19 results on '"KINDERMANS, Hanne"'
Search Results
2. Validity and reliability of the Chinese version of digital health readiness questionnaire among hypertension patients in rural areas of China
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Xu, Linqi, primary, Yu, Tianzhuo, additional, Leng, Xin, additional, Yu, Tianyue, additional, Scherrenberg, Martijn, additional, Falter, Maarten, additional, Kaihara, Toshiki, additional, Kizilkilic, Sevda Ece, additional, Van Erum, Hanne, additional, Kindermans, Hanne, additional, Dendale, Paul, additional, Tong, Qian, additional, and Li, Feng, additional
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- 2024
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3. Motivational communication skills to improve motivation and adherence in cardiovascular disease prevention: A narrative review
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Xu, Linqi, primary, Pinxten, Wim, additional, Vandereyt, Frank, additional, Falter, Maarten, additional, Scherrenberg, Martijn, additional, Kizilkilic, Sevda Ece, additional, Van Erum, Hanne, additional, Dendale, Paul, additional, and Kindermans, Hanne, additional
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- 2023
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4. Accessibility, retention and interactivity of online co-creation workshops : a qualitative post-hoc Aanalysis
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Boone, Anke, Braeckman, Lutgart, Michels, Nele, KINDERMANS, Hanne, VAN HOOF, Elke, Van den Broeck , Kris, Godderis, Lode, Boone, Anke, Braeckman, Lutgart, Michels, Nele, KINDERMANS, Hanne, VAN HOOF, Elke, Van den Broeck , Kris, and Godderis, Lode
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FOCUS GROUPS ,evaluation ,workshops ,COPRODUCTION ,PUBLIC-SERVICES ,Social Sciences ,online data collection ,Social Sciences, Interdisciplinary ,DESIGN ,Sociology ,HEALTH-CARE ,Social Sciences - Other Topics ,focus groups ,Human medicine ,qualitative research ,co-creation - Abstract
Introduction: Co-creation is becoming increasingly popular to develop interventions that can achieve results beyond scientific findings. Workshops are one of the main ways to collect data and generate ideas in co-creation, which traditionally have been conducted at a fixed, physical location. However, organising face-to-face workshops is considered challenging, due to the transportation time, low flexibility and high costs. This study aims to investigate the online format of co-creation workshops and to discuss methodological considerations. Methods: Co-creation workshops were organised with 78 medical students, general practitioner (GP) trainees and specialist trainees from five Belgian universities. The study included four different cohorts, namely first-year bachelors (n = 12), first-year masters (n = 13), first-year GP trainees (n = 14) and first-year specialist trainees (n = 39). Three consequential online workshops were organised for each cohort, resulting in 12 workshops in total. The collected data included qualitative data (video-and audio recordings, notes from interdisciplinary team discussions, Miro boards) and quantitative data (registrations and actual attendance rates). All workshops were transcribed verbatim and thematically analysed using NVivo. Results: The participants reported increased flexibility and reduced costs as main benefits of the online format. In addition, the online platforms Miro and Microsoft Teams were considered dynamic and inspiring, facilitating high levels of engagement and interactivity. However, the online format also showed some challenges, such as the need for a digitally educated population and a stable internet connection. Conclusion: This study has shown that online workshops, also in the highly interactive method of co-creation, provide a viable alternative to collect data and generate ideas. This is particularly the case, when the target population is geographically dispersed, has a high workload and is digitally educated. Online workshops, however, also face limitations and challenges that need to be considered when choosing this format. First, we would like to thank the other WeMeds consortium members, who were not involved as co-authors but who contributed significantly to the overall project, namely Prof. Dr. Dirk Devroey, Prof. Dr. Peter Pype, Prof. Dr. Roy Remmen, Prof. Dr. Wim Pinxten and Dr. Sofie vandenbroeck. In addition, we would like to express our gratitude to the students that contributed to the organisation and qualitative analyses of the workshops: Annabel Bijnens, Sofie Boghe, Sofie Van den Acker and Charlotte Vanneck. Third, we would like to thank Elke Smeers, who provided support with the logistical organisation of the online workshops. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study is part of the WeMeds study, which received internal funds from KU Leuven (Category 3) under C3/20/040.
