Older Adults’ Psychosocial Responses to a Fear of Falling: A Scoping Review to Inform Occupational Therapy Practice

Abstract

Falls in older adults are a major health concern, yet the “fear of falling”, a common psychosocial response that can occur post-fall, has seldom been investigated. A scoping review was conducted to identify and map interventions that occupational therapists can use to manage the fear of falling psychosocial response (FoFPR) among older adults. Thirteen electronic databases were searched and 22 studies were retrieved. Cognitive behavioral therapy, guided imagery, and Tai Chi were interventions found to help older adults deal with their FoFPRs. Occupational therapists assisting older adults in this area can play a significant role.     

Espbase: A microsoft access tool for selecting symbol and icon sets for usability

The ESPbase provides a tool for storing symbols and icons along with information about their characteristics. Information about a wide range of symbol characteristics is included on the database to facilitate the selection of symbol sets for research and design. The database includes information about the graphical characteristics and functions of symbols. It also includes ratings of symbol concreteness, complexity, familiarity, and meaningfulness. Symbols and icons can be accessed on the basis of each of these characteristics or any combination of characteristics. This makes it easier to select symbols on the basis of usability and design requirements. It also means that symbols can be easily selected for research while controlling their characteristics on a number of dimensions.     

Immigrant Youth and Employment: Lessons Learned from the Analysis of LSIC and 82 Lived Stories

Finding a job has become a critical challenge to many youth. Immigrant youth, who have been a key part of the global migrants, are particularly vulnerable when entering the job market of the host country due to various structural barriers. However, in both public policy discourse and research, their labour market experience tends to be overlooked. In this paper, we report the employment experience of recently arrived immigrant youth based on an analysis of the LSIC and findings of in-depth interviews of 82 immigrant youth in four cities in Canada. Our results reveal that recently arrived immigrant youth tend to work in lower-skilled employment, experience significant delays in finding employment, have difficulties with foreign credential recognition, and have fewer means to access to job markets.     

A prospective investigation of rumination and executive control in predicting overgeneral autobiographical memory in adolescence

The CaR-FA-X model (Williams et al., 2007), or capture and rumination (CaR), functional avoidance (FA), and impaired executive control (X), is a model of overgeneral autobiographical memory (OGM). Two mechanisms of the model, rumination and executive control, were examined in isolation and in interaction in order to investigate OGM over time. Across two time points, six months apart, a total of 149 adolescents (13–16 years) completed the minimal-instruction autobiographical memory test, a measure of executive control with both emotional and nonemotional stimuli, and measures of brooding rumination and reflective pondering. The results showed that executive control for emotional information was negatively associated with OGM, but only when reflective pondering levels were high. Therefore, in the context of higher levels of reflective pondering, greater switch costs (i.e., lower executive control) when processing emotional information predicted a decrease in OGM over time.     

Searching for signs, symbols, and icons: effects of time of day, visual complexity, and grouping

Searching for icons, symbols, or signs is an integral part of tasks involving computer or radar displays, head-up displays in aircraft, or attending to road traffic signs. Icons therefore need to be designed to optimize search times, taking into account the factors likely to slow down visual search. Three factors likely to adversely affect visual search were examined: the time of day at which search was carried out, the visual complexity of the icons, and the extent to which information features in the icon were grouped together. The speed with which participants searched icon arrays for a target was slower early in the afternoon, when icons were visually complex and when information features in icons were not grouped together to form a single object. Theories of attention that account for both feature-based and object-based search best explain these findings and are used to form the basis for ways of improving icon design.     

Executive functions predict conceptual learning of science

We examined the relationship between executive functions and both factual and conceptual learning of science, specifically chemistry, in early adolescence. Sixty‐three pupils in their second year of secondary school (aged 12–13 years) participated. Pupils completed tasks of working memory (Spatial Working Memory), inhibition (Stop‐Signal), attention set‐shifting (ID/ED), and planning (Stockings of Cambridge), from the CANTAB. They also participated in a chemistry teaching session, practical, and assessment on the topic of acids and alkalis designed specifically for this study. Executive function data were related to (1) the chemistry assessment which included aspects of factual and conceptual learning and (2) a recent school science exam. Correlational analyses between executive functions and both the chemistry assessment and science grades revealed that science achievements were significantly correlated with working memory. Linear regression analysis revealed that visuospatial working memory ability was predictive of chemistry performance. Interestingly, this relationship was observed solely in relation to the conceptual learning condition of the assessment highlighting the role of executive functions in understanding and applying knowledge about what is learned within science teaching.     

