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Communicative Participation in Adolescents and Young Adults: A Concept Elicitation Study
No full textBACKGROUND: Communicative participation is the primary outcome of speech and language therapy for people with communication disorders. However, there are no instruments that measure communicative participation from the perspective of adolescents and young adults. Moreover, little research has been conducted in which adolescents and young adults with various communication problems were asked about relevant participation situations in which they need to communicate. Before a new measurement instrument can be developed, it is necessary to explore adolescents' and young adults' views on their communicative participation.AIMS: In this study we identified situations in which adolescents and young adults experience barriers participating because of communication problems, as well as situations in which they have no difficulties. In addition, we identified aspects of these situations that influence communicative participation in order to gain a deeper understanding of concepts related to communicative participation.METHODS AND PROCEDURES: This concept elicitation study concerned in-depth interviews on self-experienced communicative participation, in which diaries were used as a sensitizing exercise. Participants were asked to keep a diary for 1-2 weeks in which they described their communicative participation during the day. They were asked to describe situations in which they were not able to participate because of their communication disorder, and to describe situations in which they were able to participate. Within 1 week after completing the diary, participants were invited for an in-depth interview, in which the content of the diary was discussed.OUTCOMES AND RESULTS: Twelve participants were included in this study (7 females, 5 males; 13-27 years) with a variety of communication disorders, including language disorders, speech disorders, hearing loss, or a combination of them. They described a total of 234 situations related to different domains (e.g., communicative participation in school or with friends). Out of these situations, 37 concepts that influence communicative participation were found that were related to the six categories: person (e.g., strangers), topic (e.g., figurative language), pace (e.g., time pressure), location (e.g., school), moment (e.g., energy) and mode (e.g., group conversations).CONCLUSIONS AND IMPLICATIONS: The results of the study provide understanding in adolescents' and young adults' perspectives on communicative participation. The identified situations form the basis for developing an item bank for measuring communicative participation in adolescents and young adults with communication disorders. In upcoming studies, the items will be extensively assessed on the quality aspects of comprehensiveness, comprehensibility and relevance.WHAT THIS PAPER ADDS: What is already known on this subject Communicative participation is the most important outcome of speech and language therapy. However, measurement instruments (preferably patient reported outcome measures, PROMs) to assess communicative participation of adolescents and young adults are scarce. Moreover, perspectives of adolescents and young adults on self-experienced communicative participation, which can lead to the development of a measurement instrument, have not yet been identified. What this paper adds to existing knowledge This study is about the self-experienced communicative participation situations mentioned by adolescents and young adults themselves. It presents 37 concepts describing communicative participation that were identified from communicative participation situations mentioned by adolescents and young adults themselves. What are the potential or actual clinical implications of this work? This study provides more insight into concepts that describe communicative participation from the perspectives of adolescents and young adults. The results will be used to develop an item bank measuring communicative participation in the target population.</p
Beweegmonitor 2025 - Hoeksteen
Get PDFMiddels de Bslim beweegmonitor wordt het sport- en beweeggedrag van kinderen in de gemeente Groningen in kaart gebracht
Rapportage Tijd voor Toekomst 2025:‘Thuis zijn, thuis voelen’: De relatie tussen thuiscontext en de schoolcontext met een verrijkt programma
Get PDFDe tussenrapportage van Tijd voor Toekomst 2024 richt zich op de relatie tussen de schoolcontext en de thuiscontext, en onderzoekt de opbrengsten van verrijkte schooldagen vanuit het perspectief van ouders en leerlingen. Op basis van vragenlijsten en focusgroepen met ouders en kinderen wordt duidelijk dat het programma brede waardering kent, maar ook vraagt om verdere verfijning en structurele verankering.Ruim 70% van de ouders is bekend met Tijd voor Toekomst, al betekent bekendheid niet automatisch actieve deelname van kinderen. Ouders waarderen het programma vooral vanwege het plezier dat het hun kinderen brengt, de mogelijkheid om nieuwe interesses en talenten te ontdekken, en de bijdrage aan de brede ontwikkeling van hun kind. Daarnaast spelen ook praktische motieven een rol: de verlengde opvangstructuur biedt ruimte voor werk of andere verplichtingen. Tegelijkertijd noemen ouders ook belemmeringen, zoals vermoeidheid bij hun kind, een gebrek aan rustmomenten, en organisatorische knelpunten. Met name de aansluiting op reguliere schooltijden of kinderopvang kan verbeterd worden. Ook wordt het aanbod soms als te fragmentarisch of herhalend ervaren, waardoor verdieping en continuïteit missen.Vanuit het perspectief van kinderen blijkt dat zij hun ervaringen met verrijkte schooldagen graag thuis delen, vooral als het om leuke, leerzame of nieuwe