2,072 results on '"Department of Health Psychology"'
Search Results
2. Which factors are associated with cannabis use among adolescents in Andalusia?
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María de Carmen Torrejón Guirado, Hein De Vries, Marta Lima-Serrano, Liesbeth Mercken, Department of Health Psychology, RS-Research Line Health psychology (part of UHC program), Health promotion, and RS: CAPHRI - R6 - Promoting Health & Personalised Care
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RISK ,cannabis ,IMPACT ,ALCOHOL ,SELF-EFFICACY ,MARIJUANA USE ,health behavior ,motivation ,FAMILY AFFLUENCE ,adolescents ,General Nursing ,BEHAVIOR ,I-Change model ,ATTITUDE - Abstract
BACKGROUND: Cannabis use is increasing among Andalusian adolescents, causing health, social and financial problems. School nurses visit schools and provide health promotion to adolescents in Andalusia. In order to better tailor health promotion programs, it is important to understand the sociodemographic and motivational factors related to cannabis use in Andalusian adolescents.DESIGN/METHODS: In this cross-sectional study, 369 students (aged 15-18 years) from secondary schools in Andalusia were involved. An anonymous questionnaire based on the I-Change Model was self-administered during school hours. Cannabis users were compared with non-cannabis users regarding sociodemographic and motivational factors. Contingency tables, mean comparison tests, and logistic regression analyses were conducted.RESULTS: The prevalence of cannabis use in the last year was 21.6%. Non-cannabis users had a few positive beliefs toward cannabis use (e.g. the ability to relax or medical benefits), as well as users. Users recognized some disadvantages of cannabis use but played down their importance and mentioned more advantages. Moreover, social influence, especially from peers, plays a critical role in cannabis use. Specific social situations and moods seemed to be special risk factors for cannabis use, such as being at a celebration or feeling good. Results of regression analysis showed that cannabis use is mainly associated with age, low family function, low family affluence, high pocket money, perceiving few disadvantages of cannabis use, much social modeling of cannabis use, social norm and pressure favoring cannabis, low self-efficacy to resist using cannabis and positive intentions to use cannabis.CONCLUSIONS: Based on our results, prevention programmes lead by nurses can be tailored to the factors important to prevent cannabis use, focusing on outlining the disadvantages of cannabis use, alternatives for using cannabis when feeling good, increasing salience of healthy social influences and reinforcing self-efficacy to resist temptations to use cannabis are recommended.CLINICAL RELEVANCE: Nurses need to know the sociodemographic factors and motivations associated with the use of cannabis in adolescents in order to establish effective preventive interventions at school.
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- 2023
3. Improving alcohol management in primary health care in Mexico: A return-on-investment analysis
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Adriana Solovei, Pol Rovira, Peter Anderson, Eva Jané‐Llopis, Guillermina Natera Rey, Miriam Arroyo, Perla Medina, Liesbeth Mercken, Jürgen Rehm, Hein de Vries, Jakob Manthey, Department of Health Psychology, RS-Research Line Health psychology (part of UHC program), Health promotion, and RS: CAPHRI - R6 - Promoting Health & Personalised Care
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primary health care ,Health (social science) ,ECONOMIC-ANALYSIS ,return-on-investment ,alcohol ,BRIEF PHYSICIAN ADVICE ,Medicine (miscellaneous) ,Mexico ,SBIRT - Abstract
INTRODUCTION: Alcohol screening, brief advice and referral to treatment (SBIRT) in primary health care is an effective strategy to decrease alcohol consumption at population level. However, there is relatively scarce evidence regarding its economic returns in non-high-income countries. The current paper aims to estimate the return-on-investment of implementing a SBIRT program in Mexican primary health-care settings. METHODS: Empirical data was collected in a quasi-experimental study, from 17 primary health-care centres in Mexico City regarding alcohol screening delivered by 145 health-care providers. This data was combined with data from a simulation study for a period of 10 years (2008 to 2017). Economic investments were calculated from a public sector health-care perspective as clinical consultation costs (salary and material costs) and program costs (set-up, adaptation, implementation strategies). Economic return was calculated as monetary gains in the public sector health-care, estimated via simulated reductions in alcohol consumption, dependent on population coverage of alcohol interventions delivered to primary health-care patients. RESULTS: Results showed that scaling up a SBIRT program in Mexico over a 10-year period would lead to positive return-on-investment values ranging between 21% in scenario 4 (confidence interval -8.6%, 79.5%) and 110% in scenario 5 (confidence interval 51.5%, 239.8%). Moreover, over the 10-year period, up to 16,000 alcohol-related deaths could be avoided as a result of implementing the program. DISCUSSION AND CONCLUSIONS: SBIRT implemented at national level in Mexico may lead to substantial financial gains from a public sector health-care perspective.
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- 2023
4. Selecting interventions for a psychosocial support program for prostate cancer patients undergoing active surveillance: A modified Delphi study
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Kim Donachie, Marian Adriaansen, Minke Nieuwboer, Erik Cornel, Esther Bakker, Lilian Lechner, Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
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Male ,lifestyle ,Consensus ,Delphi Technique ,exercise ,psychosocial support ,active surveillance ,Psychosocial Support Systems ,Prostatic Neoplasms ,Experimental and Cognitive Psychology ,prostate cancer ,Psychiatry and Mental health ,Oncology ,oncology ,Humans ,cancer ,psycho-oncology ,Watchful Waiting ,diet - Abstract
Curative treatment of low-risk prostate cancer (LR-PCa) does not improve cancer specific survival and active surveillance (AS) is recommended. Although AS is cost-effective and reduces treatment-related complications, it requires psychosocial support. Research on psychosocial interventions specifically focused on men undergoing AS is limited. Aim of this study is to reach consensus amongst relevant stakeholders on selecting interventions offering psychosocial support to PCa patients during AS.In accordance with the RAND/UCLA method, a modified Delphi approach was used to establish consensus on selecting interventions. During phase one, interventions were identified through a literature review and open survey among all participants. During phase two, three consensus rounds were conducted to rate potential interventions and obtain statistical consensus. The IQ healthcare consensus tool was used to calculate statistical consensus.After the first consensus round, 31 participants scored individual interventions on relevance using a 9-point Likert scale resulting in the selection of six interventions. During the second consensus round 13 discussion items were reviewed during a focus group. After the third consensus round, seven additional interventions were selected by 23 participants.In total, 13 interventions were selected for inclusion in a support program. This included four interventions within the domain information and education, three within coping and support, one intervention within physical wellbeing and four within the domain lifestyle.
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- 2022
5. Correlates of Internalized HIV Stigma:A Comprehensive Systematic Review
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Yvonne L. van der Kooij, Chantal den Daas, Arjan E.R. Bos, Roy A. Willems, Sarah E. Stutterheim, RS-Research Line Clinical psychology (part of UHC program), Department of Clinical Psychology, Faculty of Psychology, RS-Research Line Health psychology (part of UHC program), Department of Health Psychology, and Department Clinical Psychology
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Infectious Diseases ,Health (social science) ,HIV Infections/prevention & control ,systematic review ,Social Stigma ,Public Health, Environmental and Occupational Health ,self-stigma ,internalized stigma ,Humans ,Social Support ,HIV ,Anxiety - Abstract
Internalized HIV stigma is prevalent and research on internalized HIV stigma has increased during the past 10 years. The aim of this systematic review was to synthesize research on internalized HIV stigma and relationships with various health-related variables in order to better inform the development of interventions aimed at reducing internalized HIV stigma. We reviewed 176 studies with a quantitative design reporting correlates that were peer-reviewed, published in English before January 2021, drawn from PubMed, PSYCHINFO, Web of Science, EBSCO, and Scopus. Synthesis showed consistent associations between internalized stigma and negative psychological (e.g., depression, anxiety), social (e.g., lack of social support, discrimination, nondisclosure, and intersecting stigmas), and health (e.g., substance use, treatment nonadherence, negative clinical HIV outcomes) variables. We argue for a more socioecological approach to internalized stigma, with greater attention for intersectional stigmas, and more longitudinal research, if we are to effectively develop interventions that reduce internalized stigma.
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- 2023
6. Protocol for a process evaluation of SCALA study:Intervention targeting scaling up of primary health care-based prevention and management of heavy drinking and comorbid depression in Latin America
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Daša Kokole, Eva Jané-Llopis, Liesbeth Mercken, Guillermina Natera Rey, Miriam Arroyo, Augusto Pérez Gómez, Juliana Mejía-Trujillo, Marina Piazza, Ines Bustamante, Amy O’Donnell, Eileen Kaner, Bernd Schulte, Hein de Vries, Peter Anderson, Department of Health Psychology, RS-Research Line Health psychology (part of UHC program), RS: CAPHRI - R6 - Promoting Health & Personalised Care, and Health promotion
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mental disorder ,Alcohol Drinking ,Social Psychology ,Mental Disorders ,Strategy and Management ,Geography, Planning and Development ,Public Health, Environmental and Occupational Health ,Context ,drinking ,Colombia ,Models, Theoretical ,Process evaluation ,experimental study ,implementation process ,Latin America ,Implementation ,Peru ,Business and International Management ,Alcohol ,Mexico ,Primary health care - Abstract
This paper describes the plan for a process evaluation of a quasi-experimental study testing the municipal level scale-up of primary health care-based measurement and brief advice programmes to reduce heavy drinking and comorbid depression in Colombia, Mexico, and Peru. The main aims of the evaluation are to assess the implementation of intervention components; mechanisms of impact that influenced the outcomes; and characteristics of the context that influenced implementation and outcomes. Based on this information, common drivers of successful outcomes will be identified. A range of data collection methods will be used: questionnaires; interviews; observations; logbooks; and document analysis. All participating providers will complete a pen-and-paper questionnaire at recruitment and two time points during the implementation period. Providers attending training will complete post-training questionnaires. Additionally, 1080 patients will be invited to self-complete a patient questionnaire. One-in-ten participating providers and fifteen other key stakeholders will participate in semi-structured interviews. Training sessions and community advisory board meetings will be observed by a neutral observer. Logbooks will be kept by local research teams to document events affecting the implementation. Project related documentation and other relevant reports describing the context will be examined.
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- 2023
7. Krill oil supplementation's effect on school grades in typically developing adolescents
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Inge S.M. van der Wurff, Clemens von Schacky, Trygve Bergeland, Maurice P. Zeegers, Paul A. Kirschner, Renate H.M. de Groot, Department of Health Psychology, RS-Research Line Conditions for Lifelong Learning (part of ERA program), and Department of Conditions for Lifelong Learning
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Clinical Biochemistry ,Omega-3 fatty acids ,School grades ,Cell Biology ,Krill oil ,School performance ,Adolescents ,Omega-3 index - Abstract
Long-chain polyunsaturated fatty acids (LCPUFA) are important for brain development and functioning and with that, possibly school performance. Several cross-sectional studies have shown significant positive associations between fish consumption, an important source of LCPUFA and school grades in adolescents. The effect of LCPUFA supplementation on school grades in adolescents has not been investigated yet. The goal of the current study was to investigate (I) the associations between the Omega-3 Index (O3I) at baseline and after 12 months respectively and school grades and (II) the effect of one year krill oil supplementation (source of LCPUFA) on school grades in adolescents with a low O3I at baseline. A double-blind randomised placebo-controlled trial with repeated measurements was executed. Participants received either 400 mg eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) per day for the first three months in Cohort 1 and the nine months thereafter 800 mg EPA + DHA per day, Cohort 2 started immediately with 800 mg EPA + DHA per day,or a placebo. The O3I was monitored with a finger prick at baseline, three, six and twelve months. Subject grades for English, Dutch and math were collected, a standardised mathematics test was executed at baseline and at 12 months. Data was analysed with (I) explorative linear regressions to investigate associations at baseline and follow-up and (II) mixed model analyses separately for each of the subject grades and the standardised mathematics test to investigate the effect of supplementation after 12 months. The krill oil group had a small significant increase in the mean O3I at all time points. However, very few participants achieved the intended target O3I range of 8–11%. At baseline a significant association between baseline O3I and English grade was show, additionally a trend for an association with Dutch grade was shown. After 12 months no significant associations were found. Additionally, there was no significant effect of krill oil supplementation on subject grades or standardised mathematics test score. In this study, no significant effect of krill oil supplementation on subject grades or standardised mathematics test performance was found. However, as many participants dropped out and/or were non-adherent, results should be interpreted with caution.
