Browse by Lectorate "Arbeid en Gezondheid"

Now showing items 1-50 of 60

Yes, we should abandon pre-treatment positional testing of the cervical spine
Hutting, N. ; Kerry, R. ; Kranenburg, R.
2020, Article / Letter to editor (Musculoskeletal Science and Practice, vol. 49, iss. Oct., (2020), pp. 1-5)
Work-Focused Health Care: The Role of Physical Therapists
Hutting, N. ; Boucat, R. ; Gross, D. ; Heerkens, Y.F. ; Johnston, V. ; Skamagki, G. ; Stigmar, K.
2020, Article / Letter to editor (Physical Therapy, vol. 100, iss. 12, (2020), pp. 2231-2236)
Work related musculoskeletal disorders: Challenges and new perspectives
Hutting, N. ; Wynne-Jones, G. ; Skamagki, G. ; Watson, H.
2019, Article in monograph or in proceedings (Focused Symposium Physiotherapy UK, Birmingham)
Why peer assessment helps to improve clinical performance in undergraduate physical therapy education : A mixed methods design
Maas, M.J.M. ; Nijhuis-van der Sanden, M.W.G. ; Wees, Philip van der ; Sluijsmans, Dominique ; Vleuten, Cees van der ; Heerkens, Y.F.
2014, Article / Letter to editor (BMC Medical Education, vol. 14, iss. 117, (2014))Background: Peer Assessment (PA) in health professions education encourages students to develop a critical attitude towards their own and their peers’ performance. We designed a PA task to assess students' clinical skills (including reasoning, communication, physical examination and treatment skills) in a role-play that simulated physical therapy (PT) practice. Students alternately performed in the role of PT, assessor, and patient. Oral face-to-face feedback was provided as well as written feedback and scores.This study aims to explore the impact of PA on the improvement of clinical performance of undergraduate PT students. Methods: The PA task was analyzed and decomposed into task elements. A qualitative approach was used to explore students' perceptions of the task and the task elements. Semi-structured interviews with second year students were conducted to explore the perceived impact of these task elements on performance improvement. Students were asked to select the elements perceived valuable, to rank them from highest to lowest learning value, and to motivate their choices. Interviews were transcribed verbatim and analyzed, using a phenomenographical approach and following template analysis guidelines. A quantitative approach was used to describe the ranking results. Results: Quantitative analyses showed that the perceived impact on learning varied widely. Performing the clinical task in the PT role, was assigned to the first place (1), followed by receiving expert feedback (2), and observing peer performance (3). Receiving peer feedback was not perceived the most powerful task element. Qualitative analyses resulted in three emerging themes: pre-performance, true-performance, and post-performance triggers for improvement. Each theme contained three categories: learning activities, outcomes, and conditions for learning. Intended learning activities were reported, such as transferring prior learning to a new application context and unintended learning activities, such as modelling a peer’s performance. Outcomes related to increased self-confidence, insight in performance standards and awareness of improvement areas. Conditions for learning referred to the quality of peer feedback. Conclusions: PA may be a powerful tool to improve clinical performance, although peer feedback is not perceived the most powerful element. Peer assessors in undergraduate PT education use idiosyncratic strategies to assess their peers’ performance.
What environmental factors influence resumption of valued activities post stroke: a systematic review of qualitative and quantitative findings
Jellema, S. ; Hees, S.G.M. van ; Zajec, J. ; Sande, R van der ; Nijhuis-van der Sanden, M.W.G. ; Steultjens, E.M.J.
2017, Article / Letter to editor (Clinical Rehabilitation, vol. 31, iss. 7, (2017), pp. 936-947)Objective: Identify the environmental factors that influence stroke-survivors' reengagement in personally valued activities and determine what specific environmental factors are related to specific valued activity types. Data sources: PubMed, CINAHL and PsycINFO were searched until June 2016 using multiple search-terms for stroke, activities, disability, and home and community environments. Review methods: An integrated mixed-method systematic review of qualitative, quantitative and mixed-design studies was conducted. Two researchers independently identified relevant studies, assessed their methodological quality and extracted relevant findings. To validly compare and combine the various findings, all findings were classified and grouped by environmental category and level of evidence. Results: The search yielded 4024 records; 69 studies were included. Most findings came from low-evidence-level studies such as single qualitative studies. All findings were consistent in that the following factors facilitated reengagement post-stroke: personal adapted equipment; accessible environments; transport; services; education and information. Barriers were: others' negative attitudes and behaviour; long distances and inconvenient environmental conditions (such as bad weather). Each type of valued activity, such as mobility or work, had its own pattern of environmental influences, social support was a facilitator to all types of activities. Although in many qualitative studies others' attitudes, behaviour and stroke-related knowledge were seen as important for reengagement, these factors were hardly studied quantitatively. Conclusion: A diversity of environmental factors was related to stroke-survivors' reengagement. Most findings came from low-evidence-level studies so that evidence on causal relationships was scarce. In future, more higher-level-evidence studies, for example on the attitudes of significant others, should be conducted.
