Chronic hip and knee pain affects all domains of people's lives. People's beliefs about chronic pain shape their attitudes and behaviours about how to manage their pain. People are confused about the cause of their pain, and bewildered by its variability and randomness. Without adequate information and advice from healthcare professionals, people do not know what they should and should not do, and, as a consequence, avoid activity for fear of causing harm. Participation in exercise programmes may slightly improve physical function, depression and pain. It may slightly improve self-efficacy and social function, although there is probably little or no difference in anxiety. Providing reassurance and clear advice about the value of exercise in controlling symptoms, and opportunities to participate in exercise programmes that people regard as enjoyable and relevant, may encourage greater exercise participation, which brings a range of health benefits to a large population of people.
Background: Establishing Protected Areas (PAs) is among the most common conservation interventions. Protecting areas from the threats posed by human activity will by definition inhibit some human actions. However, adverse impacts could be balanced by maintaining ecosystem services or introducing new livelihood options. Consequently there is an ongoing debate on whether the net impact of PAs on human well-being at local or regional scales is positive or negative. We report here on a systematic review of evidence for impacts on human well-being arising from the establishment and maintenance of terrestrial PAs. Methods: Following an a priori protocol, systematic searches were conducted for evidence of impacts of PAs post 1992. After article title screening, the review was divided into two separate processes; a qualitative synthesis of explanations and meaning of impact and a review of quantitative evidence of impact. Abstracts and full texts were assessed using inclusion criteria and conceptual models of potential impacts. Relevant studies were critically appraised and data extracted and sorted according to type of impact reported. No quantitative synthesis was possible with the evidence available. Two narrative syntheses were produced and their outputs compared in a metasynthesis.
This article presents the findings of an analysis of the effects of CPDinitiatives on the quality of the pedagogical practices of ECEC practitioners. It is part of a larger study commissioned by Eurofound and jointly conducted by VBJK, IOE and PPMI (Eurofound, 2015). In order to draw policy-relevant information that might support decision makers in designing effective ECEC policies in their countries, the study reviewed existing research evidence published on this topic not only in English, but also in all the languages currently in use in EU Member States. Therefore, it involved country experts from EU-28 Member States. The research question was framed by the political priorities identified by the Council Conclusions on Early Childhood Education and Care (EU Council, 2011). The systematic literature review methodology elaborated by the EPPI-Centre for informing evidence-based policies in the field of education and social sciences was adopted to review the evidence drawn from primary research studies cross-nationally. The study revealed that long-term CPD interventions integrated into practice, such as pedagogical guidance and coaching in reflection groups, proved to be effective not only in countries with a well-established system of ECEC provision and a high level of qualification requirements for the practitioners, but also in countries with poorly subsidised ECEC systems and low qualification requirements. CPD initiatives based on the active engagement of practitioners and on peer exchanges within a shared scientific framework, proved to be the most effective.
Young people who have spent all or part of their childhoods in public care are at particular risk of social exclusion as adults and yet the pathway out of exclusion identified by policy-makers at both European and national levels, namely, education, is very difficult to access. Using data from a five-country study of the post-compulsory educational pathways of young people in public care, this paper examines the rates of participation of young people in further and higher education and considers what might account for the gap, looking at two factors: the impact of background social class on educational support and the educational intentions and practices of the care system. The paper concludes by considering the policy context and some possible tensions between policy aims and young people's contexts and experiences. IntroductionYoung people who have spent all or part of their childhoods in public care are at particular risk of social exclusion as adults. Educational participation is positioned by policy-makers across Europe as a key route to social inclusion through the acquisition of knowledge and skills that enable employment. The scope for young people from a public care background to make use of this route is the theme of this paper, which draws on data from a five-country EU-funded study between 2008 and 2010, called YiPPEE, an acronym for 'Young People from a public care background: pathways to education in Europe'. The partner countries were Denmark, Hungary, Spain, Sweden and the UK, 1 and were chosen to represent differing welfare regimes and so to illuminate factors that are comparable or different in relation to the target group of young people from public care backgrounds. The study investigated the experiences of young men and women who were in public care as children and the facilitators and barriers to educational participation. 'Public care' was the term used to capture state responsibility for young people where their birth parents were not able to do so. The study was concerned with young people's participation in all formal post-compulsory education programmes available in their countries but with a particular emphasis on tertiary education. It involved interviews with 36 managers in social services responsible for young people in public care,
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