OBJECTIVE The aim was to study whether perceived environmental barriers to outdoor mobility affect changes in sense of autonomy in participation outdoors among community-dwelling older people over a two-year period. METHODS Community-dwelling people aged 75-90 years (n = 848) in central Finland were interviewed on two occasions, face-to-face at baseline and over the telephone two years later....

Introduction: In 1998, the Persian form of Language Assessment, Remediation, & Screening Procedure (P-LARSP) was introduced. However, this adapted version remained on library shelves and was not used by Iranian speech and language pathologists (SLPs). The present study aimed to explore the barriers to using P-LARSP, resolve the possible issues, and provide a preliminary grammatical sketch from ...

Introducing product-service-software systems (PSSS) to the market requires forming an enabling ecosystem, which can be largely based on incumbent business ecosystems. Creating value through PSSS with autonomous capabilities will likely encounter numerous challenges related lock-ins in current ecosystem structure. We use institutional theory as a lens and ships case shed some light types impacts...

Physical activity plays a major role in the development and management of obesity. High levels of physical activity provide an advantage in maintaining energy balance at a healthy weight, but the amount of exercise needed to produce weight loss and weight loss maintenance may be difficult to achieve in obese subjects. Barriers to physical activity may hardly be overcome in individual cases, and...

BACKGROUND This study examined multiple dimensions of healthcare access in order to develop a typology of perceived barriers to healthcare access in community-dwelling elderly. Secondary aims were to define distinct classes of older adults with similar perceived healthcare access barriers and to examine predictors of class membership to identify risk factors for poor healthcare access. METHOD...

This article describes a 10-session cognitive-behavioral therapy (CBT) used in a randomized controlled trial with people with anxiety and mild-to-moderate dementia. The aim of the therapy is to reduce symptoms of anxiety by increasing a sense of safety and self-efficacy. The therapy is characterized by a person-centered approach to CBT, using individual tailoring to accommodate for cognitive de...

Personalized learning becomes increasingly popular which not be restricted by time, place or any other barriers. This study proposes an analysis of Personalized Learning using Item Response Theory which considers course material difficulty and learner ability. The study investigates twenty undergraduate students at TATI University College, who are taking programming subject. By using the IRT, i...

Acceptance and Commitment Therapy (ACT) is a new development within behavioral therapy. Its goal is to promote psychological flexibility. Numerous studies show that suffering results when people attempt to avoid their inner experiences (experiential avoidance). This experiential avoidance often leads to rigid and inflexible behavior that also leads them to compromise their goals and what is imp...