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Pets As ‘Social Lubricant,’ Helping Kids With Autism Develop Assertiveness

CommonHealth (WBUR) - Tue, 01/06/2015 - 6:30am

(Onesharp/Flickr via Compfight)

If you’ve never considered your dog or cat part of your social network, maybe it’s time to start.

A new study from the University of Missouri-Columbia finds that pets of any kind in the home may help autistic children develop crucial social skills.

Gretchen Carlisle, research fellow at the Research Center for Human-Animal Interaction in the M-U College of Veterinary Medicine, found that pets serve as a “social lubricant,” making kids more likely to engage in behaviors such as introducing themselves, responding to other people’s questions or asking for more information.

While researchers have already found that dogs provide great assistance to children with autism, Carlisle explains that her study looks at the possible benefit of all types pets. These pets also help the greater public interact with autistic kids in social settings. “When children with disabilities take their service dogs out in public,” adds Carlisle, “other kids stop and engage. Kids with autism don’t always readily engage with others, but if there’s a pet in the home that the child is bonded with and a visitor starts asking about the pet, the child may be more likely to respond.”

Autistic children in classrooms with pets are also more likely to engage with others. While Carlisle’s study goes beyond dogs, she did find that children were more likely to be attracted to smaller dogs as well as other small animals such as rabbits or cats. Interestingly, older children rated their relationship with the family pet as weaker despite the fact that children’s overall social skill set increased the longer the family owned the pet.

Seventy families were included in the survey, all with children between the ages of 8 and 18. Seventy percent of families had dogs, while half of the families had a cat in the home. Other pets included a spider, reptile, fish, rabbits and more.

“Kids with autism are highly individual and unique, so some other animals may provide just as much benefit as dogs,” says Carlisle. “Though parents may assume having dogs are best to help their children, my data show greater social skills for children with autism who live in homes with any type of pet.”

Categories: Health Care

Study: Do You Really Need Counseling On Your Alzheimer’s Gene Test?

CommonHealth (WBUR) - Mon, 01/05/2015 - 5:32pm

(Wikimedia Commons)

Today on Radio Boston: A new Brigham and Women’s Hospital study finds that we may not need quite as much genetic counseling as we’d thought. Particularly on relatively cut-and-dried findings, like test results on a common gene that raises the risk of Alzheimer’s disease.  Listen to host Anthony Brooks speak with Dr. Robert C. Green in the segment above.

From the Brigham’s press release:

A new study led by researchers at Brigham and Women’s Hospital (BWH) has found that people who received a written brochure instead of time-intensive genetic counseling about their genetic risk for Alzheimer’s disease did not experience greater anxiety or symptoms of depression than their counterparts a year later. The results of the randomized controlled study were published online in the journal Alzheimer’s and Dementia.

“As genetic testing of all kinds becomes commonplace, one of the primary challenges will be determining how to share this information with individuals seeking it in a way that limits the burden on health care providers but still puts the well-being of patients first,” said Robert C. Green, MD, MPH, a medical geneticist and researcher at BWH and Harvard Medical School and lead investigator of the study. “These new results show that for individuals seeking genetic risk information, we can use written material, rather than genetic counseling, to prepare them without causing greater long-term anxiety or distress.”

About 25 percent of people carry the ε4 version of the APOE gene, which puts them at a higher risk for developing Alzheimer’s disease. Previous research published in 2009 by the authors of this study showed that volunteers who learned that they carried the ε4 variant of APOE were not unduly distressed by the information when it was delivered through a counseling-intensive process modeled on Huntington’s disease testing. Expert recommendations issued in 2011 advised against any shortening of this process. The current study challenges those recommendations and suggests that protocols for genetic testing can be condensed without causing greater anxiety or symptoms of depression in those seeking genetic information.

Categories: Health Care

Weight Loss 2015: How To Get A Little Help From Your (New) Friends

CommonHealth (WBUR) - Mon, 01/05/2015 - 11:03am


If you made your resolution to lose weight in 2015 on New Year’s Eve, chances are you’re already feeling your initial determination start to flag. The dreary winter dusk calls for comfort food, and there’s slush between you and the gym.

So it’s time for a little help from your friends — only, maybe they should include new friends, not just the usual posse. Not the network that may have influenced you to over-indulge in the first place.

