Conference organized by the Faculty of Social Sciences of Eötvös Loránd University, Hilscher Rezső Social Policy Association, Gyere Association and CARe Europe 3 Foreword 5 Section 1. Transition from institutional to recovery-oriented community care: challenges throughout Europe 5 Zsolt Bugarszki: Introduction 7 Jan Pfeiff er: Developments in Central and Eastern Europe with regard to transition from Institutional to Community Care 13 Robert van Voren: Reform of the mental health system in Eastern Europe and in the former Soviet Republics 17 Jean-Pierre Wilken: Developments in Western Europe with regard to transition from traditional to recovery oriented care 21 Dirk den Hollander: Recognition of power and the power of recognition
Onderzoeksvraag/Doelstelling: Samenwerking in de gezondheidszorg wordt versterkt door de ontwikkeling van een gezamenlijke interprofessionele identiteit, wat leidt tot effectieve teamwork. De effectiviteit van interprofessionele samenwerking hangt in grote mate af van de mate waarin professionals erin slagen een interprofessionele identiteit te ontwikkelen. Om deze identiteitsontwikkeling te meten, die de drie kernaspecten van identiteit (interprofessionele verbondenheid, interprofessionele commitment en interprofessionele overtuigingen) omvat, werd de Extended Professional Identity Scale (EPIS) in Nederland ontwikkeld en gevalideerd. Het lijkt een robuust instrument te zijn voor het meten van interprofessionele identiteit.Het doel van deze studie is om een cross-culturele adaptatie van de EPIS-G (Duitstalige versie) uit te voeren en de constructvaliditeit ervan te bevestigen.Methoden: De vertaling werd uitgevoerd volgens de richtlijnen voor de "Guidelines for translation and intercultural adaptation for self-reported measures". De gezicht- en constructvaliditeit werden bevestigd tijdens het vertaalproces. Een confirmatorische factoranalyse (CFA) werd uitgevoerd met 199 antwoorden van studenten geneeskunde, fysiotherapie, verpleegkunde, ergotherapie en logopedie.Resultaten: Tijdens het vertalen werden de woorden en formuleringen van de originele EPIS zoveel mogelijk behouden. Aanpassingen werden alleen gemaakt wanneer de verantwoordelijke vertaler dit noodzakelijk achtte. Alle afwijkingen werden binnen het team besproken, met aandacht voor omgangstaal en de specifieke taal van de gezondheidszorgberoepen, totdat consensus werd bereikt. De voorlopige resultaten wijzen erop dat de gezicht- en inhoudsvaliditeit door het vertaalproces zijn bevestigd. Cronbach's alpha voor de interne consistentie van de volledige 12-item schaal van de EPIS bedroeg 0,89.Discussie: EPIS-G lijkt geschikt te zijn om de meting van interprofessionele identiteit bij een Duitstalige populatie in de gezondheidszorg te meten. Interprofessionele identiteit kan variëren tussen verschillende beroepsgroepen.Belangrijkste boodschap: In het onderwijs kan de EPIS-G worden ingezet om een interprofessionele identiteit te bevorderen. In een klinische context kan het gebruik van de EPIS-G potentiële ondersteuningsbehoeften signaleren bij het ontwikkelen van een interprofessionele identiteit, wat een cruciale factor is voor succesvolle interprofessionele gezondheidszorg.
Background and aimsThe aim of this study was to gain insight in the effect of a preschool-based intervention for Early Childhood Education and Care (ECEC) teachers on promoting healthy eating and physical activity in toddlers.MethodsIn a cluster randomized controlled trial, 37 preschools of child care organization Impuls in Amsterdam Nieuw-West, the Netherlands, were randomly allocated to an intervention or control group. In total, 115 female ECEC teachers (mean age 42 ± 9 years) participated. The intervention for ECEC teachers consisted of two existing Dutch programs: ‘A Healthy Start’ and ‘PLAYgrounds’. The practices and knowledge of ECEC teachers concerning healthy eating and physical activity and the level of confidence in promoting healthy eating and physical activity in toddlers was assessed at baseline and 9 months of follow-up. To examine the effect of the intervention linear mixed models were used.ResultsPreliminary analyses of the practices indicated that Activity-related-Teaching/Autonomy-Support was increased in the intervention group (mean difference: 0.181), but not in the control group (mean difference: -0.048; p-value group*time: 0.025). Food-related-Pressure-to-Eat was decreased in the intervention group (mean difference: -0.580), but not in the control group (mean difference: -0.158; p-value group*time: 0.014). No effect of the intervention was found on knowledge (p-value group*time: 0.24) and the level of confidence (p-value group*time: 0.98) of ECEC teachers. ConclusionsThe preschool-based intervention seems to increase Activity-related-Teaching/Autonomy-Support and to decrease Food-related-Pressure-to-Eat. No effects were seen on knowledge and level of confidence of ECEC teachers in promoting healthy eating and physical activity in toddlers.
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In the last decade, the concept on interactions between humans, animals and their environment has drastically changed, endorsed by the One Health approach that recognizes that health of humans and animals are inextricably linked. Consideration of welfare of livestock has increased accordingly and with it, attention into the possibilities to improve livestock health via natural, more balanced nutrition is expanding. Central to effects of healthy nutrition is an optimal gastrointestinal condition which entails a well-balanced functional local immune system leading to a resilient state of well-being. This project proposal, GITools, aims to establish a toolbox of in vitro assays to screen new feed ingredients for beneficial effects on gastrointestinal health and animal well-being. GITools will focus on pig and chicken as important livestock species present in high quantities and living in close proximity to humans. GITools builds on intestinal models (intestinal cell lines and stem cell-derived organoids), biomarker analysis, and in vitro enzymatic and microbial digestion models of feed constituents. The concept of GITools originated from various individual contacts and projects with industry partners that produce animal feed (additives) or veterinary medicines. Within these companies, an urgent need exists for straightforward, well-characterized and standardized in vitro methods that provide results translatable to the in vivo situation. This to replace testing of new feed concepts in live animal. We will examine in vitro methods for their applicability with feed ingredients selected based on the availability of data from (previous) in vivo studies. These model compounds will include long and short chain fatty acids, oligosaccharides and herbal-derived components. GITools will deliver insights on the role of intestinal processes (e.g. dietary hormone production, growth of epithelial cells, barrier function and innate immune responses) in health and well-being of livestock animals and improve the efficiency of testing new feed products.
