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The objective of this systematic review and meta-analysis was to evaluate the effectiveness of peers to deliver programs or encourage older people to be physically active and improve physical outcomes. Peer reviewed articles published in English between January 1976 and June 2016, retrieved from six databases according to the predefined inclusion criteria were included. Where possible results were pooled and meta-analyses conducted. Eighteen articles were included in the review, a total of 3,492 intervention participants, average age 66.5 years and 67.1% were female. Overall, study quality was medium to high. Interventions mainly included resistance, flexibility and cardiovascular training, however there was one aquatic exercise group. Eight studies were delivered by peers and five utilised peer support, which included advice and being positive but was not directly linked to an exercise intervention. While 16 of the 18 studies reported improvement in levels of physical activity and/or noted physical benefits by peer involvement, the meta-analyses findings supported the control groups for the six-minute-walk-test and the timed-up-and-go test. Findings from this review suggest exercise programs involving peers can promote and maintain adherence to exercise programs. However, results were inconclusive as to whether peers have a positive effect on improving older people’s physical function.  相似文献   
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Participation rates of older people in resistance training (RT) are low despite increasing research showing many health benefits. To increase the number of older people participating in RT it is important to know what would motivate people to become involved, what motivates those who participate to continue, and the factors preventing many older people from commencing participation. To investigate these issues, a questionnaire was mailed to three groups of older people: (1) those receiving home care services, (2) members of a peak non-government seniors’ organisation and (3) those participating in a specific gym-based RT programme. In total, 1327 questionnaires were returned (response rate = 42.5%). To feel good physically and mentally were the main reasons motivating participation among all three groups, and falls prevention was identified as an important motivator for the home care respondents. Pain, injury and illness were the main barriers to participating, or continuing to participate. However, medical advice was a factor influencing participation commencement. The results suggest organisations providing RT programmes for older people should tailor the promotion and delivery of programmes to address key motivators and barriers specific to each group to increase the proportion of older people initiating and continuing to engage in RT.  相似文献   
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This article proceeds from three main premises. First, we assert that popular culture functions pedagogically and helps cultural consumers learn about work, even before they enter educational programs or workplaces. Second, we argue that exploring portrayals of internship is useful in understanding the ‘attributes of formality and informality’ that are present in any learning context. Third, we view internship not as a singular pedagogical strategy, but rather as a complex of pedagogical and learning approaches. We use the American television show Grey's Anatomy, set in a teaching hospital and focused on surgical residents, as a case of cultural representation of the internship process. We identify six approaches that are portrayed in the show: question-and-answer, experiential learning, mentoring, networking, peer learning and learning/teaching. These approaches illustrate how multiple strategies are developed and adopted by learner-workers and teacher-supervisors. We then explore how undergraduate medical students who participated in our study anticipated their own internship experiences and made sense of portrayals of it in the show.  相似文献   
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