The adoption of tablets by young children has raised enthusiasm and concern among speech and language pathologists. This study investigated whether tablet games can be used as effectively as real play objects in vocabulary intervention for children with developmental language disorder (DLD). A randomized, controlled non-inferiority trial was conducted with 70 3-year-old children with DLD. The novel intervention group (n = 35) received 12 10-min scripted intervention sessions with symbolic play using a tablet game spread out over 8–9 weeks. The standard intervention group (n = 35) received the same amount of intervention with real objects using the same vocabulary scripts. In each session, children were exposed to 22 target words. The primary outcome was the number of new target words learned. This was measured using a picture selection task including 22 target words and 22 control words at 3 time intervals: before the intervention, immediately post-intervention, and 5 weeks later. In both intervention groups, the children learned significantly more target words than control words. No significant differences in gains between the two intervention conditions were found. This study provides evidence that vocabulary intervention for toddlers with DLD using a tablet game is equally as effective as an intervention using real objects.
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31-12-2021Background: Despite high prevalence of mental problems among elderly migrants in The Netherlands, the use of psychosocial care services by this group is low. Scientific evidence points at the crucial role of social support for mental health and the use of psychosocial services. We therefore explored the role of social networks in the access to psychosocial care among elderly migrants in The Netherlands. Methods: A qualitative study was conducted using semi-structured group interviews and individual interviews. The eight group and eleven individual interviews (respectively n = 58 and n = 11) were conducted in The Netherlands with Turkish, Moroccan, Surinamese, and Dutch elderly. The data were analysed through coding and comparing fragments and recognizing patterns. Results: Support of the social network is important to navigate to psychosocial care and is most frequently provided by children. However, the social network of elderly migrants is generally not able to meet the needs of the elderly. This is mostly due to poor mental health literacy of the social network, taboo, and stigma around mental illness and the busy lives of the social network members. Conclusions: Strategies to address help-seeking barriers should consider mental health literacy in elderly migrants as well as their social networks, and counteract taboos and stigma of mental health problems.
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31-12-2016Zorgcapaciteit kan een belangrijke schakel zijn tussen multi-probleem omstandigheden en ongunstige ontwikkeling van kinderen. Deze studie heeft als doel om de zorgcapaciteit en de correlaties daartussen te onderzoeken in zeer kwetsbare multiprobleemgezinnen in Rotterdam, Nederland. Zorgcapaciteit (algemeen, emotioneel en instrumenteel) werd prospectief beoordeeld bij 83 zeer kwetsbare vrouwen met behulp van video-observaties van dagelijkse zorgtaken, zes weken postpartum. Ondersteunende gegevens werden verzameld op drie tijdstippen: bij inclusie, zes weken na inclusie en zes weken postpartum, en deze omvatten psychologische symptomen, zelfredzaamheid, problematische levensdomeinen, thuisomgeving, inkomen, depressie, angst en stress. Zwangerschaps- en bevallingsgerelateerde informatie werd verzameld bij verloskundigen. De scores voor zorgverlening door de moeder waren gemiddeld van onvoldoende kwaliteit. Moeders die in een onveilige thuisomgeving leefden (B = 0,62) en moeders met meer problematische levensdomeinen (≤3 domeinen, B = 0,32) vertoonden significant hogere instrumentele zorgcapaciteiten. Andere variabelen waren niet gerelateerd aan zorgcapaciteit. De zorgcapaciteit in deze zeer kwetsbare populatie was van onvoldoende kwaliteit. In de meeste gevallen was er echter geen significant verband tussen zorgzaamheid en de variabelen die gerelateerd zijn aan kwetsbaarheid. Dit betekent dat een mogelijk verband tussen kwetsbaarheid en zorgcapaciteit kan worden veroorzaakt door de interactie tussen verschillende problemen, in plaats van door het type of de omvang van de zorg.
MULTIFILE
01-12-2022
