자연주의적 탐구조사(Naturalistic Inquiry)

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Using Multivariate Statistics

March 5, 2019 e1 WRITING GROUP MEMBERS Emelia J. Benjamin, MD, ScM, FAHA, Chair Paul Muntner, PhD, MHS, FAHA, Vice Chair Alvaro Alonso, MD, PhD, FAHA Marcio S. Bittencourt, MD, PhD, MPH Clifton W. Callaway, MD, FAHA April P. Carson, PhD, MSPH, FAHA Alanna M. Chamberlain, PhD Alexander R. Chang, MD, MS Susan Cheng, MD, MMSc, MPH, FAHA Sandeep R. Das, MD, MPH, MBA, FAHA Francesca N. Delling, MD, MPH Luc Djousse, MD, ScD, MPH Mitchell S.V. Elkind, MD, MS, FAHA Jane F. Ferguson, PhD, FAHA Myriam Fornage, PhD, FAHA Lori Chaffin Jordan, MD, PhD, FAHA Sadiya S. Khan, MD, MSc Brett M. Kissela, MD, MS Kristen L. Knutson, PhD Tak W. Kwan, MD, FAHA Daniel T. Lackland, DrPH, FAHA Tené T. Lewis, PhD Judith H. Lichtman, PhD, MPH, FAHA Chris T. Longenecker, MD Matthew Shane Loop, PhD Pamela L. Lutsey, PhD, MPH, FAHA Seth S. Martin, MD, MHS, FAHA Kunihiro Matsushita, MD, PhD, FAHA Andrew E. Moran, MD, MPH, FAHA Michael E. Mussolino, PhD, FAHA Martin O’Flaherty, MD, MSc, PhD Ambarish Pandey, MD, MSCS Amanda M. Perak, MD, MS Wayne D. Rosamond, PhD, MS, FAHA Gregory A. Roth, MD, MPH, FAHA Uchechukwu K.A. Sampson, MD, MBA, MPH, FAHA Gary M. Satou, MD, FAHA Emily B. Schroeder, MD, PhD, FAHA Svati H. Shah, MD, MHS, FAHA Nicole L. Spartano, PhD Andrew Stokes, PhD David L. Tirschwell, MD, MS, MSc, FAHA Connie W. Tsao, MD, MPH, Vice Chair Elect Mintu P. Turakhia, MD, MAS, FAHA Lisa B. VanWagner, MD, MSc, FAST John T. Wilkins, MD, MS, FAHA Sally S. Wong, PhD, RD, CDN, FAHA Salim S. Virani, MD, PhD, FAHA, Chair Elect On behalf of the American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee

Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association

Lincoln, Yvonna, and Egon Guba, "Postpositivism and the Naturalist Paradigm," pp. 14-46 in Yvonna Lincoln and Egon Guba, Naturalistic Inquiry . Beverly Hills, CA: Sage, 1985.*

Background: The American Heart Association, in conjunction with the National Institutes of Health, annually reports on the most up-to-date statistics related to heart disease, stroke, and cardiovas...

Heart Disease and Stroke Statistics—2020 Update: A Report From the American Heart Association

Purpose : The aim of this paper is to position, define and discuss three concepts crucial for research and practice concerning person-environment relationships, viz accessibility, usability and universal design Methods : Literature review, synthesized with the authors' research and practice experiences Results : The authors suggest an instrumental, three-step definition to accessibility, highlighting that accessibility comprises a personal as well as a environmental component, and that accessibility must be analysed by an integration of both Suggesting the introduction of an activity component, accessibility should partly be replaced by the more complex term usability Universal design is highlighted as a more process-oriented but less stigmatizing concept Conclusion : This paper contributes to the positioning and definition of concepts describing person-environment relationships The definitions suggested challenge current terminology, but can support in developing more efficient research and practi

Accessibility, usability and universal design--positioning and definition of concepts describing person-environment relationships.