activiteiten gaat. De meeste ouders reageren positief en betrokken, wat kinderen stimuleert om meer te vertellen. De interactie thuis blijkt daarmee een belangrijke schakel in de beleving van het programma. De inschrijving voor activiteiten verloopt meestal in goed overleg tussen ouder en kind, waarbij het kind zijn of haar voorkeuren aangeeft en ouders de praktische stappen zetten. Wel zorgt de snelheid van inschrijven soms voor spanning, wat de deelname van kinderen uit minder betrokken thuissituaties onder druk kan zetten.De opbrengsten van Tijd voor Toekomst op leerlingniveau laten (nog steeds) een gemengd beeld zien. Het zelfvertrouwen van kinderen is licht gestegen sinds de start van het programma, al is er tegelijkertijd sprake van een dalende trend in het zelfbeeld: minder kinderen geven aan tevreden te zijn met wie ze zijn. Op het gebied van gezondheid geven meer kinderen aan dagelijks te ontbijten en lid te zijn van een sportvereniging. Wat betreft motivatie en toekomstgerichtheid blijkt dat kinderen overwegend positief zijn over de activiteiten, al geven zij minder vaak aan dat ze nieuwe dingen ontdekken of nieuwe verenigingen leren kennen dan bij eerdere metingen. Vooral jongere kinderen profiteren nog sterk van de vernieuwing, terwijl oudere kinderen een afname rapporteren in enthousiasme. Ook schoolplezier lijkt niet wezenlijk toe te nemen door het programma. Hoewel kinderen waarderen dat ze langer op school kunnen blijven voor leuke activiteiten, is het effect op hun motivatie en leerhouding beperkt
Elektriciteit tussen hamer en aambeeld
No full textVolgens investeerders is een sluitende business case voor offshore windparken onmogelijk. “Ze willen weer subsidie. Evenzo willen investeerders in wind op land en zon-PV voortzetting van de SDE, terwijl in Klimaatakkoord was afgesproken daarmee in 2026 te stoppen. De ontwikkeling van zon-PV op woningdaken is ingestort na het einde van de salderingsregeling. Eigenaren van gascentrales willen een capaciteitsmarkt, waarbij zij een vergoeding krijgen, noem het subsidie, bovenop de opbrengst van verkochte stroom. Kommer en kwel dus in elektriciteitsproductieland. De baten wegen niet op tegen de kosten.
How would it be if...
No full textKorte bijdrage over het shantykoor als laagdrempelige en inclusieve koorvorm.Short contribution on the shanty choir as an accessible and inclusive form of choi
Living lab Beweegtoppers:Geleerde lessen peuters en kleuters
No full textBijeenkomst van het living lab Beweegtoppers waarin resultaten gedeeld werden met het publiek. Resultaten bestonden uit een poster met geleerde lessen (en een 18weeks beweegprogramma voor kleuters en een 18weeks beweegprogramma voor kleuters; zie andere output
Communicative Participation in Adolescents and Young Adults: A Concept Elicitation Study
No full textBACKGROUND: Communicative participation is the primary outcome of speech and language therapy for people with communication disorders. However, there are no instruments that measure communicative participation from the perspective of adolescents and young adults. Moreover, little research has been conducted in which adolescents and young adults with various communication problems were asked about relevant participation situations in which they need to communicate. Before a new measurement instrument can be developed, it is necessary to explore adolescents' and young adults' views on their communicative participation.AIMS: In this study we identified situations in which adolescents and young adults experience barriers participating because of communication problems, as well as situations in which they have no difficulties. In addition, we identified aspects of these situations that influence communicative participation in order to gain a deeper understanding of concepts related to communicative participation.METHODS AND PROCEDURES: This concept elicitation study concerned in-depth interviews on self-experienced communicative participation, in which diaries were used as a sensitizing exercise. Participants were asked to keep a diary for 1-2 weeks in which they described their communicative participation during the day. They were asked to describe situations in which they were not able to participate because of their communication disorder, and to describe situations in which they were able to participate. Within 1 week after completing the diary, participants were invited for an in-depth interview, in which the content of the diary was discussed.OUTCOMES AND RESULTS: Twelve participants were included in this study (7 females, 5 males; 13-27 years) with a variety of communication disorders, including language disorders, speech disorders, hearing loss, or a combination of them. They described a total of 234 situations related to different domains (e.g., communicative participation in school or with friends). Out of these situations, 37 concepts that influence communicative participation were found that were related to the six categories: person (e.g., strangers), topic (e.g., figurative language), pace (e.g., time pressure), location (e.g., school), moment (e.g., energy) and mode (e.g., group conversations).CONCLUSIONS AND IMPLICATIONS: The results of the study provide understanding in adolescents' and young adults' perspectives on communicative participation. The identified situations form the basis for developing an item bank for measuring communicative participation in adolescents and young adults with communication disorders. In upcoming studies, the items will be extensively assessed on the quality aspects of comprehensiveness, comprehensibility and relevance.WHAT THIS PAPER ADDS: What is already known on this subject Communicative participation is the most important outcome of speech and language therapy. However, measurement instruments (preferably patient reported