The COVID-19 virus and the measures taken to prevent its spread have had enormous impact on society, and specifically on people’s leisure behaviour in the Netherlands. The Dutch government implemented a so-called “intelligent lockdown” mid-March 2020. This constituted a partial closing of the economy, particularly those locations and businesses where social distancing could not be practiced. By July of 2020, many restrictions had already been lifted, but the concept of the “1.5 meter society” was retained, thus still prohibiting large-scale gatherings such as festivals, and severely limiting the capacity of leisure venues. During the lockdown period, people spent more leisure time at home and with their family. This caused a spike in the popularity of social media-related leisure, gaming, television (especially streaming services), but also a revaluing of more “traditional” forms of leisure. Since many leisure facilities were closed, self-organized outdoor leisure activities such as hiking, running, and cycling became even more popular. The psychological impact included heightened stress, anxiety, and confusion. The economic impact is expected to be significant, but the leisure sector is showing its resilience by figuring out new ways of continuing operations.
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Informed by the Core and Balance Model of Family Leisure Functioning, we investigated the contribution of one type of family leisure—couple vacations—in enhancing couples’ cohesion and flexibility (i.e., functioning). Studying dyadic data from 112 couples (224 individuals) from across the United States of America, results of multilevel models showed that the variable “shared experiences during vacations” was positively associated with couples’ day-to-day functioning at home. Couples who engaged in higher levels of shared experiences during their vacations, such as effective communication, showing affection, or experiencing new things together, reported higher levels of couple flexibility and cohesion following their vacations, regardless of the number of vacations. We discuss the implications of these results for couples who spend quality time together away from home, as well as future use of our study model when examining benefits of vacationing for families.
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Background: A paradigm shift in health care from illness to wellbeing requires new assessment technologies and intervention strategies. Self-monitoring tools based on the Experience Sampling Method (ESM) might provide a solution. They enable patients to monitor both vulnerability and resilience in daily life. Although ESM solutions are extensively used in research, a translation from science into daily clinical practice is needed. Objective: To investigate the redesign process of an existing platform for ESM data collection for detailed functional analysis and disease management used by psychological assistants to the general practitioner (PAGPs) in family medicine. Methods: The experience-sampling platform was reconceptualized according to the design thinking framework in three phases. PAGPs were closely involved in co-creation sessions. In the ‘understand’ phase, knowledge about end-users’ characteristics and current eHealth use was collected (nominal group technique – 2 sessions with N = 15). In the ‘explore’ phase, the key needs concerning the platform content and functionalities were evaluated and prioritized (empathy mapping – 1 session with N = 5, moderated user testing – 1 session with N = 4). In the ‘materialize’ phase, the adjusted version of the platform was tested in daily clinical practice (4 months with N = 4). The whole process was extensively logged, analyzed using content analysis, and discussed with an interprofessional project group. Results: In the ‘understand’ phase, PAGPs emphasized the variability in symptoms reported by patients. Therefore, moment-to-moment assessment of mood and behavior in a daily life context could be valuable. In the ‘explore’ phase, (motivational) functionalities, technological performance and instructions turned out to be important user requirements and could be improved. In the ‘materialize’ phase, PAGPs encountered barriers to implement the experience-sampling platform. They were insufficiently facilitated by the regional primary care group and general practitioners. Conclusion: The redesign process in co-creation yielded meaningful insights into the needs, desires and daily routines in family medicine. Severe barriers were encountered related to the use and uptake of the experience-sampling platform in settings where health care professionals lack the time, knowledge and skills. Future research should focus on the applicability of this platform in family medicine and incorporate patient experiences.