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- 2023
5. The CoroPrevention-SDM Approach : A Technology-supported Shared Decision Making Approach for a Comprehensive Secondary Prevention Program for Cardiac Patients
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BONNEUX, Cindel, MAHMOOD, Deeman, SCHERRENBERG, Martijn, FALTER, Maarten, ROVELO RUIZ, Gustavo, KINDERMANS, Hanne, HANSEN, Dominique, Laaksonen, Reijo, DENDALE, Paul, CONINX, Karin, Ziefle, Martina, Mulvenna, Maurice, Maciaszek, Leszek, Tampere University, Clinical Medicine, FALTER, Maarten, HANSEN, Dominique, ROVELO RUIZ, Gustavo, Laaksonen, Reijo, CONINX, Karin, KINDERMANS, Hanne, BONNEUX, Cindel, SCHERRENBERG, Martijn, MAHMOOD, Deeman, and DENDALE, Paul
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Cardiovascular Diseases ,Behaviour Change ,Shared Decision Making ,Secondary Prevention ,Holistic Approach ,eHealth ,3121 Internal medicine - Abstract
After a cardiac event, secondary prevention is recommended to foster recovery and reduce the risk of recurrent events. European guidelines and EAPC position statements on prevention of cardiovascular diseases recommend a holistic approach that actively engages patients by using shared decision making (SDM). It has been demonstrated that telerehabilitation can be a feasible and effective add-on or alternative compared to conventional in-hospital secondary prevention. However, till date, there is no eHealth solution that offers a holistic approach for secondary prevention that includes SDM. In this paper, we present the CoroPrevention-SDM approach, a technology-supported shared decision making approach for a comprehensive secondary prevention program for cardiac patients. The CoroPrevention Tool Suite consists of three applications that support patients and caregivers in following this approach: 1) a caregiver dashboard that includes decision support systems and supports SDM, 2) a patient mobile application that supports patients in making behaviour changes in their daily life, and 3) an extended ePRO application that collects patient reported outcomes and patient preferences. In a formative usability study, we assessed patients’ and caregivers’ opinion about our approach. The study indicated that both are willing to use our proposed approach to collaboratively set behavioural goals during SDM encounters. publishedVersion
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- 2022
6. Development and internal validation of the Digital Health Readiness Questionnaire (DHRQ) (Preprint)
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Scherrenberg, Martijn, primary, Falter, Maarten, additional, Kaihara, Toshiki, additional, Xu, Linqi, additional, van Leunen, Mayke, additional, Kemps, Hareld, additional, Kindermans, Hanne, additional, and Dendale, Paul, additional
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- 2022
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7. Efficacy of digital health interventions on depression and anxiety in patients with cardiac disease: a systematic review and meta-analysis
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Kaihara, Toshiki, primary, Scherrenberg, Martijn, additional, Intan-Goey, Valent, additional, Falter, Maarten, additional, Kindermans, Hanne, additional, Frederix, Ines, additional, and Dendale, Paul, additional
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- 2022
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8. Development and Internal Validation of the Digital Health Readiness Questionnaire: Prospective Single-Center Survey Study
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Scherrenberg, Martijn, Falter, Maarten, Kaihara, Toshiki, Xu, Linqi, van Leunen, Mayke, Kemps, Hareld, Kindermans, Hanne, Dendale, Paul, Future Everyday, and Eindhoven MedTech Innovation Center
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Male ,Psychometrics ,Digital literacy ,assessment ,digital health ,Reproducibility of Results ,digital access ,Health Informatics ,Middle Aged ,digital health intervention ,Hospitals ,Health Literacy ,digital divide ,Belgium ,digital skills ,Surveys and Questionnaires ,participation ,Humans ,Female ,telemedicine ,adherence ,Prospective Studies - Abstract
