MaTT is a feasible intervention. Future research should evaluate MaTT with larger samples as well as determine the amount of time participants used MaTT.

Strategies to support male spouses of women with breast cancer should involve ways to foster hope, reduce feelings of guilt, and encourage male caregivers to engage more in supporting their spouses.

RÉSUMÉLes navigateurs aident les adultes ruraux âgés avec des maladies avancées, ainsi que leurs familles, de se connecter aux ressources, à l'information, et aux gens qui peuvent améliorer leur qualité de vie. Cet article décrit le processus utilisé pour engager des experts-en vieillissement en milieu rural, les soins palliatifs en milieu rural, et la navigation-ainsi que les intervenants dans les collectivités rurales, d'élaborer une défi nition conceptuelle d'une telle navigation et de délimiter les compétences pertinentes pour la prise en charge de cette population. Un document de discussion sur les considérations importantes pour la navigation dans cette population a été développé, suivi d'un processus Delphi en quatre étapes avec 30 membres invités experts. Les résultats de l'étude ont abouti à cinq compétences générales de navigation pour les fournisseurs de soins de santé qui prennent soin des personnes âgées rurales et de leurs familles à la fi n de vie: la capacité de fournir le dépistage des patients / famille; à préconiser pour le patient / famille; de faciliter les relations avec la communauté; de coordonner l'accès aux services et aux ressources; et de promouvoir l'engagement actif. Les compétences particulières ont également été développées. Ces compétences constituent la base pour la recherche et le développement de programmes d'études en navigation. ABSTRACTNavigators help rural older adults with advanced illness and their families connect to needed resources, information, and people to improve their quality of life. This article describes the process used to engage experts -in rural aging, rural palliative care, and navigation -as well as rural community stakeholders to develop a conceptual defi nition of navigation and delineate navigation competencies for the care of this population. A discussion paper on the important considerations for navigation in this population was developed followed by a four-phased Delphi process with 30 expert panel members. Study results culminated in fi ve general navigation competencies for health care providers caring for older rural persons and their families at end of life: provide patient/family screening; advocate for the patient/family; facilitate community connections; coordinate access to services and resources; and promote active engagement. Specifi c competencies were also developed. These competencies provide the foundation for research and curriculum development in navigation.

Prison food is central to the prison experience and is a physically invasive manifestation of carceral power. This article draws on 61 interviews with individuals with lived experience of provincial prisons in Ontario, Canada. Participants reported that the food was unhealthy, small-portioned, bland, and steamed to the point that they could not discern what they were eating. Others reported living in fear of the food, whether because it was molding, spoiled, or had been tampered with. For many participants, their experience of incarceration was that of hunger and unwanted bodily changes. Poor quality prison food bolstered an underground food economy in which trading, gambling, or intimidation were used by prisoners to access more and/or better foods. Overall, prison food was a means through which social, political, and institutional contempt for prisoners was communicated to and embodied by prisoners.

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