The purpose of this study was to investigate the influence of body function, activities and pain on the level of activity in adults with Kashin Beck Disease (KBD). Seventy-five KBD patients with a mean age of 54.8 years (SD 11.3) participated. Anthropometrics, range of joint motion (ROM) and muscle strength were measured as well as the time-up-and-go test and functional tests for the lower and upper extremities. Activity was assessed with the participation scale and the WHO DAS II. In the shoulder, elbow, hip and knee joints, a severe decrease in ROM and bilateral pain was noted. A decrease in muscle strength was observed in almost all muscles. The timed-up-and-go test scores decreased. No or mild restriction in activity was found in 35%, and 33% experienced a moderate restriction whereas 32% had severe to extreme restriction. Activities in the lower extremities were mildly to moderately correlated to ROM and muscle strength, whereas in the upper extremities activities were correlated to range of joint motion. Activity was significantly associated with ROM after correction for muscle strength, gender and age. Participation was borderline significantly associated with ROM after correction for muscle strength, gender, age and the activity time-up-and-go. In KBD adults, a severe decrease in activity is primarily caused by decrease in ROM. These findings have strong influence on rehabilitation and surgical intervention.
This project aims to develop a measurement tool to assess the inclusivity of experiences for people with varying challenges and capabilities on the auditory spectrum. In doing so, we performed an in-depth exploration of scientific literature and findings from previous projects by Joint Projects. Based on this, we developed an initial conceptual model that focuses on sensory perception, emotion, cognition, and e[ort in relation to hearing and fatigue. Within, this model a visitor attraction is seen as an “experienscape” with four key elements: content, medium, context, and individual. In co-creative interviews with experts by experience with varying challenges on the auditory spectrum, they provided valuable insights that led to a significant expansion of this initial model. This was a relevant step, as in the scientific and professional literature, little is known about the leisure experiences of people with troubled hearing. For example, personal factors such as a person’s attitude toward their own hearing loss and the social dynamics within their group turned out to greatly influence the experience. The revised model was then applied in a case study at Apenheul, focusing on studying differences in experience of their gorilla presentation amongst people with varying challenges on the auditory spectrum.Societal issueThe Netherlands is one of the countries in Europe with the highest density of visitor attractions. Despite this abundance, many visitor attractions are not fully accessible to everyone, particularly to visitors with disabilities who sometimes are not eligible to ride due to safety concerns, yet when eligible generally still encounter numerous barriers. Accessibility of visitor attractions can be approached in various ways. However, because the focus often lies on operational and technical aspects (e.g., reducing stimuli at certain times of the day by turning o[ music, o[ering alternative wheelchair entrances), strategic and community-focused approaches are often overlooked. More importantly, there is also a lack of attention to the experience of visitors with disabilities. This becomes apparent from several studies from Joint Projects, where visitor attractions are being visited together with experts by experience with various disabilities. Nevertheless, experience is often being regarded as the 'core product' of the leisure sector. The right to meet, discover, develop, relax and thus enjoy this core product is hindered for many people with disabilities due to a lack of knowledge, inaccessibility (physical, digital, social, communicative as well as financial) and discrimination in society. Additionally, recreation entrepreneurs still face a significant gap in reaching the potential market of guests with disabilities and their networks. Thus, despite the numerous initiatives in the leisure sector aimed at improving accessibility on technical and operational fronts, often people with disabilities are still not being able to experience the same kind of enjoyment as those without. These observations form the pressing impetus for initiating the current research project, tapping into the numerous opportunities for learning, development and growth on making leisure offer more inclusive.Benefit to societyIn total, the current project approach comes with a number of enrichments in terms of both knowledge and methodology: a mixed-methods approach that allows for comparing data from different sources to obtain a more complete picture of the experience; a methodological co-design process that honours the 'nothing about us without us' principle; and benchmarking for a group (i.e., people with challenges on the auditory spectrum) that despite the size of its population has thus far mostly been overlooked.
