Feasibility and effects of preventive home visits for at-risk older people: design of a randomized controlled trial.

Background: The search for preventive methods to mitigate functional decline and unwanted relocation by older adults living in the community is important. Preventive home visit (PHV) models use infrequent but regular visits to older adults by trained practitioners with the goal of maintaining function and quality of life. Evidence about PHV efficacy is mixed but generally supportive.

Social security politics: ideology and reform.

Objectives: The purpose of this study was to examine the distribution of dominant values, actors, and ideological advocacy coalitions influencing the Social Security debate across two presidential administrations.

Methods: Through content and cluster analyses, we analyzed federal legislative hearing testimonies on Social Security reform spanning 11 years.

Results: Witnesses consistently expressed six dominant values: (a) advancing the market, (b) self-interest, (c) generational equity, (d) belief in market activity, (e) recommendations for market solutions, and (f) favoring the replacement of Social Security with private accounts.