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Kinderkanker en de impact

Dit artikel beschrijft een casus over het gebruik van speltherapie bij een kind met kanker. Speltherapie is een non-verbale, cliëntgerichte vaktherapie. Deze diepgaande casestudy belicht de therapie vanuit het oogpunt van de ouders, speltherapeut, schoolbegeleider en kinderneuroloog. Uit het onderzoek blijkt dat speltherapie behulpzaam was in deze casus. In het onderzoek is vooral gekeken naar het speltherapeutische proces en het verschil tussen voor en na de behandeling. Er is gekozen voor een casestudy om een rijke beschrijving van het (spel)therapeutisch handelen mogelijk te maken.

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Deugden helpen koers houden

Dit essay is verschenen in de bundel 'Leidende principes van goed besturen'. Het is bedoeld om de reflectie en het gesprek over leidende principes te voeden. Wat zijn perspectieven, bronnen en mogelijkheden om het denken en spreken over leidende principes te verrijken?

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Het ongemak van complexiteit

Complexe vraagstukken gaan vaak over ongemakkelijke existentiële ervaringen. De bestuurskunde heeft voor die existentiële dimensie weinig aandacht. Dit artikel is een exploratie van deze existentiële dimensie in bestuur en beleid. Aan deze dimensie rechtdoen impliceert een relativering van maakbaarheid. Versterking van de rol van emoties, praktische wijsheid en professionele identiteit is nodig. Ook een andere omgang met tijd is van belang, zodat er ruimte voor vertraging ontstaat om aan existentiële ervaringen recht te doen. Deze aspecten zijn onderdeel van ambachtelijk werken.

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A rich palette of Bible use

The aim of this study is to gain empirical knowledge about how the Bible functions in the context of Protestant Christian primary schools in the Netherlands. It presents the results of an empirical explorative and qualitative study on the perceptions of teachers and school administrators (directors and internal supervisors) on the goals of Bible use in Protestant primary education, as well as the roles of teachers and pupils, and how these can be understood in terms of religious pedagogical models and theories. Five small focus group interviews with teachers and six interviews with school administrators revealed a variety of goals teachers hold regarding Bible use in education and a variety of divisions of teacher–learner roles in this regard. The findings also show some particular characteristics when compared with secondary schools.

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Evaluating Effect Moderators in Cognitive Versus Behavioral Based CBT-Modules and Sequences Towards Preventing Adolescent Depression

Objective:The aim of this study was to investigate age group, gender, and baseline depressive symptom severity as possible effect moderators in (1) cognitive versus behavioral based CBT-modules and (2) sequences of modules that started either with cognitive or behavioral modules in indicated depression prevention in adolescents.Method:We conducted a pragmatic cluster-randomized trial under four parallel conditions. Each condition consisted of four CBT-modules of three sessions (cognitive restructuring, problem solving, behavioral activation, relaxation), but the sequencing of modules differed. The CBT-modules and sequences were clustered into more cognitive versus more behavioral based approaches. The sample involved 282 Dutch adolescents with elevated depressive symptoms (Mage = 13.8; 55.7% girls, 92.9% Dutch). Assessments were conducted at baseline, after three sessions, at post-intervention and 6-month follow-up with self-reported depressive symptoms as the primary outcome.Results:We found no evidence for substantial moderation effects. Age group, gender, and depressive symptom severity level at baseline did not moderate the effects of cognitive versus behavioral modules after three sessions. No evidence was also found that these characteristics moderated the effectiveness of sequences of modules that started either with cognitive or behavioral modules at post-intervention and 6-month follow-up.Conclusion:Cognitive and behavioral based modules and sequences in the prevention of depression in adolescents might apply to a relatively wide range of adolescents in terms of age group, gender, and severity levels of depressive symptoms.