Voting barriers and solutions: the experiences of people with disabilities during the Dutch national election in 2017
Hees, S.G.M. van ; Boeije, HR ; Putter, I de
2019, Article / Letter to editor (DISABILITY & SOCIETY, vol. 34, iss. 5, (2019), pp. 819-836)Exercising the right to vote at elections is frequently denied to people with disabilities. In this study, we examined the voting behaviour of individuals with physical or learning impairments and the barriers they encountered during the national elections in 2017 in the Netherlands. A survey design was chosen to allow large-scale questioning of both target groups. Over 90% of people with physical impairments voted and respondents found that voting was accessible. Voter turnout among people with learning impairments was much lower (46%). They experienced difficulty to prepare themselves and at the polling station. The Netherlands seems well on the way to achieving an inclusive environment for people with physical impairments. Recommendations are given about accessibility for all and for exploring alternative methods of voting such as proxy voting and tailoring information and procedures to the needs of people with learning impairments.
Verpleegkundige én mantelzorger
Detaille, S.A. ; Lange, A.H. de ; Engels, J.A.
2019, Article / Letter to editor (TVZ : verpleegkunde in praktijk en wetenschap, vol. 129, (2019), pp. 25-26)
Using intervention mapping (IM) to develop a self-management program for employees with a chronic disease in the Netherlands
Detaille, S.A. ; Gulden, J. van der ; Engels, J.A. ; Heerkens, Y.F. ; Dijk, F. van
2010, Article / Letter to editor (BMC Public Health, vol. 2010, iss. 10, (2010), pp. 353)Employees with a chronic disease often encounter problems at work because of their chronic disease. The current paper describes the development of a self-management programme based on the Chronic Disease Self-Management programme (CDSMP) of Stanford University to help employees with a chronic somatic disease cope with these problems at work. The objective of this article is to present the systematic development and content of this programme. The method of intervention mapping (Bartholomew 2006) was used to tailor the original CDSMP for employees with a chronic somatic disease. This paper describes the process of adjusting the CDSMP for this target group. A needs assessment has been carried out by a literature review and qualitative focus groups with employees with a chronic disease and involved health professionals. On the basis of the needs assessment, the relevant determinants of self-management behaviour at work have been identified for the target population and the objectives of the training have been formulated. Furthermore, techniques have been chosen to influence self-management and the determinants of behaviour and a programme plan has been developed.
Understanding work participation among employees with common mental disorders: what works for whom, under what circumstances and how? A systematic realist review protocol.
Hees, S.G.M. van ; Carlier, B.E. ; Blonk, R. ; Oomens, P.C.J.
2021, Article / Letter to editor (Work: A Journal of Prevention, Assessment and Rehabilitation, vol. 69, iss. 3, (2021), pp. 827-838)
Translation, adaptation, validity and reliability of the Dutch version of the 'blue flags' questionnaire
Westerweel, A ; Heerkens, Y.F. ; Oswald, W. ; Sennehed, CP ; Stigmar, K. ; Hees, S.G.M. van ; Lankveld, W.G.J.M. van ; Hutting, N.
2021, Article / Letter to editor (European Journal of Physiotherapy, (2021))Purpose: To translate and culturally adapt the Swedish version of the 'Blue flags' questionnaire into Dutch and to examine the validity and reliability aspects of the Dutch version. Methods: The 'Blue flags' questionnaire was translated and culturally adapted to the Dutch situation. A total of 58 participants filled in the first questionnaire at baseline and 51 participants filled in the second questionnaire sent two weeks later. The data of the participants who filled in the first questionnaire was used to determine internal consistency, structural validity and concurrent validity. The data of the participants who filled in both questionnaires was used to determine test-retest reliability. Results: The internal consistency was good with a Cronbach's alpha of 0.83. The structural validity was satisfactory with a Kaiser-Meyer-Olkin (KMO) test of 0.75 and a significance of p < .001 for the Bartlett's test. Four factors were extracted using principal component analysis (PCA) with varimax rotation with an explained total variance of 70.8%. Spearman's rho for concurrent validity was 0.68 (p < .001). The intraclass correlation coefficient (ICC) for test-retest was 0.80 (p < .001) for the total score. Conclusions: The Dutch version of the 'Blue flags' questionnaire showed good internal consistency, satisfactory structural validity, strong concurrent validity (with mixed item representation results) and strong reliability.
The role of specialized physical therapists in gainful employment of clients
Heerkens, Y.F. ; Roemaat, M. ; Engels, J.A.
2011, Article / Letter to editor (Physiotherapy, vol. 97, iss. S1, (2011), pp. eS468-eS469)In the Netherlands educational programs exist to train physical therapists (PTs) to treat employees with work-related complaints of the movement system. Contrary to occupational physical therapists working in workplaces, these professional work mainly in primary healthcare. WPT2011 Research Report Abstratcs
The effects of integrating work-related factors and improving cooperation in musculoskeletal physical therapy practice: protocol for the 'WORK TO BE DONE' cluster randomised controlled trial.
Hutting, N. ; Oswald, W. ; Nijhuis-van der Sanden, M.W.G. ; Filart, M. ; Raaijmakers, T. ; Bieleman, H.J. ; Staal, J.B. ; Heerkens, Y.F.
