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Cognitive Aging
For most Americans, staying \"mentally sharp\" as they age is a very high priority. Declines in memory and decision-making abilities may trigger fears of Alzheimer's disease or other neurodegenerative diseases. However, cognitive aging is a natural process that can have both positive and negative effects on cognitive function in older adults - effects that vary widely among individuals. At this point in time, when the older population is rapidly growing in the United States and across the globe, it is important to examine what is known about cognitive aging and to identify and promote actions that individuals, organizations, communities, and society can take to help older adults maintain and improve their cognitive health.
Cognitive Aging assesses the public health dimensions of cognitive aging with an emphasis on definitions and terminology, epidemiology and surveillance, prevention and intervention, education of health professionals, and public awareness and education. This report makes specific recommendations for individuals to reduce the risks of cognitive decline with aging. Aging is inevitable, but there are actions that can be taken by individuals, families, communities, and society that may help to prevent or ameliorate the impact of aging on the brain, understand more about its impact, and help older adults live more fully and independent lives. Cognitive aging is not just an individual or a family or a health care system challenge. It is an issue that affects the fabric of society and requires actions by many and varied stakeholders. Cognitive Aging offers clear steps that individuals, families, communities, health care providers and systems, financial organizations, community groups, public health agencies, and others can take to promote cognitive health and to help older adults live fuller and more independent lives. Ultimately, this report calls for a societal commitment to cognitive aging as a public health issue that requires prompt action across many sectors.
eBook
Reframing public policy : discursive politics and deliberative practices
In recent years a set of new ‘postempiricist’ approaches to public policy, drawing on discursive analysis and participatory deliberative practices, have come to challenge the dominant technocratic, empiricist models in policy analysis. In this book, Frank Fischer brings together this work for the first time and critically examines its implications for the field of public policy studies. He describes the theoretical, methodological and political dimensions of this emerging approach to policy research. The book includes a discussion of the social construction of policy problems, the role of interpretation and narrative analysis in policy inquiry, the dialectics of policy argumentation, and the uses of participatory policy analysis. After an introductory chapter, ten further chapters are arranged in four parts: Part I, Public Policy and the Discursive Construction of Reality (two chapters), introduces the re-emergence of interest in ideas and discourse. It then turns to the postempiricist or constructionist view of social reality, presenting public policy as a discursive construct that turns on multiple interpretations. Part II, Public Policy as Discursive Politics (two chapters), examines more specifically the nature of discursive politics and discourse theory and illustrates through a particular disciplinary debate the theoretical, methodological, and political implications of such a conceptual reframing of policy inquiry. Part III, Discursive Policy Inquiry: Resituating Empirical Analysis (four chapters), offers a postempiricist methodology for policy inquiry based on the logic of practical discourse, and explores specific methodological perspectives pertinent to such an orientation, in particular the role of interpretation in policy analysis, narrative policy analysis, and the dialectics of policy argumentation. Part IV, Deliberative Governance (two chapters), discusses the participatory implications of such a method and the role of the policy analyst as facilitator of citizen deliberation .
eBook
The ten trillion dollar gamble : the coming deficit debacle and how to invest now
Koesterich addresses the upcoming financial storm and what investors can do to capitalize when it hits.
Book
Conceptualising policy design in the policy process
The study of policy design has been of long-standing interest to policy scholars. Recent surveys of policy design scholarship acknowledge two main pathways along which it has developed; one in which the process of policy designing is emphasised and one in which the output of this policy designing process – for example, policy content – is emphasised. As part of a survey of extant research, this article discusses how scholars guided by different orientations to studying policy design are addressing and measuring common policy design concepts and themes, and offers future research opportunities. The article also provides a platform for considering how insights stemming from different orientations of policy design research can be integrated and mapped within the broader public policy process. Finally, the article raises the question of whether a framework that links different conceptualisations of policy design within the policy process might help to advance the field.
Journal Article
A guide to policy analysis as a research method
Summary
Policy analysis provides a way for understanding how and why governments enact certain policies, and their effects. Public health policy research is limited and lacks theoretical underpinnings. This article aims to describe and critique different approaches to policy analysis thus providing direction for undertaking policy analysis in the field of health promotion. Through the use of an illustrative example in nutrition it aims to illustrate the different approaches. Three broad orientations to policy analysis are outlined: (i) Traditional approaches aim to identify the ‘best’ solution, through undertaking objective analyses of possible solutions. (ii) Mainstream approaches focus on the interaction of policy actors in policymaking. (iii) Interpretive approaches examine the framing and representation of problems and how policies reflect the social construction of ‘problems’. Policy analysis may assist understanding of how and why policies to improve nutrition are enacted (or rejected) and may inform practitioners in their advocacy. As such, policy analysis provides researchers with a powerful tool to understand the use of research evidence in policymaking and generate a heightened understanding of the values, interests and political contexts underpinning policy decisions. Such methods may enable more effective advocacy for policies that can lead to improvements in health.
Journal Article
Policy, geophilosophy and education
Education policy is premised on its instrumentalist approach. This instrumentalism is based on narrow assumptions concerning people (the subject), decision-making (power), problem-solving (science and methodology), and knowledge (epistemology). Policy, Geophilosophy and Education reconceptualises the object, and hence, the objectives, of education policy. Specifically, the book illustrates how education policy positions and constitutes objects and subjects through emergent policy arrangements that simultaneously influence how policy is sensed, embodied, and enacted. The book examines the disciplinary and multi-disciplinary approaches to education policy analysis over the last sixty years, and reveals how policy analysis constitutes the ontologies and epistemologies of policy. In order to reconceptualise policy, Policy, Geophilosophy and Education uses ideas of spatiality, affect and problematization from the disciplines of geography and philosophy. The book problematizes case-vignettes to illustrate the complex and often paradoxical relations between neo-liberal education policy equity, and educational inequalities produced in the representational registers of race and ethnicity.
BOOK
COMPARING INFERENCE APPROACHES FOR RD DESIGNS: A REEXAMINATION OF THE EFFECT OF HEAD START ON CHILD MORTALITY
The regression discontinuity (RD) design is a popular quasi-experimental design for causal inference and policy evaluation. The most common inference approaches in RD designs employ \"flexible\" parametric and nonparametric local polynomial methods, which rely on extrapolation and large-sample approximations of conditional expectations using observations somewhat near the cutoff that determines treatment assignment. An alternative inference approach employs the idea of local randomization, where the very few units closest to the cutoff are regarded as randomly assigned to treatment and finite-sample exact inference methods are used. In this paper, we contrast these approaches empirically by re-analyzing the influential findings of Ludwig and Miller (2007), who studied the effect of Head Start assistance on child mortality employing parametric RD methods. We first review methods based on approximations of conditional expectations, which are relatively well developed in the literature, and then present new methods based on randomization inference. In particular, we extend the local randomization framework to allow for parametric adjustments of the potential outcomes; our extended framework substantially relaxes strong assumptions in prior literature and better resembles other RD inference methods. We compare all these methods formally, focusing on both estimands and inference properties. In addition, we develop new approaches for randomization-based sensitivity analysis specifically tailored to RD designs. Applying all these methods to the Head Start data, we find that the original RD treatment effect reported in the literature is quite stable and robust, an empirical finding that enhances the credibility of the original result. All the empirical methods we discuss are readily available in general purpose software in R and Stata; we also provide the dataset and software code needed to replicate all our results.
Journal Article