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Betrokken in Gods missie

Betrokken in Gods missie van Petra de Jong-Heins, Bert Roor, Jan van ’t Spijker en Willem van ’t Spijker is een basisboek voor missiologie voor studenten aan theologische opleidingen en werkers in de kerk. Het wil hen helpen om doordacht en positief betrokken te zijn bij Gods wereldwijde werk. Binnen de wereldwijde kerk en haar missionaire werk is veel in beweging. Traditionele benaderingen staan ter discussie, nieuwe visies dienen zich aan. Al deze veranderingen vragen om fundamentele doordenking. Daarin wil dit basisboek een handreiking doen. Het eerste deel bevat een verkenning van Bijbels-theologische grondlijnen, de geschiedenis van de zending en uitdagingen in de huidige culturele context. Deze lijnen worden in het tweede deel doorgetrokken naar actuele missionaire praktijken in en vanuit Nederland.

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Stakeholders’ Perceptions Regarding Adaptation and Implementation of Existing Individual and Environmental Workplace Health Promotion Interventions in Blue-Collar Work Settings

Blue-collar workers often have disadvantageous health statuses and might therefore benefit from a combination of individual and environmental workplace health promotion interventions. Exploring stakeholders’ perceived facilitators and barriers regarding the combined implementation of these interventions in blue-collar work settings is important for effective implementation. A qualitative study consisting of 20 stakeholder interviews within six types of organisations in The Netherlands was conducted. The potential implementation of the evidence-based individual intervention SMARTsize and the environmental intervention company cafeteria 2.0 was discussed. Data were analysed using thematic analysis with a deductive approach. Five main themes emerged: (1) the availability of resources, (2) professional obligation, (3) expected employee cooperation, (4) the compatibility of the proposed health interventions, and (5) the content of implementation tools and procedures. Generally, stakeholders expressed a sense of professional obligation toward workplace health promotion, mentioning that the current societal focus on health and lifestyle provided the perfect opportunity to implement interventions to promote healthy eating and physical activity. However, they often perceived the high doses of employees’ occupational physical activity as a barrier. We recommend co-creating interventions, implementation tools, and processes by involving stakeholders with different professional backgrounds and by adapting communication strategies at diverse organisational levels.

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Perceptions of employees with a low and medium level of education towards workplace health promotion programmes: a mixed-methods study

BackgroundUnderstanding the perceptions of lower socioeconomic groups towards workplace health promotion is important because they are underrepresented in workplace health promotion activities and generally engage in unhealthier lifestyle behaviour than high SEP groups. This study aims to explore interest in workplace health promotion programmes (WHPPs) among employees with a low and medium level of education regarding participation and desired programme characteristics (i.e. the employer’s role, the source, the channel, the involvement of the social environment and conditions of participation).MethodsA mixed-methods design was used, consisting of a questionnaire study (n = 475) and a sequential focus group study (n = 27) to enrich the questionnaire’s results. Multiple logistic regression analysis was performed to analyse the associations between subgroups (i.e. demographics, weight status) and interest in a WHPP. The focus group data were analysed deductively through thematic analysis, using MAXQDA 2018 for qualitative data analysis.ResultsThe questionnaire study showed that 36.8% of respondents were interested in an employer-provided WHPP, while 45.1% expressed no interest. Regarding subgroup differences, respondents with a low level of education were less likely to express interest in a WHPP than those with a medium level of education (OR = .54, 95%, CI = .35–.85). No significant differences were found concerning gender, age and weight status. The overall themes discussed in the focus groups were similar to the questionnaires (i.e. the employer’s role, the source, the channel, the involvement of the social environment and conditions of participation). The qualitative data showed that participants’ perceptions were often related to their jobs and working conditions.ConclusionsEmployees with a medium level of education were more inclined to be interested in a WHPP than those with a low level of education. Focus groups suggested preferences varied depending on job type and related tasks. Recommendations are to allow WHPP design to adapt to this variation and facilitate flexible participation. Future research investigating employers’ perceptions of WHPPs is needed to enable a mutual understanding of an effective programme design, possibly contributing to sustainable WHPP implementation.

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