Prevalence of overweight among Dutch primary school children living in JOGG and non-JOGG areas

BACKGROUND: One of the most influential integrated approaches towards reducing childhood obesity is EPODE, a program that has been translated to over 20 different countries worldwide. AIM: The goal of this study was to explore how JOGG–the Dutch EPODE adaptation–might reduce overweight prevalence among children. METHODS: To compare whether overweight prevalence was different in JOGG areas vs. non-JOGG areas, in long-term JOGG areas vs. short-term JOGG areas, and in low SES JOGG areas vs. middle/high SES JOGG areas, secondary anthropometric and personal data of 209,565 Dutch children were mapped onto publicly available JOGG data. RESULTS: Findings showed that overweight prevalence decreased from 25.17% to 16.08% in JOGG-areas, and from 32.31% to 18.43% in long-term JOGG areas. However, when taking into account SES, the decrease in prevalence was mainly visible in low SES long-term JOGG areas. CONCLUSION: JOGG appeared to be successful in targeting areas where overweight was most prevalent. Low SES areas that had implemented JOGG for a longer period of time, i.e., six years, appeared to be successful in decreasing overweight prevalence

Dutch Adolescents’ Everyday Expressions of Sexual Behavior Trajectories Over a 2-Year Period:A Mixed-Methods Study

Using an extended definition of sexuality, this mixed-methods study builds on existing research into adolescents' emergent sexual development by longitudinally examining adolescents' sexual behavior trajectories (i.e., from less to more intimate sexual behavior). Over a 2-year period, 45 adolescents (M age = 15.9 years) reported on their sexual behavior using questionnaires and on their everyday expressions of sexuality in the form of semi-structured diaries. Cluster analysis using the questionnaire data identified three sexual behavior trajectories: a non-sexually active trajectory (meaning no or minor sexual behavior) (n = 29), a gradually sexually active trajectory (meaning step-by-step sexual behavior development) (n = 12), and a fast sexually active trajectory (meaning rapid sexual behavior development) (n = 4). Qualitative analysis using diaries revealed the following themes: romantic versus sex-related topics, desires, uncertainties, and references to the social context. In general, all adolescents reported more about romantic aspects of sexuality (than about sexual acts) in the diaries, regardless of their sexual behavior trajectory. Sexually active adolescents (i.e., gradual and fast) were more concerned with sexuality in their diaries, especially more with the physical aspects of sexuality, than non-active adolescents. Gradual adolescents experienced more desires about physical sexual contact and reported fewer references to their social network than non-active and fast adolescents. The findings suggest that sexual education that discusses the internal experiences of sexuality, such as feelings and thoughts, particularly the romantic aspects, may help adolescents process their preferences for different sexual and romantic acts and may contribute to healthy sexual development

Hanging Out in the Past: Looking for Trouble or Romance? An Exploration of the Practice and Meaning of Hanging Out for Young Dutch People in 1930–60

Young people’s ‘hanging out’ has had different meanings in the recent and distant past in various countries and cultures, including delinquency or a common social phenomenon. Although there is evidence for hanging out as social behaviour in various countries, Dutch research on hanging out as a common social phenomenon is scarce. This article retrospectively explores the practice and meaning of hanging out for young people in the Netherlands between 1930 and 1960. Semi-structured qualitative interviews (n = 60) were analysed using the Constant Comparative Method, resulting in three key themes: familiarity, features and the meanings assigned to hanging out. Results indicate that hanging out was practised and known by most respondents, and included particular features (time, location, gender and routines). Meet, flirt with and date other young people was the most frequently mentioned meaning associated with hanging out. Accordingly, hanging out can indeed be considered to have been a common social phenomenon

Young people's everyday romance and sexual experiences in relation to sex-related conversations with parents:a diary study in the Netherlands

