." Geriatrics, Gerontology and Aging 14, no. 4 (2020): 244–51. http://dx.doi.org/10.5327/z2447-212320202000070.
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OBJECTIVE: To analyze the perceived quality of life of older people living in the community and long-term care facilities, and correlate it with the presence of frailty. METHODS: This is a quantitative, analytical, cross-sectional study in which 136 older people were interviewed, half were living in the community and the other half were living in long-term care facilities. The Edmonton Frail Scale was used to identify frailty, and the World Health Organization Quality of Life – Bref (WHOQOL-BREF) and World Health Organization Quality of Life Assessment for Older Persons (WHOQOL-OLD) questionnaires were used to measure quality of life. Analysis of variance and Pearson correlation coefficients were used for intragroup analyses. RESULTS: A greater proportion of older people living in long-term care facilities were frail. Perceived quality of life was better among people living in the community, according to both questionnaires, particularly in the domains social relations, environment, and death and dying. The worst scores were observed in the autonomy domain, particularly among older people living in long-term care facilities. In the majority of domains, older people with frailty had worse perceived quality of life scores. CONCLUSIONS: The absence of frailty favors a better perception of the quality-of-life domains, as does living in the community.
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O’Donohue, Diane, Georgie Winsor, Robyn Gallagher, Judy Maughan, Katherine Dooley, and Joan Walsh. "Issues for people living with long-term urinary catheters in the community." British Journal of Community Nursing 15, no. 2 (February 2010): 65–70. http://dx.doi.org/10.12968/bjcn.2010.15.2.46392.
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Thomas, Kali S., Danielle Cote, Rajesh Makineni, Orna Intrator, Bruce Kinosian, Ciaran S. Phibbs, and Susan M. Allen. "Change in VA Community Living Centers 2004–2011: Shifting Long-Term Care to the Community." Journal of Aging & Social Policy 30, no. 2 (January 8, 2018): 93–108. http://dx.doi.org/10.1080/08959420.2017.1414538.
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Marrie, Thomas J. "Pneumonia in the Long-Term-Care Facility." Infection Control & Hospital Epidemiology 23, no. 3 (March 2002): 159–64. http://dx.doi.org/10.1086/502030.
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AbstractPneumonia is a common infection among residents of long-term-care facilities (LTCFs), with an incidence of 1.2 episodes per 1,000 patient-days. This rate is believed to be six- to tenfold higher than the rate of pneumonia among elderly individuals living in the community. The risk factors for pneumonia among residents of LTCFs are profound disability, bedridden state, urinary incontinence, difficulty swallowing, malnutrition, tube feedings, contractures, and use of benzodiazepines and anticholinergic medications. An elevated respiratory rate is often an early clue to pneumonia in this group of patients. Staphylococcus aureus (including methicillin-resistant S. aureus) and aerobic gram-negative bacilli (including multidrug-resistant isolates) are more frequent causes of pneumonia in this setting than in the community. Criteria have been developed that help identify patients for treatment in their LTCFs.
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Robinson, Patricia. "Long-term conditions and severe acute respiratory syndrome SARS-CoV-2 (COVID-19)." British Journal of Community Nursing 25, no. 5 (May 2, 2020): 247–51. http://dx.doi.org/10.12968/bjcn.2020.25.5.247.
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Observation of infection trends through the course of the ongoing COVID-19 pandemic has indicated that those with certain pre-existing chronic conditions, such as hypertension, chronic obstructive pulmonary disease and obesity, are particularly likely to develop severe infection and experience disastrous sequelae, including near-fatal pneumonia. This article aims to outline how SARS-CoV-2 affects people and to consider why individuals living with long-term conditions are at increased risk from infection caused by this virus. A summary of available clinical guidelines with recommendations is presented, to provide community nurses with the up-to-date information required for protecting individuals living with a number of long-term conditions. Additionally, special measures required are outlined, so that community nurses may reflect on how to best provide nursing care for individuals living with long-term conditions and understand protection measures for individuals at increased risk from severe COVID-19.
Dissertations / Theses on the topic "Long-term community living"
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Saurí, Ruiz Joan. "Long-term psycosocial outcomes in the population with spinal cord injury living in the community." Doctoral thesis, Universitat Autònoma de Barcelona, 2017. http://hdl.handle.net/10803/457897.
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Resultats psicosocials a llarg termini en la població de persones amb lesió medul·lar que viuen a la comunitat. Tesi
doctoral 2017. Departament de Neuropsicologia, Institut Guttmann, Badalona (Barcelona), Espanya.
L'objectiu principal d'aquesta tesi va ser determinar en quina mesura les variables relacionades amb la lesió, les
característiques sociodemogràfiques o els aspectes psicosocials tenen capacitat predictiva del procés d'adaptació en
els individus amb lesió medul·lar que viuen a la comunitat. Un objectiu secundari d'aquesta tesi va ser adaptar i validar
a l'Espanyol dos qüestionaris específics per a individus amb lesió medul·lar per avaluar el dolor i les estratègies
d'afrontament respectivament. Aquesta tesi es divideix en tres estudis separats:
I. Avaluació psicomètrica de la versió Espanyola de l'Inventari Multidimensional del Dolor per la Lesió Medul·lar (MPISCI).
II. Adaptació i validació de la versió en Espanyol del Qüestionari d'Estratègies d'Afrontament relacionades amb la Lesió
Medul·lar (SCL CSQ-S).
III. Depressió en individus amb lesió medul·lar traumàtica i no traumàtica que viuen a la comunitat.
Els participants dels estudis I, II i III van ser individus amb lesió medul·lar (LM) que viuen a la comunitat i van assistir a la
valoració integral periòdica a l'hospital. L'estudi I va comprendre a 126 individus amb LM i dolor crònic i va demostrar
que la versió en espanyol de l'Inventari Multidimensional del Dolor per a la LM (MPI-SCI-S) és una mesura fiable i vàlida.
Les seves subescales van mostrar una capacitat de predicció sobre la percepció subjectiva de benestar. En l'estudi II
es van incloure 511 subjectes amb LM i els resultats van verificar la robustesa de l'estructura de la versió espanyola
del Qüestionari d'Estratègies d'Afrontament relacionades amb la LM i les estratègies d'afrontament van contribuir a la
predicció de resultats relacionats amb l'adaptació a la discapacitat com la qualitat de vida o la participació social entre
d'altres. En l'estudi III es va incloure un total de 831 individus amb LM traumàtica o LM no traumàtica i es va observar
una major prevalença de probable trastorn depressiu major en individus amb LM no traumàtica. Els resultats van
demostrar que els factors de risc entre les dues etiologies no van diferir molt. El sexe femení, el dolor crònic, i els nivells
més baixos de / dificultats en la participació es van associar amb la presència de probable trastorn depressiu major.
Aquesta tesi conclou que el dolor crònic està relacionat amb el malestar psicològic i pot ser un factor de risc per a
l'adaptació a la discapacitat en la població d'individus amb LM. A més, aporta major reconeixement de l'efecte positiu
de factors psicològics com les estratègies d'afrontament durant l'adaptació a les discapacitats físiques. Diversos
aspectes demogràfics i relacionats amb la lesió que poden coexistir amb més freqüència entre els individus amb LM
no traumàtica semblen indicar una major vulnerabilitat emocional i una major dificultat per adaptar-se a la discapacitat.
