Bicycle fatalities: Trends in crashes with and without motor vehicles in The Netherlands

Boufous and Olivier (2015) recently found an increasing trend of police-reported cyclist deaths in single-vehicle crashes while a decreasing trend was found for fatal bicycle-motor vehicle crashes. This study sets out to conduct the same trend analyses for the Netherlands using causes of death statistics. The results show that for 1996–2014, the number of cyclist deaths in motor vehicle collisions per km cycled (i.e. the risk) has declined by 3.8% per annum (95% CI: −4.6%, −3.0%) while the risk of cyclist deaths in crashes without motor vehicles increased by 7.0% per annum (95% CI: 5.5%, 8.7%). The large majority of cyclist deaths at the beginning of the study period were due to bicycle-motor vehicle crashes. By 2014, however, the share with motor vehicles was only slightly higher than the share without motor vehicles. We also conducted trend analyses controlling for age by stratifying into nine age groups. After controlling for age, the average annual decrease of cyclist deaths in crashes with motor vehicles was 5.4% (95% CI: −6.0% to − 4.7%). The average annual increase of deaths in crashes without motor vehicles was 4.4% (95% CI: 3.1–5.7%). These trends are more favourable than those without controlling for age which can be explained by more cycling among the elderly who have an elevated risk. We conclude that, similar to Australia, cyclist deaths following motor vehicle crashes in the Netherlands have decreased while deaths without motor vehicles have increased.     

Motor sequence learning in children with recovered and persistent developmental stuttering: preliminary findings

PurposePrevious studies have associated developmental stuttering with difficulty learning new motor skills. We investigated non-speech motor sequence learning in children with persistent developmental stuttering (CWS), children who have recovered from developmental stuttering (CRS) and typically developing controls (CON).MethodsOver the course of two days, participants completed the Multi-Finger Sequencing Task, consisting of repeated trials of a10-element sequence, interspersed with trials of random sequences of the same length. We evaluated motor sequence learning using accuracy and response synchrony, a timing measure for evaluation of sequencing timing. We examined error types as well as recognition and recall of the repeated sequences.ResultsCWS demonstrated lower performance accuracy than CON and CRS on the first day of the finger tapping experiment but improved to the performance level of CON and CRS on the second day. Response synchrony showed no overall difference among CWS, CRS and CON.Learning scores of repeated sequences did not differ from learning scores of random sequences in CWS, CRS and CON. CON and CRS demonstrated an adaptive strategy to response errors, whereas CWS maintained a high percentage of corrected errors for both days.ConclusionsOur study examined non-speech sequence learning across CWS, CRS and CON. Our preliminary findings support the idea that developmental stuttering is not associated with sequence learning per se but rather with general fine motor performance difficulties.     

Tablet Use in Young Children is Associated with Advanced Fine Motor Skills

Abstract

To evaluate whether frequent interactive tablet-use at preschool age is associated with improved fine motor skills and to describe tablet-use in young children. Cross-sectional study with 78 children, aged 24–42?months: group 1 with previous frequent tablet-use exposure (n?=?26), group 2 without previous tablet-use exposure (n?=?52). Fine motor skills were evaluated with the Bayley-III. Socioeconomic data and home environment quality were similar in both groups. Fine motor skills of group 1 were better than those of group 2 (p?=?0.013). Most participating children carried out passive and active tablet activities, usually accompanied by parents, not exceeding time recommendations for young age. We observed a difference in fine motor skills in young children slightly favoring those with tablet-use experience.     

Self and proxy (parents and teachers’) reports of child motor competence: A three-year longitudinal study

ObjectiveThe aims of this study were to: 1) analyse the longitudinal trends in the evolution of the association between children’s actual and perceived motor competence (AMC and PMC, respectively) according to the source of information: children, parents, and Physical Education (PE) teachers; 2) assess whether children, parents, and PE teachers can report on children’s AMC longitudinally (considering the children’s age, sex, and the type of motor competence).Design and methodA sample of 108 typically developing Spanish children (47.12% girls) from five schools participated in this study. AMC and PMC (locomotion, object control and overall MC) data was collected at three time points one year apart. Longitudinal mixed effects models with repeated measures were conducted.ResultsRegardless of the domain of MC, no longitudinal association between children’s AMC and PMC was found. Parents also exhibited limited capability to proxy report their children’s AMC longitudinally. PE teachers’ proxy reports of children’ AMC were associated over time with object control and overall level.ConclusionThis study confirms the necessity of specific training in AMC to effectively report on children’s motor competence. PE teachers can be seen as a potential source to empower children’s AMC and PMC development over time.     