Background While questionnaires for assessing digital literacy exist, there is still a need for an easy-to-use and implementable questionnaire for assessing digital readiness in a broader sense. Additionally, learnability should be assessed to identify those patients who need additional training to use digital tools in a health care setting. Objective The aim of the development of the Digital Health Readiness Questionnaire (DHRQ) was to create a short, usable, and freely accessible questionnaire that was designed from a clinical practice perspective. Methods It was a prospective single-center survey study conducted in Jessa Hospital Hasselt in Belgium. The questionnaire was developed with a panel of field experts with questions in following 5 categories: digital usage, digital skills, digital literacy, digital health literacy, and digital learnability. All participants who were visiting the cardiology department as patients between February 1, 2022, and June 1, 2022, were eligible for participation. Cronbach α and confirmatory factor analysis were performed. Results A total number of 315 participants were included in this survey study, of which 118 (37.5%) were female. The mean age of the participants was 62.6 (SD 15.1) years. Cronbach α analysis yielded a score of >.7 in all domains of the DHRQ, which indicates acceptable internal consistency. The fit indices of the confirmatory factor analysis showed a reasonably good fit: standardized root-mean-square residual=0.065, root-mean-square error of approximation=0.098 (95% CI 0.09-0.106), Tucker-Lewis fit index=0.895, and comparative fit index=0.912. Conclusions The DHRQ was developed as an easy-to-use, short questionnaire to assess the digital readiness of patients in a routine clinical setting. Initial validation demonstrates good internal consistency, and future research will be needed to externally validate the questionnaire. The DHRQ has the potential to be implemented as a useful tool to gain insight into the patients who are treated in a care pathway, tailor digital care pathways to different patient populations, and offer those with low digital readiness but high learnability appropriate education programs in order to let them take part in the digital pathways.
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- 2023
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9. Activity Patterns in Chronic Pain: Underlying Dimensions and Associations With Disability and Depressed Mood
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Kindermans, Hanne P.J., Roelofs, Jeffrey, Goossens, Marielle E.J.B., Huijnen, Ivan P.J., Verbunt, Jeanine A., and Vlaeyen, Johan W.S.
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- 2011
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10. Willingness to participate in cardiac telerehabilitation: results from semi-structured interviews
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Falter, Maarten, primary, Scherrenberg, Martijn, additional, Kindermans, Hanne, additional, Kizilkilic, Sevda, additional, Kaihara, Toshiki, additional, and Dendale, Paul, additional
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- 2021
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11. Effects of (in)validation and plain versus technical language on the experience of experimentally induced pain: A computer controlled simulation paradigm
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D'Agostini, Martina, D'Agostini, Martina, Karos, Kai, Kindermans, Hanne P.J., Vancleef, Linda M.G., D'Agostini, Martina, D'Agostini, Martina, Karos, Kai, Kindermans, Hanne P.J., and Vancleef, Linda M.G.
- Abstract
BACKGROUND AND OBJECTIVES: Amongst social contextual influences on pain, the manner in which pain and painful procedures are communicated to patients is considered an important contributor to the subjective experience of pain. Threatening information, e.g., by the use of technical language, is suggested to increase pain reports. Validation, or communicating understanding towards another person reporting personal experiences, is suggested to reduce pain. The current study examines effects of both information language (technical vs. plain language) and validation (validation vs. invalidation) on the subjective experience of experimentally induced pain.METHODS: Pain-free participants (N = 132) were randomly assigned to one of four groups as formed by manipulations of validation and information language. After reading a description concerning the upcoming thermal stimulus formulated in technical or plain language, participants engaged in a computer controlled simulation (CCS; based on virtual reality technology). Participants received three thermal stimuli while interacting with an avatar who either validated or invalidated their experience during the CCS. Pain intensity and pain unpleasantness were assessed after each stimulus.RESULTS: The validation manipulation showed to be effective, but the information language manipulation did not induce differential threat expectancies. Results show no effect of validation or information language on subjective pain reports.LIMITATIONS: Suboptimality of the information language manipulation and shortcomings of the CCS procedure might account for current findings.CONCLUSIONS: The study offers an interesting model for the further experimental study of isolated and combined effects of (social) contextual factors on pain. Diverse future research avenues are discussed.
