In het hoger onderwijs is 15 tot 20 procent van de studenten, docenten en andere medewerkers neurodivergent. Dat betekent dat zij – net als veel anderen – baat hebben bij een digitale werk- en leeromgeving die beter aansluit op uiteenlopende informatieverwerkingsstijlen, behoeften en voorkeuren. Deze Toolbox voor een Neuro-Inclusieve Digitale Werk- en Leeromgeving is ontwikkeld vanuit het onderzoeksproject DLO Digitale Inclusie aan de Hogeschool Utrecht. In dit project zijn behoeften en ervaringen van studenten, docenten en ontwikkelaars in kaart gebracht, met bijzondere aandacht voor neurodiverse perspectieven. De toolbox bundelt inzichten, ontwerpprincipes en praktische handvatten die kunnen helpen bij het verbeteren van zowel digitale systemen als het gebruik ervan in de onderwijspraktijk. Het uitgangspunt is dat wanneer we rekening houden met neurodiversiteit in ontwerp, inrichting en communicatie, dit de mogelijkheden voor toegankelijkheid, gebruiksvriendelijkheid en inclusiviteit voor íedereen in het hoger onderwijs vergroot. De toolbox is bedoeld voor iedereen die betrokken is bij het ontwerpen, gebruiken of verbeteren van digitale leeromgevingen: van studenten en docenten tot curriculumontwikkelaars, softwareontwikkelaars en product owners. De inhoud is opgebouwd rond drie ontwerpprincipes en drie leidende principes. Waar de ontwerpprincipes richting geven aan het ontwikkelen van toegankelijke en bruikbare digitale systemen, helpen de leidende principes om inclusiever te denken en samenwerken. Zo biedt de toolbox een kader én inspiratiebron voor wie wil bijdragen aan een meer digitaal bewuste en inclusieve werk- en leeromgeving. Disclaimer Deze toolbox is tot stand gekomen binnen het project DLO Digitale Inclusie aan de Hogeschool Utrecht, op basis van onderzoek uitgevoerd in 2023 en 2024. De inhoud is ontwikkeld in samenwerking met een diverse, maar beperkte groep studenten, docenten en ontwikkelaars. Daardoor biedt de toolbox waardevolle inzichten en handvatten, maar geen volledig beeld van alle perspectieven of situaties binnen het hoger onderwijs. De inhoud sluit aan bij de stand van zaken en systemen zoals die destijds binnen de HU gebruikt werden. Een Engelstalige versie van de toolbox is nog in ontwikkeling.
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Objective To evaluate whether a specific period after birth (in weeks postmenstrual age [PMA]) and specific elements of sucking are associated with abnormal neurodevelopmental outcomes at age 2 years using a longitudinal approach.Study design Fifty-two preterm infants participated in this longitudinal cohort study (mean gestational age,29.5 weeks; mean birth weight, 1197 g). We assessed the infants’ sucking patterns at 37-50 weeks PMA using the Neonatal Oral-Motor Assessment Scale. At age 2 years, based on a neurologic examination and the Dutch version of the Bayley Scales of Infant and Toddler Development, Second Edition, we categorized the children as developing normally (n = 39) or abnormally (n = 13). ORs, including 95% CIs, were calculated to ascertain the risk of abnormal neurodevelopmental outcomes.Results The inability to sustain sucking at 46 weeks PMA (OR, 6.25; 95% CI, 1.29-30.35) and the absence of amature sucking pattern at 44 weeks PMA (OR, 6.30; 95% CI, 1.40-28.32) significantly increased the odds ofabnormal neurodevelopmental outcomes at age 2 years. The ORs of the Neonatal Oral-Motor Assessment Scale items assessing rhythmic jaw movements, rhythmic tongue movements, and coordination among sucking, swallowing, and respiration were high shortly after term, but failed to reach significance.Conclusion Specific elements of sucking at 4-6 weeks postterm are associated with abnormal neurodevelopmental outcomes in preterm infants at age 2 years. This period might be a sensitive time of infant development in which sucking behavior is an early marker of abnormal developmental outcomes. This finding may offer opportunities for early intervention.
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NeuroDevelopmental Treatment (NDT) is the most used rehabilitation approach in the treatment of patients with stroke in the Western world today, despite the lack of evidence for its efficacy. The aim of this study was to conduct an intervention check and measure the nurses' competence, in positioning stroke patients according to the NDT approach. The sample consisted of 144 nurses in six neurological wards who were observed while positioning stroke patients according to the NDT approach. The nurses' combined mean competence scores within the wards was 195 (70%) of 280 (100%) possible, and for each ward the mean score varied between 181 (65%) and 206 (74%). This study indicates that nurses working in hospitals where the NDT approach has been implemented have the knowledge and skills to provide NDT nursing.