Dr. Sherry Pagoto, an associate professor of medicine at the University of Massachusetts Medical School and an obesity researcher, says studies show that social support is important for making lifestyle changes. “But just because you’ve decided to make a change, that doesn’t mean your friends or family members have. So what do you do? The best support comes from people who are on the same journey.” Social media lets you find people who are “exactly where you’re at, have the same interests and can support each other.”

“Maybe you don’t need everyone in your family to be as dedicated about the gym as you are,” she adds. “But if you can post to your online community — ‘I’m headed to the gym’ or ‘I just got back from the gym’ or ‘I’m on day 5 of my couch-to-5K’ — you’ll have someone who says, ‘Yay!'”

Here, Dr. Pagoto offers five top tips for using social media to help with weight loss:

1. Create a private Facebook group for friends interested in losing weight.

How? It’s easy: Post on Facebook asking if anyone wants to join a private weight loss group. Then create a group page (private, not public) and send invites to those interested. Identify a day when people report weight change from the last week, and a day to post goals for the coming week. Ask people to post helpful content, recipes, their exercise plans, questions, struggles and more throughout the week.

2. Find an existing weight loss community, such as those on Sparkpeople, Weight Watchers or MyFitnessPal websites.

Many are free. Just be sure they are promoting healthy lifestyle change, not a particular specialized diet.

3. Most commercial weight loss apps allow you to ‘friend’ other users. Connect with other serious users to increase your social support and motivation.

Most mobile apps offer a “community” option, though people often don’t know that. On some, you can find people you don’t even know and friend them. They don’t have to see your private information; they can see just ‘Did Sherry finish her entries for the day?’ Or you can compete on fitness with other people.

If you go on Twitter, you can find others who use the mobile app hashtag. Some apps have “auto-tweet” options and can automatically tweet when you’ve done your tracking for the day.

Tastes vary on this: Some people just need a ‘Rah rah!’ Others want ‘tough love’ — they say, ‘This week I need to exercise five times and if I don’t, please beat me up.’ You may feel uncomfortable with putting yourself out there, but you can use a pseudonym and an avatar. You don’t have to share any personal details, just whether you worked out today, or a great new recipe, or what your eating goals are for the week.

4. Hop on Twitter and engage with a healthy lifestyle community.

There are many out there. Find them via hashtags: #C25K is used by people working on a ‘Couch to 5K’ plan; #fitfluential, #crossfit, #girlsgonesporty, #fitbloggin, #weightwatchers, #vegan and #plankaday are popular healthy lifestyle hashtags. Follow users of those hashtags to build your community; then engage with them. Cheer people on and they will do the same.

Also search for health-care professionals tweeting good info about healthy lifestyle. Good ones include yours truly, if I may say so — @drsherrypagoto — and @yonifreedhoff, @drdavidkatz, @drsharma, @joybauer, @ellie_krieger and @deanornishMD.

Be patient with Twitter. Getting started on it can be slow, but stick with it, it will snowball over time. You don’t know anyone at first and it can be very overwhelming. In studies we’ve done in which we had people use Twitter, they told us it takes a little while before people start to interact, but if you’re proactive you can get that ball rolling more quickly. You really need to home in on your community with hashtags and searches.

One nice thing about Twitter as opposed to Facebook: there’s a big fitness community and you can find very specific interests. Say you’re a breast cancer survivor and you’re trying to get healthy; you might not have anyone on Facebook who can relate to that, but if you search #bcsm you’ll find this whole world of people — patients, advocates, family members, physicians, health care professionals — all of whom are connecting on this topic of breast cancer and voila, you can join this community.

5. Don’t feel like you have to connect only with people you already know, especially if you don’t know many people interested in getting healthy.

Keep in mind that the power of online social networks is the potential to connect with people with similar interests and goals. Your best weight loss buddy might be across the country.

It’s important for people to know that on Twitter and with mobile apps, it’s not weird or creepy to friend strangers. If someone I don’t know tweeted me and said ‘Great job on your plank!’ I wouldn’t think, ‘Are they a stalker?’ Some people feel uncomfortable because they’re used to Facebook, where you do not typically interact with strangers, but that’s how Twitter works.

People also use social media to collect or archive information that’s helpful — recipes or training plans, motivating articles. And social media also lets you go back and visit your previous posts, almost like a journal. So when your motivation is down in the dumps, you can look back at what you were posting when you were on the top of the world.

Readers, lingering questions about social media and weight loss? Recommendations? Warnings? 

Categories: Health Care

For-Profit Hospices Draw Scrutiny

Kaiser Health News - Mon, 01/05/2015 - 9:34am
Categories: Health Care

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