Effects of television exposure on developmental skills among young children

BackgroundLiterature addressing the effects of television exposure on developmental skills of young children less than 36 months of age is scarce. This study explored how much time young children spend viewing television and investigated its effects on cognitive, language, and motor developmental skills.MethodsData were collected from the Pediatric Clinics at University Medical Center in Southern Taiwan. The participants comprised 75 children who were frequently exposed to television and 75 children who were not or infrequently exposed to television between 15 and 35 months old. The age and sex were matched in the two groups. The Bayley Scales of Infant Development-second edition and Peabody Developmental Motor Scales-second edition were used to identify developmental skills. Independent t-tests, χ² tests, and logistic regression models were conducted.ResultsAmong 75 children who were frequently exposed to television, young children watched a daily average of 67.4 min of television before age 2, which was excessive according to the American Academy of Pediatrics. Viewing television increased the risk of delayed cognitive, language, and motor development in children who were frequently exposed to television. Cognitive, language, and motor delays in young children were significantly associated with how much time they spent viewing television. The type of care providers was critical in determining the television-viewing time of children.ConclusionWe recommend that pediatric practitioners explain the impacts of television exposure to parents and caregivers to ensure cognitive, language, and motor development in young children. Advocacy efforts must address the fact that allowing young children to spend excessive time viewing television can be developmentally detrimental.     

Perspectives of stuttering treatment: Children,adolescents, and parents

PurposeResearchers investigated whether children who stutter (CWS), adolescents who stutter (ADWS), and their parents preferred treatment focused on changing speech or communicating regardless of stuttering.MethodsTwenty-four parents and their CWS (n = 11, ages 8;0–12;11) or ADWS (n = 13, ages 13;0–17;11) answered questions about their preferences for stuttering treatment via an internet-based survey; an additional 11 surveys were filled in only by parents without responses by their child/adolescent. The researchers compared responses of the parents and their children, as well as between the two age groups and years in treatment (less than five years versus five or more years).ResultsViews tended to be mixed without any clear trends based on age. Just over half of the CWS, ADWS, and parents of CWS indicated a general tendency for therapy satisfaction; however, less years of treatment were associated with more satisfaction. When presented with a specific scenario, a higher proportion of parents expressed focus on their child saying what they want to say, regardless of stuttering. Otherwise, preferences were mixed on therapy goals of speaking freely vs. speaking more fluently.ConclusionsPreferences for treatment goals do not predictably vary based on age or years in treatment; given the small sample size, these findings should be considered with caution. Given the variability in responses, it is evident that stuttering treatment for school-age children and adolescents should be individualized. These results also emphasize the importance of communication, education, and applying a person-centered approach when providing stuttering intervention to children, adolescents, and their parents.     

Identifying play characteristics of pre-school children with developmental coordination disorder via parental questionnaires

Motor coordination deficits that characterize children with Developmental Coordination Disorder (DCD) affect their quality of participation. The aim of the current study was to identify play characteristics of young children with DCD, compared to those of children with typical development in three dimensions: activity and participation, environmental factors and children’s impairments.MethodSixty-four children, aged four to six years, participated. Thirty were diagnosed as having DCD; the remaining 34 children were age, gender and socioeconomic level matched controls with typical development. The children were evaluated by the M-ABC. In addition, their parents completed a demographic questionnaire, the Children’s Activity Scale for Parents (CHAS-P), the Children’s Leisure Assessment Scale for preschoolers (CLASS-Pre), and My Child’s Play Questionnaire (MCP).ResultsChildren with DCD performed significantly poorer in each of the four play activity and participation domains: variety, frequency, sociability, and preference (CLASS-Pre). Furthermore, their environmental characteristics were significantly different (MCP). They displayed significantly inferior performance (impairments) in interpersonal interaction and executive functioning during play, in comparison to controls (MCP). Moreover, the children’s motor and executive control as reflected in their daily function as well as their activities of daily living (ADL) performance level, contributed to the prediction of their global play participation.DiscussionThe results indicate that the use of both the CLASS-Pre and the MCP questionnaires enables the identification of unique play characteristics of pre-school children with DCD via parents’ reports. A better insight into these characteristics may contribute to theoretical knowledge and clinical practice to improve the children’s daily participation.     

