How does artistic identity influence the self-confidence of music educators? What is the interconnection between the artistic and the teacher identity? What is actually meant by artistic identity in music education? What is a fruitful environment for the development of artistic self-confidence of music educators and how can institutions contribute to that? This article reflects on these questions from various angles. Brigitte Lion goes into aspects of self-confidence based on her research and experiences in coaching young teachers. In her address, Christine Stöger establishes a link between gaining self-confidence and positive experiences in the artistic area, making the case for a ‘third space’ where interconnections can occur on the cutting edge of artistic performance and pedagogy. Rineke Smilde finally, discusses the question what gaining self-confidence and displaying one’s artistry as a music educator requires of the learning environment in the institutions that train future music educators.
DOCUMENT
Background: The diffusion of telehealth into hospital care is still low, partially because of a lack of telehealth competence among nurses. In an earlier study, we reported on the knowledge, skills, and attitudes (KSAs) nurses require for the use of telehealth. The current study describes hospital nurses' confidence in possessing these telehealth KSAs. Method: In a cross-sectional study, we invited 3,543 nurses from three hospitals in the Netherlands to rate their self-confidence in 31 telehealth KSAs on a 5-point Likert scale, using an online questionnaire. Results: A total of 1,017 nurses responded to the survey. Nine KSAs were scored with a median value of 4.0, 19 KSAs with a median value of 3.0, and three KSAs with a median value of 2.0. Conclusion: Given that hospital nurses have self-confidence in only nine of the 31 essential telehealth KSAs, continuing education in additional KSAs is recommended to support nurses in gaining confidence in using telehealth.
DOCUMENT
Purpose: The objective of this study was to develop a questionnaire to assess confidence in wheelchair mobility in Dutch youth (WheelCon-Mobility Dutch Youth). Methods: (1) A forward–backward translation process was used to translate the original WheelCon-M from English to Dutch. (2) Items related to wheelchair mobility in Dutch youth were selected and adapted based on focus groups with youth, parents and health care professionals to create the WheelCon-Mobility Dutch Youth. (3) The WheelCon-Mobility Dutch Youth and the Utrecht Pediatric Wheelchair Mobility Skills Test 2.0 (UP-WMST 2.0) were administered to 62 participants to evaluate internal consistency and construct validity. Results: Translation and cultural adaptation led to general adaptations in instructions, sentence structure and response scale. At the item level, 24 items were included with (n = 17) and without (n = 7) adaptation, 10 items were deleted and 7 new items were included. The WheelCon-Mobility Dutch Youth had an excellent Cronbach’s alpha of 0.924 and a significant correlation (r = 0.44, p < .001) with the UP-WMST 2.0. Conclusions: This study resulted in the adaptation of the WheelCon-M into the WheelCon-Mobility for Dutch youth using a manual wheelchair. Our study suggests there is evidence supporting the internal consistency and construct validity of the WheelCon-Mobility Dutch Youth. Implications for Rehabilitation The WheelCon-Mobility Dutch Youth is a newly developed tool for assessing confidence in wheelchair mobility in Dutch youth using a manual wheelchair. It is important to assess performance and confidence in wheelchair mobility in paediatric rehabilitation.
LINK
Alcohol use disorder (AUD) is a pattern of alcohol use that involves having trouble controlling drinking behaviour, even when it causes health issues (addiction) or problems functioning in daily (social and professional) life. Moreover, festivals are a common place where large crowds of festival-goers experience challenges refusing or controlling alcohol and substance use. Studies have shown that interventions at festivals are still very problematic. ARise is the first project that wants to help prevent AUD at festivals using Augmented Reality (AR) as a tool to help people, particular festival visitors, to say no to alcohol (and other substances). ARise is based on the on the first Augmented Reality Exposure Therapy (ARET) in the world that we developed for clinical treatment of AUD. It is an AR smartphone driven application in which (potential) visitors are confronted with virtual humans that will try to seduce the user to accept an alcoholic beverage. These virtual humans are projected in the real physical context (of a festival), using innovative AR glasses. Using intuitive phone, voice and gesture interactions, it allows users to personalize the safe experience by choosing different drinks and virtual humans with different looks and levels of realism. ARET has been successfully developed and tested on (former) AUD patients within a clinical setting. Research with patients and healthcare specialists revealed the wish to further develop ARET as a prevention tool to reach people before being diagnosed with AUD and to extend the application for other substances (smoking and pills). In this project, festival visitors will experience ARise and provide feedback on the following topics: (a) experience, (b) awareness and confidence to refuse alcohol drinks, (c) intention to use ARise, (d) usability & efficiency (the level of realism needed), and (e) ideas on how to extend ARise with new substances.
