There is limited Irish research which focuses on rates of physical activity and the correlates of physical activity among college students, typically aged 18–22 (Clán Survey, 2003). A questionnaire examining participation rates in and correlates of physical activity was administered to a representative sample of 532 students in colleges within the Republic of Ireland. Key correlates of physical activity were further explored using interviews ( n = 16) of Irish coaches/college sport personnel and college students. A significantly higher percentage of males reported participation in organized physical activity/sport (male = 57.8%, female = 27.5%; p ≤ .001), whereas females were more likely to participate in unorganized physical activity (female = 74%, male = 56.8%; p ≤ .001). Intrinsic motivational factors (e.g., fun/ enjoyment, fitness, fondness of competition, interest) were found to be primary positive correlates of physical activity/sport for both males and females. Barriers to physical activity were elements associated with college life (e.g., lack of time, coursework) as well as lack of interest. Significant multivariate effects were obtained for gender and the correlates leading to participation in organized and unorganized physical activity/sport. Univariate analysis revealed that psychological and social correlates were significantly related to engagement in organized physical activity/sport among gender and more pronounced among males. However, only psychological correlates were significantly associated to participation in unorganized physical activity among gender and more prevalent among females. Cognizance of intrinsic influences should be taken when developing physical activity promotional strategies with Irish college students. Among Irish females, emphasis should be placed on the development of unorganized noncompetitive physical activity.
People with young onset dementia (YOD) experience many unique challenges. Similarly, family caregivers experience changing personal, familial, and societal roles. However, YOD is under recognized and under resourced with a lack of dedicated models of care. The current study explored family members' experience of caregiving for persons with YOD to identify barriers and opportunities to accessing support. Qualitative interviews were conducted with six family caregivers, using interpretative phenomenological analysis. Findings show that caregivers experience significant uncertainty within their role, difficulty accessing timely diagnosis, and face unclear care pathways and age-related restrictions to accessing support. These findings also reflect elements of ambiguous loss and anticipatory grief: caregivers experienced sudden changes to relationships and family structure, along with the anticipation of a changed future. Optimum models of care should target timely diagnosis and clear post-diagnosis pathways and services that are flexible, relevant, and accessible. Services should offer psychosocial support for family members as they adjust to their new role as caregivers. [ Journal of Psychosocial Nursing and Mental Health Services, 57 (11), 37–44.]
Background: young-onset dementia (under age 65) varies in many respects to typical aged dementia. Health professionals are centrally involved in supporting individuals and families to cope with the unique challenges that young-onset dementia (YOD) brings. Aims: this study aimed to explore professionals' perceptions of the key challenges faced by people living with YOD and their families, and how they provide support to this group. Methods: qualitative interviews were conducted with nine health professionals from a range of health and social care contexts. Data were analysed using interpretative phenomenological analysis. Findings: interviewees reported significant challenges in trying to enact support for people with YOD, and families. Particular challenges relate to delays in accessing timely diagnosis, and difficulty in accessing relevant, age-appropriate supports. Interviewees experienced ethical tensions working in this area; interviewees were keen to enact support for the person following diagnosis, but felt constrained by service options that were not relevant or readily accessible to the person, and in some instances, traditional dementia services added to, rather than lessened the stress experienced by those involved. Conclusion: dementia and health services should be cognisant of the unique challenges of YOD, and models of service provision should aim to respond accordingly. Nurses and other health professionals should be afforded the necessary structures to support people living with YOD. This relates to dedicated YOD models of care, specifically timely diagnosis, post-diagnosis support and community services that enhance personhood and resilience.
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