2020, Article / Letter to editor (BMC Musculoskeletal Disorders, vol. 21, iss. 1, (2020), pp. 360)BACKGROUND: Musculoskeletal disorders (MSDs) are the primary cause of disability worldwide and a major societal burden. Recent qualitative research found that although a patient's work is considered important, physical therapists take work participation insufficiently into account as a determining factor in the treatment of patients with MSDs. Therefore, the aim of this study is to improve the effectiveness of physical therapy (in primary healthcare) with respect to the work participation of employees with MSDs by increasing the knowledge and skills of generalist physical therapists and by improving the collaboration between generalist physical therapists and physical therapists specialised in occupational health. METHODS/DESIGN: This trial is a two-arm non-blinded cluster randomised controlled trial. Working patients with MSDs visiting a physical therapy practice are the target group. The control group will receive normal physical therapy treatment. The intervention group will receive treatment from a physical therapist with more knowledge about work-related factors and skills in terms of integrating work participation into the patients' care. Data are gathered at baseline (T0), at four months (T1) and eight months (T2) follow-up. Most outcomes will be assessed with validated patient-reported questionnaires. Primary outcomes are the limitations in specific work-related activities and pain during work. Secondary outcomes include limitations in general work-related activities, general pain, quality of life, presenteeism, sick leave (absenteeism), estimated risk for future work disability, work-related psychosocial risk factors, job performance, and work ability. Based on a sample size calculation we need to include 221 patients in each arm (442 in total). During data analysis, each outcome variable will be analysed independently at T1 and at T2 as a dependent variable using the study group as an independent variable. In addition to the quantitative evaluation, a process evaluation will be performed by interviewing physical therapists as well as patients. DISCUSSION: The trial is expected to result in a more effective physical therapy process for working patients with MSDs. This will lead to a substantial reduction of costs: lower costs thanks to a more effective physical therapy process and lower costs due to less or shorter sick leave and decreased presenteeism. TRIAL REGISTRATION: Netherlands Trial Register, registration number: NL8518, date of registration 9 April 2020, URL registration: https://www.trialregister.nl/trial/8518.
The cognitive costs of managing emotions: A systematic review of the impact of emotional requirements on cognitive performance
Hofstee, G. ; Jansen, P.G.W. ; Lange, A.H. de ; Spisak, B.R. ; Swinkels, M.
2021, Article / Letter to editor (Work and Stress, vol. 35, iss. 3, (2021), pp. 301-326)
The ambiguity of the concept of participation in measurement instruments: Operationalization of participation influences research outcomes
Bos, Isaac ; Stallinga, Hillegonda ; Heerkens, Y.F. ; Dijkstra, Pieter ; Roodbol, Petrie
2014, Article / Letter to editor (Clinical Rehabilitation, vol. 28, iss. 12, (2014))This study explores, based on the International Classification of Functioning, Disability and Health, the consequences of different operationalizations of participation in regression models predicting participation in one sample of patients.
Supporting Double Duty Caregiving and Good Employment Practices in Health Care Within an Aging Society
Detaille, S.A. ; Lange, A.H. de ; Engels, J.A. ; Pijnappels, M.C.M. ; Hutting, N. ; Osagie, E.R. ; Reig-Botella, A.
2020, Article / Letter to editor (Frontiers in Psychology, vol. 11, (2020))
A study protocol for a cluster randomised controlled trial on mindfulness-based stress reduction: studying effects of mindfulness-based stress reduction and an additional organisational health intervention on mental health and work-related perceptions of teachers in Dutch secondary vocational schools.
Janssen, M.H.M.G. ; Heerkens, Y.F. ; Heijden, Beatrice van der ; Korzilius, Hubert ; Peters, P. ; Engels, J.A.
2020, Article / Letter to editor (Trials, vol. 21, iss. 1, (2020), pp. 376)
Spelers op het veld arbeid en gezondheid : Hoofdstuk 4
Engels, J.A. ; Miedema, Harald ; Nauta, Noks
2011, Part of book or chapter of book (Arbeid & Gezondheid: Een handboek voor paramedici & arboprofessionals, pp. 91-147)Het bevorderen van duurzame arbeidsparticipatie is een kerntaak voor paramedici en arboprofessionals. In sociaal opzicht is arbeidsparticipatie belangrijk omdat het bijdraagt aan zelfstandigheid en zelfrespect. Maar niet iedereen kan een baan vinden of houden. Bovendien zullen door de stijgende pensioenleeftijd meer werknemers te kampen krijgen met arbeidsbeperkingen. Hoe kunt u als paramedicus of arboprofessional uw clienten ondersteunen in het arbeidsparticipatieproces? Het antwoord op deze vraag vindt u in de tweede editie van Arbeid Gezondheid. De geactualiseerde denkmodellen en onderwerpen in dit handboek dienen als handvatten voor professionals om de arbeidsparticipatie van hun clienten te optimaliseren. Daarbij is kennis vanuit verschillende disciplines noodzakelijk. In de eerste editie lag de nadruk op interventie (preventie, behandeling en reïntegratie). Deze uitgebreide herziening bespreekt de rol van professionals in drie praktische contexten: (meer) aan het werk, aan het werk (blijven) en weer aan het werk. Daarvoor wordt in deel 1 het theoretische kader aangeboden. Deel 2 gaat vervolgens in op de praktische kant en geeft onder andere talloze tips, voorbeelden en nuttige adressen.
Self-management support for people with non-specific low back pain: A qualitative survey among physiotherapists and exercise therapists.
Hutting, N. ; Oswald, W. ; Staal, J.B. ; Heerkens, Y.F.
