ABSTRACT
Background. Many caregivers of autistic children experience increased stress, and diminished health often due to the caregiving demands. Purpose. The project aim was to design a feasible and sustainable wellness program tailored to these caregivers' lives. Methods. In this collaborative research-informed project, participants (N = 28) were mostly female, white, and well-educated. In focus groups, we delineated lifestyle issues, then designed, delivered and assessed an initial program with one cohort; and repeated this process with a second group. Findings. Focus group data were transcribed then coded qualitatively to inform following steps. Data analysis identified lifestyle issues key to program design, desired program elements, and after program delivery, affirmed elements and recommended changes. The team used meta-inferences to guide program revisions after each cohort. Implications. Caregivers viewed resulting 5Minutes4Myself program as filling a significant service gap; its hybrid design used in-person coaching and a habit-building app with mindfulness content to support lifestyle change.
Subject(s)
Autistic Disorder , Occupational Therapy , Child , Humans , Female , Male , Caregivers , Health Promotion , Focus GroupsABSTRACT
Niger is a country in which legal restrictions and a dearth of research has long limited our understanding of the extent and safety of induced abortion. The current study is the first national study of induced abortion in Niger. It uses direct (self-report) and indirect (best friend method) to provide nationally representative estimates of induced abortion incidence and safety and evaluates the performance of the indirect measurement approach. We used cross-sectional, representative survey data on women aged 15-49 in Niger collected between January and May 2022; final sample included 3,696 women. The survey included questions on respondents' and their closest female friends' experience with abortion, including methods and sources used. We calculated one-year abortion incidence and the proportion of abortions involving non-recommended methods and/or sources to determine safety separately for respondents and friends, overall and by background characteristics. The fully adjusted one-year friend abortion rate was 6.7 abortions per 1,000 women in 2021, which was substantially higher than the corresponding respondent rate of 0.4 per 1,000 women. Confidence intervals were wide, but friend estimates suggest higher abortion rates among women in their 20s, those with secondary or higher education, and those with no children. Nearly all abortions were unsafe (97% respondents, 100% friends), involving non-recommended methods and/or sources. While abortion numbers were small, unsafe abortion appeared more common among older women, married women, those with children, and those residing in rural areas. Our findings indicate that, despite legal restrictions, some women undergo abortions in Niger at great risk to their physical safety. Ensuring adequate access to quality voluntary family planning services to prevent unintended pregnancy and postabortion care to treat complications is essential to reducing the risk of unsafe abortion in the country.
ABSTRACT
Recent evidence shows that Acropora palmata within the Veracruz Reef System, located in the southwestern Gulf of Mexico, may be recovering after the die off from the flooding of the Jamapa River and a dramatic cold water event in the 1970s. Since this decline, few surveys have documented the status of A. palmata. The 28 named reefs in the system are divided into 13 northern and 15 southern groups by the River. Between 2007 and 2013, we surveyed 24 reefs to assess the benthic communities. Seven of the 11 reefs surveyed in the northern group and all in the southern group had A. palmata. Colonies were typically found on the windward side of the reefs in shallow waters along the reef edges or crest. We also recorded colony diameter and condition along belt transects at two reefs in the north (Anegada de Adentro and Verde) and two in the south (Periferico and Sargazo), between 2011 and 2013. In addition, eight permanent transects were surveyed at Rizo (south). A total of 1 804 colonies were assessed; densities ranged from 0.02 to 0.28 colonies/m² (mean (±SD), colony diameter of 58 ± 73cm, and 89 ± 18% live tissue per colony). Total prevalence of predation by damselfish was 5%, by snails 2%, and <1% by fireworms, disease prevalence was <3%. Size frequency distributions indicated that all of the sites had a moderate to high spawning potential, 15-68% of the colonies at each site were mature, measuring over 1 600cm². The presence of these healthy and potentially reproductive colonies is important for species recovery, particularly because much of the greater Caribbean still shows little to no signs of recovery. Conservation and management efforts of these reefs are vital.
