Miss Sarah Kennedy

© 2015. Current physical activity and fitness levels among adolescents are low, increasing the risk of chronic disease. Although the efficacy of high intensity interval training (HIIT) for improving metabolic health is now well established, it is not known if this type of activity can be effective to improve adolescent health. The primary aim of this study is to assess the effectiveness and feasibility of embedding HIIT into the school day. A 3-arm pilot randomized controlled trial was conducted in one secondary school in Newcastle, Australia. Participants (n= 65; mean age = 15.8(0.6) years) were randomized into one of three conditions: aerobic exercise program (AEP) (n = 21), resistance and aerobic exercise program (RAP) (n = 22) and control (n = 22). The 8-week intervention consisted of three HIIT sessions per week (8-10. min/session), delivered during physical education (PE) lessons or at lunchtime. Assessments were conducted at baseline and post-intervention to detect changes in cardiorespiratory fitness (multi-stage shuttle-run), muscular fitness (push-up, standing long jump tests), body composition (Body Mass Index (BMI), BMI-z scores, waist circumference) and physical activity motivation (questionnaire), by researchers blinded to treatment allocation. Intervention effects for outcomes were examined using linear mixed models, and Cohen's d effect sizes were reported. Participants in the AEP and RAP groups had moderate intervention effects for waist circumference (p = 0.024), BMI-z (p = 0.037) and BMI (not significant) in comparison to the control group. A small intervention effect was also evident for cardiorespiratory fitness in the RAP group.

© 2014 Elsevier Ltd. Empowerment is an important concept worthy of attention in healthcare. The merits of empowerment are irrefutable including benefits to the organisation and to the individual nurse. Empowered nurses contribute to the clinical learning environment in a positive way. There is a dearth of literature on how or indeed if nursing students are empowered. The process of empowering registered staff/nursing students is not clear. Ward environment and culture are important contributors to patient care, patient safety and staff well-being. It is therefore necessary to address how empowerment can contribute positively to improving the environment in which care is provided.

© 2015 Elsevier Ltd. The aim of this literature review is to explore whether mental health nurses are being appropriately prepared to care for learning disabled patients who also suffer from mental ill health. A systematic approach was adopted in order to identify relevant literature for review on the topic. Five electronic databases were searched; CINAHL, Medline, ERIC, PubMed and Scopus. Searches were limited to the years 2001-2013. A total of 13 articles were identified as relevant to the topic area for review. Three main themes were identified relating to (a) attitudes (b) practice and (c) education. There appears to be a lack of research that directly addresses this issue and the existing literature suggests that there are considerable deficits in the ability of mental health nurses to be able to provide appropriate care for those with both a learning disability and mental ill health. The findings of this review would suggest that this topic area is in urgent need of further investigation and research. Further research into this area of practice could possibly help to inform education regarding this subject at pre-registration and post qualifying levels, which could therefore in turn, improve the delivery of mental health nursing care to this particular client group.

© 2015 Plotnikoff et al.; licensee BioMed Central. To examine the effectiveness of interventions aimed at improving physical activity, diet, and/or weight-related behaviors amongst university/college students. Five online databases were searched (January 1970 to April 2014). Experimental study designs were eligible for inclusion. Data extraction was performed by one reviewer using a standardized form developed by the researchers and checked by a second reviewer. Data were described in a narrative synthesis and meta-analyses were conducted when appropriate. Study quality was also established. Forty-one studies were included; of these, 34 reported significant improvements in one of the key outcomes. Of the studies examining physical activity 18/29 yielded significant results, with meta-analysis demonstrating significant increases in moderate physical activity in intervention groups compared to control. Of the studies examining nutrition, 12/24 reported significantly improved outcomes; only 4/12 assessing weight loss outcomes found significant weight reduction. This appears to be the first systematic review of physical activity, diet and weight loss interventions targeting university and college students. Tertiary institutions are appropriate settings for implementing and evaluating lifestyle interventions, however more research is needed to improve such strategies.

The Individuals with Disabilities Education Act Amendments of 1997 (IDEA) require that all states develop and implement, by July 2000, alternate assessment methods for those students with disabilities who cannot be included within regular state and local district educational assessment and accountability measures. The focus of this article is how two states have addressed a set of seven essential questions in developing their alternate assessments; why they chose the formats, standards, and implementation systems that they did; and the intended and unintended consequences that have resulted thus far from those decisions. To further guide the efforts of others, a set of recommendations are provided for states and practitioners to consider in developing alternate assessments to meet the requirements of IDEA '97.

When it comes to ensuring that all students participate in statewide assessments, Kentucky takes the lead.

The Individuals with Disabilities Education Act (IDEA) Amendments of 1997 require that all states, by July 2000, will have developed and implemented alternate assessment methods for those students with disabilities who cannot be included within regular state and local district educational assessment and accountability measures. A statewide survey of teachers involved in the nation's first alternate assessment and accountability system for students with moderate and severe disabilities was conducted to determine the extent to which these teachers perceived benefits of including their students in state and school accountability measures, as well as their perceptions of the instructional impact of the alternate system upon student outcomes. The results of this survey indicated that teachers did realize such benefits, and perceived positive changes in both instructional programming (e.g., students' learning to follow their own individualized schedules, students' learning to assess their own performance) and enhanced student outcomes (an increased percentage of students having functional augmentative communication systems). However, teachers also expressed frustration with the amount of time required to complete student assessment portfolios, and concern over scoring reliability and the extent to which the alternate assessment was more of a teacher assessment than a student assessment.