2020, Article / Letter to editor (Musculoskeletal Science and Practice, vol. 50, (2020), pp. 102269)BACKGROUND: Low back pain (LBP) is a major problem across the globe and is the leading cause worldwide of years lost to disability. Self-management is considered an important component the treatment of people with non-specific LBP. However, it seems that the self-management support for people with non-specific LBP provided by physiotherapists can be improved. Moreover, the way exercise therapists (ET) address self-management in practice is unknown. The aim of this study was to investigate the ideas, opinions and methods used by physiotherapists and ET with regard to self-management and providing self-management support to patients with non-specific LBP. METHODS: This study was a qualitative survey. An online questionnaire with open-ended questions was developed. The survey was conducted among physiotherapists and ET working in the Netherlands. Data was analysed using thematic analysis. RESULTS: Respondents considered self-management support an important topic in physiotherapy and exercise therapy for people with non-specific LBP. In the self-management support provided by the respondents, providing information and advice were frequently mentioned. The topics included in the support given by the respondents covered a broad range of important factors. The topics frequently focused on biomechanical factors. The majority of respondents had a need with regard to self-management or providing self-management support. These needs include having more knowledge, skills and tools aimed at facilitating self-management. CONCLUSION: The way physiotherapists and ET address self-management in people with non-specific LBP is not optimal and should be improved.
Role of Environmental Factors on Resuming Valued Activities Poststroke: A Systematic Review of Qualitative and Quantitative Findings
Jellema, S. ; Sande, R van der ; Hees, S.G.M. van ; Zajec, J. ; Steultjens, E.M.J. ; Nijhuis-van der Sanden, M.W.G.
2016, Article / Letter to editor (Archives of Physical Medicine and Rehabilitation, vol. 97, iss. 6, (2016), pp. 991-1002)Objective: To investigate how reengagement in valued activities poststroke is influenced by environmental factors. Data Sources: PubMed, CINAHL, and PsycINFO were searched to June 2015 using multiple search terms for stroke, activities, disability, and home and community environments, with the following constraints: English, humans, and adults. Study Selection: Studies were included that contained data on how reengagement in valued activities of community-dwelling stroke survivors was influenced by the environment. Two reviewers independently selected the studies. The search yielded 3726 records; 39 studies were eventually included. Data Extraction: Findings were extracted from qualitative, quantitative, and mixed-design studies. Two reviewers independently assessed study quality using the Oxford Critical Appraisal Skills Programme lists and independently extracted results. Data Synthesis: Thematic analysis was conducted on qualitative data, revealing 9 themes related to the iterative nature of the process of reengagement and the associated environmental factors. During the process of reengagement, environmental factors interact with personal and disease-related factors in a gradual process of shaping or abandoning valued activities. The sociocultural context in this case determines what activities are valued and can be resumed by stroke survivors. Social support; activity opportunities and obligations; familiar and accessible environments; resources and reminders; and a step-by-step return facilitate stroke survivors to explore, adapt, resume, and maintain their activities. Social support is helpful at all stages of the process and particularly is important in case stroke survivors are fearful to explore their activity possibilities. The quantitative data identified largely endorsed these findings. No quantitative data were found in respect to the iterative nature of the process, familiar environments, or accessibility. Conclusions: Reengagement in valued activities is a gradual process. In each stage of the process, several environmental factors play a role. During rehabilitation, professionals should pay attention to the role physical and social environmental factors have in reengagement poststroke and find ways to optimize stroke survivors' environments. (C) 2016 by the American Congress of Rehabilitation Medicine
Repetitive strain injury : A novel focus on an ancient problem
Brunnekreef, J.J.
2012, Dissertation Patiënten met RSI hebben niet alleen problemen in de aangedane arm. Ook in de arm zonder klachten zijn spierdoorbloeding, zuurstofopname en vaatfunctie sterk verminderd. Dat concludeert promovendus Jaap Brunnekreef. Verder blijkt dat de spierkarakteristieken van patiënten met RSI-klachten anders zijn dan van gezonde vrijwilligers. Zo kenmerkt het spierweefsel van RSI-patiënten zich door een snellere vermoeidheid. De behandeling van RSI moet hierdoor breder van opzet zijn dan alleen het lokaal behandelen van de klachten, stelt Brunnekreef.
Promoting the Use of Self-management Strategies for People With Persistent Musculoskeletal Disorders: The Role of Physical Therapists.
Hutting, N. ; Johnston, V. ; Staal, J.B. ; Heerkens, Y.F.
2019, Article / Letter to editor (Journal of Orthopaedic and Sports Physical Therapy, vol. 49, iss. 4, (2019), pp. 212-215)
Patterns of social participation among older adults with disabilities and the relationship with well-being: A latent class analysis
Hees, S.G.M. van ; Borne, BHP van den ; Menting, J ; Sattoe, JNT
2020, Article / Letter to editor (Archives of Gerontology and Geriatrics, vol. 86, (2020))Aim: Living with a chronic condition or a disability at older age impacts social participation. Social connections and social activities seem interrelated leading to heterogeneous patterns in social participation. The aim of this study was to identify a typology in social participation among older adults with disabilities, and to relate this typology to their background characteristics and well-being measures. Methods: A total of 1775 older adults with disabilities or chronic conditions aged 65-97 were sampled from a nationwide panel study in the Netherlands. Social participation was assessed by various measures related to social connections, social informal activities, voluntary work, effort to increase social participation, and online social participation. A latent class analysis was carried out to identify a typology of social participation. Differences between these classes were explored with multinomial regression analyses and pairwise comparisons. Results: Four classes were found: social withdrawers (22.5%, n = 399), proximate social dwellers (14.5%, n = 257), moderately active social dwellers (37.2%, n = 660) and pro-active social dwellers (25.9%, n = 459). Background characteristics, such as living alone and severity of disability, differed significantly among classes. Regarding well-being measures, it appeared that pro-active social dwellers had the most positive scores. Social withdrawers were most prone to reduced life satisfaction and health related quality of life and increased loneliness and experienced participation restrictions. Conclusions: A typology with four patterns based on a wide spectrum of social participation aspects in older adults with disabilities was identified. This typology may help to assess the risk for reduced well-being of older adults with disabilities.
