Mensen in een lage sociaaleconomische positie geven de voorkeur aan ondernemend sport- en beweegaanbod ten opzichte van verenigingsaanbod. Uit interviews met sleutelfiguren en in straatinterviews met wijkbewoners blijkt dat er verschillende redenen zijn om voor dit ondernemende aanbod te kiezen, zoals flexibiliteit in tijd en intensiteit, beweegschaamte, gemak en toegankelijkheid. Het onderzoek biedt ook inzichten over het verschil tussen commerciële en sociale ondernemende aanbieders, de invloed van taal en aandacht voor mensen in de meest kwetsbare positie. Het onderzoek biedt inzichten voor beleidsmakers en sportaanbieders om hun aanbod toegankelijk te maken voor mensen in een lage sep. Het verkennende kwalitatieve onderzoek is uitgevoerd in opdracht van het Kenniscentrum Sport en Bewegen en is uitgevoerd in de aandachtswijken Poelenburg in Zaanstad en in Haarlem-oost.
MULTIFILE
Om de opwarming van de aarde onder de 1,5 graden te houden en ernstige gevolgen van klimaatverandering zoveel mogelijk te voorkomen, moeten we naar nul uitstoot in 2050 (Net Zero). Welvarenden kunnen hierin een sleutelrol vervullen. Mensen met een hoge sociaaleconomische positie (SEP) consumeren namelijk relatief veel en hebben een grote ecologische voetafdruk. Daarnaast heeft de hoge SEP groep grote invloed op de voetafdruk van anderen via hun sociale netwerk en financiële middelen, ook wel de ‘handafdruk’ genoemd. Aansturen op minder consumptie en veranderen van de sociale norm ten aanzien van duurzame keuzes, met name bij én door mensen met een hoge SEP, is tot dusverre nog relatief onderbelicht in onderzoek, beleid en uitvoering. In dit rapport delen we de resultaten van de 55 vragen die we deelnemers hebben gesteld verdeeld over vijf thema's: 1. Zorgen over klimaatverandering; 2. Percepties van rol(len); 3. Huidig gedrag, descriptieve norm, samenlevingsnorm; 4. Veranderbereidheid - vrijwillig en via regulerend beleid; 5. Kennis van klimaatimpact van gedrag.
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Specific approaches are needed to reach and support people with a lower socioeconomic position (SEP) to achieve healthier eating behaviours. There is a growing body of evidence suggesting that digital health tools exhibit potential to address these needs because of its specific features that enable application of various behaviour change techniques (BCTs). The aim of this scoping review is to identify the BCTs that are used in diet-related digital interventions targeted at people with a low SEP, and which of these BCTs coincide with improved eating behaviour. The systematic search was performed in 3 databases, using terms related to e/m-health, diet quality and socioeconomic position. A total of 17 full text papers were included. The average number of BCTs per intervention was 6.9 (ranged 3–15). BCTs from the cluster ‘Goals and planning’ were applied most often (25x), followed by the clusters ‘Shaping knowledge’ (18x) and ‘Natural consequences’ (18x). Other frequently applied BCT clusters were ‘Feedback and monitoring’ (15x) and ‘Comparison of behaviour’ (13x). Whereas some BCTs were frequently applied, such as goal setting, others were rarely used, such as social support. Most studies (n = 13) observed a positive effect of the intervention on eating behaviour (e.g. having breakfast) in the low SEP group, but this was not clearly associated with the number or type of applied BCTs. In conclusion, more intervention studies focused on people with a low SEP are needed to draw firm conclusions as to which BCTs are effective in improving their diet quality. Also, further research should investigate combinations of BCTs, the intervention design and context, and the use of multicomponent approaches. We encourage intervention developers and researchers to describe interventions more thoroughly, following the systematics of a behaviour change taxonomy, and to select BCTs knowingly.
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Background and ObjectivesThis qualitative study applied a resilience perspective to socioeconomic inequalities in the functioning of older adults. We aimed to gain insight into how some older adults managed to age successfully despite having a low socioeconomic position (SEP) throughout their lives.Research Design and MethodsSemistructured interviews were conducted with 11 resilient adults over the age of 79 years participating in the Longitudinal Aging Study Amsterdam, the Netherlands. Participants were defined as resilient on the basis of having a low lifetime SEP and favorable trajectories of physical, mental, and social functioning. Grounded Theory coding techniques were applied to identify themes reflecting distinct ways in which participants dealt with what they indicated were the most significant adversities in their lives. The analysis focused on experiences linked to socioeconomic conditions.ResultsSix themes reflecting psychological, behavioral, and social factors were derived from the data: drawing support from social contacts; investing in younger generations; taking actions to manage or improve socioeconomic conditions; putting the impact of a low SEP into perspective; persevering; and resigning oneself to adversity.Discussion and ImplicationsFindings suggest that successful aging despite a low SEP throughout one’s lifetime requires considerable psychological and social resources. In addition, resignation and specific manifestations of generativity are identified as new elements of resilience. These findings may help to reduce the stereotyping of older adults with a low SEP, and nuance the heroic image of resilience as something that is primarily attributable to extraordinary individual abilities or efforts.
