The purpose of this study was to determine if a 5-month progressive-resistance exercise program would affect measures of activities of daily living (ADLs) and functional stability in elderly women. All subjects were ambulatory women, 80 to 93 years old, who lived in assisted-care facilities. Eight exercise and 7 control subjects completed the 5-month study. Exercise subjects participated 3 times weekly in progressive resistance of the lower extremities and upper extremities. ADLs were assessed by the Barthel Index, and functional stability was assessed by timed measures of rising from a chair, walking, and standing, feet together, with eyes open and eyes closed. All subjects were tested at 0, 10, and 20 weeks. Using repeated measures analysis of variance, significant differences were seen only in an overall Group effect (p<.0005). The Eyes Open stance (p=.02) and Walk (p=.01) measures contributed most to this effect. The lack of significance in other analyses may have resulted from low sample size, high variation of scores, initial group differences, or perhaps an ineffective treatment program. / Graduation date: 1997

published_or_final_version / History / Doctoral / Doctor of Philosophy

The focus of this study was the exploration of belly dance as a form of female self care. The specific facet of self care explored was female health and well being as impacted on by belly dance. There is a limited amount of existing scholarly studies t hat focus on the value of belly dance in self care. Therefore this study followed a qualitative format which promoted exploration of th is under researched field. This study occurred in a context where women’s lives are busier than ever before as a result of their involvement in both the home and the workplace. Thus there is a need for them to engage in self care activities that effectively restore and replenish body, mind and soul in order to enable them to continue to meet their multiple responsibilities in a functional manner. Facets of self care explored were psychical, mental and social health and well being as impacted on by belly dancing. To achieve this, data collection tools of focus groups and interviews, following a semi-structured format were used. The results showed that belly dance plays a significant and positive role, not only in female self care but in enjoyment as well. Some specific aspects of belly dance found to be useful to female self ca re was its liberating use of the female form, its non-discriminatory aspect that unites all women in enjoyment of the dance, the absence of men, the supportive presence of women, the music, the feminine aspects, a secure environment and the opportunity that belly dance presents for women to pl ay a different role. Conclusions point to women viewing society as androcentric and providing little opportunity for feminine expression. A major conclusion is that women are non-verbally strong, relational beings who are predisposed to the language of dance and music. They are effectively revitalised by dance and music as presented by belly dance. This has implications for social work service delivery to women on multiple levels. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2008.

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Too many elderly women suffer rapid aging decline, frailty and hypokinetic disease simply because of inadequate levels of physical activity. While the biopsychosocial benefits of regular exercise are now well-known, explanations are lacking for the reluctance of aging Canadian females to take up, or keep up, healthful forms of leisure-time physical activity. The purpose of this study was to examine and explain the variability of participation in health-promoting form sof exercise in elderly women. Several health behavior theories and personal attributes have shown promise in explaining exercise behavior, and thus, a second purpose of the study was to test the utility of a composite theoretical model. The composite model included ten personal and situational attributes as well as five cognitive beliefs about physical activity adapted from Social Cognitive Theory and a belief about personal control over one's health from Health Locus of Control Theory. A city-wide sample of 327 Vancouver women aged 70 and 98 years filled out survey questionnaires providing information on the 16 model variables in addition to kilocalorie estimates of exercise in the past week. Multiple regression analysis was used to explain late life exercise in three stages: 1) regression on the ten personal and situational attributes; 2) regression on the six cognitive beliefs; and 3) combined regression on all the significant predictors. From the life situational variables, health, childhood movement confidence, school location, and age were significant factors explaining 18% of the variability seen in current exercise level. From the cognitive variables, current self-efficacy to exercise and current social support to engage in physical activity were the only significant predictors (R2 = 22%). A full regression model was tested by including the four statistically important situational variables and the two cognitive variables from the previous analyses. The utility of the Composite Model was supported in that both situational variables and self-referent beliefs played significant and independent roles in explaining late life exercise (R2 = 26%). The main reasons that older women were physically active were: 1) they perceived high levels of social support to exercise (b = .239, p< .01); 2) they felt efficacious for fitness-types of activities (b = .185, p< .01), 3) they had satisfactory health (b = .174, p < .01), and 4) they were educated in foreign countries (b = -.125, p < .01). Health locus of control offered some explanation but was not able to demonstrate significance alongside other cognitive beliefs (b = -.106, p < .06). Education, socioeconomic status, work role, family size, and marital status were not able to explain late life exercise. This study found that health difficulties do indeed interfere with women’s activity patterns. However, women are also influenced by perceptions of declining social support, lower levels of movement confidence, and chronological age, to reduce their physical activity. Thus, regardless of their health situation, the explanation of exercise involvement in older women rests to a large degree on the amount of social encouragement they perceive from family, friends and physicians, their self-efficacy for fitness activity, as well as perceptions of age-appropriate behavior. Older women who were educated as children outside of Canada, Britain and the U.S. appear to be culturally advantaged for late life physical activity participation. Moreover, childhood movement confidence stands as a significant predictor among the situational variables. These findings suggest that participation in physical activity, and positive beliefs about exercise in late oo, are rooted in competencies and experiences acquired in childhood. Perceptions of inadequate encouragement appear to be limiting females, from childhood on, to develop and sustain confidence in their physical abilities that would promote a more active lifestyle into their oldest life stage.