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- 2023
8. Evaluating effects of IBEM-U on decreasing alcohol consumption and heavy episodic drinking among university students in Colombia:Protocol for a randomized control trial
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Juliana Mejía-Trujillo, Augusto Pérez-Gómez, Hein de Vries, Liesbeth Mercken, Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
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Pharmacology ,Effects ,Prevention ,Heavy episodic drinking ,General Medicine ,Evaluation ,University students - Abstract
Background: Alcohol misuse is a serious problem among university students in Colombia as well as in other Latin American countries. Studies show consistently that this population presents the highest rates of alcohol use. Despite such a situation, there is a lack of preventive programs for university students in this region of the world. The purpose of this paper is to present the protocol to evaluate a preventive strategy called IBEM-U, based on Motivational Interviewing and the I-Change Model.Method: This protocol shows how the evaluation of the effectiveness of the IBEM-U program will be carried out. A randomized control trial with a within-subjects design with one follow-up at six months after the post-test will be implemented. The comparison group will receive an alternative program similar in length but focusing on another issue. Around 1000 participants over 18 years of age, from at least six different universities around the country, will be recruited.Results: It is expected that the program will be effective in reducing past month alcohol consumption up to 15% in the experimental group as the main outcome. Secondary and tertiary outcomes include decreasing heavy episodic drinking and increasing knowledge, awareness, risk perception, attitude, self-efficacy, intention, and action planning, regarding heavy episodic drinking.Conclusion: IBEM-U can be considered a highly appropriate approach for reducing alcohol misuse among university students. The main reasons for these results are the self-imposed goals based on long-term purposes, that could be seriously affected by the ingestion of high amounts of alcohol.
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- 2023
9. The facilitators and barriers of mHealth adoption and use among people with a low socioeconomic position:A scoping review
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Hengst, T.M., Lechner, L., Dohmen, D.A.J., Bolman, C.A.W., Department of Health Psychology, RS-Research Line Health psychology (part of UHC program), RS-Research Program Learning and Innovation in Resilient systems (LIRS), and Department of Strategic Management
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- 2023
10. Structureel stigma in ggz voor doven en slechthorenden: perspectief van cliënten en zorgverleners
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de Clerck, Goedele A. M., Willems, Roy A., RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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stigma ,qualitative ,deaf and hard of hearing ,health care ,mental health - Abstract
Achtergrond: Doven en slechthorenden (DSH) hebben een verhoogd risico op ernstige psychische problematiek; tegelijkertijd ervaren ze grote drempels bij toegang tot de ggz. Stigma rond doof-zijn (deaf stigma), het niet erkennen van de doelgroep en uitsluiting als gevolg daarvan, is een factor die zowel speelt bij mentaal welbevinden als bij toegankelijkheid van de ggz. Doel: Het exploreren van toegankelijkheidsdrempels voor de doelgroep in de ggz, vanuit het perspectief van zorggebruikers en zorgverleners. Methode: Bij 9 Vlaamse DSH en 9 zorgprofessionals werden semigestructureerde diepte-interviews afgenomen. Resultaten: De opeenstapeling van stigma rond doof-zijn gedurende de levensloop droeg bij aan zelfstigmatisering en psychische kwetsbaarheid en belemmerde de stap naar de hulpverlening. Als DSH toch hulp zochten, ervoeren ze ontoereikendheid van zorg. Hoewel zorgverleners handelden vanuit de intentie van een inclusieve dienstverlening, gaven zij blijk van weinig bewustzijn en kennis van de door DSH ervaren drempels. Ze gaven aan dat buitenlandse goedepraktijkvoorbeelden inzicht bieden in cultuursensitieve en taaladequate ggz. DSH gaven aan door de voorbeelden te worden bekrachtigd in hun behoeftes aan en recht op maatzorg. Conclusie: Structureel stigma manifesteert zich in de kloof tussen verwachtingen van zorggebruikers en zorgverleners rond een inclusieve ggz. Kennis- en bewustzijnsverhoging bij zorgverleners kunnen het begrip van inclusieve ggz voor DSH verruimen en vormgeving van toereikende maatzorg faciliteren.
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- 2023
11. Country and policy factors influencing the implementation of primary care-based alcohol screening: A comparison of Colombia, Mexico and Peru
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Kokole, Daša, Mercken, Liesbeth, Anderson, Peter, Mejía-Trujillo, Juliana, Perez-Gomez, Augusto, Bustamante, Ines, Piazza, Marina, Natera Rey, Guillermina, Arroyo, Miriam, Pérez De León, Alejandra, Bautista Aguilar, Natalia, Medina Aguilar, Perla Sonia, Schulte, Bernd, O'Donnell, Amy, de Vries, Hein, Jané-Llopis, Eva, Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
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alcohol screening ,COVID-19/diagnosis ,Primary Health Care ,Colombia/epidemiology ,Context ,Public Health, Environmental and Occupational Health ,DETERMINANTS ,SCIENCE ,Colombia ,Policy ,SETTINGS ,Peru ,Mexico/epidemiology ,Humans ,Peru/epidemiology ,Pandemics ,Mexico - Abstract
Researchers and practitioners recognise the importance of context when implementing healthcare interventions, but the influence of wider environment is rarely mapped. This paper identifies the country and policy-related factors potentially explaining the country differences in outcomes of an intervention focused on improving detection and management of heavy alcohol use in primary care in Colombia, Mexico and Peru. Qualitative data obtained through interviews, logbooks and document analysis are used to explain quantitative data on number of alcohol screenings and screening providers in each of the countries. Existing alcohol screening standards in Mexico, and policy prioritisation of primary care and consideration of alcohol as a public health issue in Colombia and Mexico positively contributed to the outcome, while the COVID-19 pandemic had a negative impact. In Peru, the context was unsupportive due to a combination of: political instability amongst regional health authorities; lack of focus on strengthening primary care due to the expansion of community mental health centres; alcohol considered as an addiction rather than a public health issue; and the impact of COVID-19 on healthcare. We found that wider environment-related factors interacted with the intervention implemented and can help explain country differences in outcomes.
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- 2023
12. Effect of Community Support on the Implementation of Primary Health Care-Based Measurement of Alcohol Consumption
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Adriana Solovei, Eva Jané-Llopis, Liesbeth Mercken, Inés Bustamante, Daša Kokole, Juliana Mejía-Trujillo, Perla Sonia Medina Aguilar, Guillermina Natera Rey, Amy O’Donnell, Marina Piazza, Christiane Sybille Schmidt, Peter Anderson, Hein de Vries, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health promotion, Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
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BARRIERS ,STRATEGIES ,Alcohol Drinking ,Primary Health Care ,IMPACT ,Health Personnel ,030503 health policy & services ,Public Health, Environmental and Occupational Health ,BRIEF INTERVENTION ,PREVENTION ,Article ,3. Good health ,Alcohol prevention ,MISUSE ,03 medical and health sciences ,0302 clinical medicine ,Community support ,Brief alcohol advice ,Humans ,030212 general & internal medicine ,Alcohol measurement ,0305 other medical science ,Mexico ,Primary health care - Abstract
Alcohol measurement delivered by health care providers in primary health care settings is an efficacious and cost-effective intervention to reduce alcohol consumption among patients. However, this intervention is not yet routinely implemented in practice. Community support has been recommended as a strategy to stimulate the delivery of alcohol measurement by health care providers, yet evidence on the effectiveness of community support in this regard is scarce. The current study used a pre-post quasi-experimental design in order to investigate the effect of community support in three Latin American municipalities in Colombia, Mexico, and Peru on health care providers’ rates of measuring alcohol consumption in their patients. The analysis is based on the first 5 months of implementation. Moreover, the study explored possible mechanisms underlying the effects of community support, through health care providers’ awareness of support, as well as their attitudes, subjective norms, self-efficacy, and subsequent intention toward delivering the intervention. An ANOVA test indicated that community support had a significant effect on health care providers’ rates of measuring alcohol consumption in their patients (F (1, 259) = 4.56, p = 0.034, ηp2 = 0.018). Moreover, a path analysis showed that community support had a significant indirect positive effect on providers’ self-efficacy to deliver the intervention (b = 0.07, p = 0.008), which was mediated through awareness of support. Specifically, provision of community support resulted in a higher awareness of support among health care providers (b = 0.31, p b = 0.23, p = 0.010). Results indicate that adoption of an alcohol measurement intervention by health care providers may be aided by community support, by directly impacting the rates of alcohol measurement sessions, and by increasing providers’ self-efficacy to deliver this intervention, through increased awareness of support. Trial Registration ID: NCT03524599; Registered 15 May 2018; https://clinicaltrials.gov/ct2/show/NCT03524599
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- 2022
13. Wankelend sprankelen
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Nijkamp, M.D., Bakker, E.C., Völlink, Trijntje, Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
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- 2022
14. Long-Term Effects on Loneliness of a Computer-Tailored Intervention for Older Adults With Chronic Diseases: A Randomized Controlled Trial
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Esmee Volders, Lilian Lechner, Renate H. M. de Groot, Catherine Bolman, Janet M. Boekhout, RS-Research Line Health psychology (part of UHC program), Department of Health Psychology, Department of Conditions for Lifelong Learning, RS-Research Line Conditions for Lifelong Learning (part of ERA program), RS: NUTRIM - R3 - Respiratory & Age-related Health, and Complexe Genetica
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medicine.medical_specialty ,Emotions ,Physical activity ,law.invention ,chronic diseases ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,AGE ,Randomized controlled trial ,030502 gerontology ,law ,QUALITY-OF-LIFE ,PEOPLE ,Intervention (counseling) ,loneliness ,Medicine ,Humans ,030212 general & internal medicine ,Social isolation ,Social Behavior ,older adults ,METAANALYSIS ,Aged ,Community and Home Care ,Aged, 80 and over ,business.industry ,Computers ,mobility impairments ,DISABILITY ,Loneliness ,Articles ,Tailored Intervention ,Term (time) ,SOCIAL-ISOLATION ,PHYSICAL-ACTIVITY ,EMOTIONAL LONELINESS ,Chronic Disease ,Physical therapy ,RISK-FACTORS ,HEALTH ,Geriatrics and Gerontology ,medicine.symptom ,0305 other medical science ,business ,Gerontology - Abstract
Objectives: This study explores the effects of the Active Plus intervention aiming to decrease loneliness among older adults (>65 years) with chronic diseases. Methods: A randomized controlled trial (RCT) was performed (N = 585; age: M = 74.5 years, SD = 6.4), assessing loneliness at baseline, 6 months and 12 months. Outcome measures in the multilevel linear regression analyses were total, social and emotional loneliness. Results: At 12 months, significant decreases in total ( B = −.37, p = .01) and social loneliness ( B = −.24, p = .02) were found. Age was a significant moderator for total and social loneliness; however, the intervention was effective only for participants aged 80 years and older. Discussion: The Active Plus intervention showed a significant decrease in total and social loneliness and was especially beneficial for the vulnerable age group of 80 years and older. A more comprehensive tool for measuring social activity and mobility impairments, and using a longer time frame to detect loneliness changes, may form interesting future research.