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Background: Marfan syndrome (MFS) is a heritable connective tissue disease caused by a defect in FBN1. The diagnosis is based on the revised Ghent criteria. The main features involve the cardiovascular, musculoskeletal, ophthalmic, pulmonary systems and facial features. Although the clinical manifestations of MFS in children are thoroughly addressed in several studies, literature on the impact of MFS on daily functioning is restricted to pediatric advice on sports and leisure participation. Therefore, the full impact of MFS on daily functioning remains unclear. The aim of this qualitative study was to explore parents' perspectives on the impact of MFS on daily functioning of children with MFS aged 4-12 years, themselves and family regarding functional performance, activities, participation, personal and environmental factors, and disease burden. Methods: In this qualitative study parents participated in individual semi-structured interviews (n = 10) and 3 focus groups (n = 5, n = 5 and n = 6). Meetings were transcribed, and data were analyzed using thematic analysis. Meaningful concepts were coded, and concepts concerning children with MFS were linked to the International Classification of Functioning, Disability and Health for Children and Youth. Thereafter themes were identified and interpreted.Results: Parents reported their children could not keep up with peers because of fatigue, pain and physical impairments. Children experienced participation restrictions in school, sports, play and other leisure activities. Parents reported their child as being different due to physical appearance, which provoked unsupportive attitudes. Parental burden was caused by high care needs, lack of support, a limited social life, and concerns about the child's development. Family burden was caused by adjusted and complex family schedules, other family members with MFS, and reproductive planning decision-making, whereas family cohesiveness and caring were positively perceived factors. Conclusions: Parents perceived a large impact of MFS on daily functioning of their children with MFS, themselves and their family. More awareness among all professionals involved in the care of children with MFS and their families is needed so that professionals can address their support needs and provide tailored interventions, rehabilitation and/or educational programs to empower and improve daily functioning of the children, parents and family.
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The Refined Core and Balance Model of Family Leisure Functioning was used to guide our study of the link between vacation experiences of romantic couples and satisfaction with their relationship life. Results revealed that romantic couples who had more shared or joint experiences during their vacations in the previous year reported higher levels of satisfaction with their relationship life at the end of the year. This association was mediated by relationship functioning (i.e., couple cohesion and flexibility). The number of vacations was not a significant predictor of romantic couples’ satisfaction with relationship life; what mattered most was the extent to which partners were engaged in joint experiences during their vacations such as having fun together, mindful conversations, physical intimacy, and trying new things together. These findings demonstrate the need to continue to study less frequent, extraordinary leisure vacation experiences that may help maintain the love within romantic relationships. Theoretical and practical implications are discussed
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Up to now, leisure research on the parent-peer orientation of juveniles primarily has focussed on adolescents. The purpose of this study is to investigate the degree to which pre-adolescents as well as adolescents associate with parents and peers in their leisure time. Based on recent theoretical conceptions of childhood sociologists, a questionnaire was designed for children and young teens aged ten to fifteen years. A total of 927 Dutch juveniles from different social classes participated in the current study. A leisure kids typology was constructed by means of Principal Components Analysis for categorical data (PRINCALS). It was found that ten to twelve year old children from higher social classes were family kids. They spend a substantial part of their leisure time with parents and siblings. Fourteen and fifteen year old boys, especially those from higher social classes, strongly focussed on peer groups, whereas girls of the same age had a salient preference for dyadic friendships. Questions on parental attitude towards leisure activities and choice of friends showed that ten to twelve year olds, specially those from higher social classes, experienced most parental interference in their leisure activities. Teenage girls from lower social classes encountered most parental attention concerning peer contacts. Our findings partially support theoretical conceptions regarding the parent-peer orientation of children and teens, but add some important nuances to these general perspectives.
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This chapter will be part of a monograph on social inclusion, the interface between leisure and work in relation to people with intellectual disabilities.
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Parental involvement is a crucial force in children’s development, learning and success at school and in life [1]. Participation, defined by the World Health Organization as ‘a person’s involvement in life situations’ [2] for children means involvement in everyday activities, such as recreational, leisure, school and household activities [3]. Several authors use the term social participation emphasising the importance of engagement in social situations [4, 5]. Children’s participation in daily life is vital for healthy development, social and physical competencies, social-emotional well-being, sense of meaning and purpose in life [6]. Through participation in different social contexts, children gather the knowledge and skills needed to interact, play, work, and live with other people [4, 7, 8]. Unfortunately, research shows that children with a physical disability are at risk of lower participation in everyday activities [9]; they participate less frequently in almost all activities compared with children without physical disabilities [10, 11], have fewer friends and often feel socially isolated [12-14]. Parents, in particular, positively influence the participation of their children with a physical disability at school, at home and in the community [15]. They undertake many actions to improve their child’s participation in daily life [15, 16]. However, little information is available about what parents of children with a physical disability do to enable their child’s participation, what they come across and what kind of needs they have. The overall aim of this thesis was to investigate parents’ actions, challenges, and needs while enhancing the participation of their school-aged child with a physical disability. In order to achieve this aim, two steps have been made. In the first step, the literature has been examined to explore the topic of this thesis (actions, challenges and needs) and to clarify definitions for the concepts of participation and social participation. Second, for the purposes of giving breadth and depth of understanding of the topic of this thesis a mixed methods approach using three different empirical research methods [17-19], was applied to gather information from parents regarding their actions, challenges and needs.