Current social services provided in Canada for low-income women are primarily 'crisis management' in nature as they almost exclusively provide safe housing, adequate nutrition or employment training, and many are under severe financial pressure due to a shifting public policy. As a result, services offered for single mothers living below the poverty line rarely deal with health promotion in terms of physical activity, even though it has been demonstrated that socioeconomic status is a key determinant of health (Frankish, Milligan & Reid, 1996). Although there are many positive mental and physical health benefits associated with regular physical activity (King 1991), its organizational context remains problematic for those who live in poverty and are unable or unwilling to conform to dominant expectations inherent with the consumption of modern forms of physical activity. A moral reasoning tone pervades prescriptions for maintaining and improving health, and those unable to achieve and maintain good health are considered individually responsible, thus obscuring organizational and structural factors that limit involvement. The purpose of this case study of the YWCA was to examine the provision and consumption of health and wellness services for low-income single mothers. Research questions were posed in four areas: i) what meanings do low-income single mothers and YWCA service providers associate with the provision of health and wellness services; ii) how are health and wellness services located within the political, social and economic context of the YWCA; iii) are there points of disjuncture between the provision and consumption of health and wellness services for low-income single mothers; and iv) if points of disjuncture are uncovered, what are the possibilities for emancipatory change in service provision? Several bodies of literature were reviewed to inform the study: social construction of poverty, ideologies of health and physical activity, feminist organization theory, and feminist action research (FAR). FAR is a research process that merges participatory action research with critical feminist theory. Key principles of feminist action research include: 1) gender as a central piece to emerging explanatory frameworks (Maguire, 1987); 2) collaboration and negotiation at all stages of the research process between the researcher, the service providers and the research participants (Green et al., 1995); 3) empowerment through giving control of the research process and decision making to the research participant, while deconstructing the power structures associated with social class (Fals-Borda, 1991; Fawcett, 1991); and 4) social/organizational action and emancipatory change enabled through the democratic production of knowledge (Green et al., 1995). The research methodology involved an examination of: 1) The meanings and experiences of eleven low-income single mothers participating in the FOCUS Pre-employment Training Program which has a wellness component. The data collection strategies included focus groups; a validation meeting the original participants; observations during group meetings and program sessions; and informal discussions. 2) The meanings and experiences of five service providers who were either facilitators of FOCUS or occupied managment positions in the YWCA. The data collection strategies included one-on-one semi-focused interviews; observations of program meetings, group and informal discussions; and a final meeting to discuss potential change. 3) Relevant documents, including brochures, pamphlets, reports and promotional flyers to obtain background and contextual information about the YWCA. The data was analyzed using inductive analysis and the qualitative software program, Q.S.R. NUD.IST. The overall finding was that neither the service providers nor the single mothers viewed wellness as a priority. At the organizational level, the explanation for this finding was that physical activity opportunities were not valued by the funders, whereas employment training was their primary concern. The YWCA's upscale health and wellness services, which offered another opportunity for single mothers to participate, catered on a fee-for-service basis to middle and upper income women and men and pursued a market-driven ideology towards service provision, thus making low-income single mothers' involvement less likely. The social, economic and political context in which FOCUS was situated had a profound influence on the nature of service delivery, and funding constraints were a source of stress for the service providers and infringed on the nature and scope of the services offered for the single mothers. Themes related to points of disjuncture included the service providers' attitudes towards the provision of health and wellness services. Some providers believed that within the confines of the organizational structure and the FOCUS program guidelines, the physical activity opportunities offered to the women were sufficient. Conversely, other providers believed that the organization could take a more active and critical role in determining routes for change and establishing stronger connections between health and wellness activities and the other components of the FOCUS program. All of the service providers alluded to the importance of the women's input and the "organic growth" of the program, however the program's strict curriculum and scarce evaluations resulted in a non-collaborative approach to service delivery. From the single mothers' persepctives, stereotypes of the lazy and unmotivated "welfare single mother" inhited their involvement in community life, including organized forms of physical activity (Fraser & Gordon, 1994; Lord, 1994; Belle, 1990). The women reported experiences with discrimination, a cycle of poverty, complications with social assistance, social stigmas, and childcare responsibilities as their major constraints. Three main reasons for the women's lack of participation were their low sense of entitlement towards physical activity, their ambivalence towards their bodies, and little access to wellness facilities. However, involvement in health and wellness activities was a low-priority for the FOCUS participants, though some of the single mothers mentioned the desirability of incorporating more regular activity sessions into the FOCUS curriculum. Other tensions arose between the realities and ideals of feminist organizing. Distinctions based on class, ethnicity and age separated the upper managerial service providers, the on-site facilitators, and the women accessing the program, perpetuating an elitist, non-collaborative and hierarchical organizationial structure. Based on the single mothers and the service providers' suggestions, four major recommendations for change were provided. First, the participants should be central to and fully collaborative in the organizational processes of the YWCA. Second, if the women involved in the program value physical activity, they should determine ways in which it can become a part of their daily reality. Third, for those involved with the planning and implementation of the FOCUS program, the role of the funders vis a vis the needs of the participants should be determined, and a consistent and 'women-centered' approach to service delivery established. Finally, the YWCA's approach to wellness service delivery should be evaluated and re-conceptualized so that it fulfills and is congruent with the YWCA mission statement. What remained unexplored by the service providers was the potential for the women to redefine hegemonic notions of physical activity (Birrell & Richter, 1987) and to be involved in a meaningful and self-expressive form of activity (Hargreaves, 1990). By listening to the various perspectives and situating experiences within the organizational, political, economic and social contexts, this study provided the beginnings of a critial understanding of the tensions involved in women organizing for women to promote physical activity.

