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Evaluates the effects of an exercise program for children with asthma in the Netherlands. Interrelation between physical competence, self-esteem and coping behavior; Improvement in heart rate response; Impact of asthma on the daily life and activities of children.

This article gives an overview of the author's research into the integration of movement oriented aspects of rehabilitation activities used with physically disabled children: physical therapy, occupational therapy, speech therapy, physical education, swimming instruction, movement activities in daily life, and recreational sport. The investigation was carried out in an observation and rehabilitation center in The Netherlands. The research comprised three parts: (a) a situational analysis, (b) the development of a model for starting points and aims of movement rehabilitation, and (c) the development of an intervention model for movement rehabilitation. The design, methods, and results of the research are reported. [ABSTRACT FROM AUTHOR]

Objective: In the present study we aim to assess the reliability and validity of the 20item version of the Dutch Measure of Processes of Care (MPOC). Design: The reliability, concurrent validity, predictive validity and construct validity of the Dutch MPOC-20 were determined. A subset of MPOC-20 data was extracted from a large Dutch MPOC (56-item version) database. Subjects: Participants were 405 mothers and 22 fathers of children aged 1–18 years recruited through nine paediatric rehabilitation centres in the Netherlands. Main measures: The participants filled out the MPOC-20 items, the Client Satisfaction Questionnaire (CSQ), and two additional questions about satisfaction with services and the amount of stress they experienced. Results: The internal consistency analyses (alphas 0.75–0.87) and the test–retest analyses (intraclass correlation coefficients (ICCs) 0.78–0.91) showed that the Dutch MPOC-20 is a reliable tool. The concurrent validity of the Dutch MPOC-20 was confirmed by positive correlations between MPOC-20 scale scores and the CSQ (r 0.39–0.69), and between MPOC-20 scale scores and an overall satisfaction variable (r 0.37–0.66). The predictive validity of the Dutch MPOC-20 was supported by moderately negative correlations between MPOC-20 scores and a stress variable (r -0.27 to -0.44). The construct validity of the Dutch MPOC-20 was confirmed by significant scale intercorrelations (r 0.41–0.84) and a factor analysis. Conclusions: The 20-item version of the MPOC (Dutch MPOC-20) is a reliable and valid measure of the family-centredness of paediatric rehabilitation. [ABSTRACT FROM AUTHOR]

Objective: To validate the Dutch translation of the Canadian Measure of Processes of Care for Service Providers questionnaire (MPOC-SP) for use in paediatric rehabilitation settings in the Netherlands. Design: The construct validity, content validity, face validity, and reliability of the Dutch MPOC-SP were determined. Subjects: The 163 service providers that participated in the validation study represented seven children's rehabilitation centres and affiliated schools in the Netherlands (overall response rate 55.6%). In this sample 19 disciplines were represented. Main measures: The MPOC-SP consists of 27 items (assessing four domains) and was designed to examine how service providers think about the quality of care they provide and to assess the extent to which these services are family centred. Fifty-three service providers filled out an additional face validity questionnaire. Results: All items correlated best and significantly with their own scale score (rs 0.48–0.82, P < 0.001). The Pearson's correlation coefficients were all significant and confirmed that the four scales measure different aspects of a same construct, namely family-centred service. The content validity and the face validity of the Dutch MPOC-SP were good, indicating the questionnaire measures relevant aspects of family-centred service delivery in paediatric rehabilitation settings in the Netherlands. The test–retest analyses (intraclass correlation coefficient (ICC) 0.83–0.89) and the internal consistency analyses (alpha 0.65–0.84) showed that the Dutch MPOC-SP is a reliable tool. Conclusions: The Dutch MPOC-SP is a reliable and valid instrument to measure the family-centredness of service delivery. [ABSTRACT FROM AUTHOR]

