Objective We examined whether the role of maternal education in children's unhealthy snacking diet is moderated by other socio-economic indicators. Methods Participants were selected from the Amsterdam Born Children and their Development cohort, a large ongoing community-based birth cohort. Validated Food Frequency Questionnaires (FFQ) (n = 2782) were filled in by mothers of children aged 5.7±0.5yrs. Based on these FFQs, a snacking dietary pattern was derived using Principal Component Analysis. Socio-economic indicators were: maternal and paternal education (low, middle, high; based on the highest education completed) household finance (low, high; based on ability to save money) and neighbourhood SES (composite score including educational level, household income and employment status of residents per postal code). Cross-sectional multivariable linear regression analysis was used to assess the association and possible moderation of maternal education and other socio-economic indicators on the snacking pattern score. Analyses were adjusted for children's age, sex and ethnicity. Results Low maternal education (B 0.95, 95% CI 0.83;1.06), low paternal education (B 0.36, 95% CI 0.20;0.52), lower household finance (B 0.18, 95% CI 0.11;0.26) and neighbourhood SES (B -0.09, 95% CI -0.11;-0.06) were independently associated with higher snacking pattern scores (p<0.001). The association between maternal education and the snacking pattern score was somewhat moderated by household finance (p = 0.089) but remained strong. Children from middle-high educated mothers (B 0.44, 95% CI 0.35;0.52) had higher snacking pattern scores when household finance was low (B 0.49, 95% CI 0.33;0.65). Conclusions All socio-economic indicators were associated with increased risk of unhealthy dietary patterns in young children, with low maternal education conferring the highest risk. Yet, within the group of middle-high educated mothers, lower household finance was an extra risk factor for unhealthy dietary patterns. Intervention strategies should therefore focus on lower educated mothers and middle-high educated mothers with insufficient levels of household finance.
In deze rapportage worden de opzet en resultaten besproken van de Opfriscursus Wiskunde van de techniekopleidingen van Fontys. De resultaten hebben betrekking op cohort 2012 en cohort 2013.
Background: Knee and hip osteoarthritis (OA) among older adults account for substantial disability and extensive healthcare use. Effective pain coping strategies help to deal with OA. This study aims to determine the long-term relationship between pain coping style and the course of healthcare use in patients with knee and/or hip OA over 10 years. Methods: Baseline and 10-year follow-up data of 861 Dutch participants with early knee and/or hip OA from the Cohort Hip and Cohort Knee (CHECK) cohort were used. The amount of healthcare use (HCU) and pain coping style were measured. Generalized Estimating Equations were used, adjusted for relevant confounders. Results: At baseline, 86.5% of the patients had an active pain coping style. Having an active pain coping style was significantly (p = 0.022) associated with an increase of 16.5% (95% CI, 2.0–32.7) in the number of used healthcare services over 10 years. Conclusion: Patients with early knee and/or hip OA with an active pain coping style use significantly more different healthcare services over 10 years, as opposed to those with a passive pain coping style. Further research should focus on altered treatment (e.g., focus on self-management) in patients with an active coping style, to reduce HCU.
Low back pain is the leading cause of disability worldwide and a significant contributor to work incapacity. Although effective therapeutic options are scarce, exercises supervised by a physiotherapist have shown to be effective. However, the effects found in research studies tend to be small, likely due to the heterogeneous nature of patients' complaints and movement limitations. Personalized treatment is necessary as a 'one-size-fits-all' approach is not sufficient. High-tech solutions consisting of motions sensors supported by artificial intelligence will facilitate physiotherapists to achieve this goal. To date, physiotherapists use questionnaires and physical examinations, which provide subjective results and therefore limited support for treatment decisions. Objective measurement data obtained by motion sensors can help to determine abnormal movement patterns. This information may be crucial in evaluating the prognosis and designing the physiotherapy treatment plan. The proposed study is a small cohort study (n=30) that involves low back pain patients visiting a physiotherapist and performing simple movement tasks such as walking and repeated forward bending. The movements will be recorded using sensors that estimate orientation from accelerations, angular velocities and magnetometer data. Participants complete questionnaires about their pain and functioning before and after treatment. Artificial analysis techniques will be used to link the sensor and questionnaire data to identify clinically relevant subgroups based on movement patterns, and to determine if there are differences in prognosis between these subgroups that serve as a starting point of personalized treatments. This pilot study aims to investigate the potential benefits of using motion sensors to personalize the treatment of low back pain. It serves as a foundation for future research into the use of motion sensors in the treatment of low back pain and other musculoskeletal or neurological movement disorders.
Wij onderzoeken het programma van Stichting leerKRACHT, dat als doel heeft om een meer lerende schoolcultuur te stimuleren. De stichting helpt scholen te bouwen aan een verbetercultuur, gebaseerd op inzichten uit onderwijsonderzoek.Doel Wij onderzoeken of scholen die werken met leerKRACHT, zich ontwikkelen in hun schoolcultuur, leraar handelen en leerlingresultaten. Daarnaast hebben we verdiepende aandacht voor de rol van leiderschap, volgend op de resultaten van het promotieonderzoek van De Jong (2022) onder scholen werkend met leerKRACHT. Dr. Angela de Jong voerde samen met Oberon Onderzoek en Advies eerder al een langlopend onderzoek uit naar dit programma (in 2017-2021). Het huidige project betreft een meerjarig vervolgonderzoek (2022-2026). Resultaten Inzichten in hoe het programma wordt uitgevoerd en gewaardeerd Inzichten in hoe de cultuur verandert op scholen die werken met het programma Inzichten in welke mechanismen een rol spelen in het werken met het programma, waaronder leiderschap Looptijd 01 maart 2023 - 01 december 2026 Aanpak Wij volgen twee cohorten scholen, namelijk scholen die starten met de uitvoering in schooljaar 2023-2024 en schooljaar 2024-2025. De scholen doen twee jaar mee aan het onderzoek. Er zullen 130-150 scholen per jaar deelnemen aan het onderzoek. Kwantitatieve en kwalitatieve gegevens worden verzameld onder leerlingen, leraren(teams) en schoolleiders.
In dit promotieonderzoek worden kenmerken uit het delictverleden van een cohort reclasseringscliënten beschreven en onderscheid gemaakt in verschillende dadergroepen. Vervolgens wordt gekeken in hoeverre de kenmerken van de werkalliantie verschillen tussen deze dadergroepen.Doel Doel van dit onderzoek is het vergroten van kennis over verschillen tussen reclasseringscliënten in delictachtergrond en kwaliteit van de werkalliantie. Deze kennis draagt bij aan het herkennen en onderscheiden van typen cliënten om het professioneel handelen met deze doelgroep te verbeteren. Resultaten De resultaten van dit promotieonderzoek worden gepubliceerd in vijf internationale wetenschappelijke artikelen. Daarnaast worden tussentijdse resultaten gepresenteerd op congressen en in de praktijk. Looptijd 01 oktober 2017 - 01 april 2022 Aanpak Voor dit promotieonderzoek zijn gegevens verzameld uit systemen van de drie reclasseringsorganisaties en het Openbaar Ministerie. Na koppeling van deze gegevens worden kwantitatieve analyses uitgevoerd in het statistiekprogramma SPSS.
