The purpose of this study was to examine the relationship between family leisure that includes physical activity and family functioning among families that have at least one child (17 years old or younger) at home. The sample consisted of 519 families. Data were analyzed from a parental perspective. Family leisure that includes physical activity was determined by using an adapted version of the Family Leisure Activity Profile (FLAP). Family functioning was determined using FACES II. Univariate analyses indicated significant positive correlations between the amount of the intensity present during physical activity participation and family functioning, cohesion, and adaptability. Multivariable analyses indicated a significant positive relationship between family leisure involvement and family functioning. Both core and balance family leisure patterns were predictors of family functioning; however, core family leisure patterns were the strongest family leisure predictor of family functioning. Intensity of physical activity during family leisure, as indicated by the results of the multivariable analyses, was not significant in explaining the variance of the dependent variable: family functioning. For the sample of this study, home-based recreational activities were preferred over all other types of family recreation even if families were living by public parks or recreational centers. Implications for recreational practitioners, other interesting findings, and recommendations for further research are discussed.

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Syftet med studien är att skapa förståelse för hur snabb omställning till distansarbete i samband med pandemin har påverkat kommunikation och samarbete inom en organisation. I studien kommer medarbetarnas upplevelser av den informella och formella kommunikationen samt samarbeten att undersökas, för att se om det finns några skillnader före och under pandemin. Teorin Communicative constitution of organisation (CCO) och McPhee och Zaugs fyra-flödesmodell har använts för att skapa en djupare förståelse för kommunikationens betydelse inom organisationen. Modellen lyfter fram begrepp som informell och formell kommunikation samt samarbete, dessa utgör tre viktiga byggstenar för en organisation. I studien används ett kvalitativt tillvägagångssätt och det empiriska materialet samlas in genom sju semistrukturerade intervjuer. Respondenterna i studien är individer som under pandemin varit tvungna att ställa om till distansarbete hemifrån och som inte hade tidigare erfarenhet av distansarbete. Resultatet i studien visar hur viktig kommunikationen inom en organisation är för både enskilda medarbetare och arbetsgrupper. Den informella kommunikationen har minskat, däremot har respondenterna hittat sätt för att behålla en del av det informella. Resultatet visar även att antalet formella möten har ökat samt blivit mer effektiva. När det kommer till samarbeten är upplevelsen hos respondenterna att det blivit svårare digitalt men att de fått en bättre struktur och högre grad av flexibilitet.

Malaria is endemic in Uganda. The study attempted to determine how Ugandan caregivers managed home-based care of fever. Structured interviews were conducted with sixty caregivers of children under five. In 15 (25.0%) out of the 60 interviewed households, at least one child had reportedly died from malaria. Caregivers’ decisions were influenced by health education, family members, community leaders and other caregivers. Most caregivers knew about malaria, but lacked knowledge about its danger signs, and about the services of village drug distributors. Most caregivers initiated treatment for fever at home before taking the children to health units. Mosquito nets, indoor residual spraying and other malaria preventive measures were rarely used due to lack of funds. The recommendations include that anti-malaria drugs should always be available and accessible, the services of village drug distributors should be improved, health education should be enhanced, malaria preventive measures should be implemented and sustained. / Health Studies / M.A. (Public Health)

Thesis (MA (Psychology))--University of Stellenbosch, 2006. / An immense burden is placed on families caring for a member with a mental disorder as a result of deinstitutionalisation in South Africa. The aim of present study was to identify resilience factors in families living with and caring for a member with a mental disorder. The focus was on families living in an underprivileged, semi-rural area; caring for a patient using the state-sponsored psychiatric services. Using a cross-sectional survey design, interviews were conducted with 34 family representatives. During these interviews, qualitative and quantitative data was gathered by means of a biographical questionnaire, an open-ended question and set of self-report questionnaires. The results yielded from the data analysis are in keeping with findings from international and South African family resilience studies. After content analysis of the qualitative data, three themes related to resilience factors emerged: internal factors within the home, external factors outside of the home and factors related to the member with a mental disorder. The most commonly mentioned resilience factors cited by the family representative were religion and spirituality, characteristics of individual family members (excluding the patient), family characteristics, and social support. Spearman’s correlations and best subsets multiple regression analysis were performed on the data to ascertain which factors are significantly correlated or associated with family adaptation. In both statistical analyses, communication styles of the family unit were the most important. Spearman’s correlations further revealed that in addition to family communication, the ability of the family to work together, and communication between the marital couple had the strongest correlation with adaptation. Passive acceptance of problematic issues in the family has a negative correlation with family adaptation. The two most significant predictor variables of family adaptation are the family’s style of family communication during crises and the family’s use of passive appraisal as a coping style.