This study builds on existing research into how young people's emergent sexual development is connected to parent-child sex-related communication through avoidance vs. disclosure. Over the course of one year, a total of 21 young people (age range 12-17.5) reported in longitudinal qualitative diaries their (1) everyday sexual experiences and (2) sex-related conversations with their parents. Using a mixed-methods approach, findings show that less sexually experienced participants reported greater avoidance of parent-child sex-related conversations than more experienced participants. The sex-related conversations of more experienced participants mainly concerned overt experiences in the form of everyday issues with their romantic partner, while the conversations of less experienced participants were characterised by more covert experiences such as opinions about romantic relationships in general. These results suggest that the degree to which young people feel comfortable talking about sexuality with their parents partly depends on when the conversation takes place during a young person's romantic and sexual development

How does portfolio use support self-regulated learning during general practitioner specialty training?:A qualitative focus group study

OBJECTIVES: Portfolios are used to support self-regulated learning (SRL), but the research literature is still inconclusive on their effectiveness. This study explored experiences with portfolio use among different stakeholders, to answer the research question: How does portfolio use support SRL during general practitioner (GP) specialty training? DESIGN: We used a qualitative research design, based on phenomenology. SETTING: Three of the eight training institutes of Dutch GP specialty training participated in this study. PARTICIPANTS: The three stakeholder groups that use the portfolio were included in nine homogenous focus groups: trainees (n=16), supervisors (n=16) and faculty (n=17). All participants had at least 6-month experience with portfolio use. RESULTS: Three themes were identified: SRL with(out) the portfolio, stakeholder dynamics and ambiguities. Respondents were doubtful about the learning benefits of portfolio use, as most trainees used their portfolio to 'check off' what was considered required. Stakeholder dynamics contributed to checking off behaviour in two ways. First, trainees experienced documenting learning activities to be superfluous, since the close relationship with their supervisor already supported SRL sufficiently. Second, faculty often (unintentionally) took portfolio ownership away from trainees, as they instructed trainees to deliver portfolio content that was valuable for assessment. Without ownership, trainees struggled to use the portfolio for SRL. Besides, ambiguities related to portfolio use amplified checking off behaviour. CONCLUSIONS: Portfolio use did not support SRL in our setting. The multipurpose use of the portfolio (for the support of SRL and assessment) was identified as the primary obstacle. Underlying is a conflict that is often present in current medical curricula: agency versus accountability. If the support of SRL is considered a valuable and attainable purpose of portfolio use, it is important to realise that deliberate attention for this purpose is required during the design, guidance, assessment and evaluation of the portfolio

Werkrelaties tussen vrouwen en mannen. Een onderzoek naar ongewenste intimiteiten in arbeidssituaties

This study examines the issue of sexual harassment within the context of (changing) power-relationships between men and women in the workplace. From the sixties on trends in the workforce allowed us to witness a growing number of female workers outside the home. The composition of the female workforce has undergone important changes in the areas of age, marital status and educational background. Although the sexual division of work and the inequality between the labour positions of men and women can by no means be said to have disappeared, these quantitative and qualitative changes in the workforce may have had some impact on the relationships between men and women at work. In some workplaces the (increasing) presence of female workers may have affected the dominant social and cultural norms in the day-to-day relationships between the sexes. However, the issue of sexual harassment is not brought up in all kinds of workplaces. Especially in male-dominated workplaces women find much difficulty in challenging unwelcome sexual advances by men. Also, the same behavior of men can be interpretated in different ways by different women, for example some women will think of sexual advances at work as more acceptable than other women do. ... Zie: Summary

Local language a medium of instruction:Challenges and way forward

The paper reports on a participatory action research study conducted in six rural primary schools in Uganda in 2013 to establish why children taught in the local language had difficulties in reading and writing. Findings through interviews, focus group discussions, reviews of exercise books and lesson observations indicated that though it was easier for pupils to learn the concepts in the local language; challenges ranging from poor translation, inadequate teachers' language proficiency, lack of instructional materials, high pupils' enrolment, lack of administrative support and teacher-centred approach of teaching, affected pupils' learning to read and write. Participants recommended adopting the child-centred pedagogy, incorporating instructional materials, conducting continuous assessment and recording pupils' competencies attained in reading and writing. Teachers need to engage more in Participatory action research in order to reflect on their practices and pupils' learning, and collaboratively decide what works best and what needs improvement in their classrooms