The project focuses on sustainable travel attitude and behaviour with attention to balance, liveability, impact and climate change (as indicated above). The customer journey is approached from the consumer side and intends to shed light on the way COVID-19 has influenced (or not) the following aspects:• consumer’s understanding and appreciation of sustainability • the extent to which this understanding has influenced their attitude towards sustainable travel choices• the extent to which this change is represented in their actual and projected travel behaviour throughout the travel decision-making process • conditions that may foster a more sustainable travel behaviourThe project can be seen as a follow up to existing studies on travel intention during and post COVID-19, such as ETC’s publication on Monitoring sentiment for domestic and Intra-European travel – Wave 5, or the joint study of the European Tourism Futures Institute (ETFI – www.etfi.nl) and the Centre of Expertise in Leisure, Tourism and Hospitality (CELTH – www.celth.nl) highlighting four future scenarios for the leisure, tourism and hospitality sectors post COVID-19. The project will look beyond travel intention and will supplement existing knowledge with crucial information on the way consumers view sustainability and the extent to which they are willing to adjust their travel behaviour to aid the recovery of a more sustainable travel and tourism industry. Therefore, the report aims to generate knowledge vital for the understanding of consumer trends and the role sustainability will play in travel choices in the near future.Problem statementPlease describe which question in the (participating) industry is addressed.How has the sustainable travel attitude and behaviour in selected European source markets been influenced by the COVID-19 pandemic? Further questions to be answered:• How did the COVID-19 pandemic influence the consumer’s understanding and appreciation of sustainability?• To what extent did this understanding influence their attitude towards sustainable travel choices?• To what extent is this change represented in their actual and projected travel behaviour throughout the travel decision-making process?• What are the conditions that may foster a more sustainable travel behaviour?
The Hospitality, Tourism, Innovation & Technology Experts Network (HTIT-EN) is a pivotal initiative aimed at unlocking societal impact potential. The Dutch hospitality and tourism sector, which employs over half a million individuals and annually hosts more than 40 million guests, ranks as the Netherlands’ 8th largest economic sector. However, this sector faces numerous challenges, including the uncertain impact of emerging technologies and issues such as unethical behavior, workforce attrition, and staff shortages, which have been exacerbated by the COVID-19 pandemic. The advent of emerging technologies like service robots, immersive experiences, and artificial intelligence has brought the sector to a critical juncture. These innovations pose significant disruptions, challenging the traditional concept of hospitality and questioning the positive societal impact in terms of ethical considerations, inclusivity, affordability, and data privacy.Strategically positioned to address these challenges, HTIT-EN focuses on leveraging emerging technologies to create impactful scenarios and shape the future of hospitality and tourism. Our motivation stems from the sector’s societal importance and its continuous influence on our daily lives. By harnessing technology and innovation, we aim to tackle industry-specific issues and extend the positive societal impact to related human-centered service industries.The overarching mission of HTIT-EN is to empower the Dutch Hospitality and Tourism sector to serve as a driving force for technology-enabled societal impact. The primary objective is to align research activities and promote collaboration. Key objectives include bringing together leading professors specializing in technology-driven impact within the hospitality and tourism sector, initiating research projects in line with a shared research agenda and in collaboration with local and international industry partners, and collaboratively developing expertise in emerging technologies that empower the role of hospitality and tourism as catalysts for societal impact. This endeavor contributes to the development and acceleration of the Knowledge and Innovation Agenda (KIA) ‘Key technologies’ & ‘Digitalization’. The aim is to foster an excellent reputation for Dutch hospitality and tourism as a global leader in technology-driven societal impact.We have strong support from CELTH, the Centre of Expertise within the domain of leisure, tourism and hospitality for the overall ambitions of the research project.Societal issueThe HTIT-EN project bridges societal importance and cross-cutting issues in the tourism and hospitality sectors. It’s fueled by the ambition to leverage emerging technologies to tackle industry-specific challenges, including knowledge and skills gaps, labor shortages and replacements, and evolving consumer expectations.Benefit to societyThe platform brings together professors and researchers from MBO, HBO and WO knowledge institutes as well as diverse set of professional partners to stimulate collaboration, align research lines and establish joint a joint research agenda on how technology-driven impact may become a catalyst within hospitality and tourism.