There is compelling evidence for the effectiveness of home-based occupational therapy and physiotherapy rehabilitation for community dwelling elderly who may struggle with basic activities and the functions of daily living and mobility. Nonetheless, an estimated 2% of home care’s elderly clients receive these therapies. Ontario’s home care data indicates that 78% of clients that could benefit from these specific therapies are not receiving them. The study examined a subset of elderly clients receiving home care following a hospital discharge during 2009-2010. The aim of this study was to: understand the difference between those home care clients who received occupational therapy or physiotherapy and those who did not; and determine if receiving these therapies impacted the utilization of hospital emergency departments and inpatient admissions. A retrospective cohort design and multivariate and survival analysis of hospital and home care administrative data structured the study. Results suggest that home-based rehabilitation is offered to a minority of the home care population. Distinct client characteristics and process variables significantly associated with the increased likelihood of receiving home-based occupational and physical therapies included: clients who were older, females, admitted to home care from hospital inpatient units, assessed as non-acute for clinical and service needs and required more home making support and assistance with activities of daily living. Almost one quarter of the total sample returned to hospital. Visits to emergency departments accounted for the greater part of hospital utilization and primarily for sub-acute general symptoms and signs, post-procedural complications, infections or acute episodes from chronic obstructive pulmonary disease and renal failure. Slightly over half of the clients returning to hospital did not receive home-based rehabilitation. Clients who received occupational therapy returned to the hospital sooner following their home care admission whereas clients receiving physiotherapy spent the longest time before rehospitalizing. The majority of the clients receiving occupational therapy were admitted to home care having just resolved sub-acute conditions or symptoms, many of which are known to influence functional and physical decline. Moreover, analysis of process variables indicated that the wait time for a referral to occupational therapy was two times longer compared to physiotherapy. These same clients also waited, on average, over one month before an occupational therapist’s first visit. The need to discriminate who receives home-based rehabilitation is essential to understanding how specific therapies contribute to improving systems outcomes. This study is the first examination that focuses specifically on home-based occupational therapy and physiotherapy rehabilitation and the client characteristics and process variables associated with receiving/not receiving these therapies and the impact these factors have on the time-to-rehospitalization. / Thesis (Ph.D, Rehabilitation Science) -- Queen's University, 2013-06-27 12:24:53.085

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal.