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Presentatie bij workshop rondom het ontwerpen, ontwikkelen en het veilig, gecontroleerd implementeren van zorg- en welzijnstechnologie
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Background: Although maternity care is linked to improved health outcomes, it is often insufficiently tailored to the needs of low socioeconomic position (SEP) majority population women in high-income countries, leading to obstacles in achieving good health. Cultural competence can contribute to access to adequate care, but no systematic assessment has been conducted. This study aims to examine current evidence about the aspects of cultural competence of maternity care professionals caring for low socioeconomic position (SEP) majority population women. Methods: A scoping review was conducted. Search terms were based on the PCC elements (Participants, Concepts, and Context). Data-extraction and analysis were performed by two researchers according to a predetermined procedure. Data were grouped in the main themes of the Seeleman-framework (2009) and subsequently inductively analyzed. Results: Out of 6954 articles, 35 were eligible for data analysis. To create an overview of available evidence quality assessment of the included studies was not performed. Health professionals express a lack of knowledge and skills to assess socio-economic vulnerabilities in women and to refer to other care options regarding socio-economic vulnerabilities. Although positive experiences with professionals were mentioned, many women experience negative attitudes in terms of a lack of respect and stigmatization issues. Professionals lack the skills to build good relationships with women. Both women and health professionals reported poor communication and collaboration with health care colleagues and with social services. Conclusions: The cultural competence of health professionals in maternity care needs improvement. Professionals should be equipped with sufficient knowledge to identify deprived women and their needs and be trained in skills to effectively communicate and build care relationships. Future research should focus on the reflections of health professionals on their professional role regarding low SEP majority population women. The conditions and maternity care systems health professionals work in to serve low SEP majority women should be studied more closely. Results call for a debate about the scope of professional practice and logistical care structures regarding maternity care for low SEP majority population women. Clinical trial number: Not applicable.
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De studenten van de opleiding Logistiek en Economie van Hogeschool Inholland Haarlem hebben op Schiphol onderzoek uitgevoerd naar eLink. Dit systeem is gericht op een vergroting van de efficiency binnen de luchtvrachtsector door een verdere digitalisering. Het project is uitgevoerd in samenwerking met de branchevereniging Air Cargo Netherlands (ACN) en onder begeleiding van het lectoraat Airport en Aviation van de Hogeschool Inholland.
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While the importance of professional support following very preterm delivery (VP) is established, the parental experience of support still warrants deeper understanding. Evaluation of a Dutch one-year post-discharge responsive parenting intervention following VP suggested that parents with lower educational levels benefitted less from the program. This idiographic phenomenological study investigated the lived experiences of two mothers with differing educational backgrounds receiving professional support during hospitalization and post-discharge. In-depth interviews with the mothers were analyzed using Interpretative Phenomenological Analysis. We formulate three impressions: (1) How the mothers made sense of their experiences resonated with the findings of research on class differences in parenting. (2) The mothers valued professionals who struck a personalized balance between supporting their maternal agency and attending to their vulnerability and needs for help and perspective. (3) The mothers experienced greater trust in professionals who could suspend pre- conceived assumptions and take their personal characteristics into consideration. Practice suggestions are extrapolated for social work professionals. The study has relevance to educational diversity and recommends an overarching sensitivity to positionality in professional work with parents.
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De drie grootste Fontyssteden doen het niet bijster goed in de jaarlijkse Atlas van Nederlandse gemeenten. Je moet deze magere scores niet te serieus nemen, maar duidelijk is dat Eindhoven, Tilburg en Venlo wel wat vergroening kunnen gebruiken, zegt Cees-Jan Pen, lector de Ondernemende Regio aan Fontys Hogescholen Economie en Communicatie.
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Mediawijsheid staat niet op zichzelf, er is sprake van een generatiekloof. Dat stelt Bart Wernaart, lector Moral Design Strategy bij Fontys Hogeschool Economie en Communicatie (FEC). “Ik heb een redelijk groot vertrouwen in het techno-morele kompas van onze studenten.”
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