El sexe femení, el dolor crònic, les barreres ambientals a la participació, la baixa mobilitat, la baixa ocupació i la dificultat
per integrar-se socialment haurien d'alertar als clínics sobre un major risc de resultats negatius a llarg termini com pot
ser la depressió. Finalment, els resultats d'aquesta tesi remarquen la necessitat d'una major conscienciació i
implementació dels objectius de tractament dirigits a capacitar les persones amb LM i facilitar la seva reinserció a la
comunitat.Resultados psicosociales a largo plazo en la población de personas con lesión medular que vivien en la comunidad. Tesis doctoral 2017. Departamento de Neuropsicología, Institut Guttmann, Badalona (Barcelona), España. El objetivo principal de esta tesis fue determinar en qué medida las variables relacionadas con la lesión, las características sociodemográficas o los aspectos psicosociales tienen capacidad predictiva del proceso de adaptación en los individuos con lesión medular que viven en la comunidad. Un objetivo secundario de esta tesis fue adaptar y validar al Español dos cuestionarios específicos para individuos con lesión medular para evaluar el dolor y las estrategias de afrontamiento respectivamente. Esta tesis se divide en tres estudios separados: I. Evaluación psicométrica de la versión española del Inventario Multidimensional del Dolor para la Lesión Medular (MPISCI). II. Adaptación y validación de la versión en Español del Cuestionario de Estrategias de Afrontamiento Relacionadas con la Lesión Medular (SCL CSQ-S). III. Depresión en individuos con lesión medular traumática y no traumática que viven en la comunidad. Los participantes de los estudios I, II y III fueron individuos con lesión medular (LM) que viven en la comunidad y asistieron a la valoración integral periódica en el hospital. El estudio I comprendió a 126 individuos con LM y dolor crónico y demostró que la versión en español del Inventario Multidimensional del Dolor para la LM (MPI-SCI-S) es una medida fiable y válida. Sus subescalas tienen una capacidad de predicción sobre la percepción subjetiva de bienestar. En el estudio II se incluyeron 511 sujetos con LM y los resultados verificaron la robustez de la estructura de la versión española del Cuestionario de Estrategias de Afrontamiento relacionadas con la LM y las estrategias de afrontamiento contribuyeron a la predicción de resultados relacionados con la adaptación a la discapacidad como la calidad de vida o la participación social entre otros. En el estudio III se incluyó un total de 831 individuos con LM traumática o LM no traumática y se observó una mayor prevalencia de probable trastorno depresivo mayor en individuos con LM no traumática. Los resultados demostraron que los factores de riesgo entre las dos etiologías no difirieron mucho. El sexo femenino, el dolor crónico, y los niveles más bajos de/dificultades en la participación se asociaron con la presencia de probable trastorno depresivo mayor. Esta tesis concluye que el dolor crónico está relacionado con el malestar psicológico y puede ser un factor de riesgo para la adaptación a la discapacidad en la población de individuos con LM. Además, aporta mayor reconocimiento del efecto positivo de factores psicológicos como las estrategias de afrontamiento durante la adaptación a las discapacidades físicas. Varios aspectos demográficos y relacionados con la lesión que pueden coexistir con mayor frecuencia entre los individuos con LM no traumática parecen indicar una mayor vulnerabilidad emocional y una mayor dificultad para adaptarse a la discapacidad. El sexo femenino, el dolor crónico, las barreras ambientales a la participación, la baja movilidad, la baja ocupación y la dificultad para integrarse socialmente deberían alertar a los clínicos sobre un mayor riesgo de resultados negativos a largo plazo como puede ser la depresión. Finalmente, los resultados de esta tesis remarcan la necesidad de una mayor concienciación e implementación de los objetivos de tratamiento dirigidos a capacitar a las personas con LM y facilitar su reinserción en la comunidad.
Long-term psycosocial outcomes in the population with spinal cord injury living in the community. Doctoral thesis 2017. Department of Neuropsychology, Institut Guttmann, Badalona (Barcelona), Spain. The main aim of this thesis was to determine to what extent injury-related variables, sociodemographic characteristics or psychosocial aspects are predictive of the adjustment process among communityresiding individuals with spinal cord injury (SCI). A secondary objective of this thesis was to adapt and validate into Spanish language two specific questionnaires for spinal cord injury individuals to assess pain and coping strategies respectively. This thesis is divided into three separate studies: I. Psychometric evaluation of the Spanish version of the MPI-SCI. II. Adaptation and validation of the Spanish version of the Spinal Cord Lesion-related Coping Strategies Questionnaire (SCL CSQ-S). III. Depression in individuals with traumatic and non-traumatic spinal cord injury living in the community. Participants of paper I, II and III were individuals with SCI living in the community and attended an annual comprehensive hospital check-up. Paper I encompassed 126 individuals with an SCI and chronic pain (CP) and proved that the Spanish version of the West Haven-Yale Multidimensional Pain Inventory for Spinal Cord Injury (MPI-SCI-S) is a reliable and valid measure. Its subscales have a prediction capacity over the person's perception of well-being. In paper II 511 subjects with SCI were included in the study and the results verified the robustness of the structure of the Spanish version of the Spinal Cord Lesion-related Coping Strategies Questionnaire (SCL CSQ) and coping strategies contributed to the prediction of outcomes related to disability adaptation such as quality of life or social participation between others. In paper III a total of 831 individuals with traumatic or non-traumatic SCI were enrolled in the study and a higher prevalence of probable major depressive disorder (PMDD) was noted for individuals with a nontraumatic SCI. The results demonstrated that risk factors between the two etiologies did not differ greatly. Female sex, chronic pain, and lower levels of/difficulties in participation were associated with the presence of PMDD. This thesis concludes that chronic pain is related to psychological distress and may be a risk factor to adaptation to disability in the population of SCI individuals. Also, provided further support for the positive effect of psychological factors such as coping strategies during adaptation to physical disabilities. Several demographic and injury-related aspects that may coexist at a greater frequency among individuals with NTSCI seem to indicate a greater emotional vulnerability and a bigger difficulty in adapting to disability. Female sex, chronic pain, environmental barriers to participation, low mobility, low occupation score, and difficulty integrating socially should alert clinicians to an increased risk for a negative long-term outcome such as depression. Finally, the results if this thesis highlights the need for greater awareness and implementation of treatment aims to empower individuals with SCI and facilitate their smooth reintegration into the community.
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Fossum, Tracy-Lynn A. "Reasons for choosing community versus institutional long-term care for frail elderly people living with their spouses." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ52899.pdf.
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Alaguarda, Diego. "Effects of global changes on microbioeroding communities living in massive corals from the Western Indian Ocean over long term." Electronic Thesis or Diss., Sorbonne université, 2023. http://www.theses.fr/2023SORUS237.
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Les récifs coralliens sont de plus en plus menacés par les changements globaux qui affectent à la fois les processus d’accrétion et d’érosion. Parmi ces processus, la bioérosion récifale est un processus de dégradation naturelle majeur résultant de l’action de divers organismes sur et dans les substrats carbonatés. Depuis peu, une attention particulière est portée sur la meilleure compréhension des rôles joués par les microflores bioérodantes (ou perforantes) comprenant des cyanobactéries, microalgues et fungi, dans le fonctionnement des récifs coralliens, et notamment le bilan carbonaté du fait de leur rôle important dans la dissolution récifale des carbonates morts à court terme (jour, mois, année). La présente thèse avait donc pour objectif principal d’étudier les effets de certains facteurs environnementaux, dont le réchauffement et l’acidification des océans à long terme (décennie) sur à la fois la composition, la distribution et l’abondance de communautés microperforantes récifales. Etant donné que des expériences à long terme avec des coraux morts sont peu envisageables, plusieurs carottes coralliennes issues de deux genres coralliens massifs (Diploastrea sp. et Porites sp.) à croissance lente, ont été collectés le long du Canal du Mozambique et en particulier à Mayotte, permettant de couvrir les dernières décennies (30 à 50 ans). Ces coraux massifs sont connus pour être de véritables bioarchives géologiques largement colonisées par les microflores perforantes qui, en dissolvant le CaCO3, créent des galeries. Pour étudier la dynamique des microflores perforantes dans les deux genres coralliens ciblés, deux méthodes innovantes ont été développées: le machine learning pour analyser rapidement et précisément des milliers d’images de galeries microperforantes prises au Microscope Électronique à Balayage (MEB) le long de trois transects verticaux parallèle à l’axe principal de croissance du corail, et l’étude de biomarqueurs lipidiques le long d’une carotte corallienne (Diploastrea sp.). La méthode du machine learning basée sur un model CNN a d’abord été développée sur le corail Diploastrea sp. avec une précision de 93%, puis adaptée au Porites sp. en modifiant notamment un hyperparamètre (précision de 95%). L’approche géochimique a consisté à tenter d’identifier des marqueurs lipidiques spécifiques de la microalgue Ostreobium sp. et du corail Diploastrea sp. au cours des dernières décennies. Les résultats ont montré que l’abondance des galeries microperforantes est 3 à 4 fois plus importante dans le corail Diploastrea sp. que dans le Porites sp. et qu’elle a diminué quelque soit le genre corallien, au cours des dernières décennies. Chez Diploastrea sp., la diminutation est de 90% en 54 ans et est couplée à un changement très important dans la composition des communautés entre 1985-1986. La densité (bulk) du Diploastrea sp. a également chuté de manière significative les 5 dernières décennies. Des régressions logistiques ont montré que la température, la vitesse des vents, le pH interne du corail, plus ou moins couplés, sont correlés à l’abondance des traces microperforantes. L’approche géochimique a également mis en évidence la diminution importante d’un biomarqueur lipidique, les amides, au cours des dernières décennies. Bien qu’il soit difficile