Thesis (M. Nursing Science) --University of Limpopo, 2018 / Introduction: Diabetes mellitus has become a worldwide problem that is continuing to rise resulting in morbidity and mortality in developing countries.Finland developed the FINDRISC tool. Canada uses the Finnish Diabetes Risk Score (FINDRISC) tool and the Canadian Diabetes Risk Questionnaire (CANRISC), Germany has developed the German Diabetes Risk Score (GDRS). These risk scores are all self-assessment tools meant for assessing the risk of diabetes. They cover variables such as age, waist circumference, height, history of hypertension, physical activity, consumption of alcohol, coffee, whole grains and red meat (Buijsse, Simmons, Griffin & Schulze, 2010). Aim: To determine the feasibility of Home-Based Carers (HBCs) on the use of the FINDRISC tool to assess diabetes mellitus (DM) patients at Ga-Dikgale Village, South Africa. Methodology: A quantitative, descriptive cross–sectional design has been used to describe knowledge and practices of HBCs in using FINDRISC tool to assess the Diabetes Mellitus patient at the Dikgale village. Fifty two (52) HBCs have been assessed and homogeneous purposive convenience sampling has been used. A modified (tool) has been used by the HBCs to assess the risk status of people to determine diabetes risk status while the researcher scored the HBCs on the utilisation of modified FINDRISC tool after they have demonstrated all sections of the risk assessment tool. Data analysis has been done using (Statistical Package for Social Sciences) IBM ABSTRACT vii SPSS version 24 software and Microsoft excel sheet. Results: This study has found that HBCs can play in important role in the assessment of patients at risk of developing diabetes in the communities by using the assessment tool. The knowledge and skills of the HBCs that have been acquired throughout the years can be augmented by strengthening the primary health care re-engineering programme and in-service training that can be tailored for proper functioning of the HBCs within the health care team. Conclusion and recommendation: The burden of DM can be alleviated through the use of FINDRISC tool by determining diabetes risk status and employ necessary precautions to assist people who are at risk. This study recommend that the FINDRISC tool be modified in order to be relevant to the African perspective by validating of the tool through taking blood samples from people who are at risk . Keywords: diabetes mellitus, home-based carers, Finnish diabetes risk score tool, feasibility, assessment of patients at risk.

This dissertation studies factors that predict use of public eldercare, informal care, and purchase of private services in relation to an individual’s needs, social network characteristics, and sociodemographic factors. A further purpose is to examine whether use of public eldercare is correlated to receipt of informal care and purchase of private services in the Swedish welfare state. The dissertation is based on the Kungsholmen Study, a population-based longitudinal study. Studies I–III used cross-sectional data from community-dwelling people aged 81-100 and examined (I) gender, (II) marital and parental status, and (III) dementia and depressive symptoms as predictors of use of home help. Study IV analyzed factors related to moving into institutional care and receipt of home help from 1994/96 to 2000. The majority of support provided to elders living in the community comes from informal sources, even among people living alone. There was considerable overlap between home help and informal care. When all sources of care were considered, childless individuals had comparatively lower odds of receiving care. Factors predicting use of public eldercare and informal care differed depending on whether or not elders coresided. No gender differences in use of formal and informal care were found when controlling for household composition. Living alone, dementia, need of help with household chores, and walking limitations increased the likelihood of using public eldercare. Coresidence, informal care from outside the household, and use of private services decreased the likelihood. Depressive symptoms increased the likelihood of receiving home help and institutionalization when using longitudinal data, but not in the cross-sectional studies. Educational level was of importance and interacted with several factors; persons with higher levels of education were advantaged. Very few people moved into institutional care without previously having received home help services. Essentially the same factors that predicted receipt of home help services also predicted institutionalization.

This study examines the experiences of highly educated South Asian immigrant women working as home-based entrepreneurs within ethnic enclaves in Toronto, Canada. The importance of their work and experiences need to be understood in the context of two processes. On the one hand, there is the neoliberal hegemonic discourse of “enterprising self” that encourages individuals to become “productive”, self-responsible, citizen-subjects, without depending on state help or welfare to succeed in the labour market. On the other hand, there is the racialized and gendered labour market that systematically devalues the previous education and skills of non-white immigrants and pushes them towards jobs that are low-paid, temporary and precarious in nature. In the light of the above situations, I argue that in the process of setting up their home-based businesses, South Asian immigrant women in my study negotiate the barriers they experience in two ways. First, despite being inducted into different (re)training and (re)learning that aim to improve their deficiencies, they continue to believe in their abilities and resourcefulness, thereby challenging the “remedial” processes that try to locate lack in their abilities. Second, by negotiating gender ideologies within their families and drawing on community ties within enclaves they keep at check the individuating and achievement oriented ideology of neoliberalism. They, therefore, demonstrate how the values of an “enterprising self” can be based on collaboration and relationship rather than competition, profit or material success. The concept of “negotiation”, as employed in this thesis, denotes a form of agency different from the commonly perceived notions of agency as formal, large-scale, macro organization or resistance. Rather, the concept is based on how women resort to multiple, various and situational practices of conformity and contestation that often can blend into each other.