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- 2021
15. Factors Associated With Intention and Use of e–Mental Health by Mental Health Counselors in General Practices: Web-Based Survey
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Ann E M De Veirman, Viviane Thewissen, Matthijs G Spruijt, Catherine A W Bolman, Department of Clinical Psychology, RS-Research Line Clinical psychology (part of UHC program), RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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Medicine (miscellaneous) ,Health Informatics - Abstract
Background Mental health care counselors have a high intention to use e–mental health (EMH), whereas actual use is limited. Facilitating future use requires insight into underlying factors as well as eligibility criteria that mental health care counselors use in their decision to apply EMH. Objective The aim of this study was to unfold the intention and underlying reasons for mental health counselors to use EMH and to unveil the criteria they use to estimate patient eligibility for EMH. The theoretical framework was based on the reasoned action approach model, the Unified Theory of Acceptance and Use of Technology, and the Measurement Instrument for Determinants of Innovation model. Methods To empirically validate our theoretical model, a web-based survey was conducted among mental health care counselors (n=132). To unveil the eligibility criteria, participants were asked to rank their reasons for considering EMH suitable or unsuitable for a patient. Results The mean intention to use EMH was positive (mean 4.04, SD 0.64). The mean use of EMH before the COVID-19 pandemic was 38% (mean 0.38, SD 0.22), and it was 49% (mean 0.49, SD 0.25) during the pandemic. In total, 57% of the patient population was considered eligible for EMH. Usefulness and benefits (β=.440; P Conclusions To stimulate the use of EMH, intention and patient eligibility need to be influenced. Intention, in turn, can be enhanced by addressing the perceived usefulness and benefits of EMH, perceived accessibility, and task perception. Access to a computer and patients’ motivation to use EMH are important in facilitating patient eligibility. To cause an impact with EMH in general practice, mental health counselors need to be convinced of the benefits of EMH and transfer this enthusiasm to the patient. It is recommended to involve mental health counselors in the development of EMH to increase the (perceived) added value and use.
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- 2022
16. Digital health interventions to improve eating behaviour of people with a lower socioeconomic position
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Ronteltap, Amber, Bukman, Andrea J., Nagelhout, Gera E., Hermans, Roel C. J., Hosper, Karen, Havenman-Nies, Annemien, Lupker, Remko, Bolman, C.A.W., RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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Scoping review ,Behaviour change technique (BCT) ,Nutrition and Dietetics ,Eating behaviour ,Endocrinology, Diabetes and Metabolism ,Public Health, Environmental and Occupational Health ,Consumptie en Gezonde Leefstijl ,Medicine (miscellaneous) ,Intervention ,eHealth ,Consumption and Healthy Lifestyles ,Social class - Abstract
Specific approaches are needed to reach and support people with a lower socioeconomic position (SEP) to achieve healthier eating behaviours. There is a growing body of evidence suggesting that digital health tools exhibit potential to address these needs because of its specific features that enable application of various behaviour change techniques (BCTs). The aim of this scoping review is to identify the BCTs that are used in diet-related digital interventions targeted at people with a low SEP, and which of these BCTs coincide with improved eating behaviour. The systematic search was performed in 3 databases, using terms related to e/m-health, diet quality and socioeconomic position. A total of 17 full text papers were included. The average number of BCTs per intervention was 6.9 (ranged 3–15). BCTs from the cluster ‘Goals and planning’ were applied most often (25x), followed by the clusters ‘Shaping knowledge’ (18x) and ‘Natural consequences’ (18x). Other frequently applied BCT clusters were ‘Feedback and monitoring’(15x) and ‘Comparison of behaviour’ (13x). Whereas some BCTs were frequently applied, such as goal setting, others were rarely used, such as social support. Most studies (n = 13) observed a positive effect of the intervention on eating behaviour (e.g. having breakfast) in the low SEP group, but this was not clearly associated with the number or type of applied BCTs. In conclusion, more intervention studies focused on people with a low SEP are needed to draw firm conclusions as to which BCTs are effective in improving their diet quality. Also, further research should investigate combinations of BCTs, the intervention design and context, and the use of multicomponent approaches. We encourage intervention developers and researchers to describe interventions more thoroughly, following the systematics of a behaviour change taxonomy, and to select BCTs knowingly.
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- 2022
17. MyLifestyleCoach: Development and evaluation of a web-based computer-tailored intervention for diet and physical activity guided by self-determination theory and motivational interviewing
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Coumans, J.M.J., Lechner, Lilian, Bolman, C, Oenema, Anke, Expertise Centre for Education, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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- 2022
18. Exploring reasons for non-participation in colorectal cancer screening:a systematic review of qualitative studies
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Le Bonniec, Alice, Meade, Oonagh, Fredrix, M.F.A.M., Morrissey, E., O'Carroll, Ronan, Murphy, Patrick, McSharry, Jenny, Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
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- 2022
19. Exploring the implementation of text message reminders for cervical screening in Ireland
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Jenny McSharry, Milou Fredrix, Estelle McLaughlin, Aoife Collins, Hannah Molloy, Aedín Shiels, Caroline Mason Mohan, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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- 2022
20. Exploring perspectives of people with type-1 diabetes on goalsetting strategies within self-management education and care
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Milou Fredrix, Molly Byrne, Jenny McSharry, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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Background. Collaborative goal-setting strategies are widely recommended for diabetes self-management support within healthcare systems. Creating self-management plans that fit with peoples’ own goals and priorities has been linked with better diabetic control. Consequently, goal-setting has become a core component of many diabetes selfmanagement programmes such as the ‘Dose Adjustment for Normal Eating (DAFNE) programme’. Within DAFNE, people with Type-1 Diabetes (T1D) develop their own goals along with action-plans to stimulate goal-achievement. While widely implemented, limited research has explored how goal-setting strategies are experienced by people with diabetes.Therefore, this study aims to explore the perspectives of people with T1D on theimplementation and value of goal-setting strategies within DAFNE and follow-up diabetes care. Furthermore, views on barriers and facilitators to goal-attainment are explored.Methods. Semi-structured interviews were conducted with 20 people with T1D who attended a DAFNE-programme. Following a longitudinal qualitative research design, interviews took place 1 week, and 6-8 months after completion of DAFNE. A recurrent cross-sectional approach is applied in which themes will be identified at each time-point using thematic analyses.Expected results. Preliminary identified themes surround the difference in value that participants place on goal-setting strategies, and the lack of support for goal-achievement within diabetes care.Current stage. Data collection complete; data-analysis ongoing.Discussion. Goal-setting strategies are increasingly included in guidelines for diabetes support and have become essential parts of many primary care improvement schemes. Therefore, exploring the perspectives of people with T1D on the value and implementation of goal-setting strategies is vital for their optimal application.
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- 2022
21. Robust Identification of Determinants of Physical Activity Behaviour Change
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Hommersom, A.J., Tummers, S.C.M.W., Bolman, C.A.W., Bemelmans, Roger, Lechner, E.H.S., Department of Computer Science, RS-Research Line Artificial intelligence (part of THIS program), RS-Research Line Resilience (part of LIRS program), RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
- Published
- 2022
22. Determinants of physical activity behaviour change in (online) interventions, and gender-specific differences: a Bayesian network model
- Author
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Simone Catharina Maria Wilhelmina Tummers, Arjen Hommersom, Lilian Lechner, Roger Bemelmans, Catherine Adriana Wilhelmina Bolman, RS-Research Line Health psychology (part of UHC program), RS-Research Line Artificial intelligence (part of THIS program), Department of Health Psychology, Department of Computer Science, and RS-Research Line Resilience (part of LIRS program)
- Subjects
Male ,Nutrition and Dietetics ,Physical activity ,Medicine (miscellaneous) ,Long- and short-term behaviour change ,Physical Therapy, Sports Therapy and Rehabilitation ,Bayes Theorem ,Intention ,Differences by gender ,Motor Activity ,Exercise/psychology ,Bayesian network ,Sex Factors ,Integrated dataset ,Software Science ,E-health intervention ,Humans ,Female ,Exercise ,Determinants - Abstract
Background Physical activity (PA) is known to be beneficial for health, but adherence to international PA guidelines is low across different subpopulations. Interventions have been designed to stimulate PA of different target groups by influencing relevant psycho-social determinants, essentially based on a combination of the Integrated Model for Change, the Theory of Planned Behaviour, its successor the Reasoned Action Approach and the self-determination theory. The current study investigates the pathways through which interventions influence PA. Further, gender differences in pathways of change are studied. Methods An integrated dataset of five different randomised controlled trial intervention studies is analysed by estimating a Bayesian network. The data include measurements, at baseline and at 3, 6 (short-term), and 12 (long-term) months after the baseline, of important socio-cognitive determinants of PA, demographic factors, and PA outcomes. A fragment is extracted from the Bayesian network consisting of paths between the intervention variable, determinants, and short- and long-term PA outcomes. For each relationship between variables, a stability indicator and its mutual information are computed. Such a model is estimated for the full dataset, and in addition such a model is estimated based only on male and female participants’ data to investigate gender differences. Results The general model (for the full dataset) shows complex paths, indicating that the intervention affects short-term PA via the direct determinants of intention and habit and that self-efficacy, attitude, intrinsic motivation, social influence concepts, planning and commitment have an indirect influence. The model also shows how effects are maintained in the long-term and that previous PA behaviour, intention and attitude pros are direct determinants of long-term PA. The gender-specific models show similarities as well as important differences between the structures of paths for the male- and female subpopulations. For both subpopulations, intention and habit play an important role for short-term effects and maintenance of effects in the long-term. Differences are found in the role of self-efficacy in paths of behaviour change and in the fact that attitude is relevant for males, whereas planning plays a crucial role for females. The average of these differences in subpopulation mechanisms appears to be presented in the general model. Conclusions While previous research provided limited insight into how interventions influence PA through relevant determinants, the Bayesian network analyses show the relevance of determinants mentioned by the theoretical framework. The model clarifies the role that different determinants play, especially in interaction with each other. The Bayesian network provides new knowledge about the complex working mechanism of interventions to change PA by giving an insightful overview of influencing paths. Furthermore, by presenting subpopulation-specific networks, the difference between the influence structure of males and females is illustrated. These new insights can be used to improve interventions in order to enhance their effects. To accomplish this, we have developed a new methodology based on a Bayesian network analysis which may be applicable in various other studies.
- Published
- 2022
23. Determinants of healthful eating and physical activity among adolescents and young adults with type 1 diabetes in Qatar: A qualitative study
- Author
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Hanan AlBurno, Liesbeth Mercken, Hein de Vries, Dabia Al Mohannadi, Francine Schneider, Department of Health Psychology, RS-Research Line Health psychology (part of UHC program), Health promotion, and RS: CAPHRI - R6 - Promoting Health & Personalised Care
- Subjects
Adult ,Multidisciplinary ,Adolescent ,Type 1/therapy ,Glycemic Control ,Qatar/epidemiology ,Young Adult ,Diabetes Mellitus, Type 1 ,Diabetes Mellitus ,Humans ,Diabetes Mellitus, Type 1/therapy ,Qatar ,Exercise ,Qualitative Research - Abstract
Background In Qatar, as in the rest of the world, the sharp rise in the prevalence of type 1 diabetes (T1D) is a leading cause for concern, in terms associated with morbidity, mortality, and increasing health costs. Besides adhering to medication, the outcome of diabetes management is also dependent on patient adherence to the variable self-care behaviors including healthful eating (HE) and physical activity (PA). Yet, dietary intake and PA in adolescents and young adults (AYAs) with T1D are known to fall short of recommended guidelines. The aim of this study was to develop an in-depth understanding of the behavioral determinants of HE and PA adherence among Arab AYAs within the age range of 17–24 years with T1D attending Hamad General Hospital. Methods Semi-structured, face-to-face individual interviews were conducted with 20 participants. Interviews were based on an integrative health behavior change model, the I-Change model (ICM). All interviews were audio-recorded, transcribed verbatim, and analyzed using the framework method. Results More participants reported non-adherence than adherence. Several motivational determinants of adherence to HE and PA were identified. The majority of participants were cognizant of their own behaviors towards HE and PA. Yet, some did not link low adherence to HE and PA with increased risks of health problems resulting from T1D. Facilitators to adherence were identified as being convinced of the advantages of HE and PA, having support and high self-efficacy, a high level of intention, and a good health care system. Conclusion The suboptimal adherence in AYAs to HE and PA needs more attention. Supportive actions are needed to encourage adherence to a healthy lifestyle to achieve benefits in terms of glycemic control and overall health outcomes, with a special focus on adolescents. Interventions are needed to foster motivation by addressing the relevant determinants in order to promote adherence to these two behaviors in AYAs with T1D.