d’attribuer les amides à un taxon ou une espèce en particulier présente dans le squelette corallien, j’émets l’hypothèse que potentiellement ces dernières pourrait refléter la présence de communautés microperforantes. Pour confirmer ou infirmer les tendances observées, il est nécessaire d’étudier un plus large nombre de carottes coralliennes sur un temps plus long. En outre, d’autres facteurs pourraient être étudiés pour mieux comprendre la diminution de l’abondance des communautés microperforantes et son implication dans la santé et la résilience des coraux, tels que les métaux traces ou d’autres variables du système des carbonatesCoral reefs are increasingly threatened by global changes as they affect both accretion and erosion processes. Among these processes, reef bioerosion is a major natural process of degradation resulting from the action of various organisms on and in carbonate substrates. Recently, a particular attention has been given to the roles played by bioeroding (or perforating) microflora, which include cyanobacteria, microalgae, and fungi, in the functioning of coral reefs, especially in the carbonate budget, because of their important role in the dissolution of dead carbonates over short term (day, month, year). The thesis's main objective was thus to study the effects of global change factors such as ocean warming and acidification, on the composition, distribution, and abundance of reef microbioeroding communities over long term. Since long-term experiments with dead corals are difficult to carry out, several coral cores from two slow-growing massive coral genera (Diploastrea sp. and Porites sp.) were collected along the Mozambique Channel, particularly in Mayotte. Those cores covered the last decades (30 to 50 years). Such massive corals are known to be natural geological archives largely colonized by microbioeroding communities which leave traces while dissolving CaCO3. To study the dynamics of microbioeroding communities in the two targeted coral genera, two innovative methods were developed: a machine learning approach to quickly and accurately analyze thousands of Scanning Electron Microscope pictures of microbioeroding traces along three vertical transects parallel to the main coral growth axis, and a lipid biomarkers approach along a coral core of Diploastrea sp.. The machine learning method based on a CNN model was first developed on the coral Diploastrea sp. with an accuracy of 93%. It was then adapted to Porites sp. by modifying a hyperparameter (95% accuracy). The geochemical approach tried identifying specific lipid markers of the boring microalga Ostreobium sp. and the coral Diploastrea sp. during the last decades. The results showed that the abundance of microbioeroding traces is 3 to 4 times higher in the coral Diploastrea sp. than in Porites sp and has decreased in both coral genera over the last decades. In Diploastrea sp., the decrease was 90% over the last 54 years and was coupled with a very important change in community composition between 1985-1986. The density (bulk) of Diploastrea sp. has also dropped significantly over the last 5 decades. Logistic regressions showed that temperature, wind speed, and internal pH of the coral, more or less coupled, are correlated to the abundance of microbioeroding traces. The geochemical approach also highlighted a significant decrease of a lipid biomarker group, the amides, over the last decades. Although it is difficult to attribute amides to a specific taxon or species in the coral skeleton, I hypothesize that they could potentially reflect the presence of microbioeroding communities. To confirm or refute the observed trends, there is a need to study more coral cores, from different areas, and over a longer period. In addition, other factors should be studied to understand better the decrease in the abundance of microbioeroding communities and its implication in coral health and resilience, such as trace metals and other variables of the carbonate system
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Johansson, Ulla. "Long-term outcome after brain injury with a focus on return to work, life satisfaction and participation." Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-375.
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Yang, Hui-ju, and 楊惠如. "Health Status and Long-term care Needs among Community Elderly Living Alone." Thesis, 2005. http://ndltd.ncl.edu.tw/handle/30499510859703794418.
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碩士美和技術學院
健康照護研究所
93
The purposes of this study were to examine the demographic variables, health status, long-term care needs and their relationships among the elderly living alone in community. A cross-sectional design, through face- to- face interview with structured questionnaires, was used for data collection. Two hundred community elderly living alone were selected by cluster random sampling from Pingtung area. The questionnaires included the Demographic Inventory, Perceived Health Status Scale and Hierarchy of the Care Require (HCR).The validity and reliability of the questionnaires were satisfactory. Data were analyzed by percentage, mean, standard deviation, independent samples t-test, One-Way ANOVA , Pearson product - moment correlation, and stepwise multiple regression. The results were as follow: (1) the mean score of age was 78.84, the mean year of living alone was 21.38, the mean number of chronic disease was 2.44, and had a median-to-low score of perceived health status. (2) male, high school educational level, Hakka People, New Taiwanese and living in urban area groups had a significantly higher score of perceived health status. (3) subjects with long-term care needs at least 4 level were 4.38% in Activity of Daily Living Scale (ADL),15.58% in Instrumental Activity of Daily Living Scale (IADL),and 1.92% in Cognition and Emotion(C&E). (4)total long-term care needs were significantly associated with gender, marital status, educational level, ethnicty and location (5) gender,age,marital status and ethnicty were positively correlated to total long-term care needs .Location and perceived health status were negatively correlated to total long-term care needs . (6) Perceived health status,age, and ethnicty were the significant predictors of long-term care needs, and they explained 25.2% of the total variance. The older the subjects,the worse perceived health status,and the aboriginals,the more long-term care they need. The results of this study could provide information for understanding the demographic variables, health status, long-term care needs and their related factors of elderly persone living alone in community .The findings could be as the references of policy making for care the community elderly living alone.
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SUNG, HUI-CHUN, and 宋慧君. "Changes of Exercise Behavior after a Long-term Exercise Intervention in Community-living Older Adults." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/53184568657081390099.
Full textAbstract:
碩士國立台北護理學院
護理研究所
91
The main purpose of this study was to investigate community living older adults’ exercise behavior after a long-term exercise intervention. The study focused on a yearlong follow up study and used quasi-experimental design. There were 95 participants (those who didn’t have habitual exercise) aged from 43 to 75 years old and study samples were selected from Shihlin district, Lan Shun li, Taipei. There were 42 subjects in the experimental group and 53 subjects in the control group. The experimental group underwent 48 weeks of total physical fitness (exercise intervention) and the control group didn’t. After 48 weeks of fitness activities, the subjects were grouped into four more groups according to their exercise behavior. The four groups were: experimental group with regular exercise, experimental group without regular exercise, control group with regular exercise, and control group without regular exercise. The research instruments included: CEBBS, perceived barriers to action, perceived benefits of action, perceived self-efficacy scale, exercise social support scale, stage of change scale, and international physical activity questionnaire (short version). Chi-square test, t-test, one-way ANOVA, Pearson product moment correlation, multiple regression were used to analyze the data. The study concluded that what influenced the older adults in their exercise behaviors were: exercise intervention, regular exercising, self-efficacy, marriage, social status, and health status. In the comparisons between the importance of exercise intervention and exercise regularly, the results were following: Perceived barriers to action, perceived self-efficacy, intensive exercise every week, and the total time that one spends on exercise have greater positive relationship between exercise regularly than exercise intervention. On the other hand, perceived benefits of action and perceived social supports have greater positive relationship between exercise intervention than exercise regularly. Therefore, subjects’ exercise behavior is benefited by the exercise intervention and with regular exercise. Moreover, both exercise intervention and exercise regularly could reduce the time that the subjects spend on sitting down. According to the study results, it’s a good idea to suggest an appropriate exercise intervention in order to decrease the difficulty with exercise. Those results could be indications in promoting physical fitness program for community living older adults. Moreover, the methods for collecting samples and analyzing data are open for suggestion for future reference.
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Yamasaki, Jill. "Community Connectedness and Long-Term Care in Late Life: A Narrative Analysis of Successful Aging in a Small Town." 2009. http://hdl.handle.net/1969.1/ETD-TAMU-2009-12-7242.
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This dissertation is a narrative inquiry of the ways in which cultural values,
norms, and expectations shape the aging experience of elderly adults living
independently in Kasson, a small rural town in southeastern Minnesota, and within
Prairie Meadows, Kasson's residential assisted living facility. Despite significant
evidence of the reciprocal relationship between community connectedness, successful
aging, and healthy communities, we know relatively little about the ways in which
contextual meanings of old age influence long-term care and perceptions of well-being
in late life. I therefore utilized a variety of interpretive methods, including participant
observation, textual analysis, in-depth interviews, and photovoice, to complement and
enlarge existing research. Ultimately, I engaged crystallization methodology to
co-construct with my participants a multivocal, multigenre text of layered accounts,
photographs, stories, and personal reflections. My research design and presentation
highlight the inherent possibilities of participatory methods, aesthetic ways of knowing,
and asset-based community development for influencing policy and practice at individual, community, and societal levels with typically disenfranchised populations in
future communication scholarship.
