Problematic behaviour remains a problem within healthcare of individuals with dementia, especially as its patient group is set to expand. Problematic behaviour is often caused by pain and places a...Show moreProblematic behaviour remains a problem within healthcare of individuals with dementia, especially as its patient group is set to expand. Problematic behaviour is often caused by pain and places a heavy burden on both professional and family caregivers. Especially since family caregivers are often overlooked as a factor in care. This study therefore investigates the effectiveness of the STA OP! method (SOM), a stepwise approach to address problematic behaviour and pain in individuals with dementia, as well as how the efficacy of SOM is moderated by family involvement. The study, conducted within the CARED-4 project, utilizes a quasi-experimental longitudinal design with measurements at baseline, 3 months, and 6 months after implementing SOM. It included 84 residents with dementia from 10 Dutch nursing homes units paired with their family caregivers. Problematic behaviour was examined using the Neuropsychiatric Inventory Questionnaire (NPI-Q) and family involvement was examined through a tailored questionnaire. Analysis was performed with RM Anova for problematic behaviour and family involvement and a general linear model for the moderation of SOM by family involvement. Results indicated that SOM effectively reduces problematic behaviour overall (F(2,55) = 3.81, p = 0.028), after 3 months (Mean Difference = 5.47 SE= 1.97, p = 0.007), but not after 6 months (Mean Difference = 5.70 SE = 3.36, p = 0.095). Family involvement did not change overall (F(1.62,30) = 2.12, p = 0.138). Accordingly, family involvement did not moderate the impact of SOM on problematic behaviour (F(2) = 1.43, p = 0.243). Despite methodological challenges mainly due to missing data, the study takes a first step towards understanding how the effectiveness of SOM interacts with family involvement. So, although family involvement did not moderate a significant reduction in problematic behaviour, the efficacy of SOM has further been established.Show less
Social Networking Sites (SNS) can be valuable tools to connect people with shared interests worldwide. However, SNS screentime has increased drastically over the course of the COVID-19 pandemic....Show moreSocial Networking Sites (SNS) can be valuable tools to connect people with shared interests worldwide. However, SNS screentime has increased drastically over the course of the COVID-19 pandemic. Excessive use of SNS has been associated with adverse mental health outcomes in previous studies. Contrary to the majority of studies on SNS, which usually rely on correlations, this study used an experimental approach to examine the relationship between SNS use, depression, and anxiety. Fear of missing out (FOMO) was also investigated as a potential mediating factor. To manipulate SNS screentime a multifaceted intervention was built based on results from previous experimental studies and input from a focus group (N = 3). A convenience sample of first year psychology students (N = 122) had been collected and split into three groups. The intervention group was instructed to follow the smartphone use intervention, while participants in the active-control group received instructions with little expected influence on screentime. Both groups were instructed to reduce their smartphone use as much as possible for two weeks. The waitlist-control group was told their intervention would begin in two weeks. SNS screentime, anxiety, depression and FOMO were assessed pre- and post- intervention. The results show significantly lower post-intervention SNS screentime in both intervention groups but not in the waitlist-control group. Depression scores were significantly lower in the intervention group but not for the active-control or waitlist-control condition. No significant group differences for anxiety were found. The mediation analysis obtained no significant results for FOMO as a potential mediator variable. Overall, the findings suggest participants reduced their smartphone usage regardless of the received set of rules. However, only participants in the intervention group showed fewer depressive symptoms. Limitations and suggestions for future research on SNS use were discussed.Show less
Social Networking Sites (SNS) can be valuable tools to connect people with shared interests worldwide. However, SNS screentime has increased drastically over the course of the COVID-19 pandemic....Show moreSocial Networking Sites (SNS) can be valuable tools to connect people with shared interests worldwide. However, SNS screentime has increased drastically over the course of the COVID-19 pandemic. Excessive use of SNS has been associated with adverse mental health outcomes in previous studies. Contrary to the majority of studies on SNS, which usually rely on correlations, this study used an experimental approach to examine the relationship between SNS use, depression, and anxiety. Fear of missing out (FOMO) was also investigated as a potential mediating factor. To manipulate SNS screentime a multifaceted intervention was built based on results from previous experimental studies and input from a focus group (N = 3). A convenience sample of first year psychology students (N = 122) had been collected and split into three groups. The intervention group was instructed to follow the smartphone use intervention, while participants in the active-control group received instructions with little expected influence on screentime. Both groups were instructed to reduce their smartphone use as much as possible for two weeks. The waitlist-control group was told their intervention would begin in two weeks. SNS screentime, anxiety, depression and FOMO were assessed pre- and post-intervention. The results show significantly lower post-intervention SNS screentime in both intervention groups but not in the waitlist-control group. Depression scores were significantly lower in the intervention group but not for the active-control or waitlist-control condition. No significant group differences for anxiety were found. The mediation analysis obtained no significant results for FOMO as a potential mediator variable. Overall, the findings suggest participants reduced their smartphone usage regardless of the received set of rules. However, only participants in the intervention group showed fewer depressive symptoms. Limitations and suggestions for future research on SNS use were discussed.Show less