- Published
- 2022
24. Staying Positive in a Negative situation: Applying the positive health strategy in preventing distress in lung cancer patients
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Nijkamp, M.D., de Graaf, Netty, Jacobs, N.E., Department of Health Psychology, RS-Research Line Health psychology (part of UHC program), RS-Research Line Lifespan psychology (part of UHC program), and Department of Lifespan Psychology
- Abstract
Background Timely signaling of distress in cancer patients is important. Due to the focus on medical treatment, patients and healthcare providers often overlook other options for leading a higher quality, meaningful life with this critical illness. By shifting the emphasis to resilience and well-being (rather than ill-health), the patient can be empowered and distress may be prevented. Aims To compare the Distress Thermometer and the spider-web diagram, a visualization tool that represents patients’ assessments of different aspects of their lifes. Method A quantitative study was carried out among lung cancer patients (n=112) at the Albert Schweitzer hospital in the Netherlands. They all completed the Distress Thermometer as well as the Spider-Web diagram (Dialogue tool 1.0 of the Institute for Positive Health), and a satisfaction questionnaire (min 1 to max 10). Results The spider-web does not represent an external norm, it reflects the personal evaluation of the situation. Patients' satisfaction scores of the Spider Web exceeded the distress thermometer (8.0 ± 1.3 vs 6.9 ± 1.2). More specifically, they felt more able to state problems and concerns (t (- .67), p Conclusion Satisfaction and preference among patients was in favor of the Spider Web. It is recommended that oncology teams start a conversation about deploying the most appropriate instrument for prevention of distress, preferably aimed at mapping mental well-being and enhancing positive qualities.
- Published
- 2022
25. (WIP) Helping children cope with a parent’s cancer diagnosis: 'the telling box' – a pilot study
- Author
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Bruls, Femke, Heyjerjans, Christel, Roijen, Rianne, Völlink, T., Bakker, E.C., Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
- Subjects
General Medicine - Published
- 2023
26. Equity-specific effects of interventions to promote physical activity among middle-aged and older adults
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Claudia R. Pischke, Steve Iliffe, Richard W Morris, Benjamin Schüz, Gesa Czwikla, Derek G Cook, Denise A. Peels, Frank J. van Lenthe, Julie Vanderlinden, Tess Harris, Johan de Jong, Gabriele Bolte, Martin Stevens, Klaus Telkmann, Saskia Muellmann, Filip Boen, Lisa Karla Hilz, Lilian Lechner, Public Health, RS-Research Line Health psychology (part of UHC program), Department of Health Psychology, Healthy Lifestyle, Sports and Physical Activity, and Public Health Research (PHR)
- Subjects
Gerontology ,INDICATORS ,MARITAL-STATUS ,Re-analysis ,lichamelijke activiteit ,Equity impact assessment ,Middle-aged adults ,Psychological intervention ,Medicine (miscellaneous) ,Nutritional diseases. Deficiency diseases ,HEALTH RESEARCH ,Interventions ,Nutrition and Dietetics ,Health Equity ,CHALLENGES ,Middle Aged ,Older adults ,PUBLIC-HEALTH ,Marital status ,Public Health ,Public aspects of medicine ,RA1-1270 ,Psychology ,BEHAVIOR ,medicine.medical_specialty ,RC620-627 ,Behavioural sciences ,Physical Therapy, Sports Therapy and Rehabilitation ,SYNTHESIZING EVIDENCE ,Health Promotion ,oudere volwassenen ,SDG 3 - Good Health and Well-being ,Intervention (counseling) ,medicine ,Humans ,Social inequality ,SOCIAL INEQUALITIES ,sociale ongelijkheid ,Exercise ,METAANALYSIS ,Aged ,MODERATORS ,Physical activity ,Research ,Public health ,Equity (finance) ,Intervention ,Intervention-generated inequalities ,Social inequalities ,Disadvantaged ,SOCIOECONOMIC POSITION - Abstract
Background Reducing inequalities in physical activity (PA) and PA-associated health outcomes is a priority for public health. Interventions to promote PA may reduce inequalities, but may also unintentionally increase them. Thus, there is a need to analyze equity-specific intervention effects. However, the potential for analyzing equity-specific effects of PA interventions has not yet been sufficiently exploited. The aim of this study was to set out a novel equity-specific re-analysis strategy tried out in an international interdisciplinary collaboration. Methods The re-analysis strategy comprised harmonizing choice and definition of outcomes, exposures, socio-demographic indicators, and statistical analysis strategies across studies, as well as synthesizing results. It was applied in a collaboration of a convenience sample of eight European PA intervention studies in adults aged ≥45 years. Weekly minutes of moderate-to-vigorous PA was harmonized as outcome. Any versus no intervention was harmonized as exposure. Gender, education, income, area deprivation, and marital status were harmonized as socio-demographic indicators. Interactions between the intervention and socio-demographic indicators on moderate-to-vigorous PA were analyzed using multivariable linear regression and random-effects meta-analysis. Results The collaborative experience shows that the novel re-analysis strategy can be applied to investigate equity-specific effects of existing PA interventions. Across our convenience sample of studies, no consistent pattern of equity-specific intervention effects was found. Pooled estimates suggested that intervention effects did not differ by gender, education, income, area deprivation, and marital status. Conclusions To exploit the potential for equity-specific effect analysis, we encourage future studies to apply the strategy to representative samples of existing study data. Ensuring sufficient representation of ‘hard to reach’ groups such as the most disadvantaged in study samples is of particular importance. This will help to extend the limited evidence required for the design and prioritization of future interventions that are most likely to reduce health inequalities.
- Published
- 2021
27. Stay Safe and Strong: Characteristics, Roles and Emotions of Student-Produced Comics Related to Cyberbullying
- Author
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Consuelo Mameli, Laura Menabò, Antonella Brighi, Damiano Menin, Catherine Culbert, Jayne Hamilton, Herbert Scheithauer, Peter K. Smith, Trijntje Völlink, Roy A. Willems, Noel Purdy, Annalisa Guarini, RS-Research Line Health psychology (part of UHC program), Department of Health Psychology, Mameli, Consuelo, Menabò, Laura, Brighi, Antonella, Menin, Damiano, Culbert, Catherine, Hamilton, Jayne, Scheithauer, Herbert, Smith, Peter K., Völlink, Trijntje, Willems, Roy A., Purdy, Noel, and Guarini, Annalisa
- Subjects
VICTIMIZATION ,Adult ,Male ,Cyberbullying - psychology ,arts-based method ,PERCEPTIONS ,SCHOOL-STUDENTS ,Adolescent ,IMPACT ,Health, Toxicology and Mutagenesis ,Emotions ,CHILDREN ,300 Sozialwissenschaften::370 Bildung und Erziehung::370 Bildung und Erziehung ,co-participatory approach ,cyberbullying ,VALIDATION ,Cyberbullying ,SDG 3 - Good Health and Well-being ,comics ,Adolescent Behavior - psychology ,Humans ,adolescents ,Students ,Crime Victims ,Students - psychology ,Internet ,300 Sozialwissenschaften::300 Sozialwissenschaften, Soziologie::304 Das Sozialverhalten beeinflussende Faktoren ,SDG 16 - Peace, Justice and Strong Institutions ,Public Health, Environmental and Occupational Health ,Bullying ,REPRESENTATIONS ,VICTIMS ,CROSS ,Crime Victims - psychology ,Adolescent Behavior ,Female ,Bullying - psychology ,RESPONSES - Abstract
The present study aimed at giving voice to students from disadvantaged socio-economic backgrounds using a co-participatory approach. Participants were 59 adolescents (52.5% males) aged between 14 and 16 from five European countries who created ten comics to illustrate cyberbullying for a broader audience of peers. We analyzed texts and images according to four primary themes: cyberbullying episodes (types, platforms, co-occurrence with bullying), coping strategies, characters (roles, gender, and group membership), and emotions. The content analysis showed that online denigration on social media platforms was widely represented and that cyberbullying co-existed with bullying. Social strategies were frequently combined with passive and confrontational coping, up to suicide. All roles (cyberbully, cybervictim, bystander, reinforcer, defender) were portrayed among the 154 characters identified, even if victims and defenders appeared in the vignettes more often. Males, females, peers, and adults were represented in all roles. Among the 87 emotions detected, sadness was the most frequently expressed, followed by joy, surprise, anger, and fear. Emotions, mainly represented by drawings or drawings with text, were most often represented in association with cybervictims. The results are discussed in terms of their methodological and practical implications, as they emphasize the importance of valorizing young peoples’ voices in research and interventions against cyberbullying.
- Published
- 2022
28. The Dutch COVID-19 Notification App: Lessons Learned From a Mixed Methods Evaluation Among End Users and Contact-Tracing Employees
- Author
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Joris Elmar van Gend, Jan Willem Jaap Roderick van 't Klooster, Catherine Adriana Wilhelmina Bolman, Julia Elisabeth Wilhelmina Cornelia van Gemert-Pijnen, BMS - Laboratory, TechMed Centre, Psychology, Health & Technology, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
- Subjects
Medicine (miscellaneous) ,Health Informatics - Abstract
Background The Dutch CoronaMelder (CM) app is the official Dutch contact-tracing app (CTA). It has been used to contain the spread of the SARS-CoV-2 in the Netherlands. It allows its users and those of connected apps to anonymously exchange warnings about potentially high-risk contacts with individuals infected with the SARS-CoV-2. Objective The goal of this mixed methods study is to understand the use of CTA in the pandemic and its integration into the Municipal Health Services (MHS) efforts of containment through contact tracing. Moreover, the study aims to investigate both the motivations and user experience–related factors concerning adherence to quarantine and isolation measures. Methods A topic analysis of 56 emails and a web-based survey of 1937 adults from the Netherlands, combined with a series of 48 in-depth interviews with end users of the app and 14 employees of the Dutch MHS involved in contact tracing, were conducted. Mirroring sessions were held (n=2) with representatives from the development (n=2) and communication teams (n=2) responsible for the creation and implementation of the CM app. Results Topic analysis and interviews identified procedural and technical issues in the use of the CTA. Procedural issues included the lack of training of MHS employees in the use of CTAs. Technical issues identified for the end users included the inability to send notifications without phone contact with the MHS, unwarranted notifications, and nightly notifications. Together, these issues undermined confidence in and satisfaction with the app’s use. The interviews offered a deeper understanding of the various factors at play and their effects on users; for example, the mixed experiences of the app’s users, the end user’s own fears, and uncertainties concerning the SARS-CoV-2; problematic infrastructure at the time of the app’s implementation on the side of the health services; the effects of the society-wide efforts in containment of the SARS-CoV-2 on the CM app’s perception, resulting in further doubts concerning the app’s effectiveness among MHS workers and citizens; and problems with adherence to behavioral measures propagated by the app because of the lack of confidence in the app and uncertainty concerning the execution of the behavioral measures. All findings were evaluated with the app’s creators and have since contributed to improvements. Conclusions Although most participants perceived the app positively, procedural and technical issues identified in this study limited satisfaction and confidence in the CM app and affected its adoption and long-term use. Moreover, these same issues negatively affected the CM app’s effectiveness in improving compliance with behavioral measures aimed at reducing the spread of the SARS-CoV-2. This study offers lessons learned for future eHealth interventions in pandemics. Lessons that can aid in more effective design, implementation, and communication for more effective and readily adoptable eHealth applications.