My narrative analysis uncovered three overarching narratives - the "small town"
narrative, the "aging in place" narrative, and the "old age" narrative - that guide
communicative practices within and between Kasson and Prairie Meadows. Overall,
elderly adults in these communities negotiate community connectedness in late life by
drawing from or re-storying each of the three narratives. First, they co-construct personal
and relational identities through social interactions and shared understandings (e.g., civic
engagement, church membership, neighborliness, collective history) of what it means to
live in a small town. Second, they face uncertainty (e.g., health and dependency issues)
by turning to the past to make sense of the present and future. Third, they embrace old
age through membership in age-specific contexts (e.g., Red Hats, senior center, Prairie
Meadows) while resisting it in others (e.g., tensions between independence, isolation,
and communal life). In total, their stories illuminate the ways in which personal
meanings and cultural ideologies support and constrain interactions and decisions in late
life as individuals strive for long-term living and a meaningful, supportive place in
which to grow old.
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Wang, Chin-Ping, and 王菁萍. "Effects of community neighborhood environments on elder residents'' living satisfaction and self-rated health status in long term care facilities." Thesis, 2010. http://ndltd.ncl.edu.tw/handle/46566636913271597100.
Full textAbstract:
碩士中國醫藥大學
醫務管理學系碩士在職專班
98
Objectives: Aging population has become as one of global hot issues and been gradually paid attentions. The study aimed to explore how the elder residents in long term care facilities perceived their community neighborhood environments and the effects on their quality of life. Methods: Two hundred and twelve elder residents in two long term care facilities were interviewed with a developed structured questionnaire. In terms of the perceptions for community neighborhood environments around the long term care facilities, it covered the dimensions of facility neighborhoods’ holistic environments, leisure landscapes, public settings, community security and development, and barrier-free environment designs. Elder residents’ quality of life was measured as self-rated health status and overall living satisfaction. The elder residents’ personal and living characteristics were also collected as confounding factors. Descriptive, univariate, and multiple regression analyses were performed in this study. Results: Overall, it was found that the interviewed elder residents rated higher satisfaction on air and street cleanness of community holistic environments; views and green space of leisure landscapes; activities and space of public centers; safety and management of community security and development; and community lighting and fall prevention of barrier-free environment designs. Controlling by elder residents’ personal and living characteristics, it was found that the elder residents’ satisfaction on community security and development was positively related to their overall living satisfaction. However, no statistically significant relationship was found about the effects of community neighborhood environments on the elder residents’ self-rated health status. In addition, this study revealed that facility living characteristics played a positive role in the elder residents’ overall living satisfaction and self-rated health status. Conclusion: Perceptions of community security and development played a key role in the elder residents’ living satisfaction. It suggests the relevant national authority could focus more on securing community safety and development surrounding long term care facilities to enhance the elder residents’ living satisfaction.
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CHEN, MEI-LING, and 陳美齡. "The Effects of a Long-term Exercise Intervention on the Physical Fitness of Community-living Older Adults：50-75 years." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/99032506214069003581.
Full textAbstract:
碩士國立台北護理學院
護理研究所
91
The purpsoe of the study was to investigate the long-term effect of exercise intervention on total body fit, exercise knowledge, exercise attitude and blood biochemical study of community-living older adults. The study focused on a longitudinal follow up study and quasi-experimental design. The study samples were selected from Lan-Shing region, Shihlin District of Taipei, aged from 50 to 75 year-old adults. They took exercise at irregular time in the past 6 months. They were divided into two groups, experimental and control, each contains 40 adults. The subjects of experimental group attended a total body fit exercise intervention of 48-weeks. The exercise training program was designed by a exercise specialist.The members of experimental group performed exercise twice a week and 60 minutes low impact exercise was done each time. No exercise was done by the members of control group. Data obtained included physical fitness tests, blood biochemical tests and structure questionnaires. structure questionnaires contained exercise knowledge and exercise attitudes; physical fitness tests contained BMI, WHR, fat ratio, grip strength test, bar-gripping reaction, close eyes for one side foot stand test, 20-seconds knee extensor/flexor test, stand-and-reach test, three minutes for rise and down step test, 15-seconds time shuttle run and composition analysis test; blood biochemical tests contained triglyceride and cholesterol. Data were collected at the end of each period of 12-weeks and analysed with the methods of frequency distribution, percentage, mean, standard deviation, Chi-square test, paired t-test, repeated two-way ANOVA and mixed model. The results showed that the experimental group had significant improvement on fitness of cardiac endurance(three minutes for rise and down step test), flexibility (stand-and-reach test), and WHR after a 48-weeks exercise intervention. No significant difference between the two groups on the balance strength, endurance (20-seconds knee extensor/flexor test), flexibility (sit-and-reach test), agility, BMI, fat ratio and body composition. Mild improvement of cholesterol and triglyceride after long-term exercise intervention but no statistical significance. No significant difference about exercise knowledge and exercise attitudes was noted before and after exercise intervention.
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Chatters, R., J. Roberts, Gail Mountain, S. Cook, G. Windle, C. Craig, and K. Sprange. "The long-term (24-month) effect on health and well-being of the Lifestyle Matters community-based intervention in people aged 65 years and over: a qualitative study." 2017. http://hdl.handle.net/10454/15704.
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YesObjectives To assess the long-term effect on health and well-being of the Lifestyle Matters programme. Design Qualitative study of a subset of intervention arm participants who participated in the Lifestyle Matters randomised controlled trial (RCT). Setting The intervention took place at community venues within two sites in the UK. Participants A purposeful sample of 13 participants aged between 66 and 88 years from the intervention arm of the RCT were interviewed at 24 months post randomisation. Interviews aimed to understand how participants had used their time in the preceding 2 years and whether the intervention had any impact on their lifestyle choices, participation in meaningful activities and well-being. Intervention Lifestyle Matters is a 4-month occupational therapy intervention, consisting of group and individual sessions, designed to enable community living older people to make positive lifestyle choices and participate in new or neglected activities through increasing self-efficacy. Results Interviews revealed that the majority of interviewed participants were reportedly active at 24 months, with daily routines and lifestyles not changing significantly over time. All participants raised some form of benefit from attending Lifestyle Matters, including an improved perspective on life, trying new hobbies and meeting new friends. A number of intervention participants spoke of adapting to their changing circumstances, but there were significant and lasting benefits for 2 of 13 intervention participants interviewed. Conclusion The majority of those who experienced the Lifestyle Matters intervention reported minor benefits and increases in self-efficacy, but they did not perceive that it significantly improved their health and well-being. The two participants who had experienced major benefits also reported having had life-changing events, suggesting that this intervention is most effective at the time when lifestyle has to be reconsidered if mental well-being is to be sustained.
Medical Research Council grant number (G1001406).
Books on the topic "Long-term community living"
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Vermont. Dept. of Aging and Disabilities and United States. Administration on Aging, eds. Final report, Title IV grant: Building a community assisted independent living system. Waterbury, Vt. (103 South Main St., Waterbury 05671-2301): Vermont Dept. of Aging and Disabilities, 1997.
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Macken, Candace L. A profile of functionally impaired elderly persons living in the community. [Baltimore, Md.?: Health Care Financing Administration, 1986.
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3
Lybarger, Barbara E. A system in collapse: Integration of disabled persons : a case for community living. Boston, MA: Massachusetts Office on Disability, 1991.
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(Organization), AARP, ed. Beyond 50.03: A report to the nation on independent living and disability. Washington, DC: AARP, 2003.
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Health, United States Congress Senate Committee on Finance Subcommittee on. Community and Family Living Amendments of 1983: Field hearingbefore the Subcommittee on Health of the Committee on Finance, UnitedStates Senate, Ninety-eighth Congress, second session, August 13, 1984. Washington: U.S. G.P.O., 1985.
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United States. Congress. Senate. Committee on Finance. Subcommittee on Health. Community and Family Living Amendments of 1983: Field hearing before the Subcommittee on Health of the Committee on Finance, United States Senate, Ninety-eighth Congress, second session, August 13, 1984. Washington: U.S. G.P.O., 1985.
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Virginia. Department of Medical Assistance Services. A study of Virginia's 1915c medicaid-funded home and community-based waiver for intensive assisted living services: Report of the Department of Medical Assistance Services to the Governor and the General Assembly of Virginia. Richmond: Commonwealth of Virginia, 2000.
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Office, General Accounting. Long-term care: Consumer protection and quality-of-care issues in assisted living : report to the Honorable Ron Wyden, U.S. Senate. Washington, D.C: The Office, 1997.
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Office, General Accounting. Long-term care: Consumer protection and quality-of-care issues in assisted living : report to the Honorable Ron Wyden, U.S. Senate. Washington, D.C: The Office, 1997.
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Office, General Accounting. Long-term care: Consumer protection and quality-of-care issues in assisted living : report to the Honorable Ron Wyden, U.S. Senate. Washington, D.C: The Office, 1997.
