Adequate gross motor skills are an essential aspect of a child’s healthy development. Where physical education (PE) is part of the primary school curriculum, a strong curriculum-based emphasis on evaluation and support of motor skill development in PE is apparent. Monitoring motor development is then a task for the PE teacher. To fulfill this task, teachers need adequate tools. The 4-Skills Scan is a quick and easily manage- able gross motor skill instrument; however, its validity has never been assessed. Therefore, the purpose of this study was to assess the construct and concurrent validity of both 4-Skills Scans (version 2007 and version 2015). A total of 212 primary school children (6-12 years old) was requested to participate in both versions of the 4-Skills Scan. For assessing construct validity, children covered an obstacle course with video recordings for observation by an expert panel. For concurrent validity, a comparison was made with the M-ABC-2, by calculating Pearson correlations. Multivariable linear regression analyses were performed to determine the contribution of each subscale to the construct of gross motor skills, according to the M-ABC-2 and the expert panel. Correlations between the 4-Skills Scans and expert valuations were moderate, with coefficients of .47 (version 2007) and .46 (version 2015). Correlations between the 4-Skills Scans and the M-ABC-2 (gross) were moderate (.56) for version 2007 and high (.64) for version 2015. It is concluded that both versions of the 4-Skills Scans are satis- factory valid instruments for assessing gross motor skills during PE lessons.
DOCUMENT
In de afgelopen jaren hebben De Haagse Hogeschool en de Vrije Universiteit Amsterdam samen onderzoek gedaan naar een motoriektest die praktisch toepasbaar is in de gymles. In dit onderzoek is nauw samengewerkt met LO-docenten en buurtsportcoaches. Het resultaat is de MQ Scan; een wetenschappelijk verantwoorde en praktisch toepasbare motoriektest. In dit artikel wordt het belang van meten van motoriek, de inhoud van de MQ Scan en het onderzoek naar de MQ Scan besproken.
DOCUMENT
In The Netherlands, the 4-Skills Scan is an instrument for physical education teachers to assess gross motor skills of elementary school children. Little is known about its reliability. Therefore, in this study the test–retest and inter-rater reliability was determined. Respectively, 624 and 557 Dutch 6- to 12-year-old children were analyzed for test re-test and inter-rater reliability. All tests took place within the school setting. The outcome measure was age-expected motor performance (in years). Results showed a small practice effect of .24 years for re-test sessions and assessment of motor skills was possible with acceptable precision (standard error of measurement = .67 years). Overall, intraclass correlation coefficient (ICC) was .93 (95% confidence interval: .92–.95) for test–retest reliability and .97 for inter-rater reliability. For the repeated measures, the smallest detectable change (SDC) was 1.84 and limits of agreement were –1.60 and 2.08 years. It can be concluded that the 4-Skills Scan is a reliable instrument to assess gross motor skills in elementary school children.
DOCUMENT
Background: A paradigm shift in health care from illness to wellbeing requires new assessment technologies and intervention strategies. Self-monitoring tools based on the Experience Sampling Method (ESM) might provide a solution. They enable patients to monitor both vulnerability and resilience in daily life. Although ESM solutions are extensively used in research, a translation from science into daily clinical practice is needed. Objective: To investigate the redesign process of an existing platform for ESM data collection for detailed functional analysis and disease management used by psychological assistants to the general practitioner (PAGPs) in family medicine. Methods: The experience-sampling platform was reconceptualized according to the design thinking framework in three phases. PAGPs were closely involved in co-creation sessions. In the ‘understand’ phase, knowledge about end-users’ characteristics and current eHealth use was collected (nominal group technique – 2 sessions with N = 15). In the ‘explore’ phase, the key needs concerning the platform content and functionalities were evaluated and prioritized (empathy mapping – 1 session with N = 5, moderated user testing – 1 session with N = 4). In the ‘materialize’ phase, the adjusted version of the platform was tested in daily clinical practice (4 months with N = 4). The whole process was extensively logged, analyzed using content analysis, and discussed with an interprofessional project group. Results: In the ‘understand’ phase, PAGPs emphasized the variability in symptoms reported by patients. Therefore, moment-to-moment assessment of mood and behavior in a daily life context could be valuable. In the ‘explore’ phase, (motivational) functionalities, technological performance and instructions turned out to be important user requirements and could be improved. In the ‘materialize’ phase, PAGPs encountered barriers to implement the experience-sampling platform. They were insufficiently facilitated by the regional primary care group and general practitioners. Conclusion: The redesign process in co-creation yielded meaningful insights into the needs, desires and daily routines in family medicine. Severe barriers were encountered related to the use and uptake of the experience-sampling platform in settings where health care professionals lack the time, knowledge and skills. Future research should focus on the applicability of this platform in family medicine and incorporate patient experiences.
