Evaluation of effectiveness of (elements of) parenting support in daily practice of preventive youth health care

Background: The number of interventions to support parents is growing. The level of evidence regarding these intervention varies. In this paper we describe a study that aims to assess the effectiveness of specific 'elements' within such parenting interventions for families with children up to 7 years. A naturalistic effect evaluation will be applied. Study questions are: 1. What is the exposure of parents to (elements of) parenting interventions in the daily practice of preventive youth health care? 2. What are the associations between the exposure to (elements of

The impact of having natural teeth on the QoL of frail dentulous older people. A qualitative study

Abstract Background In order to adapt oral care and treatment to the demands of the growing group of frail dentulous older people, it is important to understand how and to which extent having natural teeth contributes to the quality of life (QoL) of frail older people and how frailty influences their perspective. Methods A qualitative approach was used. Interviews with 38 Dutch frail older dentulous people were tape-recorded, transcribed, coded for content and analyzed. Additional information was collected which included age, gender, living situation, use of dental prostheses, self-reported oral health status, chronic disorders, and an index for frailty. Results Seven themes were identified in the relationship between natural teeth and the QoL of the participants: pride and achievement; intactness; sense of control; oral function; appearance; comfort; along with coping and adapting to disabilities. Having natural teeth generally had a positive effect on QoL. Positive effects through pride and achievement, intactness, and sense of control were most apparent for the most severely frail. They compared themselves with peers who are more often edentate, and valued the good state of their teeth against the background of their declining health, especially those with disabilities causing severe chronic pain or impaired fine-motor skills. The effect of coping with and adaptation to tooth loss was also most apparent for the most severely frail. There was a gender effect in that the men generally cared less about having natural teeth than women, regardless of their level of frailty. Conclusions QoL of frail older people is positively influenced by natural teeth, and this effect seems to increase with increasing frailty. Preservation of teeth contributes to a positive body image and self-worth. Oral care for frail people should aim to preserve natural teeth if possible.</p

Kijk naar jezelf! : Reflectie op beeldmateriaal in onderzoek en praktijk

Samenwerken is een belangrijk onderdeel van het sociaal werk en manifesteert zich op verschillende niveaus, zoals met cliënten, collega’s en leidinggevenden. In de praktijk van sociaal werkers die werken met gezinnen met meervoudige en complexe problemen is behoefte aan inzicht in wat een sociaal werker doet (en nalaat!) om samenwerking te bevorderen en welke impact dat heeft op de ondersteuning aan een gezin. In dit artikel doen we verslag van een praktijkonderzoek waarin zes ambulant sociaal werkers die werken met genoemde gezinnen, intensief zijn gevolgd. Hierbij is gebruik gemaakt van beeldmateriaal en stimulated recall interviews om werkzame elementen in de samenwerking met deze gezinnen en andere betrokkenen zichtbaar en bespreekbaar te maken

Services use by children and parents in multiproblem families

Background: Multiproblem families are multi-users of psychosocial and health care services, but little is known about factors associated with their care utilization in the general population. The aim of this study was to assess which factors were associated with the overall and psychosocial care use of two members-i.e., child and parent of each multiproblem family. Methods: During well-child visits or psychosocial care, we identified 354 children and their parents who had problems in several life domains (response 69.1%). We used multivariate stepwise backward logistic regression analyses to identify the factors related to their use of overall and psychosocial care. Results: A child's overall care use was associated with greater social support from family and friends (odds ratio, OR, 95% confidence interval, CI; OR = 1.05, CI = 1.01-1.08) compared to less perceived social support; and with more psychosocial problems in the child (OR = 1.84, CI = 1.04-3.24). Child's psychosocial care use was more likely among older children (OR = 1.94, CI = 1.20-3.15); greater social support by family and friend (OR = 1.03, CI = 1.00-1.06); more psychosocial problems (OR = 1.75, CI = 1.04-2.97); and when there were more parenting concerns (OR = 1.19, CI = 1.06-1.33). Parental overall and psychosocial care use was more likely when the family experienced a higher number of life events (OR = 1.27, CI = 1.17-1.38, and OR = 1.39, CI = 1.25-1.55). Conclusions: Care use in multiproblem families is related to family factors as well as psychosocial problems. It may be possible to use these family risk factors to identify such families early, whose intensive care use is possibly explained by the relationship with inadequate use of social support

Evaluation of effectiveness of (elements of) parenting support in daily practice of preventive youth health care; design of a naturalistic effect evaluation in 'CIKEO' (consortium integration knowledge promotion effectiveness of parenting interventions)

Public Health and primary carePrevention, Population and Disease management (PrePoD