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Praktijkondersteuners krijgen steeds meer te maken met mensen die kanker krijgen en dit overleven. Na behandeling worden voormalig kankerpatienten geconfronteerd met problemen zoals vermoeidheid, angst en somberheid en met nieuwe uitdagingen zoals het verbeteren van leefstijl. Ze kunnen de Kanker Nazorg Wijzer gebruiken zonder hulp van zorgverleners om problemen te verminderen en te werken aan een gezonde leefstijl. Patienten waarderen het programma effectief en positief. Wat is het, wat zij de effecten en waarom kun je het als praktijkondersteuners gebruiken?

This study investigates the relation between parenting and involvement in cyberbullying. We predicted that cyberbullies and cyberbully-victims report less responsiveness and de manding reactions from their parents than victims and youthswho are not involved in cyberbullying. Furthermore, we predicted that youths with neglectful parents cyberbully the most often and youth with authoritative parents cyberbully the least. The same differences were predicted for traditional bullying. behavio and for youth involved in both forms of bullying behavior. Participants were made up to 1200 youths from 10-14 years old. They responded to a survey measuring cyberbullying and traditional bullying with questions based on the sub-scales from the Bully?Victim Questionnaire, and parenting with an adjusated version of the Parenting Style Questionnaire. Most results confirm out predictions. Results on authoritative, autoritarian, permissive and neglectful parenting styles suggest that for bullies, demanding actions are an important dimension of thier behavior and for victims, responsiveness is an important dimension of their behavior.

Background: Many cancer survivors experience psychosocial and lifestyle problems after primary treatment. SinceeHealth can provide easy accessible, personalized information for larger populations, we developedthe ‘Kanker Nazorg Wijzer’ (KNW; Cancer Aftercare Guide), an online tailored intervention aimed atimproving survivors’ lifestyle and psychosocial wellbeing. Methods: We used the Intervention Mapping protocol to systematically develop the KNW. We started with aneeds assessment, consisting of focus group interviews (n = 33) and a survey study (n = 255). Thisprovided input for the performance and change objectives, intervention methods and strategies, andprogram components. Findings: Eight modules were developed: work, fatigue, mood, relationships, exercise, nutrition, smoking andresidual symptoms. The modules were founded on the theoretical principles of problem solving andcognitive behavioural therapy. Tailored feedback ensured that only the most relevant information wasprovided. Pilot-data showed positive evaluations of the modules. Discussion: Although Intervention Mapping is a time consuming process, it increases the chance of creatingeffective interventions. If effective, the KNW can serve as an easy accessible, first-step-in-steppedcare, online tool. Currently, an RCT is conducted.

Background: Many cancer survivors experience psychosocial and lifestyle problems after primary treatment. SinceeHealth can provide easy accessible, personalized information for larger populations, we developedthe ‘Kanker Nazorg Wijzer’ (KNW; Cancer Aftercare Guide), an online tailored intervention aimed atimproving survivors’ lifestyle and psychosocial wellbeing. Methods: We used the Intervention Mapping protocol to systematically develop the KNW. We started with aneeds assessment, consisting of focus group interviews (n = 33) and a survey study (n = 255). Thisprovided input for the performance and change objectives, intervention methods and strategies, andprogram components. Findings: Eight modules were developed: work, fatigue, mood, relationships, exercise, nutrition, smoking andresidual symptoms. The modules were founded on the theoretical principles of problem solving andcognitive behavioural therapy. Tailored feedback ensured that only the most relevant information wasprovided. Pilot-data showed positive evaluations of the modules. Discussion: Although Intervention Mapping is a time consuming process, it increases the chance of creatingeffective interventions. If effective, the KNW can serve as an easy accessible, first-step-in-steppedcare, online tool. Currently, an RCT is conducted.

