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This week in Active Bodies, Active Minds, our view of health is shaped from multiple angles, from the structure of care systems to the nuances of individual experience. The issue shows how different national approaches to managing the needs of older adults can produce different outcomes and what happens when individuals with chronic conditions go without required support. The perspective then narrows, examining the factors behind variable results from physical training and the role of communication in therapy for people who have sustained a stroke. This edition also covers the tools of measurement and assistance, including methods for assessing conversation difficulties in primary progressive aphasia and the experiences of older adults using new features in personal technologies.
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Can an assessment for conversation difficulties in one type of dementia be used for a different condition affecting language?
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There is a lack of validated tools to assess conversation difficulties and their impacts on care providers for individuals with primary progressive aphasia. Researchers examined the construct validity of an existing assessment tool in 95 communication partners of individuals with PPA using exploratory factor analysis and correlation assessments.
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Santos, H., Williams, O., Bona, M., Rogalski, E., & Roberts, A. C. (2026). Preliminary Validation of a Care Partner–Reported Measure of Conversation Difficulties and Their Impacts in Primary Progressive Aphasia. Perspectives of the ASHA Special Interest Groups, 1-14. https://doi.org/10.1044/2026_persp-25-00253
Angela Roberts
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How does care for the same older woman differ across three health systems?
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Health care systems worldwide struggle to provide consistent care for older adults who have multiple health conditions and social vulnerabilities. To compare approaches, experts from the U.S., Canada, and Europe examined how their respective systems would manage delirium, falls, and medication for the case of an 82‐year‐old woman.
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van der Velde, N., Supiano, M. A., Montero‐Odasso, M., Rochon, P. A., & Petrovic, M. (2026). Same Patients, Different Health Care Systems—Revisited. Geriatric Care Models in the U.S., Canada, and Europe. Journal of the American Geriatrics Society. https://doi.org/10.1111/jgs.70478
Manuel Montero-Odasso
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How many adults with osteoarthritis go without needed care?
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This systematic review aimed to describe how often, and for what reasons, adults with osteoarthritis experience unmet health care needs. Researchers searched four databases for eligible studies, assessed them for risk of bias, and extracted data from those that met the inclusion criteria.
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Ragagnin, K., da Silva‐Oolup, S., Yu, H., Balaji, S., Côté, P., Hogg‐Johnson, S., Murnaghan, K., & Wong, J. J. (2026). Burden and Associated Factors of Unmet Health Care Needs in Individuals With Osteoarthritis: A Systematic Review. ACR Open Rheumatology, 8(3). https://doi.org/10.1002/acr2.90007
Jessica Wong
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How can humour help or hinder therapy for people who have sustained a stroke, according to occupational therapists?
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Little is known about the risks and benefits of using humor during occupational therapy for people who have sustained a stroke. To address this, researchers conducted a study with three rounds of surveys where Canadian occupational therapists identified and ranked these potential risks and benefits.
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Kfrerer, M. L., Laliberte Rudman, D., Schermer, J. A., & Marshall, C. A. (2026). The Risks and Benefits of Humour Use With Individuals After Stroke. Canadian Journal of Occupational Therapy, 93(1), 62-78. https://doi.org/10.1177/00084174251362332
Debbie Laliberte Rudman
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Why do people gain muscle differently from the same workout?
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The amount of muscle people gain from resistance training varies considerably from person to person. This paper summarizes key themes from a conference where researchers discussed the factors contributing to this variability and how to improve future study designs.
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Roberts, M. D., Bamman, M. M., Hornberger, T. A., Mackey, A. L., Derave, W., Atherton, P. J., Phillips, S. M., Schoenfeld, B. J., Nader, G. A., Hecksteden, A., Hulmi, J. J., Sillanpää, E., Libardi, C. A., & Ahtiainen, J. P. (2026). Research into Resistance Training Response Heterogeneity: a Summary of the 2025 Conference at the University of Jyväskylä. Journal of Applied Physiology. https://doi.org/10.1152/japplphysiol.00289.2026
Stuart Phillips
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Canadian Centre for Activity and Aging
Faculty of Health Sciences, Western University
1201 Western Road Elborn College, Suite 1101, London, Ontario N6G 1H1, CA
ccaa@uwo.ca
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Some components of this newsletter were generated using AI.
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