Mothers and daughters responded positively to CB and HB physical activity programs. Home-based physical activity programming is a cost-effective means to increase physical activity and improve health-related fitness in these groups.

No abstract

The Scottish Parliament recently passed legislation on integrating healthcare and social care to improve the quality and outcomes of care and support for people with multiple and complex needs across Scotland. This ambitious legislation provides a national framework to accelerate progress in person-centred and integrated care and support for the growing number of people who have multiple physical and mental health conditions and complex needs. Additional investment and improvement capacity is helping to commission support and services that are designed and delivered with people in local communities and in partnership with housing, community, voluntary and independent sectors.

The primary purpose of this study was to compare two mother-daughter interventions designed to increase fitness and activity and improve physical self-perception (PSP).A secondary purpose was to test two of the proposed mechanisms for using physical activity to enhance PSP. Twenty mother-daughter pairs (n = 40) were randomly assigned to a university-based (UB) or home-based (HB) group. Initially, both groups received classroom training designed to improve PSP. Then, the UB group met three times per week, whereas the HB group received information concerning home-based activities. The Fitnessgram activity questionnaire and fitness test battery were used to measure physical activity and fitness level. The Physical Self-Perception Profile (PSPP) was used to detect changes in PSP. Separate 2 (group) x 2 (age) x 2 (time) ANOVAs with repeated measures on the last factor were conducted to examine changes in PSP, physical activity, and fitness. Correlations between physical activity, fitness, and PSP were examined to test the two mechanisms. Perceived sports competence and body attractiveness improved in UB and HB mothers and daughters (p =.002 and.005, respectively). UB and HB mothers and daughters increased their participation in aerobic (p =.000 and.015), muscular strength (p =.001 and.001), and flexibility (p =.000 and.000) activities. Support was not provided for the proposed mechanisms for the relationship between physical activity and PSP. These interventions demonstrate the potential to foster positive short-term changes in PSP and physical activity in mothers and daughters. More research is needed to test mechanisms explaining the relationship between activity and PSP.

Purpose – In this paper, the Scottish Government's approach to improving outcomes for patients and service users by integrating health and social care planning and provision is described. The Scottish Parliament passed primary legislation in February 2014, which places requirements on Health Boards and Local Authorities to work together more closely than ever before. The paper aims to discuss these issues. Design/methodology/approach – This paper sets out the Scottish Government's legislative approach to integrating health and social care, based on previous experience of encouraging better partnership between health and social care working without legislative compulsion. Findings – The Scottish Government has concluded that legislation is required to create the integrated environment necessary for health and social care provision to meet the changing needs of Scotland's ageing population. Research limitations/implications – The paper is confined to experience in Scotland. Practical implications – Legislation is now complete, and implementation of the new arrangements is starting. Evaluation of their impact will be ongoing. Social implications – The new integrated arrangements in Scotland are intended to achieve a significant shift in the balance of care in favour of community-based support rather than institutional care in hospitals and care homes. Its social implications will be to support greater wellbeing, particularly for people with multimorbidities within communities. Originality/value – Scotland is taking a unique approach to integrating health and social care, focusing on legislative duties on Health Boards and Local Authorities to work together, rather than focusing on structural change alone. The scale of planned integration is also significant, with planning for, at least, all of adult social care and primary health care, and a proportion of acute hospital care, included in the new integrated arrangements.