Consideration of future consequences (CFC) is one of the constructs that make up future oriented thinking. Not much is known about how CFC is formed or how it can be changed. Previous studies show...Show moreConsideration of future consequences (CFC) is one of the constructs that make up future oriented thinking. Not much is known about how CFC is formed or how it can be changed. Previous studies show that CFC is negatively related to self-defeating behavior and positively related to goal achievement. The goal of the present study was to reestablish these relations with a more generalized definition of self-defeating behavior and goal achievement in different domains. Apart from this, the present study had the goal of determining whether CFC could be changed through a VR- or smartphone application over the course of three weeks. 193 first year students from Leiden University (92,7% female) participated in the study. The participants were divided among three conditions: a VR-condition, a smartphone app-condition and a control condition. At the start of the study, the participants were asked to complete a questionnaire measuring CFC and self-defeating behavior. In addition, all participants set goals for themselves to complete. The degree to which they had achieved these goals was measured after three weeks, along with a second measurement of CFC. It was found through a regression analysis that CFC showed a significant correlation with self-defeating behavior, meaning CFC predicted this behavior. A regression analysis between CFC and goal achievement showed no significant correlation, meaning that CFC did not predict goal achievement. Finally, a repeated measures ANOVA indicated that there was no significant improvement of CFC after three weeks of using the intervention. Although no significant difference was found, perhaps an intervention that is used for a longer time period or a domain specific intervention could yield more successful results in improving CFC. More research is needed in defining the underlying constructs of self-defeating behavior and goal achievement, as well as evaluating possible ways to stimulate awareness of future consequences.Show less
Background Dementia, a clinical syndrome characterized by a progressive decline of cognitive and physical functions. The prevalence has doubled between 1990 and 2016 to 43.8 million people. Pain,...Show moreBackground Dementia, a clinical syndrome characterized by a progressive decline of cognitive and physical functions. The prevalence has doubled between 1990 and 2016 to 43.8 million people. Pain, discomfort and lack of stimulation are the most common unmet needs in people with dementia. Namaste Care, a multisensory intervention, has been shown to be somewhat effective in addressing these needs. Evidence for Namaste Care effectiveness is inconclusive and there is a need for more randomized controlled trials with large sample sizes to further solidify the evidence base for the workings and effectiveness of this intervention . This study aims to further establish the if the Namaste Care Family programme, an adapted version of Namaste Care, is capable of addressing these unmet needs. Method 19 nursing homes participated in this study, resulting in 231 participants separated into the control and intervention condition. Measurements took place from baseline, through 1, 3, 6 and 12 months follow-up. Observations were carried out by trained researchers using the Pain Assessment in Advanced Dementia (PAINAD), the Discomfort Scale-Dementia or Alzheimer Type (DSDAT) and through observing frequency of positive vocalizations, which is an important dimension of being stimulated (engagement). Results The Namaste Care Family programme led to higher frequencies of positive vocalizations over time (F(2.771, 322.266) = 4.608 , p = .005). Discomfort scores at 6 and 12 months follow-up were significantly lower than those of controls (t(58) = 2.926, p = .005 and t(31) = 3.338, p = .002). This effect on discomfort seemed to translate to daily life as there was no significant difference in discomfort scores between Namaste sessions and daily life. There was a dose-response relationship between pain and Namaste dosage. Pain scores were significantly lower at 12 months follow-up as frequency and duration of attended Namaste Care Family sessions increased (F(1, 51) = 7.088 p = 0.01). Discussion and conclusion This large scale randomized controlled trial suggests that the Namaste Care Family programme could be an effective intervention component in providing stimulation, pain and discomfort management.Show less
