Background: The aging population is increasingly faced with daily life limitations, threatening their Functional Independence (FI). These limitations extend different life domains and require a broad range of community-care professionals to be addressed. The Decision Support Tool for Functional Independence (DST-FI) facilitates community-care professionals in providing uncontradictory recommendations regarding the maintenance of FI in community-dwelling older people. The current study aims to determine the validity and reliability of the DST-FI. Methods: Sixty community-care professionals completed a twofold assessment. To assess construct validity, participants were asked to assign predefined recommendations to fifty cases of older people to maintain their level of FI. Hypotheses were tested regarding the expected recommendations per case. Content validity was assessed by questions on relevance, comprehensiveness, and comprehensibility of the current set of recommendations. Twelve participants repeated the assessment after two weeks to enable both within- and between rater reliability properties, expressed by an Intraclass Correlation Coefficient. Results: Seven out of eight predefined hypotheses confirmed expectations, indicating high construct validity. As the recommendations were indicated 'relevant' and 'complete', content validity was high as well. Agreement between raters was poor to moderate while agreement within raters was moderate to excellent, resulting in moderate overall reliability. Conclusion: The DST-FI suggests high validity and moderate reliability properties when used in a population of community-dwelling older people. The tool could facilitate community-care professionals in their task to preserve FI in older people. Future research should focus on psychometric properties like feasibility, acceptability, and developing and piloting strategies for implementation in community-care.
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Wireless sensor networks are becoming popular in the field of ambient assisted living. In this paper we report our study on the relationship between a functional health metric and features derived from the sensor data. Sensor systems are installed in the houses of nine people who are also quarterly visited by an occupational therapist for functional health assessments. Different features are extracted and these are correlated with a metric of functional health (the AMPS). Though the sample is small, the results indicate that some features are better in describing the functional health in the population, but individual differences should also be taken into account when developing a sensor system for functional health assessment.
Given the substantial increase in children attending center-based childcare over the past decades, the consequences of center-based childcare for children’s development have gained more attention in developmental research. However, the relation between center-based childcare and children’s neurocognitive development remains relatively underexplored. The aim of this study was therefore to examine the relations between quantity of center-based childcare during infancy and the neurocognitive development (both functional brain networks and self-regulation) of 584 Dutch children. Small-world brain networks and children’s self-regulation were assessed during infancy (around 10 months of age) and the preschool period (2–6 years of age). The findings revealed that the quantity of center-based childcare during infancy was unrelated to individual differences in children’s functional brain networks. However, spending more hours per week in center-based childcare was positively related to the development of self-regulation in preschool age children, regardless of children’s sex or the levels of exposure to risk and maternal support in the home environment. More insight into the positive effects of center-based childcare on children’s development from infancy to toddlerhood can help to increase our insight into a better work–life balance and labor force participation of parents with young children. Moreover, this study highlights that Dutch center-based childcare offers opportunities to invest in positive child outcomes in children, including self-regulation.
Everyone has the right to participate in society to the best of their ability. This right also applies to people with a visual impairment, in combination with a severe or profound intellectual and possibly motor disability (VISPIMD). However, due to their limitations, for their participation these people are often highly dependent on those around them, such as family members andhealthcare professionals. They determine how people with VISPIMD participate and to what extent. To optimize this support, they must have a good understanding of what people with disabilities can still do with their remaining vision.It is currently difficult to gain insight into the visual abilities of people with disabilities, especially those with VISPIMD. As a professional said, "Everything we can think of or develop to assess the functional vision of this vulnerable group will help improve our understanding and thus our ability to support them. Now, we are more or less guessing about what they can see.Moreover, what little we know about their vision is hard to communicate to other professionals”. Therefore, there is a need for methods that can provide insight into the functional vision of people with VISPIMD, in order to predict their options in daily life situations. This is crucial knowledge to ensure that these people can participate in society to their fullest extent.What makes it so difficult to get this insight at the moment? Visual impairments can be caused by a range of eye or brain disorders and can manifest in various ways. While we understand fairly well how low vision affects a person's abilities on relatively simple visual tasks, it is much more difficult to predict this in more complex dynamic everyday situations such asfinding your way or moving around during daily activities. This is because, among other things, conventional ophthalmic tests provide little information about what people can do with their remaining vision in everyday life (i.e., their functional vision).An additional problem in assessing vision in people with intellectual disabilities is that many conventional tests are difficult to perform or are too fatiguing, resulting in either no or the wrong information. In addition