Find full textBook chapters on the topic "Long-term community living"
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Weddle, Dian O., and Nancy S. Wellman. "Providing Food and Nutrition Choices for Home and Community Long Term Living." In Handbook of Clinical Nutrition and Aging, 539–52. Totowa, NJ: Humana Press, 2009. http://dx.doi.org/10.1007/978-1-60327-385-5_27.
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Mayweg-Paus, Elisabeth, and Maria Zimmermann. "Educating Cultural Literacy with Open Educational Resources: Opportunities and Obstacles of Digital Teacher Collaborations." In Dialogue for Intercultural Understanding, 149–63. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-71778-0_11.
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AbstractIn this chapter, we set the context for how teachers can use the CLLP and its resources sustainably by introducing why it is important for teachers to engage in long-term collaboration to implement the core aims and themes of DIALLS in a meaningful way. In the following chapter, we will introduce research on the opportunities and obstacles of online collaboration among teachers. Considering that the goals of DIALLS deal with issues of living together, social responsibility, and sustainable development, we will emphasize how effective online collaboration not only among students but also among teachers can help make DIALLS have a long-lasting impact that shapes the educational future of Europe. Thus, we will emphasize how to promote a long-lasting community of practice for DIALLS teachers and how this community may enable them to become professional DIALLS teachers.
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Rajewicz, Wiktoria, Nikolaus Helmer, Thomas Schmickl, and Ronald Thenius. "Living Organisms as Sensors for Biohybrid Monitoring Systems." In Biomimetic and Biohybrid Systems, 348–62. Cham: Springer Nature Switzerland, 2023. http://dx.doi.org/10.1007/978-3-031-39504-8_24.
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AbstractMany aquatic habitats have become vulnerable to rapid and long-term changes induced by industrialism, air pollution, tourism, fishing activities etc. These factors created an urgent need for extensive water monitoring and conservation. By observing the behaviour of lifeforms, we can monitor the state of the environment. Here, we present the methodology, calibration approaches and preliminary results of designing a biohybrid entity for aquatic monitoring. Biohybrid robots combine mechanical and electronic elements with living organisms or tissues. This biohybrid consists of several modules, each hosting or attracting different species and communities. We focus on animals such as Daphnia sp., zebra mussel Dreissena polymorpha and various representatives of the plankton community. The first results showed that 1) both Daphnia and D. polymorpha show no clear signs of confinement-induced stress, 2) the designed structures are examples of suitable tools for hosting the organisms, observing their behaviour and collecting and storing data and 3) their behaviour can be calibrated under laboratory conditions to be able to extrapolate the field data into environmental data.
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Corrado, Federica, Erwin Durbiano, and Gabriella Negrini. "The COVID-19 Effects and the Development Process of Lanzo Valleys in a Metro-Mountain Perspective." In The Urban Book Series, 99–109. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-33894-6_8.
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AbstractDuring the last century, the close relationship between the Lanzo valleys and the Turin conurbation has declined differently because of the specific local resources, networks, and the dominant development model, starting with the historic holiday resort of the Turin upper class up to the industrialization of the lower valley, linked to Turin industry and currently in crisis. Recent projects, carried out by the local community, however, testify to the desire for a new dynamism through innovative experiences that look beyond the traditional activities, as testified by the selection of this area in the first phase of the National Strategy for Internal Areas (SNAI). These dynamics have accelerated in relation to the COVID-19 pandemic which has further re-evaluated the role and importance of some local assets that have favoured the spread of a different model of living characterized by a temporary residency that positively exploits the qualities of an urban-mountain environment. On the other hand, there was a rediscovery of a different tourism, linked to places, history, and nature. This contribution deepens the evolution of these dynamics, focusing on the entire metropolitan-mountain area and on specific municipalities through qualitative-quantitative analyses to evaluate the effects both in the short and long-term allowing to establish which are, in the near future, the permanent assets on which to focus attention to trigger a leverage effect and which ones can be considered as temporary conditions that run out in a short time.
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Samus, Quincy M., and Adam Rosenblatt. "Mental Health in the Assisted Living Setting." In Psychiatry in Long-Term Care, 484–516. Oxford University PressNew York, NY, 2009. http://dx.doi.org/10.1093/oso/9780195160949.003.0022.
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Abstract Assisted living (AL) has been the most rapidly expanding form of residential long-term care in the United States over the past 20 years (American Association for Retired Persons, AARP, 2002; National Center for Assisted Living, NCAL, 2001). Its expansion has been driven largely by state and private sector interest in the reduction of long-term care expenditures as well as consumer backlash toward the nursing home (NH) industry (Hawes, 2001). AL is now widely viewed as an integral, intermediary component of the long-term care continuum that 1lls the gap between home-delivered care and institutional-style care for many elders who cannot live independently in the community (Figure 22.1). Best estimates suggest that over 1 million elders are living in more than 35,000 AL facilities nationwide (Hawes, 2001; Mollica, 2002) and one study of residential care (RC) usage predicts that by the year 2010, more elders will be cared for in the AL setting than in nursing homes (Promatura Group, 2000). In concept, AL is meant to epitomize a “social” model of care, focusing primarily on the creation of a physical and social environment that promotes independence, health, and quality of life and allows residents to “age in place,” minimizing the need to move to another setting (Assisted Living Quality Coalition, ALQC, 1998; NCAL, 2001).
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Jenkins, Willis. "12. Listening for Coastal Futures." In Living Earth Community, 141–52. Open Book Publishers, 2020. http://dx.doi.org/10.11647/obp.0186.12.
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This chapter attends to the role of listening in attuning humans to the natural world, specifically in light of a project involving Long-Term Ecological Research oriented around conserving coastal ecosystems. The Conservatory Project integrates perspectives on environmental change from sciences, humanities, and the arts, designing eco-acoustic listening exercises that afford participants an aural sense of their embodiment and embeddedness in a dynamic environment.
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Sanford, A. Whitney. "Choosing a Life." In Living Sustainably. University Press of Kentucky, 2017. http://dx.doi.org/10.5810/kentucky/9780813168630.003.0004.
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Choosing a Life explores who joins intentional communities and what draws these individuals to community life. Millennials and boomers, women in particular, have sought out community life, from communes to looser home-sharing arrangements, not wishing to retire as their parents did. Potential members must decide ‘how much community they desire’, from communal eating arrangements to looser cohousing community structures. This chapter also explores the process of finding and joining communities and the resources of the Federation of Intentional Community. Potential members often spend weeks visiting a community and meeting members; the process is a two-way vetting process, in which both sides must assess suitability long-term residence.
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Schmeida, Mary, and Ramona Sue McNeal. "Long-Term Care Spending Relevant to U.S. Medicaid Expansion." In Chronic Illness and Long-Term Care, 821–45. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-7122-3.ch041.
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The U.S. population is living longer, placing a demand on long-term care services. In the U.S., Medicaid is the primary player in funding costly long-term care for the aged poor. As a major health reform law, the 2010 Patient Protection and Affordable Care Act, Public Law 111-148, gives financial incentive for states to expand Medicaid, transitioning long-term care services from facilities toward community care. Facing other funding obligations and recent recessions, not all states expanded their Medicaid long-term care program using the financial incentives. Some states continue to spend more dollars on traditional nursing facility care despite legislation. This chapter explores why some states spend more revenue on nursing facility long-term care despite enhanced federal funding to reform, while others are spending more on home and community-based services. Regression analysis and 50 state-level data is used.
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Kane, Rosalie A., Robert L. Kane, and Richard C. Ladd. "Home Care and Personal Assistant Services." In The Heart of Long-Term Care, 119–58. Oxford University PressNew York, NY, 1998. http://dx.doi.org/10.1093/oso/9780195122381.003.0005.
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Abstract Home care and personal assistant services (PAS) are the most important building blocks in a user-friendly system of community-based long-term care. Flexible, reasonably priced services for people living at home are the key to people staying at home. If states are to achieve balance in their long-term care programs, they need to forge a range of home care and PAS services. Designing such services is challenging because of the wide range of needs to be met, the diversity of home environments and life circumstances of the consumers, the necessity of building upon the help of family members when possible, and the need to keep costs down by using generalist personnel while maintaining acceptable quality.
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Weinrib, Aliza, Muhammad Abid Azam, Vered Valeria Latman, Tahir Janmohamed, Hance Clarke, and Joel Katz. "Manage My Pain." In Chronic Illness and Long-Term Care, 642–67. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-7122-3.ch032.
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This chapter describes the Manage My Pain digital pain management platform and its integration into the Transitional Pain Service at Toronto General Hospital. A collaboration between ManagingLife, the developer of Manage My Pain, and the Transitional Pain Service led to the creation of a patient-provider virtual community with the aim of managing complex pain after surgery so as to prevent the transition from acute post-surgical pain to chronic post-surgical pain. User engagement, motivation, and satisfaction are discussed with respect to the needs of (1) people living with pain and (2) health care providers. Challenges in implementation are described, along with new features developed for the digital platform as a result of the partnership between ManagingLife and the Transitional Pain Service.