Introduction. Healthy lifestyle is important for cancer survivors. To develop lifestyle interventions for them, insight into the predictors of vegetable-, fruit-, alcohol consumption and smoking behaviour, is needed. The study aims to describe lifestyle risk behaviours of cancer survivors and to analyse the contribution of demographic, cancer-related, psychological and social cognitive factors in explaining these behaviours. Method. Participants were 273 cancer survivors (70.7% females; mean age 60.6), treated with surgery, chemotherapy and or radiation. Participants were invited through 8 Dutch hospitals to participate in this cross-sectional study. Validated questionnaires (e.g. EORTC QLQ-C30, MAC, Brief IPQ, HADS) were administered to identify cancer-related, psychological and social cognitive determinants and to assess the lifestyle behaviours. Results. The lifestyle of a small group (11%) of the cancer survivors was coherent with all five health recommendations, the majority (>80%) adhered to two, three of four recommendations, and only few ( Conclusion. Outcomes of engagement in healthy lifestyle behaviors were more positive in this study compared to other research in cancer survivors, however, there is room for improvements in adherence to all five lifestyle behaviors. Especially fruit consumption was poor and vegetable consumption even worse. Our findings emphasized that all examined lifestyle behaviors need to be encouraged, with taken into account that each lifestyle behavior may be influenced by a specific set of mainly social cognitive factors or intention.

Poster session "Physical activity interventions in adults" - P374PURPOSE:Current research on physical activity (PA) promotion emphasizes the importance of increasing autonomous motivation. Motivational Interviewing (MI) is a client-centered counseling method intended to strengthen autonomous motivation towards behavior change. Evidence shows that MI can be successful in getting individuals to increase theirphysical activity. Delivering MI in a traditional way, however, is expensive and therefore difficult to scale up. Web-based computer tailoring (CT) could be an interesting alternative delivery channel for MI. Pilot research by our group shows that web-based MI holds promise. The purpose of this presentation is to provide insight into the design of a web-based PA intervention, based on MI: the Ik Beweeg (IMove) intervention. METHOD: Ik Beweeg is a web-based MI intervention, consisting of four intervention sessions. In this intervention, web-based CT is used for mimicking an MI dialogue including open-ended questions , affirmations and skilful reflections. Several methods are used such as importance and confidence rulers, exploring values, identifying and affirming strengths and reviewing past successes. Feedback messages are written in a supportive, non-coercivemanner. Participants can make their own action and coping plans, and adjust their plans later on. In the later sessions, changes in PA and experiences are discussed. RESULT(S): Effectiveness and appreciation of web-based MI will be evaluated in arandomized controlled comparing 1) the Ik Beweeg intervention, 2) a traditional (TPB /Stages of Change based) web-based PA intervention and 3)awaiting list control group. Data collection will start in the autumn of 2013. CONCLUSION(S): Not available yet

Oral session "Physical activity intervention in adults" - O.094

P375PURPOSE: Evidence illustrates that Motivational Interviewing (MI) can be successful ingettingindividualstoincreasetheirphysicalactivity(PA).DeliveringMIinatraditionalway,however,isexpensiveandthereforedifficulttoscaleup.Web-basedcomputertailoring(CT)couldbeaninterestingalternativedeliverychannel forMI.Beforeitispossible todevelopeffective web-basedMI interventions, however, we need to gain more specific insight onhowtointegrateMIsuccessfullyinweb-basedCT.Theaimofthisstudywastoassesswhichconfiguration of question types (open-ended and/or multiple choice) leads to the mostfavorableresultsintermsofautonomousmotivationandappreciationoftheinterventioninaweb-basedcomputer-tailoredPAintervention,basedonMI.METHOD:Arandomizedtrialwasconductedamong465Dutchadults,comparingthreewebbasedcomputer-tailoredPAinterventionsbasedonMI:1)includingexclusivelyopen-endedquestions, 2) including exclusively multiple choice questions, 3) including both multiplechoice questions and open-ended questions. Measurements included motivation-relateddeterminants of PA and process variables, measured at baseline, directly following the intervention and one month postintervention. RESULT(S): Results suggest that open-ended questions represent an important element inweb-based MI in terms of effect on autonomous motivation and appreciation of theintervention.In order to optimizeappreciation of the intervention,a combination of bothopen-endedandmultiplechoicequestiontypesseemstoholdmostpromises. CONCLUSION(S): The findings of this study suggest that both open-ended and multiplechoicequestionsshouldbeincludedinweb-basedcomputer-tailoredMIPAinterventions.