How Can I Help You? Dimensional versus Categorical Distinctions in the Assessment for Child Analysis and Child Psychotherapy

ABSTRACT

This paper describes the process of a psychoanalytically-informed or a psychodynamic diagnostic assessment with children, contrasting it with a DSM-like diagnostic process. The importance of understanding and sensitively addressing the experience of parents when they bring their child to a professional for help is highlighted. The promotion of a psychoanalytic atmosphere, the unique contribution of a child analyst or psychodynamic clinician to the general mental health field, is an approach which promotes the development of a therapeutic alliance. This allows both parents and children to express their underlying issues as openly as possible. In addition to the basic assumptions of psychoanalysis (the ubiquity of unconscious mental activity and the impact of the past on the present/the developmental perspective), several factors are crucial to bear in mind: the importance of understanding the nature of the child’s (and the parent’s) emotions, emotion regulation, development of mental representations of self and other, and their conflicts and defense mechanisms. Potential therapeutic approaches are highlighted, including stressing the need to empirically study how decisions are made by a mental health provider when moving from assessment to treatment recommendation.     

Coaching preferences of adolescent youths and their parents

Abstract

This study compared preferred coaching styles of children and their parents using the Leadership Scale for Sport (LSS; Chelladurai & Saleh, 1980). The LSS preferred form was revised and then administered to children ranging from 10 to 18 years of age who competed in summer youth sport leagues and to one parent within each family unit (n = 239). A doubly multivariate repeated measure MANOVA revealed a significant multivariate difference for adolescent athletes and their parents on the five subscales of the LSS. Discriminant function and univariate analyses indicated that male and female children and their parents differed on autocratic and democratic behavior and children had a significantly higher score on democratic behavior and social support than did their parents. Parents, coaches, and researchers in youth sports could use the revised LSS to determine children-athletes’ preferences for coaching styles and for developing more effective programs.     

Contributing factors to motorcycle injury crashes in Victoria,Australia

IntroductionThe increased popularity of powered two wheelers (PTWs) in Australia, combined with their vulnerability in the event of a crash, necessitates new strategies to prevent serious injury crashes. The purpose of this study was to use case-series data collected from a recent motorcycle case-control study to analyse contributing factors to crashes using a safe systems approach.MethodsA total of 235 injured riders were recruited and completed a questionnaire-based interview, each followed by a detailed inspection of the case motorcycle and crash site by a trained crash investigator. Primary and secondary contributors to the crash were judged based on all available information sources. Analysis of the most frequent contributing factors included separation of cases into single and multi-vehicle crashes. A stepwise logistic regression was used to test for factors associated with human error for multi-vehicle crashes.ResultsTwo thirds of crashes investigated involved another vehicle or road user(s). For multi-vehicle crashes the most common crash scenario involved another vehicle failing to give way to the rider, and the primary contributor was a perception failure or traffic scan error on the part of the other road user. A number of secondary factors were found to be significantly associated with human error type (other road user or rider error), including rider age, traffic density, inappropriate speed of the PTW, and a road design issue. For single vehicle crashes, the most common primary contributor was a misjudgement or control error on the part of the rider, with inappropriate speed as the most frequent secondary contributor.ConclusionsDespite the complexity of factors involved in PTW crashes resulting in injury, a number of significant associations exist between road users as the primary contributing factor (rider or other road user) and secondary factors, including rider age, traffic density, speed and road design issues.     

How Personality and Reward Relate to Automobile Drivers' Judgments of Affordances Using Their Own Vehicles

Abstract

Researchers have long recognized the importance of psychological processes in motor vehicle safety, but ecological theory-based research on factors that might contribute to motor vehicle crashes has lagged. This study was designed to test factors that might influence motor vehicle drivers' judgments of passability and fit-ability affordances. In particular, the authors tested personality and behavioral reinforcement as factors that might influence automobile drivers' judgments of affordances in three tasks set at various π-numbers: driving forward through a gap, driving backward through a gap, and fitting into a parallel-parking spot. Results across two studies suggest that personality does not relate to judgment of driving environment affordances, but institution of a behavioral reward system causes drivers to judge affordances in different ways. Implications for future research and for automobile safety intervention are discussed.     