to their visual impairment, there is also a very serious intellectual disability (possibly combined with a motor impairment), which makes it even more complex to assesstheir functional vision. Due to the interplay between their visual, intellectual, and motor disabilities, it is almost impossible to determine whether persons are unable to perform an activity because they do not see it, do not notice it, do not understand it, cannot communicate about it, or are not able to move their head towards the stimulus due to motor disabilities.Although an expert professional can make a reasonable estimate of the functional possibilities through long-term and careful observation, the time and correct measurement data are usually lacking to find out the required information. So far, it is insufficiently clear what people with VZEVMB provoke to see and what they see exactly.Our goal with this project is to improve the understanding of the visual capabilities of people with VISPIMD. This then makes it possible to also improve the support for participation of the target group. We want to achieve this goal by developing and, in pilot form, testing a new combination of measurement and analysis methods - primarily based on eye movement registration -to determine the functional vision of people with VISPIMD. Our goal is to systematically determine what someone is responding to (“what”), where it may be (“where”), and how much time that response will take (“when”). When developing methods, we take the possibilities and preferences of the person in question as a starting point in relation to the technological possibilities.Because existing technological methods were originally developed for a different purpose, this partly requires adaptation to the possibilities of the target group.The concrete end product of our pilot will be a manual with an overview of available technological methods (as well as the methods themselves) for assessing functional vision, linked to the specific characteristics of the target group in the cognitive, motor area: 'Given that a client has this (estimated) combination of limitations (cognitive, motor and attention, time in whichsomeone can concentrate), the order of assessments is as follows:' followed by a description of the methods. We will also report on our findings in a workshop for professionals, a Dutch-language article and at least two scientific articles. This project is executed in the line: “I am seen; with all my strengths and limitations”. During the project, we closely collaborate with relevant stakeholders, i.e. the professionals with specific expertise working with the target group, family members of the persons with VISPIMD, and persons experiencing a visual impairment (‘experience experts’).
In the Netherlands, the theme of transitioning to circular food systems is high on the national agenda. The PBL Netherlands Environmental Assessment Agency has stressed that commuting to circular food chains requires a radical transformation of the food chain where (a) natural resources must be effectively used and managed (soil, water, biodiversity, minerals), (b) there must be an optimum use of food by reducing (food) waste . . ., (c) less environmental pressure, and (d) an optimum use of residue streams. The PBL also recognizes that there should be room for tailored solutions and that it is important to establish a benchmark, to be aware of impacts in the production chain and the added value of products. In the line of circular food systems, an integrated nature-inclusive circular farming approach is needed in order to develop a feasible resource-efficient and sustainable business models that brings shared value into the food chain while invigorating the rural areas including those where agricultural vacancy is occurring. Agroforestry is an example of an integrated nature-inclusive circular farming. It is a multifunctional system that diversifies and adapts the production while reducing the carbon footprint and minimizing the management efforts and input costs; where trees, crops and/or livestock open business opportunities in the food value chains as well as in the waste stream chains. To exploit the opportunities that agroforestry as an integrated resource-efficient farming system adds to the advancement towards (a) valuable circular short food chains, (b) nature-based entrepreneurship (nature-inclusive agriculture), and (c) and additionally, the re-use of abandoned agricultural spaces in the Overijssel province, this project mobilizes the private sector, provincial decision makers, financers and knowledge institutes into developing insights over the feasible implementation of agroforestry systems that can bring economic profit while enhancing and maintaining ecosystem services.
Het Lectorenplatform Biobased Economy heeft in de afgelopen twee jaar gewerkt aan een onderzoeksagenda in vier hoofdstukken: ingrediënten/inhoudstoffen, materialen, energie/nutriënten en maatschappij. Op basis van deze agenda zijn verschillende samenwerkingen geïnitieerd en gerealiseerd, zoals GoChem, enkele NWA projecten, de Learning Community Biofuels en de samenwerking met het Lectorenplatform Circulaire Economie op maatschappelijke thema’s. Er is dus al veel gerealiseerd in samenwerking en programmering. Niettemin staan er, terugkijkend, nog enkele ambities uit de eerste twee jaar overeind: het toetsen van de thema’s in meetings met bedrijven; het ontwikkelen van (meer) gezamenlijke onderzoeksprojecten; het ontwikkelen en bestendigen van een meerjarig omvattend (NWO-achtig) programma. Voor dit laatste is GoChem een goede start, maar het zou de komende twee jaar verder moeten groeien, bijvoorbeeld in een biobased SPRONG programma. Daarnaast blijven we werken aan de herkenbaarheid en vindbaarheid van het biobased onderzoek, de lectoraten en de agenda. We breiden de ambities uit naar publieke bekendheid van biobased economy in het algemeen. Verder willen we de mogelijkheid van een eigen publicatiereeks onderzoeken. Nieuw voor de komende jaren is de ambitie om onderzoekskwaliteit beter meetbaar te maken. Hoe meet je kwaliteit in praktijkonderzoek: impact is een ander doel dan wetenschappelijke publicaties. In de eerste termijn van het Lectorenplatform BBE was er additioneel en geoormerkt budget voor internationale samenwerking binnen Living Lab Biobased Brazil (LLBB). Dit budget was gekoppeld aan een gecombineerde Braziliaans/Nederlandse onderzoekscall. Dat is in de komende twee jaar niet voorzien.