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- 2020
12. Living with painful diabetic neuropathy: insights from focus groups into fears and coping strategies
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Kanera, Iris M, Kanera, Iris M, van Laake-Geelen, Charlotte C M, Ruijgrok, Joop M, Goossens, Marielle E J B, de Jong, Jeroen R, Verbunt, Jeanine A, Geerts, Margot, Smeets, Rob J E M, Kindermans, Hanne P J, Kanera, Iris M, Kanera, Iris M, van Laake-Geelen, Charlotte C M, Ruijgrok, Joop M, Goossens, Marielle E J B, de Jong, Jeroen R, Verbunt, Jeanine A, Geerts, Margot, Smeets, Rob J E M, and Kindermans, Hanne P J
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OBJECTIVE: Painful diabetic neuropathy (PDN) is known to negatively affect quality of life. Being physically active is a crucial part of successful diabetes self-management, but regimen adherence is often low. Coping strategies and fears have shown to be related to less physical activity (PA). The aim of the present study was to obtain more in-depth information on psychological risk factors leading to less PA in persons with PDN.DESIGN: Three semi-structured focus group interviews were conducted with a representative sample of persons with PDN (N = 12). Data were transcribed verbatim and analysed using a hybrid method of thematic analyses and a grounded theory approach.MAIN OUTCOME MEASURES: Fears and coping strategies related to PA in persons with PDN.RESULTS: Several specific fears were identified; fear of hypoglycaemia, fear of pain increase, fear of total exhaustion, fear of physical injury, fear of falling, fear of loss of identity, and fear of negative evaluation by others. To cope with these fears, avoidance, remaining active, cognitive distraction, and acceptance strategies were described.CONCLUSION: In persons with PDN, diabetes-related fears and pain-related fears play a role in less engagement in PA, indicating the need for new methods for improving self-management in persons with PDN.
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- 2019
13. Winning or not losing? : The impact of non-pain goal focus on attentional bias to learned pain signals
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Schrooten, Martien G. S., Van Damme, Stefaan, Crombez, Geert, Kindermans, Hanne, Vlaeyen, Johan W S, Schrooten, Martien G. S., Van Damme, Stefaan, Crombez, Geert, Kindermans, Hanne, and Vlaeyen, Johan W S
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Background and aims: Insights into the nature of cognitive bias, including attentional bias to threat signals, are considered pivotal to understanding (chronic) pain and related distress. It has been put forward that attention to pain-related threat is normally dynamic and relates to the motivational state of the individual. In this experiment we aimed (i) to replicate the finding that attentional bias for pain signals in healthy participants can be reduced when a non-pain goal is pursued, and (ii) to extend this finding by taking into account the outcome focus of the non-pain goal. We hypothesised that the reduction in attentional bias for pain signals by concurrent non-pain goal pursuit would be stronger with non-pain prevention goals than with promotion goals. Methods: Healthy university students performed an attentional bias task (i.e. spatial cueing task) containing visual cues that signalled the possible occurrence of a painful stimulus (electrocutaneous stimulus at tolerance level) or its absence, in combination with a non-pain goal task (i.e. digit naming task). The non-pain goal was either related to acquiring a positive outcome (gaining money depending on digit-naming performance; promotion goal group, n=31) or related to avoiding a negative outcome (losing money; prevention goal group, n=31). A standard attentional bias task served as the control condition (control group, n=31). Results: Spatial cueing effects were larger for pain cues than for no-pain cues, indicating attentional bias for pain signals. The pattern of results suggests that this effect was indeed reduced in the goal groups as compared to the control group, but there was no significant group difference. Conclusions: We found no statistically-significant evidence for the impact of non-pain goal pursuit or outcome focus on pain-related attentional bias. At best, there were indications of a reduced attentional bias for pain signals with non-pain goal pursuit that was either promotion- or preve, Funding Agencies:NWO Social Sciences Research Council of The Netherlands 453-04-003 "Asthenes" long-term structural funding Methusalem grant by Flemish Government, Belgium Örebro University, Sweden
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- 2018
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14. Perceived Physical Activity Decline as a Mediator in the Relationship Between Pain Catastrophizing, Disability, and Quality of Life in Patients with Painful Diabetic Neuropathy
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Geelen, Charlotte C., Geelen, Charlotte C., Kindermans, Hanne, van den Bergh, Joop, Verbunt, Jeanine A., Geelen, Charlotte C., Geelen, Charlotte C., Kindermans, Hanne, van den Bergh, Joop, and Verbunt, Jeanine A.