Participation as an outcome measure in psychosocial oncology: Content of cancer-specific health-related quality of life instruments
Dijkers, Marcel ; Heerkens, Y.F. ; Mei, Sijrieke van der
2011, Article / Letter to editor (Quality of Life Research, vol. 4, iss. 20 (10), (2011), pp. 1617-1627)To examine to what extent the concept and the domains of participation as defined in the International Classification of Functioning, Disability and Health (ICF) are represented in general cancer-specific health-related quality of life (HRQOL) instruments. Using the ICF linking rules, two coders independently extracted the meaningful concepts of ten instruments and linked these to ICF codes. The proportion of concepts that could be linked to ICF codes ranged from 68 to 95%. Although all instruments contained concepts linked to Participation (Chapters d7-d9 of the classification of Activities and Participation), the instruments covered only a small part of all available ICF codes. The proportion of ICF codes in the instruments that were participation related ranged from 3 to 35%. Major life areas (d8) was the most frequently used Participation Chapter, with d850 remunerative employment as the most used ICF code. The number of participation-related ICF codes covered in the instruments is limited. General cancer-specific HRQOL instruments only assess social life of cancer patients to a limited degree. This studys information on the content of these instruments may guide researchers in selecting the appropriate instrument for a specific research purpose.
Myd & Eat: a multidisciplinary intervention for myotonic dystrophy regarding food intake and nutrition
Hees, S.G.M. van ; Knuijt, S. ; Dicke, H ; Satink, T. ; Raaphorst, J ; Groothuis, JT ; Cup, Edith
2017, Article / Letter to editor (Neuromuscular Disorders, vol. 27, (2017), pp. S181)
Meet and eat, an interdisciplinary group intervention for patients with myotonic dystrophy about healthy nutrition, meal preparation, and consumption: a feasibility study
Hees, S.G.M. van ; Knuijt, S. ; Dicke, H ; Groothuis, JT ; Raaphorst, J ; Satink, T. ; Cup, Edith
2020, Article / Letter to editor (Disability and Rehabilitation, vol. 42, iss. 11, (2020), pp. 1561-1568)Purpose: To develop and evaluate an interdisciplinary group intervention for patients with myotonic dystrophy regarding healthy nutrition, meal preparation, and consumption, called Meet and Eat. Materials and methods: A design-based approach was used, exploring experiences and needs of patients with myotonic dystrophy and their next of kin. This resulted in a 4-week interdisciplinary outpatient group intervention to increase awareness and change behavior. In a mixed-method feasibility study this intervention was evaluated with participants and facilitators. Results: Participants reported on social impact of difficulties with eating and drinking (speaking, swallowing, and social embarrassment) and a variety of complaints affecting meal preparation and consumption. Patients and family members expressed the wish to learn from others. After delivery of the intervention, self-reported outcome measures demonstrated improvement on eating and drinking issues in daily life. The qualitative evaluation showed increased awareness and appreciation of the following design principles: peer support, multidisciplinary approach, active involvement of patient with myotonic dystrophy and their next of kin by using personal goals and motivational interviewing. Conclusion: Participation in Meet and Eat seemed to increase insight in patients' condition and ways of management. However, a longer self-management life style program is recommended to change behavior.
Measuring fatigue in polio survivors: Content comparison and reliability of the Fatigue Severity Scale and the Checklist Individual Strength
Heerkens, Y.F. ; Nollet, Frans ; Beelen, Anita ; Koopman, Fieke ; Brehm, Merel-Anne
2014, Article / Letter to editor (Journal of Rehabilitation Medicine, vol. 46, iss. 8, (2014), pp. 761-767)Objectives: To compare the content of the Fatigue Severity Scale and the subscale "subjective experience of fatigue" of the Checklist Individual Strength, and (ii) to assess the reliability of both questionnaires in polio survivors. Design: Repeated-measures at a 3-week interval. Subjects: Consecutive series of 61 polio survivors. Methods: Concepts contained in the questionnaire items were linked to the International Classification of Functioning, Disability and Health (ICF), using standardized linking rules. Reliability analyses included tests of internal consistency, test-retest reliability and measurement error. Results: Questionnaires differed in the extent to which they measured other than fatigue-related aspects of functioning (represented ICF components: "Body functions": 50% and 80%, "Activities and Participation": 30% and 0%, for the Fatigue Severity Scale and Checklist Individual Strength, respectively). Internal consistency and test-retest reliability were considered acceptable, while measurement error was large (Cronbachs a: 0.90 and 0.93, intraclass correlation coefficient: 0.80 and 0.85, smallest detectable change: 28.7% and 29.4% for the Fatigue Severity Scale and Checklist Individual Strength, respectively). Conclusion: Considering the acceptable clinimetric properties, we conclude that both the Fatigue Severity Scale and the Checklist Individual Strength can be applied in research on post-poliomyelitis syndrome when measuring fatigue. However, because the 2 questionnaires differ in content they cannot be used interchangeably.
Leefstijl werknemers een zaak van werkgevers? : Mening opinieleiders
Heerkens, Y.F.
2012, Article / Letter to editor (Cahier meer met mensen, vol. 5, iss. 1, (2012), pp. 6-7)Algemeen wordt aangenomen dat een vitale werknemer beter presteert en minder vaak verzuimt. Dat betekent dat de werkgever een belang heeft bij de leefstijl van de werknemer. Hij kan die op twee manieren beïnvloeden: aan de ene kant door op het werk goede arbeidsomstandigheden te creëren en gezondheidsinitiatieven en -faciliteiten aan te bieden. En aan de andere kant door zich te bemoeien met het privéleven van de werknemer. Tot hoever mag de werkgever gaan? Cahier peilde de meningen van een aantal opinieleiders, actief op het gebied van werk en gezondheid.
Leaving no one behind? Social inclusion of health insurance in low- and middle-income countries: a systematic review
Hees, S.G.M. van ; O'Fallon, T ; Hofker, M ; Dekker, Maria ; Polack, S ; Banks, LM ; Spaan, EJAM
2019, Article / Letter to editor (International Journal for Equity in Health, vol. 18, iss. 1, (2019))Background One way to achieve universal health coverage (UHC) in low- and middle-income countries (LMIC) is the implementation of health insurance schemes. A robust and up to date overview of empirical evidence assessing and substantiating health equity impact of health insurance schemes among specific vulnerable populations in LMICs beyond the more common parameters, such as income level, is lacking. We fill this gap by conducting a systematic review of how social inclusion affects access to equitable health financing arrangements in LMIC. Methods We searched 11 databases to identify peer-reviewed studies published in English between January 1995 and January 2018 that addressed the enrolment and impact of health insurance in LMIC for the following vulnerable groups: female-headed households, children with special needs, older adults, youth, ethnic minorities, migrants, and those with a disability or chronic illness. We assessed health insurance enrolment patterns of these population groups and its impact on health care utilization, financial protection, health outcomes and quality of care. Results The comprehensive database search resulted in 44 studies, in which chronically ill were mostly reported (67%), followed by older adults (33%). Scarce and inconsistent evidence is available for individuals with disabilities, female-headed households, ethnic minorities and displaced populations, and no studies were yielded reporting on youth or children with special needs. Enrolment rates seemed higher among chronically ill and mixed or insufficient results are observed for the other groups. Most studies reporting on health care utilization found an increase in health care utilization for insured individuals with a disability or chronic illness and older adults. In general, health insurance schemes seemed to prevent catastrophic health expenditures to a certain extent. However, reimbursements rates were very low and vulnerable individuals had increased out of pocket payments. Conclusion Despite a sizeable literature published on health insurance, there is a dearth of good quality evidence, especially on equity and the inclusion of specific vulnerable groups in LMIC. Evidence should be strengthened within health care reform to achieve UHC, by redefining and assessing vulnerability as a multidimensional process and the investigation of mechanisms that are more context specific.
Kwalitatief onderzoek in de diëtetiek
Saat, J. ; Naumann, E. ; Steenstra, M.
2019, Article / Letter to editor (Nederlands Tijdschrift voor Voeding & Diëtetiek, vol. 74, iss. 4, (2019), pp. 12-15)
Impact of multimorbidity on functioning: evaluating the ICF core set approach in an empirical study of people with rheumatic diseases
Wijlhuizen, G. ; Meeteren, N. van ; Perenboom, R. ; Heerkens, Y.F. ; Galindo Garre, F.
2012, Article / Letter to editor (Journal of Rehabilitation Medicine, vol. 44, iss. 8, (2012), pp. 664-668)Chronic conditions can lead to considerable deterioration in functioning. Several condition-specific Core Sets, selections of categories from the International Classification of Functioning, Disability and Health (ICF), have been developed to facilitate the rehabilitation process. Considering the increase in patients with more than one specific condition, we evaluated the impact of multimorbidity on functioning and the implications for the Core Set approach. Design: Internet survey. Multimorbidity seriously aggravates the already existing functioning problems of people with rheumatic disease. We recommend that in the ICF Core Set approach more emphasis is given to systematic empirical analysis of the impact of multimorbidity on functioning.
How Persons with a Neuromuscular Disease Perceive Employment Participation : A Qualitative Study
Minis, Marie-Antoinett van ; Satink, T. ; Kinébanian, Astrid ; Engels, J.A. ; Heerkens, Y.F. ; Engelen, B.G.M. van ; Nijhuis-van der Sanden, M.W.G.
2014, Article / Letter to editor (Journal of Occupational Rehabilitation, vol. 24, iss. 1, (2014), pp. 52-67)Introduction A qualitative study was carried out to understand how people with a slow progressive adult type neuromuscular disease (NMD) perceive employment participation. Methods 16 paid employed persons with NMD were interviewed in open, in-depth interviews. Data were analyzed using the constant comparison method. Results Four themes were identified in the analyses: (1) Experiences regarding the meaning of work; (2) Solving problems oneself; (3) Reaching a turning point; and (4) Taking into account environmental aspects. Persons with NMD highlighted benefits of staying at work as well as the tension they felt how to shape decisions to handle progressive physical hindrances in job retention. This study shows how participants at work with NMD were challenged to keep up appearances at work and at home, the tension felt around when and if to disclose, the effect of their condition on colleagues and work reorganization challenges. Participants experienced that disclosure did not always make things better. With increasing disability participants’ focus shifted from the importance of assistive products towards considerate colleague, in particular superior’s willingness in supporting job retention.
How about work? Integrating occupational factors within musculoskeletal physiotherapy
Hutting, N. ; Johnston, V. ; Gross, D. ; Watson, H. ; Stigmar, K.
2019, Article in monograph or in proceedings (Focused symposium WCPT Congress, Geneva)
Hoofdstuk 7: Re-integratie
Miedema, Harald ; Engels, J.A. ; Oomens, P.C.J.
2019, Part of book or chapter of book (Heerkens, Y.F.; Bieleman, A.; Miedema, H. (ed.), Handboek Arbeid & Gezondheid)
Hoofdstuk 5: (Meer) aan het werk
Oomens, P.C.J. ; Aa, P. van der ; Brouwers, L.A.M. ; Engels, J.A.
2019, Part of book or chapter of book (Heerkens, Y.F.; Bieleman, A.; Miedema, H. (ed.), Handboek Arbeid & Gezondheid)
Hoofdstuk 4: Meetinstrumenten voor de diëtetiek
Heerkens, Y.F. ; Visser, W.K. ; Tiebie, J. ; Runia, S.
2019, Part of book or chapter of book (Former, M. (ed.), Informatorium voor Voeding en Diëtetiek)
Hoofdstuk 4: Het veld Arbeid & Gezondheid: de spelers en het beroepsmatig handelen
Engels, J.A. ; Miedema, Harald ; Heerkens, Y.F.
2019, Part of book or chapter of book (Heerkens, Y.F.; Bieleman, A.; Miedema, H. (ed.), Handboek Arbeid & Gezondheid)
Hoofdstuk 3: Terminologie, modellen en instrumenten
Bieleman, Andre ; Heerkens, Y.F. ; Balm, Marcel
2019, Part of book or chapter of book (Heerkens, Y.F.; Bieleman, A.; Miedema, H. (ed.), Handboek Arbeid & Gezondheid)
Hoofdstuk 3: Eenduidig taalgebruik bij het diagnostisch en therapeutisch handelen van de diëtist
Visser, W.K. ; Runia, S. ; Tiebie, J. ; Heerkens, Y.F.
2019, Part of book or chapter of book (Former, M. (ed.), Informatorium voor Voeding en Diëtetiek)
Hoofdstuk 2: Wat is arbeid, wat is gezondheid?
Heerkens, Y.F. ; Balm, Marcel ; Kuiper, Chris
2019, Part of book or chapter of book (Heerkens, Y.F.; Bieleman, A.; Miedema, H. (ed.), Handboek Arbeid & Gezondheid)
Hoofdstuk 2: Methodisch handelen
Runia, S. ; Visser, W.K. ; Tiebie, J. ; Heerkens, Y.F.
2019, Part of book or chapter of book (Former, M. (ed.), Informatorium voor Voeding en Diëtetiek)
Hoofdstuk 1: Inleiding
Heerkens, Y.F. ; Bieleman, Andre ; Balm, Marcel
2019, Part of book or chapter of book (Heerkens, Y.F.; Bieleman, A.; Miedema, H. (ed.), Handboek Arbeid & Gezondheid)
Het rapporteren van kwalitatief onderzoek
Naumann, E. ; Saat, J. ; Steenstra, M.
2020, Article / Letter to editor (Nederlands Tijdschrift voor Voeding & Diëtetiek, vol. 75, iss. 3, (2020), pp. 12-17)
Handboek Arbeid & Gezondheid
Heerkens, Y.F. ; Bieleman, Andre ; Miedema, Harald ; Engels, J.A. ; Balm, Marcel
2019, Book (monograph)
Functioning in lymphedema from the patients’ perspective using the International Classification of Functioning, Disability and health (ICF) as a reference
Viehoff, Peter ; Neumann, Martino ; Damstra, Robert ; Heerkens, Y.F. ; Gielink, Petra ; Ravensberg, Dorine van
2014, Article / Letter to editor (Acta Oncologica, vol. 54, iss. 3, (2014), pp. 1-11)To capture the views of different health care providers involved in the treatment of patients with lymphoedema from various countries around the world on the functioning of lymphoedema patients and the factors influencing functioning of these patients using the international classification of functioning, disability and health (ICF). A worldwide e-mail survey with questions based on components of the ICF. In total, 142 health professionals from seven different health professions and 20 different countries answered the questions. The aspects of functioning that were named by the health professionals could be linked to 359 different ICF categories. Of these categories, 109 belonged to body functions (30.4%), 55 to body structures (15.3%), 121 to activities and participation (33.7%) and 74 to environmental factors (20.6%). Overall, the most mentioned items were health services, systems and policies, immunological system functions, looking after ones health, products and technology for personal use in daily life and dressing. The ICF provided a valuable reference for identifying concepts in statements from international health care professionals experienced in the treatment of lymphoedema patients. The results of this research will be used in the development of ICF core sets for lymphoedema.