- Published
- 2022
29. The effects of a web-based computer-tailored diet and physical activity intervention based on self-determination theory and motivational interviewing: A randomized controlled trial
- Author
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Juul M.J. Coumans, Catherine A.W. Bolman, Anke Oenema, Lilian Lechner, Expertise Centre for Education, RS-Research Program Educational research on activating (online) education (ERA), RS-Research Line Health psychology (part of UHC program), Department of Health Psychology, RS: CAPHRI - R6 - Promoting Health & Personalised Care, and Health promotion
- Subjects
Physical activity ,FRUIT ,Motivational interviewing ,QUESTIONNAIRE ,Health Informatics ,Effectiveness ,CONSUMPTION ,ADULTS ,EFFICACY ,Self-determination theory ,Diet ,Randomized controlled trial ,eHealth ,LIFE-STYLE ,PSYCHOSOCIAL PREDICTORS ,BEHAVIOR ,METAANALYSIS - Abstract
BackgroundAccording to self-determination theory (SDT), autonomous forms of motivation are more likely to result in sustained behavioral changes than controlled forms. Principles of motivational interviewing (MI) can be applied to facilitate more autonomous forms of motivation. This study investigated whether a combined diet and physical activity (PA) web-based computer-tailored intervention based on SDT and MI, called MyLifestyleCoach, was effective in promoting dietary and PA behaviors.MethodsA two-arm randomized controlled trial with 1142 Dutch adults was conducted. The intervention and control group completed questionnaires at baseline, 6, and 12 months from baseline. Only participants in the intervention condition had access to MyLifestyleCoach. The waiting list control condition had access to the intervention after completing the 12-month follow-up questionnaire. A modified food frequency questionnaire was used to measure dietary behaviors (fruit, vegetables, fish, and unhealthy snacks). The Dutch Short Questionnaire to ASsess Health was used to measure the weekly minutes of moderate-to-vigorous PA (MVPA). Usage data, which is operationalized as completed sessions in this study, was objectively assessed by log data. We conducted two-step linear mixed effect models. In the first step, a model consisting of condition, time, potentially confounding variables and a random intercept for participants was tested. In the second step, an interaction term was added to investigate the intervention's (time × condition) and usage (time × opening session and time × completed sessions) effects over time for the dietary and PA outcomes.ResultsThe findings showed no differences between the groups for all four dietary behaviors and the weekly minutes of MVPA at any of the time points. In-depth analyses showed that participants who followed the opening session of the intervention, in which they received personalized feedback on their behaviors, had a stronger increase in fruit consumption at 6 months and 12 months than participants who did not follow the interventions' opening session. Lastly, participants who followed more sessions in the diet module had a stronger increase in fruit and vegetable consumption at 6 months, and a stronger decrease in the consumption frequency of unhealthy snacks at 12 months post-baseline.ConclusionOverall, the intervention was not effective in changing dietary and PA behavior. However, moderation analyses suggest that the intervention is effective in changing dietary behavior for those participants who used the intervention more intensively. Further research should focus on improving intervention use.
- Published
- 2022
30. Gezondheidsvoorlichting en gedragsverandering: een planmatige aanpak
- Author
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Brug, Johannes, van Assema, Patricia, Lechner, Lilian, Kremers, Stef, RS-Research Line Health psychology (part of UHC program), Department of Health Psychology, RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, RS: CAPHRI - R6 - Promoting Health & Personalised Care, and Health promotion
- Abstract
10e geheel herziene druk, 2022
- Published
- 2022
31. Gedragsverandering: van theoretische methodiek naar praktische toepassing
- Author
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Ruiter, Robert A. C., Crutzen, Rik, Lechner, Lilian, Meertens, Ree, Kok, Gerjo, Brug, Johannes, van Assema, Patricia, Kremers, Stef, RS-Research Line Health psychology (part of UHC program), Department of Health Psychology, Section Work & Organisational Psychology, RS: FPN WSP II, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health promotion, RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, and Section Applied Social Psychology
- Published
- 2022
32. An exploration of perceptions and preferences for healthy eating in Dutch consumers: a qualitative pilot study
- Author
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Anke Oenema, Catherine Bolman, Juul M. J. Coumans, Lilian Lechner, Expertise Centre for Education (Consultancy, Training and Production), RS-Research Line Health psychology (part of UHC program), Department of Health Psychology, RS: CAPHRI - R6 - Promoting Health & Personalised Care, and Health promotion
- Subjects
SAMPLE ,Psychological intervention ,Medicine (miscellaneous) ,Qualitative property ,Computer-assisted web interviewing ,03 medical and health sciences ,0302 clinical medicine ,DIETARY ,Environmental health ,Qualitative research ,medicine ,eHealth ,030212 general & internal medicine ,Product (category theory) ,Dutch consumers ,Perceptions on healthy eating ,lcsh:R5-920 ,030505 public health ,ORGANIC FOODS ,business.industry ,Research ,medicine.disease ,Obesity ,Dietary guidelines ,Food processing ,NUTRITION ,0305 other medical science ,business ,Psychology ,lcsh:Medicine (General) - Abstract
Background Unhealthy dietary patterns are highly prevalent in Western countries, and they have been associated with depression, hypertension, heart disease, cancer, type 2 diabetes, and obesity. Many dietary interventions have been developed to promote healthier dietary behavior, yet most do not achieve the intended dietary change. This study aims to provide a better understanding of what Dutch consumers perceive as a healthy diet, how this relates to the current Dutch nutrition guidelines, and their preferences for how to eat more healthily. This is an essential consideration for the development of tailored interventions aimed to help people adopt changes in their dietary behavior. Methods Seventy-eight participants filled in an online questionnaire containing both open-ended and closed-ended questions. The qualitative data was analyzed using content analysis resulting in a classification scheme. Two students then identified to which category each part of a participant’s answer belonged. Results For both the perception of a healthy diet and how to eat healthily, four major categories and a residual category were identified: dietary patterns, food processing, food products, content/nutrients, and non-food. These major categories consisted of several categories. The results showed that how people perceived a healthy diet was mostly represented at the level of food product (vegetables and fruit) and the content/nutrient level (carbohydrates), whereas how they would like to eat healthily was mostly represented at the level of food processing (preparation), food product (vegetables), and dietary patterns (amount). Conclusions Our findings are mostly in line with how the Dutch dietary guidelines are communicated (“product level”). However, consumers primarily mention single aspects instead of naming the guidelines as a whole. Health policymakers can use this insight in future communications regarding the guidelines to the general public. A challenge for future (eHealth) diet interventions is how to implement and tailor dietary information that optimally connects with the perceptions of the target population.
- Published
- 2021
33. Adding Mobile Elements to Online Physical Activity Interventions for Adults Aged Over 50 Years: Prototype Development Study
- Author
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Eline H G M Collombon, Denise A Peels, Catherine A W Bolman, Gert-Jan de Bruijn, Lilian Lechner, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
- Subjects
usability ,mHealth ,physical activity ,Medicine (miscellaneous) ,eHealth ,Health Informatics ,Human medicine ,prototype ,development ,older adults ,pilot test - Abstract
Background Only a minority of adults aged over 50 years meet physical activity (PA) guidelines of the World Health Organization (WHO). eHealth interventions are proven effective tools to help this population increase its PA levels in the short term, among which the Active Plus and I Move interventions have been developed by our own research group. To achieve long-term effects, increase intervention use, and decrease dropout rates, 3 emergent but different mobile elements (an activity tracker, an ecological momentary intervention [EMI] program, and a chatbot) were added separately to Active Plus and I Move. In this study, the prototype development and pilot-testing of these interventions is described. Objective This study aims to enhance 2 existing PA-stimulating computer-based interventions with 3 mobile elements (an activity tracker, an EMI program, or a chatbot) and test the prototypes on usability and appreciation within a target population of adults aged over 50 years. Methods A systematic design protocol consisting of development, evaluation, and adaptation procedures was followed with involvement of the target population. Literature searches separated per mobile element and interviews with the target population (N=11) led to 6 prototypes: Active Plus or I Move including (1) an activity tracker, (2) EMI, or (3) a chatbot. These prototypes were tested on usability and appreciation during pilot tests (N=47) and subsequently fine-tuned based on the results. Results The literature searches and interviews provided important recommendations on the preferences of the target population, which enabled us to develop prototypes. The subsequent pilot tests showed that the mobile elements scored moderate to good on usability, with average System Usability Scale (SUS) scores of 52.2-82.2, and moderate to good on enjoyment and satisfaction, with average scores ranging from 5.1 to 8.1 on a scale of 1-10. The activity tracker received the best scores, followed by EMI, followed by the chatbot. Based on the findings, the activity tracker interventions were fine-tuned and technical difficulties regarding EMI and the chatbot were solved, which is expected to further improve usability and appreciation. Conclusions During this study, 6 prototypes of online PA interventions with added mobile elements were developed and tested for usability and appreciation. Although all prototypes scored moderate to high on usability, enjoyment, and satisfaction, it can be concluded that the integration of an activity tracker with a computer-based PA intervention is the most promising option among the 3 mobile elements tested during this study. The prototype development steps of the systematic design protocol followed can be considered useful and successful for the purposes of this study. The interventions can now be evaluated on a larger scale through a randomized controlled trial. International Registered Report Identifier (IRRID) RR2-10.2196/31677
- Published
- 2023
34. Motivational factors for initiating and maintaining physical activity among adults aged over fifty targeted by a tailored intervention
- Author
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Aart N. Mudde, Hein de Vries, Denise A. Peels, Catherine A W Bolman, Rianne H. J. Golsteijn, Lilian Lechner, Peter Verboon, Maartje M. van Stralen, Health promotion, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Department of Health Psychology, RS-Research Line Health psychology (part of IIESB program), Section Methodology & Statistics, RS-Research Line Methodology & statistics (part of IIESB program), RS-Research Program The Interaction between Implicit and Explicit Strategies for Behaviour (IIESB), Prevention and Public Health, and APH - Health Behaviors & Chronic Diseases
- Subjects
Male ,INTENTIONS ,IMPACT ,BEHAVIOR-CHANGE ,physical activity ,Intention ,DETERMINANTS ,0302 clinical medicine ,QUALITY-OF-LIFE ,IMPLEMENTATION ,030212 general & internal medicine ,Applied Psychology ,motivational determinants ,Behavior change ,General Medicine ,Middle Aged ,Tailored Intervention ,Self Efficacy ,Tailored intervention ,PUBLIC-HEALTH ,IMPLEMENTATION INTENTIONS ,motivational factors ,Female ,0305 other medical science ,Psychology ,Clinical psychology ,mediation analyses ,medicine.medical_specialty ,post-motivational determinants ,Physical activity ,Health Promotion ,03 medical and health sciences ,Quality of life (healthcare) ,Intervention (counseling) ,medicine ,Humans ,VALIDITY ,OLDER-ADULTS ,Exercise ,Aged ,Self-efficacy ,Motivation ,030505 public health ,Public health ,Public Health, Environmental and Occupational Health ,SELF-EFFICACY ,General Chemistry ,adults aged over fifty ,MAINTENANCE ,Mediation - Abstract
Objective: To provide insight into the motivational working mechanisms (i.e. mediators) of an effective physical activity (PA) intervention for adults aged over fifty. Design: The mediation model (N = 822) was investigated in an RCT for the total intervention population, participants who were not norm-active at baseline (targeting PA initiation) and norm-active participants (targeting PA maintenance) separately. Main Outcome Measures: Potential mediators (attitude, self-efficacy, intention, action planning and coping planning) of the effect on PA (6-months) were assessed at baseline, 3 and/or 6 months. Results: The intervention resulted in a decrease in intention (B= −.209; p=.017), and an increase in action planning (B=.214; p=.018) and PA (B=.220; p=.002). Intention and action planning did not mediate the effect on PA. Self-efficacy, although not significantly influenced by the intervention, was found to be the only motivational variable that predicted change in PA (B=.164; p=.007). These results were confirmed among participants initiating PA. Among norm-active participants no significant intervention effects were identified. Conclusion: The motivational factors cannot explain the intervention effect on PA. Most likely, the effect can be explained by an interaction between the motivational factors together. Differences between participants initiating versus maintaining PA, highlight the importance of performing mediation analyses per subgroup.
