OBJECTIVES To develop an evidence and theory-based complex intervention for improving outcomes in elderly patients following hip fracture. DESIGN Complex-intervention development (Medical Research Council (MRC) framework phase I) using realist literature review, surveys and focus groups of patients and rehabilitation teams. SETTING North Wales. PARTICIPANTS Surveys of therapy managers (n=...

OBJECTIVES To compare the prediction of cognitive functioning by formal education and self-rated literacy and the differences in prediction across younger and older cohorts. METHOD Data on 28,535 respondents were drawn from a cross-sectional representative sample of community-dwelling older individuals (≥50), participating in the Survey of Health, Ageing, and Retirement in Europe. Education l...

Daily food intake in rats was temporarily reduced by the introduction of an activity wheel and temporarily increased by the subsequent removal of the wheel. When this outcome is coupled with the positive relation between food deprivation and running-and food deprivation is seen as a loss of eating rather than as a physiological state-there is the suggestion that the total behavior output of the...

PURPOSE To identify inexpensive, noninvasive, portable, clinical assessment tools that can be used to assess functional performance measures that may put older patients at risk for falls such as balance, handgrip strength, and lumbopelvic control. PATIENTS AND METHODS Twenty fragility fracture patients and 21 healthy control subjects were evaluated using clinical assessment tools (Nintendo Wi...

The purpose of this study was to determine if there was an association between care coordination, family-centered care, and functional ability among children with special health care needs (CSHCN). Analysis of data from the 2005-2006 National Survey of CSHCN revealed that the percentages of CSHCN receiving care coordination and family-centered care were 59.3 and 66.3, respectively. Children who...

Negotiation is a complex process aimed at reaching agreement about the exchange of goods or services. Although a daily activity, few people are effective negotiators [10]. Existing Negotiation Support Systems (NSS) can improve the human performance in negotiations and increase the number of win-win outcomes if the negotiation space is well-understood [5]. However, to develop the negotiation spa...

PURPOSE Building on the disablement process model and the concept of person-environment fit (p-e fit), this review article examines 2 critical questions concerning the role of home environments: (a) What is the recent evidence supporting a relationship between home environments and disability-related outcomes? and (b) What is the recent evidence regarding the effects of home modifications on di...

Purpose Using a three-week household activity-travel survey, this paper explores the relationship between individuals’ selfreported physical, mental and social health conditions and their time allocation for different types of in-home and outof-home time activities. Methods A path model is developed to investigate the roles of activity-travel time use on the self-reported health conditions, whi...

BACKGROUND In spite of evidence that physical activity has beneficial effects on health and age-related functional decline, there is a scarcity of detailed and accurate information on objectively measured daily activity and patterns of such activity in older adults. METHODS Participants in the Baltimore Longitudinal Study of Aging (n = 611, 50% male, mean age 67, range 32-93) wore the Actihea...