Objective Cognitive deficits are common in Parkinson’s disease (PD) and exacerbate the functional limitations imposed by PD’s hallmark motor symptoms, including impairments in walking. Though much research has addressed the effect of dual cognitive-locomotor tasks on walking, less is known about their effect on cognition. The purpose of this study was to investigate the relation between gait and executive function, with the hypothesis that dual tasking would exacerbate cognitive vulnerabilities in PD as well as being associated with gait disturbances. Method Nineteen individuals with mild-moderate PD without dementia and 13 age- and education-matched normal control adults (NC) participated. Executive function (set-shifting) and walking were assessed singly and during dual tasking. Results Dual tasking had a significant effect on cognition (reduced set-shifting) and on walking (speed, stride length) for both PD and NC, and also on stride frequency for PD only. The impact of dual tasking on walking speed and stride frequency was significantly greater for PD than NC. Though the group by condition interaction was not significant, PD had fewer set-shifts than NC on dual task. Further, relative to NC, PD showed significantly greater variability in cognitive performance under dual tasking, whereas variability in motor performance remained unaffected by dual tasking. Conclusions Dual tasking had a significantly greater effect in PD than in NC on cognition as well as on walking. The results suggest that assessment and treatment of PD should consider the cognitive as well as the gait components of PD-related deficits under dual-task conditions.

This study is part of a larger Youth Participatory Action Research (YPAR) project engaging youth of color (YOC; aged 16–24 years) in a planning a multilevel health promotion campaign for a large safety net hospital. Analyses focus on youths’ conceptualizations of antiracism, and their recommendations on how to facilitate an intentionally antiracist YPAR. We answer the following questions: (a) How do YOC engaged in a YPAR project conceptualize and define antiracism? and (b) How do youth and adult allies conceptualize an antiracist YPAR project and what strategies do they use and/or recommend to this end? We employed instrumental case study methods and thematic analyses to code project data sources. Findings indicate that youths’ definitions of antiracism include elevating marginalized voices, actively resisting racism, incorporating an intersectional approach, and examining privilege, power, and positionality. YPAR members recommended strategies for creating an antiracist YPAR including prioritizing people of color in YPAR processes, creating space to acknowledge and process positionality and racialized dynamics, and engaging in ongoing education and dialogue. Moreover, both youth members and adult allies recognized that antiracist YPAR projects require time and resources to remain consistently antiracist, and such a goal can only be accomplished through a reiterative and reflexive process.

This manuscript reports on a youth‐driven health assessment engaging youth of color in identifying community health priorities during the coronavirus disease 2019 (COVID‐19) pandemic. Photovoice, a participatory visual ethnographic health assessment strategy, was used to explore the question: What does health or healthiness mean to you and/or your community? Youth captured images that represented their priorities. The photos were discussed using the SHOWed framework and analyzed thematically. Four themes related to community health were identified. Additionally, youth captured their narrative of COVID‐19 as “a revealing force that highlights systemic inequities, driving individuals and communities to both cultivate their resilience and take healthcare into their own hands in response to government and policy level failures.” Youth are acutely aware of the historical and structural inequities that create multi‐level barriers to healthcare access. Health inequities existed long before the pandemic, but the current crisis requires us to examine ways to transform the healthcare landscape moving forward.

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