DOCUMENT
De PZH neemt aan dat er een tekort is aan IT’ers werkzaam bij het mkb. Dit onderzoek beschouwt in welke mate deze veronderstelling klopt binnen het mkb in de bouw- en maakindustrie. Er wordt zowel gekeken naar het aantal IT’ers als naar specifieke IT-vaardigheden. Dit rapport is tot stand gekomen op basis van data verzameld door middel van deskresearch en pilot interviews met brancheorganisaties. Hiermee wordt onder andere een overzicht gemaakt van de huidige status van de digitale competenties onder het mkb in de bouw en maakindustrie, de marktkansen in relatie tot digitalisering, de belangrijkste uitdagingen waarmee het mkb wordt geconfronteerd bij het adopteren van digitalisering en de bedreigingen die er kunnen ontstaan in de komende jaren bij een aanhoudend tekort aan IT’ers en/of werknemers met de juiste IT of digitale vaardigheden.
DOCUMENT
Movement is an essential part of our lives. Throughout our lifetime, we acquire many different motor skills that are necessary to take care of ourselves (e.g., eating, dressing), to work (e.g., typing, using tools, care for others) and to pursue our hobbies (e.g., running, dancing, painting). However, as a consequence of aging, trauma or chronic disease, motor skills may deteriorate or become “lost”. Learning, relearning, and improving motor skills may then be essential to maintain or regain independence. There are many different ways in which the process of learning a motor skill can be shaped in practice. The conceptual basis for this thesis was the broad distinction between implicit and explicit forms of motor learning. Physiotherapists and occupational therapists are specialized to provide therapy that is tailored to facilitate the process of motor learning of patients with a wide range of pathologies. In addition to motor impairments, patients suffering from neurological disorders often also experience problems with cognition and communication. These problems may hinder the process of learning at a didactic level, and make motor learning especially challenging for those with neurological disorders. This thesis focused on the theory and application of motor learning during rehabilitation of patients with neurological disorders. The overall aim of this thesis was to provide therapists in neurological rehabilitation with knowledge and tools to support the justified and tailored use of motor learning in daily clinical practice. The thesis is divided into two parts. The aim of the first part (Chapters 2‐5) was to develop a theoretical basis to apply motor learning in clinical practice, using the implicit‐explicit distinction as a conceptual basis. Results of this first part were used to develop a framework for the application of motor learning within neurological rehabilitation (Chapter 6). Afterwards, in the second part, strategies identified in first part were tested for feasibility and potential effects in people with stroke (Chapters 7 and 8). Chapters 5-8 are non-final versions of an article published in final form in: Chapter 5: Kleynen M, Moser A, Haarsma FA, Beurskens AJ, Braun SM. Physiotherapists use a great variety of motor learning options in neurological rehabilitation, from which they choose through an iterative process: a retrospective think-aloud study. Disabil Rehabil. 2017 Aug;39(17):1729-1737. doi: 10.1080/09638288.2016.1207111. Chapter 6: Kleynen M, Beurskens A, Olijve H, Kamphuis J, Braun S. Application of motor learning in neurorehabilitation: a framework for health-care professionals. Physiother Theory Pract. 2018 Jun 19:1-20. doi: 10.1080/09593985.2018.1483987 Chapter 7: Kleynen M, Wilson MR, Jie LJ, te Lintel Hekkert F, Goodwin VA, Braun SM. Exploring the utility of analogies in motor learning after stroke: a feasibility study. Int J Rehabil Res. 2014 Sep;37(3):277-80. doi: 10.1097/MRR.0000000000000058. Chapter 8: Kleynen M, Jie LJ, Theunissen K, Rasquin SM, Masters RS, Meijer K, Beurskens AJ, Braun SM. The immediate influence of implicit motor learning strategies on spatiotemporal gait parameters in stroke patients: a randomized within-subjects design. Clin Rehabil. 2019 Apr;33(4):619-630. doi: 10.1177/0269215518816359.
DOCUMENT
Over de vaardigheden voor een kwaliteitsmedewerker in de 21e eeuw
DOCUMENT
Lector Sanne de Vries startte tien jaar geleden als lector bij het lectoraat Gezonde Leefstijl in Stimulerende Omgeving (GLSO). In het afgelopen decennium veranderde de focus van het lectoraat én groeide de kenniskring uit tot een maatschappelijk betrokken groep onderzoekers met impact in het werkveld. Een terugblik op tien jaar onderzoek met de lector die zelf minimaal drie keer per week sport en houdt van gezond én lekker eten.
DOCUMENT
Er is al redelijk wat kennis ten aanzien van kijkgedrag in de sport, maar deze inzichten hebben voornamelijk betrekking op statische situaties. Momenteel zijn er onderzoeken gaande die inzicht proberen te krijgen in het kijkgedrag tijdens dynamische sportsituaties. Dit artikel beschrijft aan de hand van een onderzoek binnen het hockey welke uitdagingen er daarbij zijn.
DOCUMENT
