Health is a multidimensional, holistic, concept integrating physical and mental health. In childhood, the most common cause of physical disability is Cerebral Palsy (CP). For individuals with CP, health and well-being is impacted by the complex interactions among their physical impairments, activity, participation and environmental barriers. Although CP is considered non-progressive, secondary conditions (pain and fatigue) and their functional consequences have been found to worsen as the individual with CP ages. While preliminary evidence shows that many of the physical impairments (pain, fatigue, depression) reported in adults with CP begin during late adolescence, there is little information about the role personal and environmental factors, impairments, activity limitations, and participation restrictions have on health and well-being of young adults with CP. To understand the health and well-being of young adults with CP, the International Classification of Functioning, Disability and Health (ICF), a World Health Organization framework, guided the selection of survey instruments for this study. Surveys were sent to 610 young adults (18-30 years) with CP. 95 surveys were returned, 55 were self-reported and 40 were completed by proxies. Increasing severity of impairment was associated with decreased participation in daily activities and social roles, while loss of ambulatory ability, pain, fatigue, depression, and activity level did not differ by severity of impairment. Environmental barriers restricted the level of participation only for the self-report participants. Health status was decreased in those who self-reported increased pain, fatigue, and depression; offset by emotional support. Life satisfaction was decreased by depression and poor health; offset by emotional support. Addressing the physical impairments, activity limitations, participation restrictions, personal factors and environmental barriers impacting young adults with CP requires coordinated efforts among the medical, educational and vocational systems. These efforts need to begin early with appropriate assessment and treatment of impairments, provision of assistive technologies and augmentative communication, and adaptation of the environment to facilitate participation in activities and social roles. The health and well-being in young adults with CP can also be improved with enhanced emotional support beyond the family unit through peer support groups, mentors, and other adult role models.

Most of the empirical research on later life well-being in Taiwan has focused on demographic, structural factors and resources flow, and tended to ignore the meaning and beliefs older Taiwanese assign to aging and the consequences. In light of dramatic social transformation and the changing nature of elderly support, the empirical test of the values and beliefs about later life and their effects may provide a significant viewpoint in understanding why some older adults in Taiwan are healthier and live longer than others. This project employs a national representative data drawn from the Survey of Health and Living Status of the Elderly in Taiwan in year 1996 and 1999. Beliefs about aging are conceptualized into several constructs and each is linked to three dimensions of health outcomes: physical health, mental health and mortality. In addition, I tested whether engagement in healthy habits, supportive social relationships, and greater involvement in social activities account for the associations. Results suggest that general higher levels of positive beliefs about aging are predictive of improved health and longevity over time. When I divide general beliefs into positive and negative domains, I find that positive beliefs improve health largely through life style factors. While, compared to positive beliefs, negative beliefs seem to exert stronger effects on health through pathways well beyond an individual's lifestyle. That is, pessimistic views on aging may be more detrimental to health because domains related to negative beliefs (e.g., "boredom and uselessness" and "financial insecurity") directly challenge an individual's desires to search for a sense of meaning, purpose and security later in life. Taken together, this study shows that positive beliefs about aging shape proactive behaviors and translate limited resources into opportunities, eventually leading to better health outcomes. In contrast, viewing aging in an unfavorable way may limit an individual's pursuit for a better life, and, in turn, impact health and well-being, regardless the actual resources possessed by the individuals. Therefore, this study suggests despite physically intact, generally active, and supportive relationships, the individual's subjective perception of aging is another important determinant in securing a healthy later life among elderly Taiwanese. / text

Personal well-being is a state that involves feelings and thoughts. This concept is investigated in learning area Life Orientation and integrated in the curriculum as a learning outcome for Further Education and Training learners in grades 10-12. A literature study was done to discuss/clarify dimensions of personal well-being that is general subjective, psychological, social and spiritual well-being and mental health. Perspectives, theories, principles and features pertaining to well-being were investigated from an international and local context. An exploratory study used a qualitative approach to investigate and observe perceptions of a small sample of learners of personal well-being. Data gathering used focus groups which completed structured group work activities. The results indicate that learner participants have needs to be satisfied to reach a sense of personal well-being. Based on findings, recommendations regarding coping strategies, intervention strategies and support were made. / Educational Studies / M.Ed. (Guidance and Counselling)

Personal well-being is a state that involves feelings and thoughts. This concept is investigated in learning area Life Orientation and integrated in the curriculum as a learning outcome for Further Education and Training learners in grades 10-12. A literature study was done to discuss/clarify dimensions of personal well-being that is general subjective, psychological, social and spiritual well-being and mental health. Perspectives, theories, principles and features pertaining to well-being were investigated from an international and local context. An exploratory study used a qualitative approach to investigate and observe perceptions of a small sample of learners of personal well-being. Data gathering used focus groups which completed structured group work activities. The results indicate that learner participants have needs to be satisfied to reach a sense of personal well-being. Based on findings, recommendations regarding coping strategies, intervention strategies and support were made. / Educational Studies / M.Ed. (Guidance and Counselling)