outcome measures, PROMs) to assess communicative participation of adolescents and young adults are scarce. Moreover, perspectives of adolescents and young adults on self-experienced communicative participation, which can lead to the development of a measurement instrument, have not yet been identified. What this paper adds to existing knowledge This study is about the self-experienced communicative participation situations mentioned by adolescents and young adults themselves. It presents 37 concepts describing communicative participation that were identified from communicative participation situations mentioned by adolescents and young adults themselves. What are the potential or actual clinical implications of this work? This study provides more insight into concepts that describe communicative participation from the perspectives of adolescents and young adults. The results will be used to develop an item bank measuring communicative participation in the target population.</p
An analysis of the current developments and scenarios for the transition to a fossil-free energy society this century:Energy system design that includes energy production, storage and transport to balance sustainable energy demand and supply
Get PDFThis century, greenhouse gas emissions such as carbon dioxide, methane and nitrogen oxides must be significantly reduced. Greenhouse gases absorb and emit infrared radiation that contributes to global warming, which can lead to irreversible negative consequences for humans and the environment. Greenhouse gases are caused by the burning of fossil fuels such as crude oil, coal, and natural gas, but livestock farming, and agriculture are also to blame. In addition, deforestation contributes to more greenhouse gases. Of the natural greenhouse gases, water vapor is the main cause of the greenhouse effect, accounting for 90%. The remaining 10% is caused from high to low by carbon dioxide, methane, nitrogen oxides, chlorofluorocarbons, and ozone. In addition, there are industrial greenhouse gases such as fluorinated hydrocarbons, sulphurhexafluoride and nitrogen trifluoride that contribute to the greenhouse effect too. Greenhouse gases are a major cause of climate change, with far-reaching consequences for the welfare of humans and animals. In some regions, extreme weather events like rainfall are more common, while others are associated with more extreme heat waves and droughts. Sea level rise caused by melting ice and an increase in forest fires are undesirable effects of climate change. Countries in low lying areas fear that sea level rise will force their populations to move to the higher lying areas. Climate change is affecting the entire world. An estimated 30-40% o f the carbon dioxide released by the combustion of fossil fuels dissolves into the surface water resulting in an increased concentration of hydrogen ions. This causes the seawater to become more acidic, resulting in a decreasing of carbonate ions. Carbonate ions are an important building block for forming and maintaining calcium carbonate structures of organisms such as oysters, mussels, sea urchins, shallow water corals, deep sea corals and calcareous plankton
Efficiency of Nature-Based Solutions in North America:Participatory Research in ClimateCafé Vancouver and New Orleans
No full textEffects of climate change in cities are evident and are expected to increase in the future, demanding adaptation. In order to share knowledge, raise awareness and build capacity on climate adaptation, “ClimateCafés” have been utilized since 2012 in over 50 global events. ClimateCafé is a field education concept involving different fields of science for capacity building in climate adaptation depending on the specific needs of stakeholders. This chapter describes the need, method and results of two ClimateCafés performed in North America in 2022. In North America, there was a clear demand for proof of the long-term efficiency of small-scale urban nature-based solutions (NbS), since the hydraulic capacity of rain gardens and swales is often questioned in low permeable soils and high groundwater tables. The main research question in the ClimateCafés is: Which variation of the (un)saturated infiltration capacity can be expected under conditions with low permeable soil and high groundwater tables (under sea level)? To answer this research question, participative monitoring of NbS has taken place on swales and rain gardens implemented in New Orleans (under sea level) and Vancouver (bed rock). The ClimateCafés aimed at generating context-specific data on nature-based solutions by using open-source tools and cost-effective data collection techniques. The results of the workshops show that relevant, multidisciplinary data can be gathered in a short period of time with limited resources. As example, over 500 individual NbS projects are mapped in both cities from which a selection is made for field research with several stakeholders. The method of the conducted research consisted of a full-scale testing method, measuring the long-term infiltration capacity of rain gardens and swales installed in the last two decades. The results show a high variation of empty times for rain gardens and swales (26–300 mm/h) with fast decreasing infiltration capacity after saturation of the soil (second test showed a decrease in the order of 35%). The ClimateCafés stimulated accelerated climate action and support for national and international knowledge exchange in adaptation solutions for a climate resilient future. Besides raising awareness and capacity building, the evaluation of the outcomes of the ClimateCafés Vancouver and New Orleans lead to practical guidelines and cost-effective interventions to optimize the performance of existing NbS and a strategy for implementing optimized NbS in the near future