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Brains and gender, separately and in their interrelatedness, are hot items today in popular journals and academic literature. It is in particular the complexity of the interdependence of physical-, psychological-, and contextual-related developments of feminization in education that we focus on these contributions. We argue that a combination of recent findings of brain research and Marcia's psychological model of identity development in a “provocative pedagogy”—combining youngsters’ (boys and girls) need for exploration, console, and support—is a promising “stepped care” strategy for religious development of youngsters in a multicultural and multireligious context.
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When planning a study measuring the effects of a neurodevelopmental treatment (NDT), we were confronted with the methodological problem that while measuring the effects of NDT, a rival hypothesis is that the decision to implement the NDT might be related to the quality of nursing care. Therefore, we measured the quality of nursing care as a possible confounding variable in relation to this outcome study. The quality of nursing care was measured on 12 wards participating in the experimental and control groups of the outcome study. Data were collected from 125 patients and 71 nurses and patients' records. The findings showed no significant differences in the quality of nursing care between the 2 groups of wards (P = .49). This method may be useful to other researchers conducting outcome research and who are confronted with a similar methodological problem.
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Background: Impaired upper extremity function due to muscle paresis or paralysis has a major impact on independent living and quality of life (QoL). Assistive technology (AT) for upper extremity function (i.e. dynamic arm supports and robotic arms) can increase a client’s independence. Previous studies revealed that clients often use AT not to their full potential, due to suboptimal provision of these devices in usual care. Objective: To optimize the process of providing AT for impaired upper extremity function and to evaluate its (cost-)effectiveness compared with care as usual. Methods: Development of a protocol to guide the AT provision process in an optimized way according to generic Dutch guidelines; a quasi-experimental study with non-randomized, consecutive inclusion of a control group (n = 48) receiving care as usual and of an intervention group (optimized provision process) (n = 48); and a cost-effectiveness and cost-utility analysis from societal perspective will be performed. The primary outcome is clients’ satisfaction with the AT and related services, measured with the Quebec User Evaluation of Satisfaction with AT (Dutch version; D-QUEST). Secondary outcomes comprise complaints of the upper extremity, restrictions in activities, QoL, medical consumption and societal cost. Measurements are taken at baseline and at 3, 6 and 9 months follow-up.
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Introduction: Depression can be a serious problem in young adult students. There is a need to implement and monitor prevention interventions for these students. Emotion-regulating improvisational music therapy (EIMT) was developed to prevent depression. The purpose of this study was to evaluate the feasibility of EIMT for use in practice for young adult students with depressive symptoms in a university context. Method: A process evaluation was conducted embedded in a larger research project. Eleven students, three music therapists and five referrers were interviewed. The music therapists also completed evaluation forms. Data were collected concerning client attendance, treatment integrity, musical components used to synchronise, and experiences with EIMT and referral. Results: Client attendance (90%) and treatment integrity were evaluated to be sufficient (therapist adherence 83%; competence 84%). The music therapists used mostly rhythm to synchronise (38 of 99 times). The students and music therapists reported that EIMT and its elements evoked changes in all emotion regulation components. The students reported that synchronisation elicited meaningful experiences of expressing joy, feeling heard, feeling joy and bodily responses of relaxation. The music therapists found the manual useful for applying EIMT. The student counsellors experienced EIMT as an appropriate way to support students due to its preventive character. Discussion: EIMT appears to be a feasible means of evoking changes in emotion regulation components in young adult students with depressive symptoms in a university context. More studies are needed to create a more nuanced and evidence-based understanding of the feasibility of EIMT, processes of change and treatment integrity.
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De publicatie ‘De kracht van verbinding: Loopbaanthematieken in het licht van veranderende beroepsbeelden” is modulair opgebouwd. Iedere module behandelt een stukje van de thematiek, waarbij steeds vanuit een ander perspectief wordt gekeken: vanuit kiezende jongeren, vanuit de veranderingen die plaatsvinden in de maatschappij en die ons werk beïnvloeden, vanuit de Nederlandse arbeidsmarkt, vanuit onderwijsorganisaties en vanuit arbeidsorganisaties.
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Een reactie op Elmer Schönberger door Henk Smeijsters
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Ongeveer zeventig procent van alle patiënten die een amputatie hebben ondergaan, krijgt te maken met fantoompijn. Fysiotherapeuten hebben in de praktijk vaak weinig behandelopties. Spiegeltherapie lijkt een veelbelovende interventie om fantoompijn te bestrijden, maar er is nog weinig bekend over de praktische toepassing van de therapie in de dagelijkse zorgpraktijk. In het PAtient Centered Telerehabilitation (PACT) project werd een klinisch raamwerk voor spiegeltherapie en een digitaal platform voor mensen met fantoompijn na een beenamputatie ontwikkeld en geëvalueerd.
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