This thesis asks why Canada became a global leader in peacekeeping in the 1960s and 1970s. The thesis is conducted through an analysis of both domestic and international causes that played a role...Show moreThis thesis asks why Canada became a global leader in peacekeeping in the 1960s and 1970s. The thesis is conducted through an analysis of both domestic and international causes that played a role in Canada's acquisition of a disproportionally large role within global peacekeeping. These causes are extensively researched using two case studies, being the United Nations' peacekeeping mission in Congo in the 1960s as well as the mission in Cyprus in the 1960s and 1970s. Furthermore, the thesis analyses the link between the United Nations and Canada on the peacekeeping front and discusses why it is that the UN came to rely on Canada so heavily for global peacekeeping efforts in the time period of the 1960s and 1970s.Show less
Parentally bereaved adolescents constitute a high-risk group susceptible to many short and long term negative outcomes, such as prolonged grief and depression. Numerous different interventions have...Show moreParentally bereaved adolescents constitute a high-risk group susceptible to many short and long term negative outcomes, such as prolonged grief and depression. Numerous different interventions have been proposed and implemented aiming to support this population. However, there has been no comprehensive review or empirical support for all of them. This thesis aims to systematically review intervention studies for parentally bereaved adolescents and report on their effectiveness. Time interval between loss and treatment, symptom severity at baseline, interventions’ structure, therapeutic confrontation, participants’ age, and percentage of parental death were examined as plausible moderators. The dataset was extracted in December 2019 from nine electronic databases. Study characteristics regarding the interventions, samples, measures, and outcomes were extracted from 30 articles. Based on the sufficiently reported statistical data of 25 studies an overall effect size was estimated for the interventions and moderator analyses were conducted. A pooled effect size of -0.397 was found, indicating a small to moderate positive effect of these interventions on the participants’ life. Therapeutic confrontation, unstructured interventions, and targeting severely distressed participants were the intervention characteristics that positively moderated the intervention effectiveness. Different effect sizes were reported for separate outcome constructs, ranging from g = -0.029 to g = -1.203. Trauma-related outcomes reported the largest point estimate, while cortisol levels the smallest. To summarize, interventions targeting parentally bereaved adolescents can positively affect their participants during the difficult period following the loss of their parents. However, further and more targeted research is required to achieve larger effects.Show less
In 2011 a coalition of states began a military intervention in Libya. The coalition consisted primarily of NATO members, but also included several Arab countries. The justification for the...Show moreIn 2011 a coalition of states began a military intervention in Libya. The coalition consisted primarily of NATO members, but also included several Arab countries. The justification for the intervention was the implementation of UN Security Council Resolution 1973 which allowed the intervening forces to “take all necessary measures” to protect civilians, but also prohibited an occupying force, meaning the interveners had to focus primarily on an air campaign and the implementation of a no-fly zone. This thesis looks at the British press coverage of the intervention in order to analyse the changing opinions that were displayed regarding Libya. Overall there is a clear trend showing that coverage of the intervention became more negative over time, leading to the current situation in which it is almost universally regarded as a failure.Show less
Children with increased global self-worth obtain better school results than children with low self-worth. Therefore it can be beneficial to provide children with a training that can potentially...Show moreChildren with increased global self-worth obtain better school results than children with low self-worth. Therefore it can be beneficial to provide children with a training that can potentially increase their self-competence. The feeling of self-worth is build up from multiple domains, such as in school, with their peers and their performance practicing sports. Executive functioning (EF) is a term containing a variety of learning skills that can help children in their learning process, which can increase children’s feeling of self-worth in their performance at school. The most basal EF inhibition, cognitive flexibility and working memory are researched in this study. The project Talentenkracht aimed at improving EF by training teachers from primary schools to increase explorative learning by asking children more explorative questions. This current study looked at whether the training had a positive effect on EF and whether this effect caused an increase on self-efficacy beliefs in children aged 9 to 12. In total 79 children from two schools participated, of which 46 children from one school were in the group where the teachers were trained and 33 children were from another school and formed the control group. The data was collected with the Amsterdamse Neuropsychologische Taken (ANT) to test EF and Competentiebelevingsschaal voor Kinderen (CBSK) for self-efficacy beliefs. No correlation was found between EF and self-efficacy beliefs at baseline or with changes in scores over time. In addition, there was an increase in inhibition and cognitive flexibility, not in working memory, but no increase in EF caused by the training. Since previous researches show there’s a relation between EF and self-efficacy beliefs and between EF and behavioural problems it’s important to further research the impact of EF on emotional development and how to improve EF with lowest scoring children.Show less