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Background: To fully understand the burden of painful diabetic neuropathy (PDN), we investigated the relationship of pain catastrophizing with disability and quality of life in patients with PDN. Furthermore, we studied the mediating roles of physical activity and/or decline in physical activity.Methods: This questionnaire-based cross-sectional study included 154 patients with PDN. Linear regression analyses, adjusted for age, gender, pain intensity, and insulin treatment, were performed to assess the association of pain catastrophizing (Pain Catastrophizing Scale [PCS]) with the outcome variables disability (Pain Disability Index [PDI]) and quality of life (Norfolk Quality of Life Questionnaire Diabetic Neuropathy Version [QOL-DN]). The mediating roles of actual physical activity (Physical Activity Rating Scale [PARS]) and perceived Physical Activity Decline (PAD) were assessed using mediation analyses according to Baron and Kenny.Results: This study included 154 patients (62% male). Mean age was 65.7 years (SD = 6.6). PCS (M = 20.3, SD = 13.1) was significantly associatedwithPDI (M = 32.4, SD= 17.0; R-2 = 0.356, P <0.001), QOL-DN (M = 52.6, SD = 26.1; R-2 = 0.437, P <0.001), and PAD (M = 7.4, SD = 5.7; R-2 = 0.087, P = 0.045). PAD acted as a partial mediator in the associations of PCS with PDI and QOL-DN, respectively. There was no association of PCS with PARS.Conclusions: Pain catastrophizing was associated with increased disability and decreased quality of life in patients with PDN. Also, it was associated with a perceived decline in physical activity, which had a mediating role in the association between catastrophizing and disability and quality of life, respectively. This study emphasizes the role of catastrophic thinking about pain and the experienced loss in daily activities due to PDN.
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- 2017
15. Disentangling depression in Belgian higher education students amidst the first COVID-19 lockdown (April-May 2020).
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De Man, Jeroen, Buffel, Veerle, van de Velde, Sarah, Bracke, Piet, Van Hal, Guido F., Wouters, Edwin, for the Belgian COVID-19 International Student Well-being Study (C19 ISWS) team, Gadeyne, Sylvie, Kindermans, Hanne P. J., Joos, Mathilde, Vanmaercke, Sander, van Studenten, Vlaamse Vereniging, Nyssen, Anne-Sophie, Puttaert, Ninon, Vervecken, Dries, and Van Guyse, Marlies
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COVID-19 pandemic ,STAY-at-home orders ,OVERPRESSURE (Education) ,MENTAL health of students ,MENTAL depression - Abstract
Background: The surge of COVID-19 infections has prompted many countries to take unprecedented policy measures. In Belgium, the authorities implemented a nation-wide stay-at-home order for several months. Evidence of the mental health effect of such measures is scarce. A recent review by Brooks et al. has compiled a defined list of stressors affecting people's mental health under quarantine during previous epidemic settings. This study aims to test the association between these stressors and the mental health of students attending higher education during the stay-at-home order in Belgium.Methods: In this cross-sectional study, 18,301 students from 13 higher education institutions (HEI) participated in an online survey between 26 April and 11 May 2020. We assessed the association between potential stressors and depressive symptoms severity scores and structural equation modeling was used to assess how stressors may mediate the association between duration of exposure and depressive symptoms severity.Results: The stressors proposed by Brooks et al. were found to be associated with depressive symptoms severity. The stressors 'perceived academic stress', 'institutional dissatisfaction' and 'fear of being infected' were associated with substantially higher depressive symptoms severity scores. The association between duration of exposure and depressive symptoms severity was mediated by 'academic stress'. Being in a steady relationship and living together with others were both associated with a lower depressive symptoms severity.Conclusion: Findings underline the need for a student-centered approach and mental health prevention. Authorities and HEIs should consider whether and if so, how a stay-at-home order should be implemented. [ABSTRACT FROM AUTHOR]- Published
- 2021
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16. Willingness to participate in cardiac telerehabilitation: results from semi-structured interviews
