Zoekresultaten

Children with language delay referred to Dutch speech and hearing centres: caseload characteristics

Background: Early detection and remediation of language disorders are important in helping children to establish appropriate communicative and social behaviour and acquire additional information about the world through the use of language. In the Netherlands, children with (a suspicion of) language disorders are referred to speech and hearing centres for multidisciplinary assessment. Reliable data are needed on the nature of language disorders, as well as the age and source of referral, and the effects of cultural and socioeconomic profiles of the population served in order to plan speech and language therapy service provision. Aims: To provide a detailed description of caseload characteristics of children referred with a possible language disorder by generating more understanding of factors that might influence early identification. Methods & Procedures: A database of 11,450 children was analysed consisting of data on children, aged 2–7 years (70% boys, 30% girls), visiting Dutch speech and hearing centres. The factors analysed were age of referral, ratio of boys to girls, mono‐ and bilingualism, nature of the language delay, and language profile of the children. Outcomes & Results:Results revealed an age bias in the referral of children with language disorders. On average, boys were referred 5 months earlier than girls, and monolingual children were referred 3 months earlier than bilingual children. In addition, bilingual children seemed to have more complex problems at referral than monolingual children. They more often had both a disorder in both receptive and expressive language, and a language disorder with additional (developmental) problems. Conclusions & Implications: This study revealed a bias in age of referral of young children with language disorders. The results implicate the need for objective language screening instruments and the need to increase the awareness of staff in primary child healthcare of red flags in language development of girls and multilingual children aiming at earlier identification of language disorders in these children.

Op weg naar optimale diagnostiek en behandeling in de fysiotherapie, ‘Zorg op maat’.

Wearable Wheelchair Mobility Performance Measurement in Basketball, Rugby, and Tennis: Lessons for Classification and Training

Athlete impairment level is an important factor in wheelchair mobility performance (WMP) in sports. Classification systems, aimed to compensate impairment level effects on performance, vary between sports. Improved understanding of resemblances and differences in WMP between sports could aid in optimizing the classification methodology. Furthermore, increased performance insight could be applied in training and wheelchair optimization. The wearable sensor-based wheelchair mobility performance monitor (WMPM) was used to measure WMP of wheelchair basketball, rugby and tennis athletes of (inter-)national level during match-play. As hypothesized, wheelchair basketball athletes show the highest average WMP levels and wheelchair rugby the lowest, whereas wheelchair tennis athletes range in between for most outcomes. Based on WMP profiles, wheelchair basketball requires the highest performance intensity, whereas in wheelchair tennis, maneuverability is the key performance factor. In wheelchair rugby, WMP levels show the highest variation comparable to the high variation in athletes’ impairment levels. These insights could be used to direct classification and training guidelines, with more emphasis on intensity for wheelchair basketball, focus on maneuverability for wheelchair tennis and impairment-level based training programs for wheelchair rugby. Wearable technology use seems a prerequisite for further development of wheelchair sports, on the sports level (classification) and on individual level (training and wheelchair configuration).

Writing as soul work: training teachers in a group-based career-narrative approach

Writing as soul work refers to the active engagement of students in transformative writing activities in a group setting with the aim to enable students to develop new, more empowering narratives. This article explains how soul work through writing can be used to foster career adaptability, expressed in the form of increased awareness and self-direction. We summarize the labour market realities that underlie a need for more narrative approaches and introduce writing as soul work as a potential method to respond to these contemporary career challenges. We define what is meant by soul work and writing, illustrate its use with several stories from practice, and make recommendations for teachers and implementation in institutions. “This is an Accepted Manuscript of an article published by Taylor & Francis in "British Journal of Guidance and Counsellingon" on 04/16/2016 available online: https://doi.org/10.1080/03069885.2016.1169366 LinkedIn: https://www.linkedin.com/in/reinekke-lengelle-phd-767a4322/

Smart, classificeren en voorspellen

In opdracht voor de AD Academy: Webinar AD Academy: Smart, classificeren en voorspellen: Is Smart het nieuwe dom? part1 Deel1 https://youtu.be/pCWhJq2WFDg Deel2 https://youtu.be/aCyxpbLB5N8 Deel3 https://youtu.be/dtHa5NGiB7A Webinar voor AD Academy door Jan Willem de Graaf, lector Brain & Technology Saxion (1, 2 en 3) Dit Webinar gaat over classificatie in een smart society. Classificatie houdt in dat de wereld in principe beter begrepen kan worden doordat gebeurtenissen en daarvan afgeleide ervaringen (breinsporen, geheugensporen, kennis) helpen om voorspellingen te doen met betrekking tot de in principe altijd ongewisse toekomst. 

Where the worlds of e-inclusion and evidence based practice meet

Within the context of the information society, access to computers and the internet has been considered to be a new fault line in social exclusion. This has resulted in numerous initiatives on e-inclusion. There is however a second development, that of evidence-based practice, the approach that wants results of effectiveness studies to be an important inspiration for practice. Where these developments intersect, we find the issue of whether e-inclusion interventions are effective, of whether they reach their aim. It is common to label projects as "good practice", but do we have an assessment framework to justify using labels such as "good" or "best"? Does providing excluded citizens with access to computers and internet indeed help them to become socially included? And can we distinguish different types of initiatives and assess them according to their effectiveness?