The effects of the physical-spatial-technical environment on aging well have been overlooked both conceptually and empirically. In the spirit of M. Powell Lawton's seminal work on aging and environment, this article attempts to rectify this situation by suggesting a new model of how older people interact with their environment. Goals of the paper include (a) integration of the essential elements of the ecology and aging literature, particularly in regard to Lawton's research, (b) development of connections between traditional theories of ecology of aging and life span developmental models of aging well, (c) acknowledgment of the pronounced historical and cohort-related changes affecting the interactions of older people with their environment, and (d) discussion of the implications of this analysis for concepts and theories of aging well. The model builds on a pair of concepts: environment as related to agency and belonging, founded in motivational psychology, and developmental science. After describing the model's key components, we discuss its heuristic potential in four propositions for future gerontological research and identify implications of the model for future empirical research. (Less)

Aging Well and the Environment: Toward an Integrative Model and Research Agenda for the Future

Purpose: The aim of this work is to examine the relationship between aspects of objective and perceived housing and aspects of healthy aging, defined as independence in daily activities and subjective wellbeing. Furthermore, this research examined the comparability of relationships between housing and healthy aging in the five European countries. Design and Methods: Data were drawn from the ENABLE-AGE Project, from home interviews with a sample of 1,918 very old people aged 75. to 89 years living alone in their own homes in Swedish, German, British, Hungarian and Latvian urban areas. Results: Participants living in better accessible homes, who perceive their home as meaningful and useful, and who think that external influences are not responsible for their housing situation are more independent in daily activities and have a better sense of well-being. Moreover, these results apply to all five national samples. Implications: The findings can widen the perspective when striving for barrier-free building standards, to encompass a holistic approach that takes both objective and perceived aspects of housing into account. Home modification and relocation should not be prescribed, but need to be negotiated with older adults to take into account their personal preferences.

https://www.psychologie.uni-heidelberg.de/mediendaten/ae/apa/fo_relationships_2007.pdf

Relationships between housing and healthy aging in very old age

Objectives This study focuses on the continuation of gainful employment after experiencing stroke, addressing factors indicative of readiness for return to work, subjective well-being and life satisfaction. Methods The target group comprised 120 patients, studied by means of medical records and postal questionnaires. Results A total of 41% had returned to work, although there were changes concerning employers, assignments and working hours. Individuals who had returned to work reported a significantly higher level in subjective well-being and life satisfaction. Being able to walk meant the greatest chance of returning to work (odds ratio = 3.98) followed by white-collar worker (odds ratio = 2.99) and having preserved cognitive capacity (odds ratio = 2.64). Conclusion Returning to work after stroke is a major factor for high subjective well-being and life satisfaction. Three factors indicative of readiness for return to work were identified, providing implications for more efficient vocational rehabilitation programmes.

/pdf/indicators-for-return-to-work-after-stroke-and-the-krfte4qy2x.pdf

Indicators for return to work after stroke and the importance of work for subjective well-being and life satisfaction.

In occupational therapy and occupational science, it is important to clarify the perspective from which the analysis of occupation is addressed. The purpose of this paper is to present a tentative structure for describing occupation, allowing for analysis in a lifelong panorama as well as for the immediate experience a person acquires from performing a single occupation. The concept of occupational value is introduced as a prerequisite for meaning, defining three different dimensions: concrete, symbolic, and self-reward value. A dynamic categorisation of single occupations is presented, considering each unique occupational performance viewed from a macro, meso, and a micro perspective, inspired by dynamic systems theory. It is proposed that all occupations are meaningful if they are integrated parts of a person's occupational continuity, and that it is the interaction between the mentioned three perspectives that determines their meaningfulness. With an explicit focus on value and meaning as perceived by the unique person, occupational therapists will become more skilled in designing meaningful occupational therapy interventions. This paper is a contribution to the development of occupational science as well as to occupational therapy, but the theoretical framework presented must be empirically tested in order to demonstrate its validity.

Susanne Iwarsson

Papers

Accessibility, usability and universal design--positioning and definition of concepts describing person-environment relationships.

Aging Well and the Environment: Toward an Integrative Model and Research Agenda for the Future

Relationships between housing and healthy aging in very old age

Indicators for return to work after stroke and the importance of work for subjective well-being and life satisfaction.

Value dimensions, meaning and complexity in human occupation - a tentative structure for analysis.