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Sevda Kizilkilic, Hanne P.J. Kindermans, Martijn Scherrenberg, Toshiki Kaihara, Maarten Falter, Paul Dendale, FALTER, Maarten, SCHERRENBERG, Martijn, KINDERMANS, Hanne, Kizilkilic, Sevda, TOSHIKI, Kaihara, and DENDALE, Paul
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Semi-structured interview ,Medical education ,Telerehabilitation ,Psychology - Abstract
Aims Cardiac rehabilitation (CR) is indicated in patients with cardiovascular disease but participation rates remain low. Telerehabilitation (TR) is often proposed as a solution. While many trials have investigated TR, few have studied participation rates in conventional CR non-participants. The aim of this study was to identify the percentage of patients that would be willing to participate in a TR programme to identify the main perceived barriers and facilitators for participating in TR. Methods and results Two groups of patients were recruited: CR non-participants and CR participants. Semi-structured interviews were conducted. Thirty non-participants and 30 participants were interviewed. Of CR non-participants, 33% would participate in TR and 10% would participate in a blended CR programme (combination of centre-based CR and TR). Of CR participants, 60% would participate in TR and 70% would be interested in a blended CR programme. Of those that would participate in TR, 44% would prefer centre-based CR, 33% would prefer a blended CR programme, and 11% would prefer a full TR programme. In both groups, the main facilitating aspect about TR was not needing transport and the main barrier was digital literacy. Conclusion For CR non-participants, TR will only partly solve the problem of low participation rates and blended programmes might not offer a solution. Cardiac rehabilitation participants are more prepared to participate in TR and blended CR. Digital literacy was in both groups mentioned as an important barrier, emphasizing the challenges for healthcare and local governments to keep educating all types of patients in digital literacy.
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- 2021
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17. Using natural language processing for automated classification of disease and to identify misclassified ICD codes in cardiac disease.
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Falter M, Godderis D, Scherrenberg M, Kizilkilic SE, Xu L, Mertens M, Jansen J, Legroux P, Kindermans H, Sinnaeve P, Neven F, and Dendale P
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Aims: ICD codes are used for classification of hospitalizations. The codes are used for administrative, financial, and research purposes. It is known, however, that errors occur. Natural language processing (NLP) offers promising solutions for optimizing the process. To investigate methods for automatic classification of disease in unstructured medical records using NLP and to compare these to conventional ICD coding., Methods and Results: Two datasets were used: the open-source Medical Information Mart for Intensive Care (MIMIC)-III dataset ( n = 55.177) and a dataset from a hospital in Belgium ( n = 12.706). Automated searches using NLP algorithms were performed for the diagnoses 'atrial fibrillation (AF)' and 'heart failure (HF)'. Four methods were used: rule-based search, logistic regression, term frequency-inverse document frequency (TF-IDF), Extreme Gradient Boosting (XGBoost), and Bio-Bidirectional Encoder Representations from Transformers (BioBERT). All algorithms were developed on the MIMIC-III dataset. The best performing algorithm was then deployed on the Belgian dataset. After preprocessing a total of 1438 reports was retained in the Belgian dataset. XGBoost on TF-IDF matrix resulted in an accuracy of 0.94 and 0.92 for AF and HF, respectively. There were 211 mismatches between algorithm and ICD codes. One hundred and three were due to a difference in data availability or differing definitions. In the remaining 108 mismatches, 70% were due to incorrect labelling by the algorithm and 30% were due to erroneous ICD coding (2% of total hospitalizations)., Conclusion: A newly developed NLP algorithm attained a high accuracy for classifying disease in medical records. XGBoost outperformed the deep learning technique BioBERT. NLP algorithms could be used to identify ICD-coding errors and optimize and support the ICD-coding process., Competing Interests: Conflict of interest: None declared, (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.)