- Published
- 2020
35. The Role of Physical Activity Behavior in the Mental Wellbeing of Vocational Education and Training Students: The PHIT2LEARN Study
- Author
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Kirschner, Mara, Golsteijn, Rianne H. J., van der Wurff, Inge S. M., Savelberg, Hans H. C. M., de Groot, Renate H. M., RS: SHE - R1 - Research (OvO), Nutrition and Movement Sciences, RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, RS-Research Line Conditions for Lifelong Learning (part of ERA program), Department of Conditions for Lifelong Learning, Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
- Subjects
self-esteem ,vocational education and training ,FITNESS ,BIDIRECTIONAL RELATIONSHIP ,student mental wellbeing ,education ,SEDENTARY BEHAVIOR ,physical activity behavior ,EXERCISE ,VALIDATION ,Education ,observational design ,depressive symptoms ,ACHIEVEMENT ,sedentary behavior ,ADOLESCENTS ,VALIDITY - Abstract
A positive association has been found between physical activity (PA) and student mental wellbeing (SMW). This association has been mainly explored in secondary school and university students. Studies in vocational education and training (VET) are lacking, while VET students could especially benefit from exploring this association since research shows that VET students, who often come from low socioeconomic status (SES) households, are prone to low SMW. Low SMW can result in higher school dropout rates and long-term negative effects, such as unemployment, social exclusion, and impoverishment. The aim of the current study was to explore the association between total PA and different physical activity behaviors {PABs, i.e., moderate to vigorous physical activity (MVPA), light physical activity (LPA), and sedentary behavior (SB)}, and SMW in the VET setting. In this cross-sectional observational study, students wore an ActivPAL3™ accelerometer for 7 consecutive days to measure PAB. SMW was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D) and the Rosenberg self-esteem questionnaire (RSE). Complete data for the analyses were obtained from 85 students. Multiple regression analyses showed a significant positive association between total PA and self-esteem and a significant negative association between total PA and depressive symptoms. Taking different PA intensities into account, there was a significant positive association between LPA and self-esteem and a significant negative association between LPA and depressive symptoms. No significant associations were found between MVPA and the outcome measures, although the associations were aligned with the findings for LPA. High levels of SB were significantly associated with low self-esteem; however, the association between SB and depressive symptoms was not significant. The significant positive associations between LPA and SMW and the negative association between SB and self-esteem indicate that decreasing SB and increasing LPA could contribute to improve SMW. Future research should determine if these are causal relationships.
- Published
- 2022
36. The Acute Effects of Standing on Executive Functioning in Vocational Education and Training Students: The Phit2Learn Study
- Author
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Luteijn, P.J., van der Wurff, I.S.M., Singh, Amika, Savelberg, Hans, de Groot, R.H.M., Nutrition and Movement Sciences, RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, RS: SHE - R1 - Research (OvO), APH - Health Behaviors & Chronic Diseases, RS-Research Line Conditions for Lifelong Learning (part of ERA program), Department of Conditions for Lifelong Learning, and Department of Health Psychology
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INTERFERENCE ,INSULIN SENSITIVITY ,education ,SEDENTARY BEHAVIOR ,sitting ,CHILDREN ,CROSSOVER ,INDIVIDUAL-DIFFERENCES ,COGNITIVE PERFORMANCE ,cognitive functioning ,PHYSICAL-ACTIVITY ,WORKING-MEMORY ,sit-to-stand desk, executive functioning, cognitive functioning, sedentary behavior, vocational education and training students, sitting ,sit-to-stand desk ,SCHOOL ,TEST-RETEST RELIABILITY ,WORKING MEMORY ,executive functioning ,General Psychology ,vocational education and training students - Abstract
Research suggests that sedentary behavior (SB) is negatively associated with cognitive outcomes. Interrupting prolonged sitting has been shown to improve cognitive functions, including executive functioning (EF), which is important for academic performance. No research has been conducted on the effect of standing on EF in VET students, who make up a large proportion of the adolescent population and who are known to sit more than other students of this age. In this study, we investigated the acute effects of reducing SB by short time standing on EF in vocational education and training (VET) students. In a randomized crossover study, 165 VET students were first taught for 15 min in seated position. After this, they performed while seated the Letter Memory Test for updating, and the Color Shape Test for shifting and inhibition. Students were randomly assigned to a sitting or standing condition. All students were taught again for 15 min and then took the same tests in the condition they were allocated to, respectively, standing or seated. After 1 week, the test procedure was repeated, in which students switched conditions. Mixed model analyses showed no significant effect of sitting or standing on updating, shifting, or inhibition. Also, no significant differences were found for the order of condition on updating, shifting, or inhibition. Our results suggest that 40 min of standing does not significantly influence EF among VET students.
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- 2022
37. Clustering of motivational constructs based on self-determination theory for diet and physical activity and their associations with behaviour: a cross-sectional study
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Juul M. J. Coumans, Lilian Lechner, Catherine A. W. Bolman, Anke Oenema, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health promotion, Expertise Centre for Education, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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Motivation ,Exploratory factor analysis ,Nutrition and Dietetics ,RELATIVE VALIDITY ,Physical activity ,FRUIT ,Endocrinology, Diabetes and Metabolism ,VEGETABLE CONSUMPTION ,QUESTIONNAIRE ,ADULTS ,Key words Determinants ,Diet ,Self-determination theory ,PREVALENCE ,Cross-Sectional Studies ,Cluster Analysis ,Humans ,PSYCHOSOCIAL PREDICTORS ,HEALTH IMPACT ,Exercise ,Determinants ,LIFE-STYLE BEHAVIORS ,Food Science ,ALL-CAUSE MORTALITY - Abstract
The present study explored whether motivational constructs for diet and physical activity (PA) cluster and how these motivational constructs relate to dietary and PA behaviour. Data of 1142 participants were used from a randomised controlled trial examining the effects of a web-based diet and PA promotion intervention based on self-determination theory and motivational interviewing. Motivation was assessed using the Treatment Self-Regulation Questionnaire and Behavioural Regulation in Exercise Questionnaire. The dietary outcomes were measured using an adapted Food Frequency Questionnaire. PA was assessed using the Short QUestionnaire to ASsess Health. Spearman rank-order correlations showed large correlation coefficients (rs ≥ 0⋅63) between similar motivational constructs between the two lifestyle domains, except for intrinsic motivation where a medium correlation coefficient was found (rs = 0⋅41). Furthermore, the exploratory factor analysis illustrated that more self-determined forms of motivation seem to be more domain-specific. In contrast, non-self-determined forms of motivation seem to be domain-independent. Last, regression analyses demonstrated that intrinsic motivation towards PA was the only motivational construct significantly positively associated with all PA sub-behaviours (standardised regression coefficients ranging from 0⋅17 to 0⋅28, all P < 0⋅0125). Intrinsic motivation to eat healthily was significantly positively associated with fruits, vegetables and fish intake (standardised regression coefficients ranging from 0⋅11 to 0⋅16, all P < 0⋅0125), but not with unhealthy snacks. Insight of this exploratory study is useful for understanding the interrelationships of motivational induced behaviours, the development of interventions targeting multiple behaviours, and the construction of questionnaires.
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- 2022
38. E-Health and M-Health Interventions to Improve Eating Behaviour of People with a Lower Socioeconomic Position: A Scoping Review of Behaviour Change Techniques
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Ronteltap, Amber, Bukman, Andrea J., Nagelhout, Gera E., Hermans, Roel C. J., Hosper, Karen, Haveman-Nies, Annemien, Lupker, Remko, Bolman, C.A.W., RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
- Abstract
Specific approaches are needed to reach and support people with a lower socioeconomic position (SEP) to achieve healthier eating behaviours. There is a growing body of evidence suggesting that e-health tools exhibit potential to address these needs because of its specific features that enable application of various behaviour change techniques (BCTs). The overall aim of this scoping review is to identify the BCTs that are used in diet-related e-health and m-health interventions targeted at people with a low SEP. The systematic search was performed in 3 databases, using terms related to e/m-health, diet quality and socioeconomic position. A total of 17 full text papers were included. The average number of BCTs per intervention was 6.9 (ranged 3-15). BCTs from the cluster ‘Goals and planning’ were applied most often (25x), followed by the clusters ‘Shaping knowledge’ (18x) and ‘Natural consequences’ (18x). Other frequently applied BCT clusters were ‘Feedback and monitoring’ (15x) and ‘Comparison of behaviour’ (13x). Whereas some BCTs were frequently applied, such as goal setting, others were rarely used, such as social support. Most studies (n=13) observed a positive effect of the intervention on eating behaviour (e.g. having breakfast) in the low SEP group, but this was not clearly associated with the number or type of applied BCTs. In conclusion, more intervention studies focused on people with a low SEP are needed to draw firm conclusions as to which BCTs are effective in improving their diet quality. Also, further research should investigate combinations of BCTs, the intervention design and context, and the use of multicomponent approaches. We encourage intervention developers and researchers to describe interventions more thoroughly, following the systematics of a behaviour change taxonomy, and to select BCTs knowingly.
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- 2022
39. Exploring the association between school-based peer networks and smoking according to socioeconomic status and tobacco control context: a systematic review
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Hayley Reed, Fiona Dobbie, Mark McCann, Jemma Hawkins, Gregory F. Moore, Mala Mann, Liesbeth Mercken, Hannah Littlecott, G. J. Melendez-Torres, Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
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SELECTION ,Adolescent ,SOCIAL NETWORK ,Smoking Prevention ,Context (language use) ,ALCOHOL ,Social network analysis ,Tobacco Use ,ADOLESCENT CIGARETTE-SMOKING ,DRINKING ,Environmental health ,Tobacco ,Humans ,POSITION ,Association (psychology) ,Socioeconomic status ,SUBSTANCE USE ,Tobacco control ,Smoking ,Public Health, Environmental and Occupational Health ,Smoking legislation ,FRIENDSHIP NETWORKS ,Social Class ,Inequality ,Systematic review ,School based ,Public aspects of medicine ,RA1-1270 ,Psychology ,BEHAVIOR ,Systematic Reviews as Topic ,Research Article ,INTERVENTIONS ,Narrative review - Abstract
Background Whilst prevalence of youth smoking in middle and high income countries has decreased, inequality has prevailed. The introduction of legislation regulating tobacco use in public spaces varies across countries, impacting the tobacco control context. Thus reviewing our knowledge of how social networks may influence smoking differently within different contexts is required to facilitate the development of context-specific interventions. Methods The search, conducted on 31st May 2019, included the following smoking-related terms; schools, adolescents, peers and social networks. Inclusion and exclusion criteria were applied throughout the title and abstract screening and full text screening. Quality assessment and synthesis followed. Studies were narratively synthesised to identify changes according to legislative context. This synthesis was conducted separately for findings relating to three categories: socioeconomic status; social selection and influence; and network position. Results Thirty studies were included. Differences in the relationship between network characteristics and smoking according to socioeconomic status were measured in five out of fifteen studies in Europe. Results varied across studies, with differences in network characteristics and their association with smoking varying both between schools of a differing and those of a similar socioeconomic composition. For studies conducted both before and after the introduction of comprehensive smoking legislation, the evidence for selection processes was more consistent than influence, which varied according to reciprocity. Findings showed that isolates were more likely to smoke and in-degree and out-degree centrality were related to smoking both before and after the introduction of legislation. The relationship between popularity and smoking was contingent on school level smoking prevalence in studies conducted before the introduction of legislation, but not after. Conclusions Overall, effects according to socioeconomic status were underreported in the included studies and no consistent evidence of change after the introduction of a comprehensive smoking ban was observed. Further network analyses are required using more recent data to obtain a comprehensive understanding of how network processes may influence smoking differently according to socioeconomic status, and how adaptation could be used to enhance intervention effectiveness. Systematic review registration International Prospective Register of Systematic Reviews (PROSPERO) registration number: CRD42019137358.