Almost 40% of the Canadian workforce shows signs of progressive burnout. For a variety of reasons, stress within the workplace appears to be increasing. The popular press and academic journals suggest that chronic job stres, burnout, will be most significant workplace issue in the new millennium. Although both men and women suffer from stress and burnout, it appears that women are at a greater risk than men. Unfortunately, research on the relationship between women's stress and their heatlh has not kept pace with the popularization of the problem. We could understand this relationship better if we had more information about women, their health history (including phases of development over the life span), and occupational history. Relatedly, as the baby-boomer generation ages to mid-life, there appears to be a sea change on the horizon: one in which women are demanding answers and knowledge about the process of menopause and its effect on their lives, inside and outside the home. To fill this void, the proposed research will address the life change of women, and specifically, how their stages of development and occupational and health histories relate to the experience of burnout. / xv, 126 leaves ; 29 cm.

This thesis explores how women who exercise regularly frame their involvement in exercise with regard to discourses of femininity, fitness, consumerism, and healthism, and how these contemporary discourses impact women’s exercise choices. Sixteen semistructured interviews were conducted with women who exercise regularly. The objective was to elicit detailed information about the types of exercise these women were involved in, how they came to exercise in particular ways, and with what rationales. A Foucaultian discourse analysis of the interview transcripts was undertaken to uncover commonalities and differences in how the sometimes competing discourses of femininity, fitness, consumerism, and healthism affect the types of exercise engaged in. By examining the interplay between discourse, power/knowledge, surveillance, discipline, subjectivity, and the resultant construction of normative feminine and health ideals, this thesis attempts to determine how women are constructed, and construct themselves, as regular exercisers and how this construction impacts the ways in which the women chose to exercise. / vii, 149 leaves ; 29 cm

The association of functional status with fat-free mass (FFM) was examined cross-sectionally in a sample of 30 frail elderly women $(81.5 pm 7$ years) to evaluate potential outcome indicators for nutritional interventions. FFM, determined using multi-frequency bioelectrical impedance analysis, was lower in this frail group than in previous reports for "younger" elderly females. All measures of muscle strength (handgrip, biceps, quadriceps) were significantly correlated with FFM $ rm (r ge 0.45, p le 0.02),$ while the measures of global function (Timed "Up & Go" Test and walking speed) as well as self-perceived health were not. The measures of muscle strength and global function were found to have good reliability based on measurements taken on two occasions separated by one week $ rm (ICC ge 0.80).$

The mental well-being of individuals has been studied for centuries. Yet a full understanding of the causal mechanism of mental distress has not been achieved. The prevalence of depression in women has spurred much of the research in this area. The goal of this dissertation is to contribute to the understanding of the determinants of women's mental and physical functioning. The means to this end is to incorporate a concept from each of the following disciplines, sociology and psychology. The sociological discipline lends the stress model to this research, while psychology contributes the concept of worry. To date, sociologists have not studied the effects of worries on women's mental health, while psychologists have not included socio-demographic indicators and stress variables in their studies of worry. The purposes of this dissertation are to add worry to the Traditional Stress Model, explore the determinants of worry, and observe the consequences of worry on mental distress and physical functioning. / A community sample of 170 mothers is employed to test the hypothesis that adding worry to the Traditional Stress Model, while controlling for socio-demographic indicators, stress, social support, and coping measures, will significantly increase the explanatory power when predicting the Total Mood Disturbance Score (TMDS) and the Total Physical Health Score (TPHS). Results from a series of multiple regressions indicate that worry measures do significantly contribute to the understanding of the TMDS and TPHS. / Other conclusions are also reached regarding several determinants of women's mental and physical functioning included throughout the analyses. In the case of married women, a measure of their marital status is a better indicator of their TMDS and TPHS than a measure of their social support from friends and family. In the case of employed women, the most significant indicator for both the TMDS and TPHS is their level of employment stress. / Research and policy implications emerge from these results. For example, general practitioners should be trained to detect employment or marital stress, and poor mood states which are likely to affect their patients' perceptions of their mental and physical health.