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- 2024
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18. Efficacy of digital health interventions on depression and anxiety in patients with cardiac disease: a systematic review and meta-analysis .
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Kaihara T, Scherrenberg M, Intan-Goey V, Falter M, Kindermans H, Frederix I, and Dendale P
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Aims: Depression and anxiety have a detrimental effect on the health outcomes of patients with heart disease. Digital health interventions (DHIs) could offer a solution to treat depression and anxiety in patients with heart disease, but evidence of its efficacy remains scarce. This review summarizes the latest data about the impact of DHIs on depression/anxiety in patients with cardiac disease., Methods and Results: Articles from 2000 to 2021 in English were searched through electronic databases (PubMed, Cochrane Library, and Embase). Articles were included if they incorporated a randomized controlled trial design for patients with cardiac disease and used DHIs in which depression or anxiety was set as outcomes. A systematic review and meta-analysis were performed. A total of 1675 articles were included and the screening identified a total of 17 articles. Results indicated that telemonitoring systems have a beneficial effect on depression [standardized mean difference for depression questionnaire score -0.78 ( P = 0.07), -0.55 ( P < 0.001), for with and without involving a psychological intervention, respectively]. Results on PC or cell phone-based psychosocial education and training have also a beneficial influence on depression [standardized mean difference for depression questionnaire score -0.49 ( P = 0.009)]., Conclusion: Telemonitoring systems for heart failure and PC/cell phone-based psychosocial education and training for patients with heart failure or coronary heart disease had a beneficial effect especially on depression. Regarding telemonitoring for heart failure, this effect was reached even without incorporating a specific psychological intervention. These results illustrate the future potential of DHIs for mental health in cardiology., Competing Interests: Conflict of interest: None declared., (© The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.)
- Published
- 2022
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19. Willingness to participate in cardiac telerehabilitation: results from semi-structured interviews.
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Falter M, Scherrenberg M, Kindermans H, Kizilkilic S, Kaihara T, and Dendale P
- Abstract
Aims: Cardiac rehabilitation (CR) is indicated in patients with cardiovascular disease but participation rates remain low. Telerehabilitation (TR) is often proposed as a solution. While many trials have investigated TR, few have studied participation rates in conventional CR non-participants. The aim of this study was to identify the percentage of patients that would be willing to participate in a TR programme to identify the main perceived barriers and facilitators for participating in TR., Methods and Results: Two groups of patients were recruited: CR non-participants and CR participants. Semi-structured interviews were conducted. Thirty non-participants and 30 participants were interviewed. Of CR non-participants, 33% would participate in TR and 10% would participate in a blended CR programme (combination of centre-based CR and TR). Of CR participants, 60% would participate in TR and 70% would be interested in a blended CR programme. Of those that would participate in TR, 44% would prefer centre-based CR, 33% would prefer a blended CR programme, and 11% would prefer a full TR programme. In both groups, the main facilitating aspect about TR was not needing transport and the main barrier was digital literacy., Conclusion: For CR non-participants, TR will only partly solve the problem of low participation rates and blended programmes might not offer a solution. Cardiac rehabilitation participants are more prepared to participate in TR and blended CR. Digital literacy was in both groups mentioned as an important barrier, emphasizing the challenges for healthcare and local governments to keep educating all types of patients in digital literacy., (© The Author(s) 2021. Published by Oxford University Press on behalf of the European Society of Cardiology.)
- Published
- 2021
- Full Text
- View/download PDF
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