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- 2022
40. Determinanten van gedrag
- Author
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Lechner, Lilian, Kremers, Stef, Meertens, Ree, de Vries, Hein, Brug, J, van Assema, P, Kremers, S, Lechner, L, RS: NUTRIM - R1 - Obesity, diabetes and cardiovascular health, Health promotion, RS: CAPHRI - R6 - Promoting Health & Personalised Care, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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- 2022
41. The Dutch corona notification app: lessons learnt from a mixed-method evaluation among end users and contact tracing employees
- Author
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van Gend, Joris, van t Klooster, Jan-Willem, Bolman, C.A.W., van Gemert-Pijnen, Julia, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
- Published
- 2022
42. Costs of an Alcohol Measurement Intervention in Three Latin American Countries
- Author
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Adriana Solovei, Jakob Manthey, Peter Anderson, Liesbeth Mercken, Eva Jané Llopis, Guillermina Natera Rey, Augusto Pérez Gómez, Juliana Mejía Trujillo, Inés Bustamante, Marina Piazza, Alejandra Pérez de León, Miriam Arroyo, Hein de Vries, Jürgen Rehm, Silvia Evers, Department of Health Psychology, RS-Research Line Health psychology (part of UHC program), RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health promotion, RS: CAPHRI - R2 - Creating Value-Based Health Care, and Health Services Research
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training ,Health, Toxicology and Mutagenesis ,alcohol measurement ,alcohol control ,costs ,community support ,Alcohol control ,Public Health, Environmental and Occupational Health ,Colombia ,Article ,Costs ,Latin America ,Community support ,Peru ,Training ,Medicine ,ddc:610 ,Alcohol measurement ,Delivery of Health Care ,Mexico ,health care economics and organizations - Abstract
Alcohol measurement in health care settings is an effective intervention for reducing alcohol-related harm. However, in many countries, costs related to alcohol measurement have not yet been transparently assessed, which may hinder its adoption and implementation. Costs of an alcohol measurement programme in three upper-middle-income Latin American countries were assessed via questionnaires and compared, as part of the quasi-experimental SCALA study. Additional to the intervention costs, the costs of three implementation strategies: standard training and clinical package, intensive training and clinical package, and community support, were assessed and subsequently translated into costs per additional alcohol measurement session. Results demonstrated that costs for one alcohol measurement session ranged between Int$ 0.67 and Int$ 1.23 in Colombia, Int$ 1.19 and Int$ 2.57 in Mexico, and Int$ 1.11 and Int$ 2.14 in Peru. Costs were mainly driven by the salaries of the health professionals. Implementation strategies costs per additional alcohol measurement session ranged between Int$ 1.24 and Int$ 6.17. In all three countries, standard training and a clinical package may be a promising implementation strategy with a relatively low cost per additional alcohol measurement session.
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- 2022
43. Factors associated with eMental health adoption readiness and use by mental health counsellors in general practices
- Author
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de Veirman, Ann, Thewissen, V.H.M., Spruijt, M.G., Bolman, C.A.W., Department of Clinical Psychology, RS-Research Line Clinical psychology (part of UHC program), RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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- 2022
44. Rol van coping en veerkracht bij pijn en de algemene gezondheid na de interventionele behandeling van facetlijden
- Author
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Verhaegen, D., Jacobs, S., Elsen, J., Blyaert, N., Esther Bakker, Marjan Nijkamp, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
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- 2022
45. Socioeconomic Status and Health-Compromising Behaviour
- Author
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Natascha de Hoog, E. Bakker, Susanne van Dinther, Section Methodology & Statistics, RS-Research Line Methodology & statistics (part of IIESB program), RS-Research Line Health psychology (part of IIESB program), and Department of Health Psychology
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genetic structures ,media_common.quotation_subject ,Psychological intervention ,DETERMINANTS ,perception ,behavioral disciplines and activities ,Developmental psychology ,Perceived health ,socioeconomic status ,03 medical and health sciences ,0302 clinical medicine ,Perception ,SELF-RATED HEALTH ,Psychology ,030212 general & internal medicine ,SUBJECTIVE SOCIAL-STATUS ,Social identity theory ,Socioeconomic status ,General Psychology ,media_common ,030503 health policy & services ,social identity ,MORTALITY ,Research Reports ,social sciences ,health-compromising behaviour ,BF1-990 ,Feeling ,INEQUALITIES ,population characteristics ,IDENTITY ,0305 other medical science ,psychological phenomena and processes ,Social status ,subjective - Abstract
Socioeconomic status (SES) is associated with many health issues and health-compromising behaviour (HCB). Most research is based on objective indicators of SES, even though subjective SES, someone’s perception of their social standing, is also related to health. Moreover, perceptions of health and HCB might also be of importance. Therefore, this study examined the relationship between both objective and subjective SES and perceived health and HCB respectively, and the role of perceptions of HCB. 326 respondents completed measures of objective and subjective SES, perceived health, HCB and perceptions of HCB. Results showed objective and subjective SES were related to perceived health. Only subjective SES was related to HCB, while for objective SES a moderating effect of perceiving HCB as typically high or low SES was found. Not only objective SES, but especially perceptions of SES and HCB are associated with someone feeling healthy and engaging in HCB. Health interventions should try to tackle perceptions of SES and HCB, either by invalidating current SES related perceptions or by emphasizing new healthy perceptions.
- Published
- 2020
46. Optimizing psychosocial support in prostate cancer patients during active surveillance
- Author
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Kim M. Donachie, Rosa Mennes, Marian Adriaansen, Inge M. van Oort, Erik B. Cornel, E. Bakker, Lilian Lechner, Department of Health Psychology, and RS-Research Line Health psychology (part of IIESB program)
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medicine.medical_specialty ,Nursing (miscellaneous) ,psychosocial support ,Urology ,media_common.quotation_subject ,medicine.medical_treatment ,Disease ,All institutes and research themes of the Radboud University Medical Center ,Lower urinary tract symptoms ,Urological cancers Radboud Institute for Molecular Life Sciences [Radboudumc 15] ,MANAGEMENT ,Medicine ,Generalizability theory ,watchful waiting ,media_common ,business.industry ,active surveillance ,Prostatic Neoplasms ,MEN ,prostate cancer ,medicine.disease ,psychosocial support systems ,Nephrology ,Family medicine ,Anxiety ,LIFE-STYLE ,Psychological resilience ,medicine.symptom ,business ,Inclusion (education) ,Psychosocial ,Watchful waiting - Abstract
What are the psychosocial support needs of prostate cancer (PCa) patients undergoingactive surveillance (AS)? The preferred management strategy for low-risk PCa (LR-PCa) isAS. Patients remain under close surveillance to monitor disease progression. However,living with untreated disease has psychosocial implications. The objective of this studywas to investigate the psychosocial support needs in PCa patients undergoing AS.According to Marzouk (2018) 30% of patients risk developing anxiety during the firstyear of AS. Parker (2015) and Tan (2016) suggest approximately 10% of AS-patientsrequest a change to active treatment, often based on anxiety. Pickles (2007) states thatpsychosocial support can effectively reduce anxiety and uncertainty. A literature basedinterview guide was used to conduct 17 semi-structured interviews following an explor-ative qualitative approach. LR-PCa patients, eligible for AS, were enrolled from two par-ticipating Dutch urology clinics experiencedwithAS.Writteninformedconsentwasobtained. Inclusion ended after attaining data saturation. The interviews were transcribedverbatim. NVIVO 10 was used for open coding. Participants expressed recurring uncer-tainty and anxiety caused by medical examinations, lower urinary tract symptoms anderectile dysfunction. Various effective and ineffective coping strategies were adopted byparticipants. The use of specific strategies was associated with patient-physician relation-ship, locus-of-control and disease-acceptation. Ineffective coping strategies seemed toimpede resilience during stressful situations. Satisfactory decision-making and disease-acceptation were promoted by immediate availability of relevant, reliable informationregarding disease characteristics and treatment options. Early-stage reliable and rele-vant information, assessment and encouragement of effective coping strategies appearto be important psychosocial support needs during AS. Most participants in this studyhad spousal support and completed higher education. Future research should deter-mine the generalizability of these findings in a more heterogeneous population.
- Published
- 2020
47. Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial
- Author
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Schoisswohl, Stefan, Langguth, Berthold, Schecklmann, Martin, Bernal-Robledano, Alberto, Boecking, Benjamin, Cederroth, Christopher R., Chalanouli, Dimitra, Cima, Rilana, Denys, Sam, Dettling-Papargyris, Juliane, Escalera-Balsera, Alba, Espinosa-Sanchez, Juan Manuel, Gallego-Martinez, Alvaro, Giannopoulou, Efi, Hidalgo-Lopez, Leyre, Hummel, Michael, Kikidis, Dimitris, Koller, Michael, Lopez-Escamez, Jose A., Marcrum, Steven C., Markatos, Nikolaos, Martin-Lagos, Juan, Martinez-Martinez, Maria, Martinez-Martinez, Marta, Ferron, Maria Mata, Mazurek, Birgit, Mueller-Locatelli, Nicolas, Neff, Patrick, Oppel, Kevin, Perez-Carpena, Patricia, Robles-Bolivar, Paula, Rose, Matthias, Schiele, Tabea, Schiller, Axel, Simoes, Jorge, Stark, Sabine, Staudinger, Susanne, Stege, Alexandra, Verhaert, Nicolas, Schlee, Winfried, [Schoisswohl,S, Langguth,B, Schecklmann,M, Neff,P, Schiller,A, Simoes,J, Staudinger,S, Schlee,W] Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany. [Bernal-Robledano,A, Espinosa-Sanchez,JM, Lopez-Escamez,JA, Martinez-Martinez,M, Mata Ferron,M, Perez-Carpena,P] Department of Otolaryngology, Instituto de Investigacion Biosanitaria Ibs.GRANADA, Hospital Universitario Virgen de las Nieves, Granada, Spain. [Boecking,B, Mazurek,B, Schiele,T, Stark,S] Tinnitus Center, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin und Humboldt Universität Berlin, Berlin, Germany. [Cederroth,CR] Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden. [Chalanouli,D, Giannopoulou,E] EXCELYA Hungary Kft., Budakalász, Hungary. [Cima,R] Department of Health Psychology, Katholieke Universiteit Leuven, Leuven, Belgium. [Denys,S, Verhaert,N] Department of Neurosciences, Research group Experimental Oto-Rhino-Laryngology, University of Leuven, Leuven, Belgium. [Denys,S, Verhaert,N] Department of Otorhinolaryngology - Head and Neck surgery, University Hospitals Leuven, Leuven, Belgium. [Denys,S, Verhaert,N] Multidisciplinary University Center for Speech-Language Pathology and Audiology, University Hospitals Leuven, Leuven, Belgium. [Dettling-Papargyris,J, Oppel,K] Terzo-Institute for Applied Hearing Research, ISMA, Sonneberg, Germany. [Escalera-Balsera,A, Gallego-Martinez,A, Perez-Carpena,P, Robles-Bolivar,P] Otology & Neurotology Group CTS 495, Department of Genomic Medicine, GENYO, Center for Genomics and Oncological Research: Pfizer/University of Granada/Andalusian Regional Government, PTS Granada, Granada, Spain. [Hidalgo-Lopez,L] Department of Mental Health, Hospital Universitario Virgen de las Nieves, Granada, Spain. [Hummel,M, Stege,A] Central Biobank Charité, Charité- Universitätsmedizin Berlin, corporate member of Freie Universität Berlin und Humboldt Universität Berlin, Berlin, Germany. [Kikidis,D, Markatos,N] Department of Otolaryngology, Head and Neck Surgery, National and Kapodistrian University of Athens, Hippocrateion General Hospital, Athens, Greece. [Koller,M] Center for Clinical Studies, University Hospital Regensburg, Regensburg, Germany. [Lopez-Escamez,JA] Department of Surgery, Division of Otolaryngology, Universidad de Granada, Granada, Spain. [Marcrum,SC] Department of Otolaryngology, University Hospital Regensburg, Regensburg, Germany. [Martin-Lagos,J, Mueller-Locatelli,N] Department of Otolaryngology, Instituto de Investigacion Biosanitaria ibs. GRANADA, Hospital Universitario Clinico San Cecilio, Granada, Spain. [Neff,P] Center for Cognitive Neuroscience and Department of Psychology, University of Salzburg, Salzburg, Austria. [Rose,M] epartment of Psychosomatic and Psychotherapy, Charité- Universitätsmedizin Berlin, corporate member of Freie Universität Berlin und Humboldt Universität Berlin, Berlin, Germany., and The UNITI project has received funding from the European Union’s Horizon2020 Research and Innovation Program (grant agreement number 848261). Open Access funding enabled and organized by Projekt DEAL.