Instructing Parents to Use Dialogic Reading Strategies with Preschool Children

Abstract

Caregiver use of dialogic reading (DR) strategies in home, preschool, and daycare settings has been shown to facilitate development of oral language and emergent literacy skills in toddlers and preschool age children. Training in the use of DR strategies may be provided ‘live’ or via videotape. Using a randomized, control group, repeated measures design with 18 caregiver-child dyads, we investigated (a) caregivers' ability to learn to use DR strategies with their young children through videotape training in community health centers, and (b) children's verbalizations during shared book reading. Caregivers learned to use DR strategies through the videotape training and maintained their use of DR strategies 12 weeks later. In addition, an intervention effect was observed related to levels of child on-task verbalizations such that children of parents who learned DR strategies talked more about books during shared book reading relative to their baseline and to the control group children, whose parents did not view the DR training video.     

Challenges for aging Holocaust survivors and their children: The impact of early trauma on aging

ABSTRACT

Is the impact of early trauma continually present or does the negative psychological impact disappear when survivors are younger and then reappear as they age? In Transcending Trauma Project interviews survivors noted the impact of the Holocaust was always present but some stated that it increased as they aged. A small number of children of survivors interviewed observed a dependence upon defense mechanisms to cope with aging which differed from the survivors’ identification of using active and family coping strategies during the war and postwar years. Though children who experienced positive parent-child relationships mentioned the negative coping strategies, they also spoke positively of the impact of their parents in their own lives and expressed empathy for their parents. In the families where tensions existed between the survivors and their children, the children did not express empathy for their aging parents. Several studies supported the importance of family relationships in the aging process. This secondary analysis study further explored the impact of the Holocaust in aging survivors and the views of some children of survivors on aging.     

Relation of motor,linguistic and temperament factors in epidemiologic subtypes of persistent and recovered stuttering: Initial findings

PurposeThe purpose of this study was to determine the presence of any patterns reflecting underlying subtypes of persistence and recovery across epidemiologic, motor, language, and temperament domains in the same group of children beginning to stutter and followed for several years.MethodsParticipants were 58 2–4-year-old CWS and 40 age and gender matched NFC from four different sites in the Midwest. At the end of the multi-year study, stuttering children were classified as Persistent or Recovered. The same protocol obtaining data to measure stuttering, motor, language and temperament characteristics was used at each site. They have not been included in previous reports.ResultsThe Persistent group performed consistently differently from the Recovered and Control groups. They performed lower on standardized language tests and in phonological accuracy, had greater kinematic variability, and were judged by their parents to be more negative in temperament.ConclusionsThe present study provides data supporting the hypothesis that subtypes of stuttering can be identified along persistency/recovery lines, but results were not definitive.Educational Objectives: Readers will be able to (a) describe the current state of subtypes of stuttering research; (b) summarize possible contributions of epidemiologic, motoric, linguistic and temperament to such subtyping with regard to persistency and recovery.     

Social cognitions measured in 4 to 6 year olds are predictive of objectively measured physical activity

Objective: This study tested whether social cognitions from the reasoned action approach (RAA) can be reliably measured in a sample of primary school children (aged 4–6 years) and whether these RAA measures are predictive of physical activity.

Design: Longitudinal observational study with repeated measures over six months.

Measures: RAA variables were measured using a novel choice paradigm between physically active and sedentary pastimes. Relative reinforcing value, covariates (sex, age, deprivation and BMI) and physical activity by accelerometry (primary outcome) were also measured.

Results: RAA cognitions could be measured with acceptable retest reliability and discriminant validity and social norms regarding parents and teachers (but not friends) were correlated with physical activity and change in physical activity when relative reinforcing value and other covariates were controlled for.

Conclusions: RAA cognitions can be reliably measured in primary school children aged 4–6 and RRA measures appear useful in understanding children’s activity choices and may potentially inform future interventions.     

Psychometric properties of the Affordances in the Home Environment for Motor Development inventory for use with Iranian children aged 18–42 months

ObjectiveThe aim of this study was to translate the original English language version of the Affordances in the Home Environment for Motor Development (AHEMD) inventory and test its psychometric properties for use with Iranian children aged 18–42 months.MethodsFor this purpose, the tool was translated into Farsi (a Persian language) using the forward-backward translation method and some of its psychometric properties were examined. Multistage stratified-cluster sampling was used to study 1019 families having children aged 18–42 months from among the regional divisions of Tehran urban community health centers. The questionnaire evaluated five factors: outside space, inside space, variety of stimulation, fine motor toys and gross motor toys. Expert opinion was used for content-related validity evaluation and confirmatory factor analysis was used to determine construct validity. For test-retest reliability, parents completed identical questionnaires two weeks apart. Internal consistency was evaluated using inter-examiner reliability, Cronbach's alpha and construct reliability. Linear regression analysis was used to explain and predict the effects of toys on AHEMD total score.ResultsResults showed that content-related validity was 0.92. Data confirmatory factor analysis showed an acceptable fit to the original five factors. Reliability over time was 0.91 and internal consistency was 0.93. It was also found that fine- and gross-motor toys showed a significant 55% predictability of affordance provision in the home.ConclusionThe Farsi translation of the AHEMD is acceptable for use with Iranian children aged 18–42 month.     