Conference papers on the topic "Long-term community living"
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Jermolajeva, Elita, Baiba Rivza, and Inta Ostrovska. "The impact of change agents on the long-term viability of the Latvian state." In 23rd International Scientific Conference. “Economic Science for Rural Development 2022”. Latvia University of Life Sciences and Technologies. Faculty of Economics and Social Development, 2022. http://dx.doi.org/10.22616/esrd.2022.56.018.
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There are many players in the process of sustainable development of Latvia, including the long-term viability of the country: state and local government institutions, companies, non-governmental organizations, as well as various informal interest groups and every inhabitant. As the regions of the country have different socio-economic development results, it is important to find out who and how can influence these processes. The scientific novelty is the survey developed by the researchers of the National Research Program EKOSOC-LV in order to find answers to the question: What is the long-term viability of the country and what affects it? During four years, 946 respondents from Pieriga, Vidzeme, Kurzeme, Latgale regions were surveyed about the most important influence factors of three groups of change agents: state institutions; local governments as local government bodies; communities or residents of the municipality. The results of the survey show the following trends (the Kruskala-Wallis Test showed that the differences were not statistically significant): the state’s impact was generally positive in the years under review and had increased slightly. However, the impact of the other two groups of change agents was on a downward trend - for municipalities as local authorities and for communities living in the municipality. According to the individual assessment of each respondent, the most important agent of change was not the state institutions, but local governments or residents of the community, which is a positive indicator, because the development of the area can be most influenced by people living in its social groups, etc.
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Ben-Alon, Lola. "Down to Earth: Using Natural Building Materials for Community Resiliency." In 2021 ACSA Teachers Conference. ACSA Press, 2021. http://dx.doi.org/10.35483/acsa.teach.2021.6.
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Natural building materials offer a minimally processed, non-toxic, and community self-sufficient alternative to conventional building materials. Constructing with these materials maximizes the potentials of freely available resources, while engaging local communities, regardless of skills, including families and children. In this paper, a design-build methodology that fosters academic and community connections for building with earth is presented. Specifically, the presented teaching structure equips interdisciplinary teams of engineering and architecture students with both theoretical knowledge and hands-on building experience of a range of natural materials for different climates. While making a sensitive choice of materials, technical details, and participatory processes, students collaborate with local communities to foster circular economy, create know-how to improve living conditions in the local context, and support a bottom-up form of capacity development. Hands-on workshops provide students with insights from field and give the opportunity to gain expertise of alternative building modes. The presented methodology resonates with current research on natural building materials that aims to enhance the performance, perception, and policy of these materials. The long-term implications these endeavors hope to achieve are the catalysis of low-carbon construction in community development and mainstream projects, as well as the development of a complete, safe, and user-friendly building guidelines and material standardization.
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Gqwede, Mzingisi. "Promoting Lifelong Learning at Community Learning and Development Centres in Namibia." In Tenth Pan-Commonwealth Forum on Open Learning. Commonwealth of Learning, 2022. http://dx.doi.org/10.56059/pcf10.7536.
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The Namibian Basic Education Act 3 of 2020 mandates lifelong learning for all citizens to acquire new skills required in a knowledge-based economy. As part of the quantitative research approach, the researcher conducted a survey to determine what skills adult learners and out-of-school youth need. Using the findings, the researcher was able to devise new approaches for developing initiatives to aid people in acquiring these abilities in their local communities. Purposive sampling was used to select all participants. The researcher used simple statistical processes such as frequency distribution tables and percentages to analyse the data. Participants indicated the need to learn hydroponics, poultry farming, goat husbandry, tailoring, and baking, among other skills. It is worth noting that the majority of those who participated in the study were females. The study also discovered that community projects require government support to succeed. Following the findings, all Community Learning and Development Centres (CLDCs) in all regions should be reformed to ensure that skills development is executed effectively in the communities. CLDCs are well-known for serving as focal points for community-based social development initiatives. An established and managed CLDC can be a long-term growth engine and a bridge to improved living conditions.
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Manthena, Pranava, and Gopal Singh. "Are Self-Sustainable Communities Economically Viable?: A Financial Analysis of Self-Sustainable Communities." In ASME 2024 Power Conference. American Society of Mechanical Engineers, 2024. http://dx.doi.org/10.1115/power2024-138907.
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Abstract Sustainable energy is the new hot topic, and with it comes the conversation of self-sustainable communities. Society is currently neck deep in carbon emissions and pollution, and our current generation is constantly looking for solutions that can reduce our carbon footprint. The housing market is also experiencing a major price hike, with more than 80% of metro areas witnessing home prices increase in the last year. These major problems necessitate a solution, and fast. The most popular solution to these global issues is self-sustaining communities. Self-sustainable communities are groups of localized people off the grid that strive to meet the necessities required for survival (food, water, shelter, energy, etc.) without having to rely on external sources. These communities are able to fully thrive by themselves without the need for any outside intervention. Self-sustainable communities have long been seen as the best way to achieve sustainable, affordable living due to the long-term benefits that they can provide. However, are these communities economically viable in the short term? In this paper, we aim to unveil the curtains on the short-term economic viability and impact of self-sustained communities. We offer a deep analysis of the business aspects that go into creating a self-sustaining community, including cost breakdowns, sharing economy models, and market analysis. We conclude with whether or not self-sustained communities are economically viable in the short run, and also provide ways to fix or enhance potential problems with self-sustaining communities. Our hope is to expose the economical side of developing a self-sustaining community and inform the general public on what could potentially be the best solution to our current climate change crisis and housing deficit.
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Huiyi, Xia, Nankai Xia, and Liu Liu. "Urban living environment assessment index system based on psychological security." In 55th ISOCARP World Planning Congress, Beyond Metropolis, Jakarta-Bogor, Indonesia. ISOCARP, 2019. http://dx.doi.org/10.47472/lvyv5472.
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With the development of urbanization and the continuous development, construction and renewal of the city, the living environment of human beings has also undergone tremendous changes, such as residential community environment and service facilities, urban roads and street spaces, and urban public service formats. And the layout of the facilities, etc., and these are the real needs of people in urban life, but the characteristics of these needs or their problems will inevitably have a certain impact on the user's psychological feelings, thus affecting people's use needs. Then, studying the ways in which urban residents perceive changes in the living environment and how they perceive changes in psychology and emotions will have practical significance and can effectively assist urban management and builders to optimize the living environment of residents. This is also the long-term. One of the topics of greatest interest to urban researchers since then. In the theory of demand hierarchy proposed by American psychologist Abraham Maslow, safety is the basic requirement second only to physiological needs. So safety, especially psychological security, has become one of the basic needs of people in the urban environment. People's perception of the psychological security of the urban environment is also one of the most important indicators in urban environmental assessment. In the past, due to the influence of technical means, the study of urban environmental psychological security often relied on the limited investigation of a small number of respondents. Low-density data is difficult to measure the perceptual results of universality. With the leaping development of the mobile Internet, Internet image data has grown geometrically over time. And with the development of artificial intelligence technology in recent years, image recognition and perception analysis based on machine learning has become possible. The maturity of these technical conditions provides a basis for the study of the urban renewal index evaluation system based on psychological security. In addition to the existing urban visual street furniture data obtained through urban big data collection combined with artificial intelligence image analysis, this paper also proposes a large number of urban living environment psychological assessment data collection strategies. These data are derived from crowdsourcing, and the collection method is limited by the development of cost and technology. At present, the psychological security preference of a large number of users on urban street images is collected by forced selection method, and then obtained by statistical data fitting to obtain urban environmental psychology. Security sense training set. In the future, when the conditions are mature, the brainwave feedback data in the virtual reality scene can be used to carry out the machine learning of psychological security, so as to improve the accuracy of the psychological security data.
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Palacio, Santiago Naranjo, K. Max Zhang, Disha Patel, Megha Basu, and Jason Trager. "Sustainable Communities Case Study: Energy Management Using Demand Response Methods." In ASME 2010 4th International Conference on Energy Sustainability. ASMEDC, 2010. http://dx.doi.org/10.1115/es2010-90265.