- Subjects
Counseling ,Medicine (General) ,Terapéutica ,610 Medizin ,Medicine (miscellaneous) ,Sound therapy ,Research & Experimental Medicine ,THERAPY ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,Study Protocol ,Consejo ,Tinnitus ,0302 clinical medicine ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Clinical Trials as Topic::Multicenter Studies as Topic [Medical Subject Headings] ,QUALITY-OF-LIFE ,Multicenter Studies as Topic ,ANXIETY ,Pharmacology (medical) ,Multi-center ,030223 otorhinolaryngology ,Terapia de sonidos ,Randomized Controlled Trials as Topic ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic [Medical Subject Headings] ,ddc:610 ,SOUND ,Audífonos ,PHQ-9 ,Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapy::Behavior Therapy::Cognitive Therapy [Medical Subject Headings] ,3. Good health ,Terapia cognitivo-conductual ,Medicine, Research & Experimental ,Tinnitus, Treatment, Hearing aids, Cognitive behavioral therapy, Sound therapy, Structured counseling, Multi-center, RCT ,Structured counseling ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Equipment and Supplies::Sensory Aids::Hearing Aids [Medical Subject Headings] ,Life Sciences & Biomedicine ,Psychiatry and Psychology::Psychological Phenomena and Processes::Psychology, Applied::Counseling [Medical Subject Headings] ,RCT ,Hearing aids ,DISORDERS ,03 medical and health sciences ,R5-920 ,MANAGEMENT ,otorhinolaryngologic diseases ,Humans ,Diseases::Otorhinolaryngologic Diseases::Ear Diseases::Hearing Disorders::Tinnitus [Medical Subject Headings] ,COMBINATION ,Science & Technology ,HEARING-LOSS ,Acúfeno ,Cognitive behavioral therapy ,Treatment ,SEVERITY ,Ensayos clínicos controlados no aleatorios como asunto ,030217 neurology & neurosurgery - Abstract
The UNITI project has received funding from the European Union's Horizon 2020 Research and Innovation Program (grant agreement number 848261)., Background: Tinnitus represents a relatively common condition in the global population accompanied by various comorbidities and severe burden in many cases. Nevertheless, there is currently no general treatment or cure, presumable due to the heterogeneity of tinnitus with its wide variety of etiologies and tinnitus phenotypes. Hence, most treatment studies merely demonstrated improvement in a subgroup of tinnitus patients. The majority of studies are characterized by small sample sizes, unstandardized treatments and assessments, or applications of interventions targeting only a single organ level. Combinatory treatment approaches, potentially targeting multiple systems as well as treatment personalization, might provide remedy and enhance treatment responses. The aim of the present study is to systematically examine established tinnitus therapies both alone and in combination in a large sample of tinnitus patients. Further, it wants to provide the basis for personalized treatment approaches by evaluating a specific decision support system developed as part of an EU-funded collaborative project (Unification of treatments and interventions for tinnitus patients; UNITI project). Methods/study design: This is a multi-center parallel-arm randomized clinical trial conducted at five different clinical sites over the EU. The effect of four different tinnitus therapy approaches (sound therapy, structured counseling, hearing aids, cognitive behavioral therapy) applied over a time period of 12 weeks as a single or rather a combinatory treatment in a total number of 500 chronic tinnitus patients will be investigated. Assessments and interventions are harmonized over the involved clinical sites. The primary outcome measure focuses on the domain tinnitus distress assessed via the Tinnitus Handicap Inventory. Discussion: Results and conclusions from the current study might not only provide an essential contribution to combinatory and personalized treatment approaches in tinnitus but could also provide more profound insights in the heterogeneity of tinnitus, representing an important step towards a cure for tinnitus., European Union's Horizon 2020 Research and Innovation Program 848261
- Published
- 2021
48. Use and Appreciation of a Web-Based, Computer-Tailored Diet and Physical Activity Intervention Based on the Self-determination Theory: Evaluation Study of Process and Predictors
- Author
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Lilian Lechner, Catherine Bolman, Anke Oenema, Juul M. J. Coumans, Expertise Centre for Education, RS-Research Line Health psychology (part of UHC program), Department of Health Psychology, Health promotion, and RS: CAPHRI - R6 - Promoting Health & Personalised Care
- Subjects
self-determination theory ,Psychological intervention ,Motivational interviewing ,QUESTIONNAIRE ,Medicine (miscellaneous) ,physical activity ,Health Informatics ,motivational interviewing ,Process evaluation ,Session (web analytics) ,Intervention (counseling) ,Completion rate ,eHealth ,Competence (human resources) ,Self-determination theory ,Original Paper ,Physical activity ,CONSUMPTION ,MOTIVATION ,Nonusage attrition ,process evaluation ,Computer Science Applications ,Diet ,nonusage attrition ,Psychology ,diet ,Clinical psychology - Abstract
Background eHealth is a promising tool for promoting lifestyle behaviors such as a healthy diet and physical activity (PA). However, making people use interventions is a crucial and challenging problem in eHealth. More insight into use patterns and predicting factors is needed to improve future interventions. Objective This study aims to examine the use, predictors of use, and appreciation of a web-based, computer-tailored, dietary and PA promotion intervention, MyLifestyleCoach, which is based on the self-determination theory. First, we depict the participants’ flow in the intervention and identify moments when they are likely to discontinue use. Second, we investigate whether demographic, motivational, and program-related characteristics predict the use of several intervention elements. Finally, we report the appreciation scores for the intervention and the participant and program characteristics associated with these scores. Methods This study was based on data from web-based self-report questionnaires. Here, objectively assessed intervention use data were analyzed from participants randomized to the intervention condition. Multiple stepwise (logistic) regression analyses were conducted to examine the predictors of intervention use and evaluation scores. Results Our findings indicate a low full completion rate for the intervention among those who chose and completed the diet module (49/146, 33.6%), the PA module (2/12, 17%), and both modules (58/273, 21.2%). Several points in the intervention where participants were likely to stop using the intervention were identified. Autonomous and intrinsic motivation toward diet were related to the completion of the initial sessions of the intervention (ie, the opening session in which participants could choose which module to follow and the first session of the diet module). In contrast, controlled motivation was linked to the completion of both modules (initial and follow-up sessions). Appreciation scores were somewhat positive. Appreciation was predicted by several motivational constructs, such as amotivation and basic psychological needs (eg, competence) and program-related features (eg, number of completed sessions). Conclusions This study adds meaningful information on the use and appreciation of a web-based, computer-tailored dietary and PA intervention, MyLifestyleCoach. The results indicate that different types of motivations, such as extrinsic and intrinsic motivation, are at play at the points when people are likely to stop using the intervention. The intervention was appreciated fairly well, and several motivational constructs and fulfillment of basic psychological needs were associated with appreciation. Practical implications of these findings have been provided in this study.
- Published
- 2021
49. The Usability of an Online Tool to Promote the Use of Evidence-Based Smoking Cessation Interventions
- Author
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Daniëlle N. Zijlstra, Jean W M Muris, Hein de Vries, Catherine Bolman, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health promotion, RS: CAPHRI - R5 - Optimising Patient Care, Family Medicine Education, RS-Research Line Health psychology (part of UHC program), and Department of Health Psychology
- Subjects
Program evaluation ,Evidence-based practice ,Health, Toxicology and Mutagenesis ,medicine.medical_treatment ,Applied psychology ,decision aid ,Decisional conflict ,Article ,TAILORED FEEDBACK ,law.invention ,McNemar's test ,Randomized controlled trial ,law ,Behavior Therapy ,DEPENDENCE ,eHealth ,medicine ,Humans ,TOBACCO-CESSATION ,business.industry ,Public Health, Environmental and Occupational Health ,PRIMARY-CARE ,Usability ,EDUCATION ,decision-making ,RANDOMIZED CONTROLLED-TRIAL ,GENERAL-PRACTITIONERS ,EFFICACY ,evidence-based interventions ,Telemedicine ,smoking cessation ,usability ,Cross-Sectional Studies ,GUIDELINE ,Medicine ,Smoking cessation ,Psychology ,business ,SMOKERS - Abstract
To increase usage of evidence-based smoking cessation interventions (EBSCIs) among smokers, an online decision aid (DA) was developed. The aims of this study were (1) to conduct a usability evaluation, (2) to conduct a program evaluation and evaluate decisional conflict after using the DA and (3) to determine the possible change in the intention to use EBSCIs before and directly after reviewing the DA. A cross-sectional study was carried out in September 2020 by recruiting smokers via the Internet (n = 497). Chi-squared tests and t-tests were conducted to test the differences between smokers who differed in the perceived usability of the DA on the program evaluation and in decisional conflict. The possible changes in intention to use EBSCIs during a cessation attempt before and after reviewing the DA were tested using t-tests, McNemar’s test and χ2 analysis. The participants evaluated the usability of the DA as moderate (MU, n = 393, 79.1%) or good (GU, n = 104, 20.9%). GU smokers rated higher on all the elements of the program evaluation and experienced less decisional conflict, but also displayed a higher intention to quit. After reviewing the DA, the participants on average had a significantly higher intention to use more EBSCIs, in particular in the form of eHealth. Recommendations to make the DA more usable could include tailoring, using video-based information and including value clarification methods. Furthermore, a hybrid variant in which smokers can use the DA independently and with the guidance of a primary care professional could aid both groups in choosing a fitting EBSCI option.
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- 2021
50. The complex and dynamic interplay between self-esteem, belongingness and physical activity in daily life
- Author
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Jim van Os, Bart P. F. Rutten, Victor Mazereel, Kristof Vansteelandt, Marieke Wichers, Ruud van Winkel, Nele Jacobs, Jeroen Decoster, Marc De Hert, Evert Thiery, Davy Vancampfort, Catherine Derom, Claudia Menne-Lothmann, Interdisciplinary Centre Psychopathology and Emotion regulation (ICPE), RS: MHeNs - R3 - Neuroscience, Psychiatrie & Neuropsychologie, MUMC+: MA Psychiatrie (3), RS: MHeNs - R2 - Mental Health, MUMC+: Hersen en Zenuw Centrum (3), Department of Health Psychology, and RS-Research Line Health psychology (part of UHC program)
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Experience sampling method ,Belonging ,media_common.quotation_subject ,INSTABILITY ,Physical activity ,EXERCISE ,behavioral disciplines and activities ,Developmental psychology ,Self-esteem ,Young adult ,Applied Psychology ,SCALE ,media_common ,Multilevel model ,LONGITUDINAL EXAMINATION ,PARANOIA ,Belongingness ,Mental health ,humanities ,SOCIOMETER ,Psychiatry and Mental health ,CONTEXT ,MOMENTARY ASSESSMENT ,Human medicine ,Psychology ,MENTAL-HEALTH ,BEHAVIOR - Abstract
Physical activity has positive effects on self-esteem and sense of belongingness and vice versa. The experience sampling method allows for a level of analysis of the within-subject temporal dynamics of these interactions. We hypothesized that physical activity would predict prospective increases of self-esteem and belongingness in the flow of daily life, and vice versa. Additionally, we hypothesized that belongingness would predict self-esteem at the beep level. The study included 781 individuals (17.4 ± 3.5 years; 59% female) who responded to 10 beeps daily for 6 days to items on physical activity, self-esteem and belongingness. Univariate and multivariate multilevel models were used to examine within-person prospective bidirectional associations. We found that physical activity predicted higher self-esteem and belongingness at t0+1. Participants who had a stronger increase of self-esteem following an increase in physical activity also had a concurrent stronger increase in belongingness. In contrast, self-esteem had no effect on physical activity at the next beep. Belongingness predicted self-esteem. We conclude that the interactions between physical activity, self-esteem and belongingness are complex and fluctuating in daily life. This has important implications for current theories describing the mental health benefits of physical activity.
- Published
- 2021
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