Making Road Traffic Safer: Reply to Ori

Abstract

In order to reduce the death toll of road traffic it is necessary to focus on how vehicles and roads can be improved. Like other dangerous machines, motor vehicles should be equipped with safety devices that prevent mistakes by the operator from leading to serious consequences. Speed limiters that prevent driving at illegal speeds would save many lives, and so would alcohol interlocks. Meshi Ori's proposal that most cars should be replaced by motorcycles would not lead to the moral improvement that he hopes for. We need motor vehicles with better, not worse, protection of the driver and passengers than the cars presently in use.     

Neurodevelopmental Disorders Across the Lifespan: A Neuroconstructivist Approach.

Objectives. To investigate neuropsychological and neurobehavioral outcome in children with arterial ischemic stroke (AIS).

Background. Childhood stroke can have consequences on motor, cognitive, and behavioral development. We present a cross-sectional study of neuropsychological and neurobehavioral outcome at least one year poststroke in a uniquely homogeneous sample of children who had experienced AIS.

Method. Forty-nine children with AIS aged 6 to 18 years were recruited from a specialist clinic. Neuropsychological measures of intelligence, reading comprehension, attention, and executive function were administered. A triangulation of data collection included questionnaires completed by the children, their parents, and teachers, rating behavior, executive functions, and emotions.

Key Findings. Focal neuropsychological vulnerabilities in attention (response inhibition and dual attention) and executive function were found, beyond general intellectual functioning, irrespective of hemispheric side of stroke. Difficulties with emotional and behavioral regulation were also found. Consistent with an “early plasticity” hypothesis, earlier age of stroke was associated with better performance on measures of executive function.

Conclusions. A significant proportion of children poststroke are at long-term risk of difficulties with emotional regulation, executive function, and attention. Data also suggest that executive functions are represented in widespread networks in the developing brain and are vulnerable to unilateral injury.     

Talking about Personality: Evidence for Attributions to Self and Others in Early Childhood

ABSTRACT

The early use of person perception terms was examined via an analysis of the spontaneous speech of four young children in conversation with their parents at home. All four children were producing such terms early in their third year. Like their parents, children used the terms in two distinguishable ways: to attribute a trait to a person or to characterize a person’s ongoing action. Most of these terms were evaluative, whether positive or negative. Parents often made direct comments to their children about both their traits and ongoing actions; children made similar comments about themselves. Parents also used person perception terms to make comments about others who were not party to the conversation; children did likewise. A considerable proportion of the trait terms that children produced served as interpretive comments on someone’s actions or preferences. Our findings suggest that from an early age, children are trait theorists. Not only do they describe ongoing actions using trait vocabulary, they interpret those ongoing actions by attributing traits.     

Childhood obesity and parental reflective functioning: Is there a relation?

Background/ObjectiveIn recent decades, the prevalence of childhood obesity has increased, with the major implications for public health. However, the factors that contribute to obesity in children are still poorly understood. The present study aimed to investigate the role of parental reflective functioning (PRF) in childhood obesity.MethodIn a cross-sectional design, 120 sets of parents of 60 children (n = 30 with obesity, age range 6–11) were recruited by local paediatricians. Parents completed the Parental Reflective Functioning Questionnaire. Children's and parents’ weight (assessed by BMI), as well as their socio-economic status (SES), were assessed to explore the contribution of PRF in the prediction of children's weight, controlling for parents’ weight and SES.Resultst-test showed significant differences with medium effect sizes in BMI, SES and PRF between parents of children with and without obesity. The best model resulted from hierarchical multiple regression analyses and showed that mothers’ PRF predicted children's BMI above and beyond the prediction by parents’ BMI and SES.ConclusionsLow maternal PRF could be an important target for intervention strategies, highlighting the need to consider parental responses to children's emotions in the treatment of childhood obesity, particularly in parents with low SES and high BMI.