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Politicians, activists, business-leaders and engineers alike all agree that future societal progress depends heavily on the development of sustainable cities and communities designed to achieve long-term environmental, social, and economic viability. A key factor that must be considered when planning for sustainable communities is the desirability for living and the productivity potential for industry and research. At the foundation of both is energy — from generation through transmission to consumption. Innovations and novel designs at all levels within a community — from individual buildings to system-wide infrastructure — will allow homes and offices to operate without noticeable sacrifice of comfort and convenience. An interdisciplinary team of professors and graduate students at Cornell University has formed to address the energy challenges of transforming Cornell University campus into a sustainable community. Cornell University’s main campus in Ithaca, NY is uniquely situated to serve as a model for validation and implementation of an advanced electricity infrastructure, commonly known as a Smart Grid. The campus owns and operates its electricity infrastructure powered by a combination of renewable energy, coal production and other electricity purchased from independent providers. In addition, similar to other communities, Cornell has a variety of building types, each having its unique energy consumption profile and thus providing great opportunities for interaction between buildings. This can prove to be very beneficial in our validation as all communities have variable load profiles. With new capital expenditures for new infrastructure, we expect to see a great reduction in energy costs and lowered operation costs resulting from the implementation of smart-grid in the present electric grid. Moreover, introducing demand response schemes, one of the major components of a smart-grid, would allow the community to incorporate more renewable energy sources into its energy mix, increase energy efficiency, and achieve significant monetary savings.
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Roy, Gargi, and Zhou Wen Chong. "Towards child-friendly mega-delta cities in Asia. A critical literature review." In Post-Oil City Planning for Urban Green Deals Virtual Congress. ISOCARP, 2020. http://dx.doi.org/10.47472/uuga9354.
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The ‘reinstatement’ of children within the planning discourse reflects a scholarly and professional recognition of the interdependencies between urban space and critical health issues of specific social groups (Gleeson & Sipe, 2006). This research paper interrogates the international policy concept of child-friendly cities, defined as “any system of local governance committed to fulfilling child rights as articulated in the Convention on the Rights of the Child. It is a city or community where the voices, needs, priorities and rights of children are an integral part of public policies, programmes and decisions” (UNICEF, 2018: 10). It considers the conceptual limitation of the policy concept when children’s ability to survive, grow and thrive are increasingly threatened by extreme weather events and environmental degradation. The research paper looks specifically at the urban challenges faced by mega-delta cities in Asia (e.g. Bangkok, Dhaka, Hanoi, Ho Chi Minh City, Kolkata, Shenzhen, Yangon) where children make up a sizeable demographic group. Utilizing the uneven spatial development of Dhaka, Bangladesh (Ganges-Brahmaputra Delta) as case study, the paper explores how the conceptual limitation of CFCs shapes its implementation gaps. Lastly, this research paper considers the long-term impact of the COVID-19 pandemic on children living in the mega-deltas cities of Asia.
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Hettiarachchi, A. A., and D. R. Perera. "IMPACT OF COLOUR ON DEPRESSION, ANXIETY AND STRESS LEVELS OF PHYSICALLY DISABLED PATIENTS IN HEALTH CARE FACILITIES." In Beyond sustainability reflections across spaces. Faculty of Architecture Research Unit, 2021. http://dx.doi.org/10.31705/faru.2021.6.
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Physically disabled community in Sri Lanka is not receiving sufficient attention with reference to the conduciveness of their living environments. The patients who are harrowed with mobility impairments should be supported to overcome challenges which hinder the smooth functioning of day today physical activities while maintaining their psychological health by incorporating disabled-friendly, optimum healing design interventions. In view of this, an attempt was made to determine the impact of interior colours to reduce depression, anxiety and stress levels of disabled individuals. The investigation was executed with reference to wall colour of patient’s (n=15) bedrooms of a selected rehabilitation centre, at Ragama. The impact of three selected hues (blue, yellow and green) were tested by installing colour panels on the sidewall of the beds, allowing the participants to be exposed to each colour for three consecutive days. Depression, anxiety and stress levels of participants were measured using DASS-21. Impact of green colour was found to be more favourable to reduce depression, anxiety and stress levels of participants over blue and yellow. It is recommended to extend this study further to test different hues, shades and intensities of green colour with long-term exposure, to enhance psychological health and well-being of disabled patients in health care facilities.
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A. Clarke, Martina, Lisa L Neitzke, and Kathryn M Cooper. "Shared Living Providers (SLP) Experience Documentation Burden While Caring for Individuals with Intellectual and Developmental Disabilities (I/DD)." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002095.
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Shared living providers (SLPs) have identified administrative burden as a major contributor to burnout and the decreased effectiveness of care delivery. SLPs are individuals that allow persons with I/DD to reside in their residential home while providing caregiving support in daily living activities, community integration, and many other activities. This project addresses health information technology (HIT)-related documentation burden, which is a critical barrier to progress in the intellectual and developmental disabilities (I/DD) support field. The aim of this study is to determine SLPs’ perception of documentation burden while caring for individuals with I/DD.MethodsSeventeen SLPs were surveyed to understand their perception of documentation burden to determine its role in burnout. The survey used to measure documentation burden was the Burden of Documentation for Nurses and Midwives (BurDoNsaM) survey. The BurDoNsaM is a 28-item validated survey, categorized using 6 subscales, representing essential areas of documentation burden. Three of the six subscale in the BurDoNsaM survey was used in this study. The three subscales included were: (1) views about value of clinical documentation, (2) burden of documentation, and (3) time taken to complete documentation. Seventeen of the 28 survey items were relevant to SLP duties and was included in our pilot study. SLPs were recruited after their clinic visit from University of Nebraska Medical Center (UNMC) Munroe Meyer Institute (MMI) Adult I/DD clinic. Survey data was recorded and stored in a secure database. The data was summarized using descriptive statistics.DiscussionThis pilot study was able to identify the areas that cause documentation burden for SLPs. Respondents found value in clinical documentation. Despite its value, respondents reported that the documentation process complex and is time consuming. SLPs are required to comply with an increasing, wide-ranging body of requirements to deliver and receive payment for care of individuals with I/DD. The cost of compliance with these requirements has long term effects, such as, increased cognitive load and burnout. Limitations of this pilot study include a small sample size. Future research should include a larger sample size and qualitative data to further identify the specific areas that cause the most burden.
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Delfini, A. "Scientific activity of Sapienza University of Rome aerospace systems laboratory on the study of lunar regolith simulants, focusing on their effect on the microwave fields propagation." In Aeronautics and Astronautics. Materials Research Forum LLC, 2023. http://dx.doi.org/10.21741/9781644902813-103.
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Abstract. The forthcoming space missions aiming at developing new habits on the Moon and into deep space are opening new challenges for materials scientists in enabling in-situ efficient systems and subsystems. During the last decades, Space Agencies programs of long-term missions addressed to the future Moon colonization moved the aerospace research interest toward the knowledge of how the lunar conditions could represent scientific and technological tasks to be tackled, to deal with such a big challenge. Among very many matters, a still open question is to understand how proper the lunar environment would be for TLC systems daily used on Earth, or whether it should be necessary to establish different stable systems on the Moon by finding alternative solutions with respect to the Earth conventional technologies. This paper introduces the scientific activity developed during recent years at the Aerospace Systems Laboratory of Sapienza University of Rome, concerning the study of lunar regolith with focus on its effect on the microwave fields propagation. The research addresses such task by simulating several representative Moon environmental conditions, reproducing well defined chemical/physical background in terms of atmospheric parameters and soil compositions, as from the available literature data, and analyzing the microwave propagation characteristics to design efficiently mobile TLC systems operating on the Moon. With the further objective of considering regolith as main routine resource for drawing up systems and facilities constituting lunar living structures, the analysis of regolith-microwave interaction is thus focused on two specific paths, such as building airtight structures by means of ISRU methodologies and the EM compatibility (EMC) analysis of simulated lunar environment & TLC systems design. This work can be thus considered as linked to the forthcoming projects aimed at enhancing the research community knowledge about the Moon environment, by assessing scientific background and establishing technological processes for lunar TLC systems development.
Reports on the topic "Long-term community living"
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Garber, Alan. Long-Term Care, Wealth, and Health of the Disabled Elderly Living in the Community. Cambridge, MA: National Bureau of Economic Research, July 1987. http://dx.doi.org/10.3386/w2328.
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Wiener, Joshua M., Mary E. Knowles, and Erin E. White. Financing Long-Term Services and Supports: Continuity and Change. RTI Press, September 2017. http://dx.doi.org/10.3768/rtipress.2017.op.0042.1709.
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This article provides an overview of financing for long-term services and supports (LTSS) in the United States, paying special attention to how it has changed and not changed over the last 30 years. Although LTSS expenditures have increased greatly (like the rest of health care), the broad outline of the financing system has remained remarkably constant. Medicaid—a means-tested program—continues to dominate LTSS financing, while private long-term care insurance plays a minor role. High out-of-pocket costs and spend-down to Medicaid because of those high costs continue to be hallmarks of the system. Although many major LTSS financing reform proposals were introduced over this period, none was enacted—except the Community Living Assistance Services and Supports Act, which was repealed before implementation because of concerns about adverse selection. The one major change during this time period has been the very large increase in Medicare spending for post-acute services, such as short-term skilled nursing facility and home health care. With the aging of the population, demand for LTSS is likely to increase, placing strain on the existing system.