Bimodal emotion congruency is critical to preverbal infants’ abstract rule learning

Extracting general rules from specific examples is important, as we must face the same challenge displayed in various formats. Previous studies have found that bimodal presentation of grammar‐like rules (e.g. ABA) enhanced 5‐month‐olds’ capacity to acquire a rule that infants failed to learn when the rule was presented with visual presentation of the shapes alone (circle‐triangle‐circle) or auditory presentation of the syllables (la‐ba‐la) alone. However, the mechanisms and constraints for this bimodal learning facilitation are still unknown. In this study, we used audio‐visual relation congruency between bimodal stimulation to disentangle possible facilitation sources. We exposed 8‐ to 10‐month‐old infants to an AAB sequence consisting of visual faces with affective expressions and/or auditory voices conveying emotions. Our results showed that infants were able to distinguish the learned AAB rule from other novel rules under bimodal stimulation when the affects in audio and visual stimuli were congruently paired (Experiments 1A and 2A). Infants failed to acquire the same rule when audio‐visual stimuli were incongruently matched (Experiment 2B) and when only the visual (Experiment 1B) or the audio (Experiment 1C) stimuli were presented. Our results highlight that bimodal facilitation in infant rule learning is not only dependent on better statistical probability and redundant sensory information, but also the relational congruency of audio‐visual information. A video abstract of this article can be viewed at https://m.youtube.com/watch?v=KYTyjH1k9RQ     

Age and outcome allocation: A new test of the subtractive model

The no, moderate, and large differences between shares of outcome allocated to the high and low performers are interpreted as the respective rules of equality, ordinal equity, and proportional equity. The ability to employ the proportional rule is also believed to develop around the age of 13 years. The authors hypothesized that: (i) the rule of outcome allocation is subtraction; and (ii) age differences in outcome allocation are mediated by age differences in perceived inputs. In an experiment on Chinese aged 8–20 years, measures of perceived inputs were taken after or before outcome allocation. Results from the input-allocation order supported the hypotheses. Obviously, age effects in outcome allocations by Asians can sometimes be mediated by age differences in the ability to perceive the inputs accurately.     

Assessing the Burdens of Leadership: Effects of Formal Leadership Roles on Individual Performance Over Time

This study adopted a role-based perspective in examining whether changes in performance over time (i.e., dynamic criteria) were a function of changes in individual leadership role responsibilities. Longitudinal data from captains in the modern era of the National Hockey League ( N = 201) were used to test a dynamic criterion hypothesis using multilevel growth modeling. Time ( k = 10) was modeled as a random effect, whereas captain status (i.e., leadership role responsibility) was included as a time-varying covariate. Individual performance was measured as the adjusted points (goals scored plus assists adjusted for individual and historical effects). Results of a series of model building steps that included the examination of alternative complex error structures indicated an overall negative performance trend. Those seasons in which a player assumed formal leadership responsibilities (i.e., team captain) were associated with better performance compared to seasons in which the player had no leadership responsibilities. These results were found to be robust even after controlling for individual performance in the previous season. Results are discussed in terms of the possible positive implications for individual performance and the motivation to lead through developing a culture in which leadership positions are highly valued by the organization, visible to others on the team, and where leadership responsibilities do not interfere with task performance.     

The extent of working memory deficits associated with Williams syndrome: exploration of verbal and spatial domains and executively controlled processes

The present study investigated verbal and spatial working memory (WM) functioning in individuals with the neuro-developmental disorder Williams syndrome (WS) using WM component tasks. While there is strong evidence of WM impairments in WS, previous research has focused on short-term memory and has neglected assessment of executive components of WM. There is a particular lack of consensus concerning the profile of verbal WM functioning in WS. Here, WS participants were compared to typically developing participants matched for (1) verbal ability and (2) spatial ability (N = 14 in each of the 3 groups). Individuals with WS were impaired on verbal WM tasks, both those involving short-term maintenance of information and executive manipulation, in comparison to verbal-matched controls. Surprisingly, individuals with WS were not impaired on a spatial task assessing short-term maintenance of information in memory (remembering spatial locations) compared to spatial-matched controls. They were, however, impaired on a spatial executive WM task requiring the manipulation of spatial information in memory. The present study suggests that individuals with WS show WM impairments that extend to both verbal and spatial domains, although spatial deficits are selective to executive aspects of WM function.