The Dutch Pictorial Scale of Perceived Competence and Social Acceptance for Children with Cerebral Palsy was translated and administered to an English sample. This scale was developed to assess the child's perception on cognitive, physical and social domains. Thirty-two children, aged 4 to 9 years, were tested twice. The results indicate good test/retest reliability and good internal consistency. The results on the intercorrelations between the four sub-scales supported internal validity of the pictorial scale. It is concluded that the pictorial scale for young children with cerebral palsy is a reliable and valid instrument for determining the perception of children with cerebral palsy, and application in clinical and class settings is discussed. [ABSTRACT FROM AUTHOR]

Purpose: The objective was to validate the Dutch translation of the Canadian Giving Youth a Voice Questionnaire (GYV-20) for use in paediatric rehabilitation settings in The Netherlands. The GYV-20 consists of 20 items (assessing four domains) and was designed to evaluate the client-centredness of rehabilitation services from an adolescent perspective., Method: The construct validity, concurrent validity, and reliability of the Dutch GYV-20 were determined. Participants were 116 youngsters aged 11 - 21 years (Mean = 15.9; SD = 2.1) recruited through six paediatric rehabilitation settings in The Netherlands., Results: Correlations between the GYV-20 scale scores were positive (r = 0.69 - 0.78). The GYV-20 showed adequate internal consistency, with Cronbach's alpha ranging from 0.76 - 0.81. The ICCs of test-retest reliability ranged from 0.82 - 0.92, which demonstrated good stability of the GYV-20. Dutch adolescents judged the GYV-20 as a valuable and useful tool to evaluate rehabilitation services in The Netherlands., Conclusions: The Dutch GYV-20 showed sufficient evidence of construct validity and good reliabilities. The Dutch GYV-20 offers users a useful measurement option for various research and clinical purposes.

Objective: To evaluate the reliability of the Dutch version of the Pediatric Evaluation of Disability Inventory (PEDI), an instrument for measuring functional status (capability and performance in self-care, mobility and social function) of young children using parent interviews., Design: Inter-interviewer reliability was studied after scoring audiotaped interviews by a second researcher. For test-retest reliability the same parent was interviewed twice within three weeks; in inter-respondent reliability both parents of a child were interviewed independently within a few days. On item level, percentage identical scores were computed, and on scale level intraclass correlation coefficients (ICC) and Cronbach's alphas were calculated., Subjects: Parents of 63 nondisabled and 53 disabled (various diagnosis) children aged between 7 and 88 months were interviewed., Results: On scale level, all ICCs were above 0.90 and Cronbach's alpha was 0.89 for the self-care domain, 0.74 for the mobility domain and 0.87 for the social function domain. On item level for the Functional Skills Scale, the mean percentage identical scores varied from 89 to 99, and for the Caregiver Assistance Scale from 54 to 90. Different scores between interviewers resulted partially from ambiguous interpretation of the item and/or the explanation., Conclusions: Although small adaptations have to be made, the psychometric properties of the Dutch PEDI are found to be good.

Objective: To examine the discriminative validity of the Dutch Pediatric Evaluation of Disability Inventory (PEDI) to differentiate functional status between children with and without disabilities., Design: Cross-sectional study., Setting: A university children's hospital in the Netherlands., Participants: A clinical sample comprising 197 children with disabilities (infantile encephalopathy, n=40; juvenile idiopathic arthritis, n=20; neurometabolic conditions, n=36; neuromuscular disorders, n=9; skeletal disorders, n=28; spina bifida, n=41; traumatic injury, n=23), and 62 children without disabilities., Interventions: Not applicable., Main Outcome Measure: Functional status was measured by using a Dutch version of the PEDI., Results: Discriminant analysis established the sensitivity and specificity of the PEDI. Correct predictions of group membership (disabled vs nondisabled) were found in both children without disabilities (93.5% correctly predicted) and children with disabling conditions (91.6% correctly predicted)., Conclusion: The discriminative validity of the Dutch PEDI between children with and without disabilities was excellent., (Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation)