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Digital reading in a second or foreign language: A systematic literature review
Kral, M.H. ; Meijer, P.C. ; Reiber-Kuijpers, M.
2021, Article / Letter to editor (Elsevier, (2021), pp. 1-26)
Recovery trajectories over six weeks in patients selected for a high-intensity physiotherapy program after Total knee Arthroplasty: a latent class analysis.
Harmelink, K.E.M. ; Dandis, R. ; Wees, P.J. van der ; Zeegers, A.V.C.M. ; Nijhuis-van der Sanden, M.W.G. ; Staal, J.B.
2021, Article / Letter to editor (BMC Musculoskeletal Disorders, vol. 22, iss. 1, (2021), pp. 179)BACKGROUND: Recovery trajectories differ between individual patients and it is hypothesizes that they can be used to predict if an individual patient is likely to recover earlier or later. Primary aim of this study was to determine if it is possible to identify recovery trajectories for physical functioning and pain during the first six weeks in patients after TKA. Secondary aim was to explore the association of these trajectories with one-year outcomes. METHODS: Prospective cohort study of 218 patients with the following measurement time points: preoperative, and at three days, two weeks, six weeks, and one year post-surgery (no missings). Outcome measures were performance-based physical functioning (Timed Up and Go [TUG]), self-reported physical functioning (Knee injury and Osteoarthritis Outcome Score-Activities of Daily Living [KOOS-ADL]), and pain (Visual Analogue Scale [VAS]). Latent Class Analysis was used to distinguish classes based on recovery trajectories over the first six weeks postoperatively. Multivariable regression analyses were used to identify associations between classes and one year outcomes. RESULTS: TUG showed three classes: "gain group" (n = 203), "moderate gain group" (n = 8) and "slow gain group" (n = 7), KOOS showed two classes: "gain group" (n = 86) and "moderate gain group" (n = 132), and VAS-pain three classes: "no/very little pain" (n = 151), "normal decrease of pain" (n = 48) and "sustained pain" (n = 19). The" low gain group" scored 3.31 [95% CI 1.52, 5.09] seconds less on the TUG than the "moderate gain group" and the KOOS "gain group" scored 11.97 [95% CI 8.62, 15.33] points better than the "moderate gain group" after one year. Patients who had an early trajectory of "sustained pain" had less chance to become free of pain at one year than those who reported "no or little pain" (odds ratio 0.11 [95% CI 0.03,0.42]. CONCLUSION: The findings of this study indicate that different recovery trajectories can be detected. These recovery trajectories can distinguish outcome after one year.
Reguliere zorg niet bedoeld op crisispiek op te vangen
Pals, B.
2021, Contribution for newspaper or weekly magazine (Nieuwsblad Transport, 19 februari 2021)
How do healthcare professionals experience communication with people with aphasia and what content should communication partner training entail?
van Rijssen, M.N. ; Veldkamp, M ; Byron, E ; Remijn, C.S.M. ; Visser-Meily, J.M.A ; Gerrits, E ; Ewijk, L
2021, Article / Letter to editor (Disability and Rehabilitation, (2021), pp. 1-8)
Healthy Healthcare: A Workplace Learning Perspective
Osagie, E.R. ; Verhoeven, T. ; Detaille, S.A. ; Cuomo, S. ; Boven, R. van
2021, Part of book or chapter of book (Løvseth, L.T.; Lange, A.H. (ed.), Integrating organization of health services, worker wellbeing and quality of care: Towards ‘healthy healthcare’, pp. 263-277)
Children's perspectives on living and growing up as at home as possible. A participatory research with children living in residential care
Peelen, J. ; Saedt, M.
2021, Article in monograph or in proceedings (EUSARF 2012. Conference XVI "The perspective of the child")
De transformatie naar een nieuwe economie: een publiek vraagstuk [Essay]
Joosten, Henriëtta
2021, Article / Letter to editor (New Financial Magazine, vol. 2021, iss. 36, (2021), pp. 27-30)
Managerial and Behavioral Approach in Aligning, Stakeholder Goals in Sustainable Last Mile Logistics: A Case Study in the Netherlands
Zondervan, F. ; Bogers, E.A.I.
2021, Article / Letter to editor (Sustainability, (2021))
Anderhalvelijnszorg: kansen voor verpleegkundig specialisten en physician assistants
Vught, A.J.A.H. van ; Timm, K.C. ; Brink, G.T.W.J. van den ; Laurant, M.G.H.
2021, Article / Letter to editor (Dé Verpleegkundig Specialist, iss. 1, (2021), pp. 17-21)
Identifying the minimal important difference in patient-reported outcome measures in the field of people with severe mental illness: a pre-post-analysis of the Illness Management and Recovery Programme
Beentjes, T.A.A. ; Teerenstra, S. ; Vermeulen, H. ; Goossens, P. ; Nijhuis-van der Sanden, M.W.G. ; Gaal, B.G.I. van
2021, Article / Letter to editor (Quality of Life Research, (2021))Purpose Complementary interventions for persons with severe mental illness (SMI) focus on both personal recovery and illness self-management. This paper aimed to identify the patient-reported outcome measures (PROMs) associated with the most relevant and meaningful change in persons with SMI who attended the Illness Management and Recovery Programme (IMR). Methods The effect of the IMR was measured with PROMs concerning recovery, illness self-management, burden of symptoms and quality of life (QoL). From the QoL measures, an anchor was chosen based on the most statistically significant correlations with the PROMs. Then, we estimated the minimal important difference (MID) for all PROMs using an anchor-based method supported by distribution-based methods. The PROM with the highest outcome for effect score divided by MID (the effect/MID index) was considered to be a measure of the most relevant and meaningful change. Results All PROMs showed significant pre-post-effects. The QoL measure 'General Health Perception (Rand-GHP)' was identified as the anchor. Based on the anchor method, the Mental Health Recovery Measure (MHRM) showed the highest effect/MID index, which was supported by the distribution-based methods. Because of the modifying gender covariate, we stratified the MID calculations. In most MIDs, the MHRM showed the highest effect/MID indexes. Conclusion Taking into account the low sample size and the gender covariate, we conclude that the MHRM was capable of showing the most relevant and meaningful change as a result of the IMR in persons with SMI.
Current Prehabilitation Programs Do Not Improve the Postoperative Outcomes of Patients Scheduled for Lumbar Spine Surgery: A Systematic Review With Meta-analysis.
Janssen, E.R.C. ; Punt, I.M. ; Clemens, M.J. ; Staal, J.B. ; Hoogeboom, T.J. ; Willems, P.C.
2021, Article / Letter to editor (Journal of Orthopaedic and Sports Physical Therapy, vol. 51, iss. 3, (2021), pp. 103-114)OBJECTIVE: To assess the effectiveness of prehabilitation in patients with degenerative disorders of the lumbar spine who are scheduled for spine surgery. DESIGN: Intervention systematic review with meta-analysis. LITERATURE SEARCH: Seven electronic databases were systematically searched for randomized controlled trials or propensity-matched cohorts. STUDY SELECTION CRITERIA: Studies that measured the effect of prehabilitation interventions (ie, exercise therapy and cognitive behavioral therapy [CBT]) on physical functioning, pain, complications, adverse events related to prehabilitation, health-related quality of life, psychological outcomes, length of hospital stay, use of analgesics, and return to work were included. DATA SYNTHESIS: Data were extracted at baseline (preoperatively) and at short-term (6 weeks or less), medium-term (greater than 6 weeks and up to 6 months), and long-term (greater than 6 months) follow-ups. Pooled effects were analyzed as mean differences and 95% confidence intervals (CIs). Certainty of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework. RESULTS: Cognitive behavioral therapy interventions were no more effective than usual care for all outcomes. Pooled effect sizes were -2.0 (95% CI: -4.4, 0.4) for physical functioning, -1.9 (95% CI: -5.2, 1.4) for back pain, and -0.4 (95% CI: -4.1, 0.4) for leg pain. Certainty of evidence for CBT ranged from very low to low. Only 1 study focused on exercise therapy and found a positive effect on short-term outcomes. CONCLUSION: There was very low-certainty to low-certainty evidence of no additional effect of CBT interventions on outcomes in patients scheduled for lumbar surgery. Existing evidence was too limited to draw conclusions about the effects of exercise therapy. J Orthop Sports Phys Ther 2021;51(3):103-114. Epub 25 Dec 2020. doi:10.2519/jospt.2021.9748.
De kracht van wijsheid in het werk: het kunnen denken en handelen vanuit solidariteit
Lange, A.H. de
2021, Article / Letter to editor (Tijdschrift Positieve Psychologie, vol. 2021, iss. 1, (2021), pp. 18-23)
Time Perspective and the Risk of Developing Burnout: An Empirical Study among Different Blue-Collar Workers in Spain
Reig-Botella, A. ; Detaille, S.A. ; Clemente, M. ; López-Golpe, J. ; Lange, A.H. de
2021, Article / Letter to editor (Sustainability, vol. 13, iss. 6, (2021))
Pionieren in vaktherapie
Haeyen, S.W.
2021, Part of book or chapter of book (Stel, J. van der (ed.), Wetenschap en praktijkgids voor (aankomende) professionals in zorg, welzijn en sociaal werk, pp. 139-145)
Modeling Facebook users’ behavior towards the use of Facebook pages related to healthy diet and sport activities
Misirlis, N. ; Elshof, M.J. ; Vlachopoulou, M.
2021, Article / Letter to editor (Journal of Tourism, Heritage & Services Marketing, vol. 7, iss. 2, (2021))
Stratified care integrated with eHealth versus usual primary care physiotherapy in patients with neck and/or shoulder complaints: protocol for a cluster randomized controlled trial.
TIlburg, M.L. van ; Kloek, C.J.J. ; Pisters, M.F. ; Staal, J.B. ; Dongen, J.M. van ; Weerd, M. de ; Ostelo, R.W.J.G. ; Foster, N.E. ; Veenhof, C.
2021, Article / Letter to editor (BMC Musculoskeletal Disorders, vol. 22, iss. 1, (2021), pp. 143)BACKGROUND: Neck and shoulder complaints are common in primary care physiotherapy. These patients experience pain and disability, resulting in high societal costs due to, for example, healthcare use and work absence. Content and intensity of physiotherapy care can be matched to a patient's risk of persistent disabling pain. Mode of care delivery can be matched to the patient's suitability for blended care (integrating eHealth with physiotherapy sessions). It is hypothesized that combining these two approaches to stratified care (referred to from this point as Stratified Blended Approach) will improve the effectiveness and cost-effectiveness of physiotherapy for patients with neck and/or shoulder complaints compared to usual physiotherapy. METHODS: This paper presents the protocol of a multicenter, pragmatic, two-arm, parallel-group, cluster randomized controlled trial. A total of 92 physiotherapists will be recruited from Dutch primary care physiotherapy practices. Physiotherapy practices will be randomized to the Stratified Blended Approach arm or usual physiotherapy arm by a computer-generated random sequence table using SPSS (1:1 allocation). Number of physiotherapists (1 or > 1) will be used as a stratification variable. A total of 238 adults consulting with neck and/or shoulder complaints will be recruited to the trial by the physiotherapy practices. In the Stratified Blended Approach arm, physiotherapists will match I) the content and intensity of physiotherapy care to the patient's risk of persistent disabling pain, categorized as low, medium or high (using the Keele STarT MSK Tool) and II) the mode of care delivery to the patient's suitability and willingness to receive blended care. The control arm will receive physiotherapy as usual. Neither physiotherapists nor patients in the control arm will be informed about the Stratified Blended Approach arm. The primary outcome is region-specific pain and disability (combined score of Shoulder Pain and Disability Index & Neck Pain and Disability Scale) over 9 months. Effectiveness will be compared using linear mixed models. An economic evaluation will be performed from the societal and healthcare perspective. DISCUSSION: The trial will be the first to provide evidence on the effectiveness and cost-effectiveness of the Stratified Blended Approach compared with usual physiotherapy in patients with neck and/or shoulder complaints. TRIAL REGISTRATION: Netherlands Trial Register: NL8249 . Officially registered since 27 December 2019. Date of first enrollment: 30 September 2020. Study status: ongoing, data collection.
to be submitted An explorative study on possible determinants which explaining adherence to portal supported rehabilitation treatments. To be submitted Journal of Internet Medical Research.
Geest, Th.M. van der ; Buimer, H.P. ; Tabak, M. ; Velsen, L. van
2021, Article / Letter to editor (Journal of Internet Services and Information Security, (2021))
Design Your Life, Co-designing maatwerktechnologie voor mensen met autisme
Waardenburg, T. ; Magnée, M.J.C.M. ; Van Dijk, J. ; Teunisse, J.P.W.M. ; Voort, M.C. van der
2021, Article in monograph or in proceedings (Nationaal Autisme Congres 2021)
Design Your Life: User-Initiated Design of Technology to Support Independent Living of Young Autistic Adults
Waardenburg, T. ; van Huizen, J.C. ; Van Dijk, J. ; Magnée, M.J.C.M. ; Staal, W. ; Teunisse, J.P.W.M. ; Voort, M.C. van der
2021, Article in monograph or in proceedings (Soares, M.M.; Rosenzweig, E.; Marcus, A. (ed.), Design, User Experience, and Usability: Design for Diversity, Well-being, and Social Development, pp. 373-386)
Hoe sluit je als gemeente aan op de klantreis van jouw inwoners ?
Trampe, D. ; Os, R.G. van ; Hachmang, D.
2021, Article / Letter to editor (Frankwatching|NOISSN, (2021))Hoe richt je als gemeente de interactie met inwoners op een onderbouwde manier in? Het kan helpen om vanuit de klantreis te denken die verschillende inwoners in een participatie- of dienstverleningstraject doorlopen. In dit artikel vertellen we over een openbare, gratis tool die gemeentelijke communicatieprofessionals helpt om de interactie met inwoners gedurende een traject verder te optimaliseren. Deze tool geeft voor verschillende doelgroepen een advies over welk kanaal in te zetten in welke fase van de klantreis. Ieder mens is immers anders en doorloopt zijn of haar eigen klantreis in het contact met de gemeente.
Artificial Intelligence: Bias uitbannen of in gesprek met AI?
Joosten, Henriëtta
2021, Article / Letter to editor (AG Connect, (2021), pp. 62-64)
De enkel is zelden ‘enkel’
Nieuwenhuijzen, P.H.J.A. ; Wijchen, J. van
2021, Article / Letter to editor (Physios, iss. 1, (2021), pp. 32-41)
Het sociale steunnetwerk van volwassenen met autisme: Een verkenning middels de Netwerk in Actie vragenlijst
Heuvel, R.M. van den ; Wensing, M. ; Geurts, H.M. ; Teunisse, J.P.W.M.
2021, Article in monograph or in proceedings (Nationaal Autisme Congres)
Het Kletsbotexperiment tegen eenzaamheid
Adriaansen, M.J.M. ; Bakker, R ; Driessen, M. ; van Doornik, D.
2021, Article / Letter to editor (Sozio.Vakblad voor Sociale en Pedagogische Beroepen, (2021), pp. 6-9)
Lack of consensus across clinical guidelines regarding the role of psychosocial factors within low back pain care: a systematic review.
Knoop, J. ; Rutten, G. ; Lever, C. ; Leemeijer, J. ; Jong, L.J. de ; Verhagen, A.P. ; Lankveld, W.G.J.M. van ; Staal, J.B.
2021, Article / Letter to editor (Journal of Pain, (2021))It is widely accepted that psychosocial prognostic factors should be addressed by clinicians in their assessment and management of patient suffering from low back pain (LBP). On the other hand, an overview is missing how these factors are addressed in clinical LBP guidelines. Therefore, our objective was to summarize and compare recommendations regarding the assessment and management of psychosocial prognostic factors for LBP chronicity, as reported in clinical LBP guidelines. We performed a systematic search of clinical LBP guidelines (PROSPERO registration number 154730). This search consisted of a combination of previously published systematic review articles and a new systematic search in medical or guideline-related databases. From the included guidelines, we extracted recommendations regarding the assessment and management of LBP which addressed psychosocial prognostic factors (i.e., psychological factors ('yellow flags'), perceptions about the relationship between work and health, ('blue flags'), system or contextual obstacles ('black flags') and psychiatric symptoms ('orange flags')). In addition, we evaluated the level or quality of evidence of these recommendations. In total, we included 15 guidelines. Psychosocial prognostic factors were addressed in 13/15 guidelines regarding their assessment and in 14/15 guidelines regarding their management. Recommendations addressing psychosocial factors almost exclusively concerned 'yellow' or 'black flags', and varied widely across guidelines. The supporting evidence was generally of very low quality. We conclude that in general, clinical LBP guidelines do not provide clinicians with clear instructions about how to incorporate psychosocial factors in LBP care and should be optimized in this respect. More specifically, clinical guidelines vary widely in whether and how they address psychosocial factors, and recommendations regarding these factors generally require better evidence support. This emphasizes a need for a stronger evidence-base underlying the role of psychosocial risk factors within LBP care, and a need for uniformity in methodology and terminology across guidelines. Perspective This systematic review summarized clinical guidelines on low back pain (LBP) on how they addressed the identification and management of psychosocial factors. This review revealed a large amount of variety across guidelines in whether and how psychosocial factors were addressed. Moreover, recommendations generally lacked details and were based on low quality evidence.
Slaapproblemen en dagelijks functioneren bij jongeren met autisme: een systematische review
Schouwenaars, I.M.G. ; Magnée, M.J.C.M. ; Geurts, H. ; Bennekom, C. van ; Pillen, S. ; Teunisse, J.P.W.M.
2021, Article in monograph or in proceedings (Nationaal Autisme Congres)
Measurement of range-of-motion in infants with indications of upper cervical dysfunction using the Flexion-Rotation-Test and Lateral-Flexion-Test: a blinded inter-rater reliability study in a clinical practice setting.
Driehuis, F. ; Keijsers, N.L.W. ; Nijhuis-van der Sanden, M.W.G. ; Bie, R.A. de ; Staal, J.B. ; Hoogeboom, T.J.
2021, Article / Letter to editor (Journal of Manual & Manipulative Therapy, vol. 29, iss. 1, (2021), pp. 40-50)Background: In infants with indications of upper cervical dysfunction, the Flexion-Rotation-Test and Lateral-Flexion-Test are used to indicate reduced upper cervical range-of-motion (ROM). In infants, the inter-rater reliability of these tests is unknown. Objective: To assess the inter-rater reliability of subjectively and objectively measured ROM by using the Flexion-Rotation-Test and Lateral-Flexion-Test. Methods: 36 infants (<6 months) and three manual therapists participated in this cross-sectional observational study. Pairs of two manual therapists independently assessed infants' upper cervical ROM using the Flexion-Rotation-Test and Lateral-Flexion-Test, blinded for each other's outcomes. Two inertial motion sensors objectively measured cervical ROM. Inter-rater reliability was determined between each pair of manual therapists. For subjective outcomes, Cohen's kappa (ĸ) and the proportion of agreement (Pra) were calculated. For objectively measured ROM, Bland Altman plots were conducted and Limits of Agreement and Intraclass Correlation Coefficients (ICC) were calculated. Results: The inter-rater reliability of the Flexion-Rotation-Test and Lateral-Flexion-Test for subjective (ĸ: 0.077-0.727; Pra: 0.46-0.86) and objective outcomes (ICC: 0.019-0.496) varied between pairs of manual therapists. Conclusion: Assessed ROM largely depends on the performance of the assessment and its interpretation by manual therapists, leading to high variation in outcomes. Therefore, the Flexion-Rotation-Test and Lateral-Flexion-Test cannot be used solely as a reliable outcome measure in clinical practice and research context.
Effects of General Physical Activity Promoting Interventions on Functional Outcomes in Patients Hospitalized over 48 Hours: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Seeger, J.P.H. ; Koenders, N. ; Staal, J.B. ; Hoogeboom, T.J.
2021, Article / Letter to editor (Int J Environ Res Public Health, vol. 18, iss. 3, (2021))Low physical activity of patients is a global problem and associated with loss of strength and independent mobility. This study analyzes the effect of general physical activity promoting interventions on functional and hospital outcomes in patients hospitalized over 48 h. Five electronic databases were searched for randomized controlled trials. For outcomes reported in two studies or more, a meta-analysis was performed to test between-group differences (intervention versus control) using a random-effects model. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach was used to rate the certainty of evidence for each outcome. Out of 23,302 identified studies, we included four studies (in total n = 368 participants). We found with moderate certainty of evidence 0 reported falls in the intervention (n = 126) versus five reported falls in the control (n = 122), a non-statistically significant difference between intervention and control groups (p = 0.06). In addition, we found with (very) low certainty of evidence no statistically significant differences between groups on activities of daily living (ADL-activity) and time spent standing and walking. Overall, we found no conclusive evidence on the effect of general physical activity promoting interventions on functional outcomes. More research is needed to understand and improve the effect of general physical activity promoting interventions for patients during the hospital stay.
The psychosocial adaptability of independently living older adults to COVID-19 related social isolation in the Netherlands: A qualitative study
Kremers, E.M. ; Janssen, J.H.M. ; Nieuwboer, M.S. ; Olde Rikkert, M.G.M. ; Peeters, G.M.E.E.
2021, Article / Letter to editor (Health & Social Care in the Community, (2021))
Zorgtechnologie verweven in de opleiding
Nowack, C.A.S.
2021, Article / Letter to editor (Onderwijs en Gezondheidszorg, vol. nr 4, 2021, (2021), pp. 8-9)
Using the theoretical domains framework to inform strategies to support dietitians undertaking body composition assessments in routine clinical care
Jobber, CJD ; Wilkinson, SA ; Hughes, EK ; Nave, F ; Meij, B.S. van der
2021, Article / Letter to editor (BMC Health Services Research, vol. 21, iss. 1, (2021))BackgroundMalnutrition, sarcopenia and cachexia are clinical wasting syndromes characterised by muscle loss. Systematic monitoring by body composition assessment (BCA) is recommended for the diagnosis, treatment and monitoring of the syndrome(s). This study investigated practices, competency, and attitudes of Australian dietitians regarding BCA, to inform a local implementation process.MethodsApplying the Action cycle in the Knowledge to Action framework, surveys were distributed to the 26 dietitians of an 800-bed tertiary hospital. The survey assessed barriers and enablers to performing routine BCA in clinical care. Results were categorised using the Theoretical Domains Framework (TDF) and suitable interventions mapped using the Behaviour Change Wheel.ResultsTwenty-two dietitians (84.6%) completed the survey. Barriers to BCA were identified in all TDF domains, particularly in Knowledge, Skills, Social/professional role and identity, Beliefs about capabilities, and Environmental context and resources. Enablers existed in domains of: Skills; Beliefs about consequences; Goals; Environmental context and resources; Social influences; Intentions; Optimism; Reinforcement.ConclusionsThis study showed that hospital dietitians experience individual, team, and organisational barriers to adopt BCAs in clinical practice. We were able to formulate targeted implementation strategies to overcome these barriers to assist BCA adoption into routine practice.
The centenary of the Harris-Benedict equations: How to assess energy requirements best? Recommendations from the ESPEN expert group
Bendavid, I ; Lobo, DN ; Barazzoni, R. ; Cederholm, T. ; Coeffier, M ; Schueren, M.A.E. de van der ; Fontaine, E ; Hiesmayr, M. ; Laviano, A. ; Pichard, C ; Singer, P. et al. sine al.
2021, Article / Letter to editor (Clinical Nutrition, vol. 40, iss. 3, (2021), pp. 690-701)Background & aims: The year 2019 marked the centenary of the publication of the Harris and Benedict equations for estimation of energy expenditure. In October 2019 a Scientific Symposium was organized by the European Society for Clinical Nutrition and Metabolism (ESPEN) in Vienna, Austria, to celebrate this historical landmark, looking at what is currently known about the estimation and measurement of energy expenditure. Methods: Current evidence was discussed during the symposium, including the scientific basis and clinical knowledge, and is summarized here to assist with the estimation and measurement of energy requirements that later translate into energy prescription. Results: In most clinical settings, the majority of predictive equations have low to moderate performance, with the best generally reaching an accuracy of no more than 70%, and often lead to large errors in estimating the true needs of patients. Generally speaking, the addition of body composition measurements did not add to the accuracy of predictive equations. Indirect calorimetry is the most reliable method to measure energy expenditure and guide energy prescription, but carries inherent limitations, greatly restricting its use in real life clinical practice. Conclusions: While the limitations of predictive equations are clear, their use is still the mainstay in clinical practice. It is imperative to recognize specific patient populations for whom a specific equation should be preferred. When available, the use of indirect calorimetry is advised in a variety of clinical settings, aiming to avoid under-as well as overfeeding. (C)2020 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.
AGENCY: THE HIDDEN DIMENSION OF THE SALUTOGENIC MODEL
Boonekamp, G.M.M. ; Dierx, A.J. ; Jansen, E.L. ; O'Sullivan, T ; Pérez-Wilson, P ; Lindström, B ; Álvarez-Dardet Díaz, C
2021, Article in monograph or in proceedings (proceedings worden niet gepubliceerd)The way in which individuals perceive their quality of life is influenced by the contexts in which they live. Each of them perceives these contexts differently. Moreover, individuals' perception of their possibilities to influence their context and make use of their resources, differs greatly and appears to depend on aspects as individual motives, limiting or stimulating factors, resources, and whether these activities are meaningful to them. These aspects are interrelated within their contexts in complex and fluid ways. To better understand this fluidity we contend that the conceptualization of ?agency' of individuals from the Capabilities Approach, is useful. Agency refers to the conversion of a person's assets into realistic opportunities, allowing him/her to exercise agency by choosing how he/she prefers to function. This conversion process is limited or enhanced by factors in the social, physical and personal environment. This suggests that Salutogenic theory and the Capability Approach (CA) have complementary qualities. Therefore, we propose adding the dimension of ?agency' to the dimensions of SOC in the salutogenic model to better understand and facilitate how individuals experience quality of life.
De warmte van soep op de stoep
Brummel, A. ; Parbhoe, K. ; Kemper, W. ; Verharen, E.A.J.
2021, Article / Letter to editor ((2021), pp. 24-27)
The Future of International Business: Bridging Business, Education and Research
Tuninga, R.
2021, Inaugural lecture
FOSTERING SOCIAL JUSTICE FOR PEOPLE WITH INTELLECTUAL DISABILITIES THROUGH ART-BASED COMMUNITIES_scoping review
Zimmermann, A.E.
2021, Article in monograph or in proceedings (Scoping review study 1)
A qualitative evaluation of the value of an online peer support community for people with depression: Depression Connect
Smit, D. ; Vrijsen, J. ; Groeneweg, B. ; Dings, A. ; Peelen, J.
2021, Article / Letter to editor (Journal of Medical Internet Research, (2021))
Stimulating language awareness in the foreign language classroom: exploring EFL teaching practices
Broek, E. van den ; Oolbekkink, H. ; Kemenade, AMC van ; Meijer, P.C. ; Unsworth, S.
2021, Article / Letter to editor (Language Learning Journal, (2021))This study reports on EFL teachers' self-reported teaching practices aimed at stimulating students' language awareness. It investigates whether, and to what extent, awareness-raising practices are currently implemented in EFL secondary education in the Netherlands, how these practices can be characterised, and how awareness-raising practices can be developed and further integrated into foreign language education. In a semi-structured interview, 10 teachers were asked to provide examples which they believed stimulated students' awareness of language. A total of 41 teaching practices were collected. Analysis of teaching practices revealed that approximately half of all self-reported practices could be characterised as awareness-raising. These practices often integrated multiple topics, included authentic contexts, back-and-forth interaction and provided students with the opportunity to reflect on their own and other students' language difficulties. At the same time, numerous practices which were reported as awareness-raising could not yet be characterised as such, indicating that teachers' notion of what constitutes an awareness-raising practice may be incomplete. Nevertheless, these practices provide interesting leads for awareness-raising opportunities. In sum, the analysis of practices presents a valuable opportunity for teachers to discuss their notion of awareness-raising practices. In addition, such an analysis could support teachers in adjusting their own teaching practices.
Measuring Instruments for Empowerment in Social Work: A Scoping Review
Noordink, T. ; Verharen, E.A.J. ; Schalk, R. ; Eck, M van ; Regenmortel, T. van
2021, Article / Letter to editor (British Journal of Social Work, vol. 00, (2021), pp. 1-27)Empowerment is seen as an important thinking and working framework for social work. Ideally, it is possible to measure the empowering effects of social work. However, various factors complicate measuring empowerment, making it a difficult exercise. In past decades many instruments for measuring empowerment have been developed and there are many variations in the way these instruments have been de veloped. The aim of this review is to provide a comprehensive overview of the avail able instruments, scales or questionnaires that intent to measure the empowerment of users of social work in different contexts of social work, by means of a scoping re view. A total of 2,711 studies were screened, resulting in 49 unique instruments for measuring empowerment in contexts related to social work. The results show that the found instruments are almost exclusively Patient-Reported Outcome Scales. Whilst many instruments measure individual empowerment, only a few measure community empowerment. The results also show that there are many variations in which instru ments operationalise empowerment. This overview provides social work organisations and its researchers an overview of measuring tools necessary to measure the effects of their efforts, allowing them to build on what is available.
Multifaceted interventions are required to improve physical activity behaviour in hospital care: a meta-ethnographic synthesis of qualitative research
Koenders, N. ; Marcellis, L ; Nijhuis-van der Sanden, M.W.G. ; Satink, T. ; Hoogeboom, Th.
2021, Article / Letter to editor (Journal of Physiotherapy, vol. 67, iss. 2, (2021), pp. 115-123)Question: What are the views of patients, close relatives and healthcare professionals on physical activity behaviour in hospital care? Methods: A meta-ethnographic synthesis of qualitative studies was conducted with a lines-of-argument analysis. The methodological quality of included studies was evaluated using the Critical Appraisal Skills Programme (CASP) checklist. The lines of argument were synthesised and mapped in an existing theoretical model. The confidence of evidence was assessed using the Grading of Recommendations Assessment, Development and Evaluation Confidence in Evidence from Reviews of Qualitative Research (GRADE-CERQual) approach. Results: Eleven studies were included and provided data from 290 participants (145 patients, 0 close relatives and 145 healthcare professionals). We have synthesised six lines of argument that explained the (intention of) physical activity behaviour of patients during their hospital stay: patients and healthcare professionals perceive benefits and risks of physical activity for patients' health (high confidence); physical activity gives a sense of freedom, confidence in recovery and mental wellbeing (high confidence); all healthcare professionals should offer timely and tailored physical activity promotion (high confidence); patient motivation to be physically active may be contingent upon encouragement (moderate confidence); family members can influence physical activity behaviour favourably or unfavourably (low confidence); and hospital culture has a negative influence on physical activity behaviour of patients (high confidence). Conclusions: Physical activity behaviour of patients during their hospital stay is a complex phenomenon with multiple interactions at the level of patients, healthcare professionals and hospital culture. Considering the results of this synthesis, multifaceted implementation strategies are needed to improve physical activity intention and behaviour of patients during their hospital stay. (C) 2021 Australian Physiotherapy Association. Published by Elsevier B.V.
ESPEN practical guideline: Clinical Nutrition in cancer
Muscaritoli, M. ; Arends, J ; Bachmann, P ; Baracos, V ; Barthelemy, N ; Bertz, H ; Bozzetti, F ; Hutterer, E ; Isenring, EA ; Kaasa, S ; Krznaric, Z ; Laird, B ; Larsson, M ; Laviano, A. ; Muhlebach, S ; Oldervoll, L ; Ravasco, P ; Solheim, TS ; Strasser, F ; Schueren, M.A.E. de van der ; Preiser, JC ; Bischoff, SC et al. sine al.
2021, Article / Letter to editor (Clinical Nutrition, vol. 40, iss. 5, (2021), pp. 2898-2913)Background: This practical guideline is based on the current scientific ESPEN guidelines on nutrition in cancer patients. Methods: ESPEN guidelines have been shortened and transformed into flow charts for easier use in clinical practice. The practical guideline is dedicated to all professionals including physicians, dieticians, nutritionists and nurses working with patients with cancer. Results: A total of 43 recommendations are presented with short commentaries for the nutritional and metabolic management of patients with neoplastic diseases. The disease-related recommendations are preceded by general recommendations on the diagnostics of nutritional status in cancer patients. Conclusion: This practical guideline gives guidance to health care providers involved in the management of cancer patients to offer optimal nutritional care. (c) 2021 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.
Motivating students for physical activity: What can we learn from student perspectives?
Boonekamp, G.M.M. ; Dierx, A.J. ; Jansen, E.L.
2021, Article / Letter to editor (vol. 27, iss. 3, (2021), pp. 512-528)
Cachexia and Dietetic Interventions in Patients With Esophagogastric Cancer: A Multicenter Cohort Study
Dijksterhuis, WPM ; Latenstein, AEJ ; Kleef, JJ van ; Verhoeven, RHA ; Vries, JHM de ; Slingerland, M ; Steenhagen, E ; Heisterkamp, J ; Timmermans, LM ; Schueren, M.A.E. de van der ; Oijen, MGH van ; Beijer, S ; Laarhoven, HWM van et al. sine al.
2021, Article / Letter to editor (Journal of the National Comprehensive Cancer Network, vol. 19, iss. 2, (2021), pp. 144-+)Background: Cachexia is common in patients with esophagogastric cancer and is associated with increased mortality. Nutritional screening and dietetic interventions can be helpful in preventing evolvement of cachexia. Our aim was to study the real-world prevalence and prognostic value of pretreatment cachexia on overall survival (OS) using patient-reported weight loss, and to explore dietetic interventions in esophagogastric cancer. Materials and Methods: Patients with esophagogastric cancer (2015-2018), regardless of disease stage, who participated in the Prospective Observational Cohort Study of Esophageal-Gastric Cancer Patients (POCOP) and completed patient-reported outcome measures were included. Data on weight loss and dietetic interventions were retrieved from questionnaires before start of treatment (baseline) and 3 months thereafter. Additional patient data were obtained from the Netherlands Cancer Registry. Cachexia was defined as self-reported >5% half-year body weight loss at baseline or >2% in patients with a body mass index (BMI) <20 kg/m(2) according to the Fearon criteria. The association between cachexia and OS was analyzed using multivariable Cox proportional hazard analyses adjusted for sex, age, performance status, comorbidities, primary tumor location, disease stage, histology, and treatment strategy. Results: Of 406 included patients, 48% had pretreatment cachexia, of whom 65% were referred for dietetic consultation at baseline. The proportion of patients with cachexia was the highest among those who received palliative chemotherapy (59%) or best supportive care (67%). Cachexia was associated with decreased OS (hazard ratio, 1.52; 95% CI, 1.11-2.09). Median weight loss after 3-month follow-up was lower in patients with cachexia who were referred to a dietician at baseline compared with those who were not (0% vs 2%; P=.047). Conclusions: Nearly half of patients with esophagogastric cancer have pretreatment cachexia. Dietetic consultation at baseline was not reported in more than one-third of the patients with cachexia. Because cachexia was independently associated with decreased survival, improving nutritional screening and referral for dietetic consultation are warranted to prevent further deterioration of malnutrition and mortality.
Early Signs of Impaired Gut Function Affect Daily Functioning in Patients With Advanced Cancer Undergoing Chemotherapy
Meij, B.S. van der ; Deutz, N.E.P. ; Rodriguez, RE ; Engelen, M.M.
2021, Article / Letter to editor (Jpen, Journal of Parenteral and Enteral Nutrition, vol. 45, iss. 4, (2021), pp. 752-760)Background Gastrointestinal symptoms are common during chemotherapy, but underlying disturbances in gut function and their impact on daily life are unclear. This study investigates gut function in a heterogenous group of cancer patients with gastrointestinal symptoms during chemotherapy and its relation to anabolic response, muscle health, and daily functioning. Methods In 16 patients with solid tumors (mostly stage III+IV) undergoing chemotherapy (T) and 16 healthy (H) matched controls, small-intestinal membrane integrity was measured by urine sugar tests. Protein digestion, absorption, and anabolic response to a conventional protein supplement were analyzed by stable-tracer methods. Muscle mass and strength and daily functioning were assessed. Results Eighty-one percent of T patients reported gastrointestinal symptoms. Small-intestinal membrane permeability was similar, but active glucose transport was lower in the T group (T, 35.5% +/- 3.4% vs H, 48.4% +/- 4.7%; P = .03). Protein digestion and absorption tended to be lower in the T group (0.67 +/- 0.02 vs 0.80 +/- 0.04; P = .08). Net protein anabolic response to feeding was comparable, although lower in cancer patients with recent weight loss. Gut permeability negatively correlated to hand grip strength, global health, and physical functioning, and active-transport capacity positively correlated to global health in the T group. Conclusion Advanced cancer patients with gastrointestinal symptoms during chemotherapy, particularly those with recent weight loss, show signs of impaired gut function negatively affecting muscle health, daily functioning, and anabolic response to feeding.
Micronutrient deficiencies and anaemia in patients after pancreatoduodenectomy
Latenstein, AEJ ; Gerven, R van ; Grevers, F ; Pek, CJ ; Koerkamp, BG ; Hartog, H ; Schueren, M.A.E. de van der ; Besselink, MG ; Eijck, CHJ van
2021, Article / Letter to editor (British Journal of Surgery, vol. 108, iss. 2, (2021), pp. E74-E75)
Physician assistants and nurse practitioners in primary care plus: a systematic review
Erp, R.M.A. van ; Doorn, A.L. van ; Brink, G.T.W.J. van den ; Peters, J. ; Laurant, M.G.H. ; Vught, A.J.A.H. van
2021, Article / Letter to editor (International Journal of Integrated Care (Ijic), vol. 21, iss. 1, (2021))
Teacher educators' professional trajectories: evidence from Ireland, Israel, Norway and the Netherlands
Guberman, A. ; Ulvik, M. ; Macphail, A ; Oolbekkink, H.
2021, Article / Letter to editor (European Journal of Teacher Education, (2021))This study describes higher education-based teacher educators' professional trajectories, i.e. their professional activities and learning as developed throughout their career. Semi-structured interviews were held with 41 teacher educators from Ireland, Israel, Norway and the Netherlands. Findings show that teacher educators were recruited mainly from schools and universities. As novices, they received some, but no formal, support. Research and teaching are the main areas for on-the-job learning. Most teacher educators have positive attitudes towards research, are active researchers and contribute to teaching. However, they believe their respective institutes are not sufficiently appreciative of teaching, given that institutes do not prioritise practice-oriented research, nor align their policies with research findings. While socially coherent and idealistic attitudes are present among teacher educators, they are predominantly responsive to institutes' perceived individualistic and pragmatic expectations. Such expectations include contribution to their institutes' academic status through their academic publications.
Agreement Between the KTK3+ Test and the Athletic Skills Track for Classifying the Fundamental Movement Skills Proficiency of 6- to 12-Year-Old Children
Niet, M. de ; Platvoet, S.W.J. ; Hoeboer, J.J.A.A.M. ; Witte, A.M.H. ; Vries, S.I. de ; Pion, J.A.J.
2021, Article / Letter to editor (Frontiers in Education, (2021))
The position of student teacher practitioner research in teacher education: teacher educators' perspectives
Oolbekkink, H. ; Oosterheert, I ; Lubberink, LS ; Denessen, E
2021, Article / Letter to editor (Educational Action Research, (2021))Teacher education institutes generally assume that practitioner research in teacher education contributes to student teachers' professional development as well as to school development and generalizable knowledge. As a consequence, the position of student teacher research in teacher education and its goals have become unclear. In this interview study, teacher educators' perspectives on the goals of practitioner research for student teachers and the relations between these goals were investigated. Teacher educators shared the view that practitioner research can contribute to novice teachers' professional development, particularly to the development of an inquiry stance. Teacher educators also mentioned several professional development goals and school development goals. The relations between these goals could be characterized as connections and consequences. Teacher educators mainly connected professional development goals and perceived school development goals as a possible consequence of professional development. This study can inform the discussion on the position of student teacher research in teacher education.
A Managerial and Behavioral Approach in Aligning Stakeholder Goals in Sustainable Last Mile Logistics: A Case Study in the Netherlands
Zondervan, F. ; Bogers, E.A.I.
2021, Article / Letter to editor (Sustainability, (2021))

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