The anterior cruciate ligament (ACL) is a strong rope-like tissue which connects the femur to the tibia in the knee joint. Its function is to provide structural stability to the knee while preventing unnatural forward movement of the tibia relative to the femur. Acute complete ACL ruptures during movements like knee hyperextension or sudden changes of direction (pivoting) damage two entities: the ligament itself and its nerve connections to the posterior tibial nerve (PTN). PTN innervation in the ACL is essential for: a) proprioception (e.g. perception of position and movement/acceleration experienced by the ligament), and b) stability of the knee joint. Upon ACL rupture, the orthopedic surgeon reconstructs the ACL with a graft from the hamstring, patellar or quadriceps tendon. After the surgery, the goal is to regain neuromuscular control and dynamic stabilization during rehabilitation as soon as possible for a quick return to sports and daily activities. However, surgeons are not able to reconstruct the nerve gap between the PTN and the grafted ligament due to the microscopic size of the innervation in the ACL. Not linking the PTN to the graft creates a disconnection between the knee joint and the spinal cord. To mitigate these disadvantages in ACL surgery, this study focuses on activating the growth of proprioception nerve endings using a ligament loaded with growth factors (neurotrophins). We hypothesize that neurotrophins will activate proprioceptive fibers of neurons close to the ACL. We describe graft fabrication steps and in vitro experiments to expand on the regeneration capacity of a commercially available ACL-like synthetic ligament called LARS. The results will bring the ACL regeneration field closer to having a graft that can aid patients in regaining mobility and stability during locomotion and running, confidence in the strength of the knee joint, and quick return to sports.
Kinderen van ouders met psychische problemen of verslavingsproblemen (KOPP/KOV) ervaren vaak chronische stress, mentale en lichamelijke gezondheidsproblemen. Ook hun financiële situatie, sociale welzijn en studiesucces kunnen worden beïnvloed door het leven met ouders met psychische en/of verslavingsproblematiek. Vaak zijn zij niet in beeld bij professionals of krijgen alleen verbale therapieën, zoals cognitieve gedragstherapie, terwijl lichaamsgerichte activiteiten geschikter lijken voor mensen die niet makkelijk over gevoelens praten. Sport en bewegen worden weinig ingezet in preventieve en behandelprogramma’s voor KOPP/KOV, alhoewel sport en bewegen positief zijn geassocieerd met gezondheid en welzijn. Boksen heeft aantrekkingskracht op jongeren in kwetsbare posities, heeft de potentie om het zelfvertrouwen, de persoonlijke groei en mentale gezondheid van KOPP/KOV te bevorderen en victimisatie te voorkomen of beperken. Voorwaarde is dat de manier waarop, en context waarin, het boksen wordt aangeboden zijn afgestemd op de wensen, behoeften en mogelijkheden van de doelgroep. Vanuit boks-, sport-, welzijns- en zorgprofessionals is er op dit moment een duidelijke vraag maar ook discussie over de manier waarop boksen ingezet kan worden als adequate preventieve interventie voor KOPP/KOV. Om deze handelingsverlegenheid weg te nemen, vragen bokstrainers maar ook buurtsportcoaches, welzijns- en zorgprofessionals om hulp bij het komen tot een passende en veilige boksinterventie die de mentale gezondheid van KOPP/KOV bevordert. Vanuit ondernemers perspectief zijn er daarnaast ook vragen rondom financiering en scholing van de trainers. Met een ontwerpgerichte aanpak wordt in dit project de volgende onderzoeksvraag beantwoord: “Aan welke inhoudelijke en organisatorische criteria moet een boksinterventie ter bevordering van de mentale gezondheid van KOPP/KOVV in de leeftijd 16-24 jaar voldoen?”. Het beantwoorden van deze vraag zal resulteren in een boksinterventie die kan worden aangeboden in samenwerking tussen ondernemers binnen de boks- en sportwereld én welzijns- en zorgprofessionals, en inzicht geven in de werkzame elementen, bruikbaarheid en haalbaarheid van deze lichaamsgerichte interventie voor KOPP/KOV.