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Background: The environment affects children’s energy balance-related behaviors to a considerable extent. A context-based physical activity and nutrition school- and family-based intervention, named KEIGAAF, is being implemented in low socio-economic neighborhoods in Eindhoven, The Netherlands. The aim of this study was to investigate: 1) the effectiveness of the KEIGAAF intervention on BMI z-score, waist circumference, physical activity, sedentary behavior, nutrition behavior, and physical fitness of primary school children, and 2) the process related to the implementation of the intervention. Methods: A quasi-experimental, controlled study with eight intervention schools and three control schools was conducted. The KEIGAAF intervention consists of a combined top-down and bottom-up school intervention: a steering committee developed the general KEIGAAF principles (top-down), and in accordance with these principles, KEIGAAF working groups subsequently develop and implement the intervention in their local context (bottom-up). Parents are also invited to participate in a family-based parenting program, i.e., Triple P Lifestyle. Children aged 7 to 10 years old (grades 4 to 6 in the Netherlands) are included in the study. Effect evaluation data is collected at baseline, after one year, and after two years by using a child questionnaire, accelerometers, anthropometry, a physical fitness test, and a parent questionnaire. A mixed methods approach is applied for the process evaluation: quantitative (checklists, questionnaires) and qualitative methods (observations, interviews) are used. To analyze intervention effectiveness, multilevel regression analyses will be conducted. Content analyses will be conducted on the qualitative process data. Discussion: Two important environmental settings, the school environment and the family environment, are simultaneously targeted in the KEIGAAF intervention. The combined top-down and bottom-up approach is expected to make the intervention an effective and sustainable version of the Health Promoting Schools framework. An elaborate process evaluation will be conducted alongside an effect evaluation in which multiple data collection sources (both qualitative and quantitative) are used.
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Families in the Netherlands consisting of individuals falling into a variety of racialized migrant categories, are often the focus of governmental scrutiny and scientific curiosity. These ‘migrant families’ are constructed in a variety of ways, all which make it possible to center them as the object of interventions aiming to address their assumed cultural distance and their ‘traditional’ way of life, often within the discourse of ‘integration’ and within government mandated civic integration programmes. The paradox arises when these migrant families, problematized in their traditionality, their ‘unmodernity’, are seen as a threat to the Dutch ‘modern’ families and what are seen as their own national Dutch ‘traditions’. Embracing ‘tradition’ is therefore simultaneously seen as a sign of a lack of progress when attributed to migrant families, while also seen as something which must be protected, as an inherent characteristic of national identity of the modern Dutch nation state. This paper aims to explore this paradox and the constructions of the modern and unmodern family by focusing on the everyday doing of these families, and how they are studied and described in a variety of knowledge production reports. The everyday, and the description and governance of it, is a site which contributes to the (re)production of the logics of modernity, yet it is often ignored or left unseen, perhaps because of its assumed mundanity. What hierarchical descriptions exist in these reports between migrant and Dutch families on how daily family life is organized, enacted in parent child interactions, in gender roles, in community involvement, in celebratory traditions, and in work/leisure activities? How do these everyday activities, act as signifiers of the extent to which the doing of modern values (such as equality, solidarity, participation, and freedom) are enacted in everyday life in migrant vs Dutch families. Understanding these constructions, and the role that scientific research publications play in (re)producing them, will be explored to better understand how the normalization of these logics set the stage for the further scrutiny and discipline of these migranticized families.
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