Evidencia reciente indica que las poblaciones de Acropora palmata del sistema arrecifal de Vera Cruz, ubicado al suroeste del Golfo de México, podría estarse recuperando después de las inundaciones del río Jamapa e intrusiones de agua fría que afectaron la región en los años setenta. Desde la disminución, pocos estudios han documentado el estado A. palmata. Consiste de 28 arrecifes divididos 13 al norte y 15 al sur del río. Entre el 2007 y 2013 se muestrearon 24 arrecifes para caracterizar las comunidades bentónicas. Siete de los 11 arrecifes del norte y en todos los arrecifes del sur tenían A. palmata. Las colonias se encontraron por lo general en el barlovento de los corales en agua sómeras a lo largo del borde del arrecife. También registramos los diámetros de las colonias y condición a lo largo de transectos tipo conturón en dos arrecifes al norte (Anegada de Adentro y Verde) y dos en el sur (Periférico y Sargazo), entre el 2011 y 2013. Además, ocho transectos se evaluaron en Rizo (al sur). Evaluamos un total de 1 804 colonias; las densidades variaron entre 0.02 a 0.28 colonias/m² (promedio (±DE) del diámetro de colonia 58± 3cm y 89±18% de tejido vivo por colonia). La depredación fue 5% por peces damisela, 2% por caracoles y <1% por gusanos, prevalencia de enfermedades <3%. La distribución de tamaños indicó que las poblaciones tienen un potencial moderado a alto de desove, 15-68 de las colonias eran maduras, y medían más de 1 600cm².La presencia de estas colonias saludables y potencialmente reproductivas son importantes para la recuperación de especies, particularmente porque el Caribe muestra muy pocas o ninguna señale de recuperación. Esfuerzos en conservación y manejo en estos arrecifes es vital.
ABSTRACT
Children's work has largely been overlooked by researchers of many disciplines due to sociohistorical trends that fostered the notion that childhood should be a time free of work. Likewise, it has received little attention in occupational therapy most likely due to the influence of these historical developments on occupational therapy rhetoric and values. This paper begins by describing the influence of child labor laws and reformation on children's participation in work. Next, using a comprehensive review of the literature gathered from social sciences, a critical examination of the historical and current research on children's work is provided. This synthesis is framed in concepts of occupational science analyzing the evidence that describes the nature, form, function, and meaning of children's work. For occupational therapists working with children with disabilities, this research provides beginning guidelines for occupation-based work interventions and typical expectations for nondisabled children that may be applied using clinical reasoning to populations with disabilities.
Subject(s)
Work , Child , Child, Preschool , Ethnicity , Family/psychology , Humans , Occupational Therapy , Play and Playthings/psychology , Socialization , Task Performance and Analysis , Teaching , Work/psychology , Work/trendsABSTRACT
BACKGROUND: This paper synthesizes research and theory on aspects of activities producing variations in perceived temporality and subjective experience. SYNTHESIS: A proposed continuum of variations of six temporal experience are described: 1) protracted duration--elapsed time feels greater than actual elapsed clock time; 2) synchronicity--match of clock and perceived time; 3) compression--perceived time feels shorter than clock time; 4) flow--a sense of timelessness; 5) interstitial--perceived stoppage of clock time; and 6) temporal rupture--disruption of synchronicity of clock time. Five contextually situated steps that generate each of these temporal variations explain how these variations unfold in the experience of occupation. This synthesis is the basis for the Dynamic Occupation in Time (DOiT) Model which also incorporates the key occupational therapy concepts of human agency, personal engagement, context, and culture. PRACTICE IMPLICATIONS: Investigating how occupations produce various temporalities and experiences will allow occupational scientists to investigate the underlying complexities of occupation-based practice. Also, by understanding more about the dynamic nature of occupations and appreciating the fluid quality of persons within their occupational context, occupational therapists can improve their design of occupation-based interventions.