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Fang, Mei Lan, Marianne Cranwell, Becky White, Gavin Wylie, Karen Lok Yi Wong, Kevin Harter, Lois Cosgrave, et al. Aging-in-Place at the End-of-Life in Community and Residential Care Contexts. University of Dundee, January 2023. http://dx.doi.org/10.20933/100001274.
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Population aging is a global phenomenon that has presented capacity and resource challenges for providing supportive care environments for older people in later life (Bone et al., 2018, Finucane et al., 2019). Aging-in-place was introduced as a policy driver for creating supportive environmental and social care to enable individuals to live independently at home and in the community for as long as possible. Recently, there has been a move towards offering care for people with a terminal illness at home and in the community (Shepperd et al., 2016); and when appropriate, to die in supportive, home-like environments such as care homes (Wada et al., 2020). Aging-in-place principles can, thus and, should be extended to enabling supportive, home-like environments at the end-of-life. Yet, first, we must consider the appropriateness, availability and diversity of options for community-based palliative and end-of-life care (PEoLC), in order to optimise supports for older people who are dying at home or within long-term/residential care environments. Globally, across places with similar health and social care systems and service models such as in Scotland and in Canada, community-based PEoLC options are currently not uniformly available. Given that people entering into long-term/residential care homes are increasingly closer to the end of life, there is now an even greater demand for PEoLC provision in residential facilities (Kinley et al., 2017). Although most reported deaths occur within an inpatient hospital setting (50%), the proportion of overall deaths in a care home setting is projected to increase from 18% to 22.5% (Finucane et al, 2019). This suggests that long-term/residential care homes are to become the most common place of death by 2040, evidencing the need to develop and sustain appropriate and compassionate PEoLC to support those who are able to die at home and those living in residential care facilities (Bone et al., 2018; Finucane et al., 2019). This research initiative is premised on the notion that aging in place matters throughout the life-course, including at the end-of-life and that the socio-environmental aspects of care homes need to enable this.
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Bragge, Peter, Veronica Delafosse, Ngo Cong-Lem, Diki Tsering, and Suzanne Nielson. Community impacts of residential alcohol and drug rehabilitation services. The Sax Institute, June 2023. http://dx.doi.org/10.57022/jgsk1115.
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Residential rehabilitation for alcohol and other drug dependence aims to provide a structured environment for people to break addiction and reintegrate into society within a community rather than in outpatient or other settings. This Evidence Snapshot aimed to identify the community impacts of residential alcohol and drug rehabilitation services. Ten studies were reviewed, seven of which were from the US and two from Australia. A consistent theme across five studies examining community perceptions and impact was that initial concerns around the potential impacts of drug treatment facilities, including residential rehabilitation, were largely unfounded or did not materialise in the long term. Studies also reported a number of positive impacts on communities as reflected by participation in events at community rehabilitation centres, residents making contributions to communities through volunteering, and longer-term employment and associated economic impacts stemming from successful reintegration into the community following rehabilitation. Three studies examining impacts on property values reported mixed findings. One study reported negative impacts, however two studies demonstrated either no effect or higher sales in houses close to sober-living houses over time. A large study examining crime rates showed that drug treatment centres had similar crime rates to areas around liquor stores and lower rates than near corner and convenience stores. A US-based study of economic impacts reported positive impacts. The review findings raise a number of important considerations. Initial community concerns are not based on lived experience of residential rehabilitation in their area and appear to diminish once the centres are established. A number of gaps in the evidence - including a dearth of studies; lack of exploration of community knowledge; and potential under-measurement of complex outcomes such as community attitudes and sentiment – should be borne in mind when interpreting review findings.
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Boyle, M., and Elizabeth Rico. Terrestrial vegetation monitoring at Cumberland Island National Seashore: 2020 data summary. National Park Service, September 2022. http://dx.doi.org/10.36967/2294287.
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The Southeast Coast Network (SECN) conducts long-term terrestrial vegetation monitoring as part of the nationwide Inventory and Monitoring Program of the National Park Service (NPS). The vegetation community vital sign is one of the primary-tier resources identified by SECN park managers, and it is currently conducted at 15 network parks (DeVivo et al. 2008). Monitoring plants and their associated communities over time allows for targeted understanding of ecosystems within the SECN geography, which provides managers information about the degree of change within their parks’ natural vegetation. 2020 marks the first year of conducting this monitoring effort at Cumberland Island National Seashore (CUIS). Fifty-six vegetation plots were established throughout the park from May through July. Data collected in each plot included species richness across multiple spatial scales, species-specific cover and constancy, species-specific woody stem seedling/sapling counts and adult tree (greater than 10 centimeters [3.9 inches {in}]) diameter at breast height (DBH), overall tree health, landform, soil, observed disturbance, and woody biomass (i.e., fuel load) estimates. This report summarizes the baseline (year 1) terrestrial vegetation data collected at Cumberland Island National Seashore in 2020. Data were stratified across three dominant broadly defined habitats within the park, including Coastal Plain Upland Open Woodlands, Maritime Open Upland Grasslands, and Maritime Upland Forests and Shrublands. Noteworthy findings include: 213 vascular plant taxa (species or lower) were observed across 56 vegetation plots, including 12 species not previously documented within the park. The most frequently encountered species in each broadly defined habitat included: Coastal Plain Upland Open Woodlands: longleaf + pond pine (Pinus palustris; P. serotina), redbay (Persea borbonia), saw palmetto (Serenoa repens), wax-myrtle (Morella cerifera), deerberry (Vaccinium stamineum), variable panicgrass (Dichanthelium commutatum), and hemlock rosette grass (Dichanthelium portoricense). Maritime Open Upland Grasslands: wax-myrtle, saw greenbrier (Smilax auriculata), sea oats (Uniola paniculata), and other forbs and graminoids. Maritime Upland Forests and Shrublands: live oak (Quercus virginiana), redbay, saw palmetto, muscadine (Muscadinia rotundifolia), and Spanish moss (Tillandsia usneoides) Two non-native species, Chinaberry (Melia azedarach) and bahiagrass (Paspalum notatum), categorized as invasive by the Georgia Exotic Pest Plant Council (GA-EPPC 2018) were encountered in four different Maritime Upland Forest and Shrubland plots during this monitoring effort. Six vascular plant species listed as rare and tracked by the Georgia Department of Natural Resources (GADNR 2022) were observed in these monitoring plots, including the state listed “Rare” Florida swampprivet (Forestiera segregata var. segregata) and sandywoods sedge (Carex dasycarpa) and the “Unusual” green fly orchid (Epidendrum conopseum). Longleaf and pond pine were the most dominant species within the tree stratum of Coastal Plain Upland Open Woodland habitat types; live oak was the most dominant species of Maritime Upland Forest and Shrubland types. Saw palmetto and rusty staggerbush (Lyonia ferruginea) dominated the sapling stratum within Maritime Upland Forest and Shrubland habitat types. Of the 20 tree-sized redbay trees measured during this monitoring effort only three were living and these were observed with severely declining vigor, indicating the prevalence and recent historical impact of laurel wilt disease (LWD) across the island’s maritime forest ecosystems. There was an unexpectedly low abundance of sweet grass (Muhlenbergia sericea) and saltmeadow cordgrass (Spartina patens) within interdune swale plots of Maritime Open Upland habitats on the island, which could be a result of grazing activity by feral horses. Live oak is the dominant tree-sized species across...
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India: Enhancing girls' life skills requires long-term commitment. Population Council, 2005. http://dx.doi.org/10.31899/rh16.1003.
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While adolescents in India face a rapidly changing economic environment, the choices available to unmarried girls are very different from those available to boys. Girls are much less likely than boys to remain unmarried into their twenties, complete middle school, or generate income. Due to social norms, they have limited control over their life choices, and are less likely than boys to be allowed mobility within or beyond their immediate community. In 2001, the Population Council teamed with CARE India to test a pilot intervention to enhance skills and expand life choices for adolescent girls living in the slums of Allahabad. The 10-month intervention tested the effect of the skills intervention on the girls’ reproductive health knowledge, social contacts and mobility, self-esteem, and perception of gender roles. The impacts were assessed using survey responses from girls who were interviewed in both baseline and endline surveys. As noted in this brief, girls and their parents found the life skills training acceptable, but the intervention had little overall impact.