Exploring employment in consultation reports of patients with neuromuscular diseases
Minis, Marie-Antoinett van ; Cup, Edith ; Heerkens, Y.F. ; Engels, J.A. ; Engelen, B.G.M. van ; Oostendorp, Rob
2012, Article / Letter to editor (Archives of Physical Medicine and Rehabilitation, vol. 93, iss. 12, (2012), pp. 2276-2280)To explore consultation reports for patient and employment characteristics and recommendations on employment regarding patients with neuromuscular diseases (NMDs). Eighty percent of the included consultation reports contained information on employment. Less than half the patients with NMD were employed, most in office-related jobs, using some kind of adaptations. Nineteen of 20 patients who agreed to recommendations regarding therapy were adequately referred by occupational therapists and physical therapists for treatment of employment problems.
Experiences of Participants in a Self-Management Program for Employees with Complaints of the Arm, Neck or Shoulder (CANS): A Mixed Methods Study
Hutting, N. ; Detaille, S.A. ; Heerkens, Y.F. ; Engels, J.A. ; Staal, J.B. ; Nijhuis-van der Sanden, M.W.G.
2017, Article / Letter to editor (Journal of Occupational Rehabilitation, vol. 27, (2017), pp. 35-48)
Employment status of patients with neuromuscular diseases in relation to personal factors, fatigue and health status : A secondary analysis
Minis, Marie-Antoinett van ; Kalkman, Joke ; Akkermans, Reinier ; Engels, J.A. ; Huijbregts, Peter ; Bleijenberg, Gijs ; Oostendorp, Rob ; Engelen, B.G.M. van
2010, Article / Letter to editor (Journal of Rehabilitation Medicine, vol. 42, iss. 1, (2010), pp. 60-65)To determine the number of employed people in a group of patients with neuromuscular diseases and in 3 separate subgroups (facioscapulo-humeral dystrophy, hereditary motor and sensory neuropathy, and myotonic dystrophy) to investigate any differences in employment status between the patient groups, and to identify factors related to employment status. A total of 591 patients with neuromuscular diseases participated in the study, 138 with facioscapulo-humeral dystrophy, 135 with hereditary motor and sensory neuropathy, and 318 with myotonic dystrophy. Self-report questionnaires, the Checklist Individual Strength (CIS) and the Short Form-36 (SF-36). Of the patients with neuromuscular diseases in the study, 56.7% were employed. Younger age, being male, and higher education contributed significantly to employment status of the neuromuscular diseases group and the hereditary motor and sensory neuropathy and myotonic dystrophy subgroups. Significant between-group differences for employed vs not employed subjects were present in the total neuromuscular diseases group on all subscales of the CIS and SF-36. Factors related to employment status differed for the 3 neuromuscular diseases subgroups. More than half of the patients with neuromuscular diseases were employed. Patients with facioscapulo-humeral dystrophy and patients with hereditary motor and sensory neuropathy were more often employed than patients with myotonic dystrophy. Between-group analyses for differences in baseline factors revealed 11 significant factors related to employment. Multivariate logistic analyses revealed 6 factors contributing to employment for the group of patients with neuromuscular diseases.
Effects of Mindfulness-Based Stress Reduction Training on Healthcare Professionals' Mental Health: Results from a Pilot Study Testing Its Predictive Validity in a Specialized Hospital Setting.
Janssen, M.H.M.G. ; Heijden, Beatrice van der ; Engels, J.A. ; Korzilius, Hubert ; Peters, P. ; Heerkens, Y.F.
2020, Article / Letter to editor (International Journal of Environmental Research and Public Health, vol. 17, iss. 24, (2020), pp. 9420)
Effects of head and neck positions on blood flow in the vertebral, internal carotid and intracranial arteries, a systematic review
Kranenburg, R. ; Tyer, R. ; Schmitt, M. ; Luijckx, G.J. ; Schans, C. van der ; Hutting, N. ; Kerry, R.
2019, Article / Letter to editor (Journal of Orthopaedic and Sports Physical Therapy, vol. 49, iss. 10, (2019), pp. 688-697)
Effectiviteit en kosteneffectiviteit ergotherapie aan huis bij ouderen met dementie en hun mantelzorgers. Een gerandomiseerd gecontroleerd onderzoek
Schreurs, Victor ; Swart, B.J.M. de ; Engels, J.A. ; Schaafsma, Gertjan ; Steultjens, E.M.J. ; Hullegie, Wim ; Heerkens, Y.F. ; Cingel, Robert van
2009, Article / Letter to editor (Fysiotherapie en Ouderenzorg, vol. 23, iss. 3, (2009), pp. 19-30)Ergotherapie wordt in de eerstelijn steeds vaker geïndiceerd. Daarbij is erg belangrijk dat ook de hoeveelheid beschikbare evidence groeit. Dit artikel laat zien dat het dagelijks functioneren van patiënten met dementie verbetert en de draaglast van mantelzorgers neemt af ten gevolge van een gestructureerde aanpak. Bovendien blijkt dat deze verbeteringen behouden blijven na follow-up.

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