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Ervaringen en ondersteuningsbehoeften van leefstijlcoaches in het gebruik van digitale coachingsmiddelen bij cliënten met overgewicht

InleidingDe helft van de volwassen Nederlanders heeft matig tot ernstig overgewicht. De gecombineerde leefstijlinterventie begeleidt mensen met overgewicht naar een gezonde leefstijl. Naast fysieke contactmomenten kunnen digitale coachingsmiddelen ingezet worden om cliënten op afstand te begeleiden. In de praktijk blijkt dat digitale toepassingen nog niet ten volle worden benut. Om het gebruik te stimuleren is inzicht nodig in de ervaringen en ondersteuningsbehoeften van leefstijlcoaches ten aanzien van de inzet van digitale technologie.MethodeMet één vragenlijst en twee focusgroepgesprekken zijn data verzameld over het gebruik, de wensen en ondersteuningsbehoeften rond het inzetten van digitale coachingsmiddelen bij leefstijlcoaches. De vragenlijsten zijn descriptief geanalyseerd en de focusgroepgesprekken zijn thematisch geanalyseerd.ResultatenUit de vragenlijstresultaten (N = 79) en de focusgroepgesprekken (N = 10) bleek dat leefstijlcoaches vooral ervaring hebben opgedaan met videobellen, applicaties en online informatie. Ze gaven aan dat digitale coaching de zelfredzaamheid van hun cliënten ondersteunt. Online groepsbegeleiding wordt als minder effectief ervaren dan fysieke groepssessies, omdat er weinig interactie tussen cliënten plaatsvindt. Ook ervaren leefstijlcoaches praktische barrières bij het gebruik. Ze hebben behoefte aan uitwisseling van ervaringen met collega’s, scholing en instructies over de manier waarop digitale coachingsmiddelen ingezet kunnen worden.ConclusieLeefstijlcoaches achten digitale coachingsmiddelen van toegevoegde waarde bij de individuele begeleiding van hun cliënten. Het wegnemen van praktische barrières en het faciliteren van uitwisseling en scholing kunnen een ruimere inzet van digitale coachingsmiddelen stimuleren.--IntroductionIn the Netherlands, half of the adult population is overweight. Combined Lifestyle Interventions guide overweight clients towards a healthy lifestyle. In addition to the face-to face sessions with clients, lifestyle professionals can use digital coaching tools to guide their clients remotely. In practice it appears that the digital applications are not fully used. To stimulate the use of digital technology, insight is needed into the experiences and support needs of lifestyle professionals.MethodData about the use, wishes and support needs regarding the use of digital coaching tools among lifestyle professionals were collected by a questionnaire and two focus groups. The results of the questionnaires were analyzed descriptively and the focus groups were analyzed thematically.ResultsSeventy-nine lifestyle professionals completed the questionnaire. Ten lifestyle professionals participated in a focus group. Both methods showed that professionals have gained experience with video communication, apps and online information. Lifestyle professionals mention that these digital coaching tools support the self-reliance of clients. Online group sessions are perceived as less effective than face-to-face group sessions, because of the lack of interaction between clients. Lifestyle professionals also experience practical barriers in using digital coaching tools. To stimulate the use of digital coaching tools, they need an exchange of experience with colleagues, training and instruction on how to use these tools.ConclusionLifestyle professionals consider digital coaching tools to be an added value to individual coaching. They see opportunities for wider use in the future when practical barriers are overcome, and exchange of experience and training are facilitated.

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Ervaringen en ondersteuningsbehoeften van leefstijlcoaches in het gebruik van digitale coachingsmiddelen bij cliënten met overgewicht

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Feasibility of a stratified blended physiotherapy intervention for patients with non-specific low back pain: a mixed methods study

Introduction: Integrating web-based or mobile components and face-to-face components within a treatment process is called blended care. As part of the participatory development of a blended physiotherapeutic intervention for patients with low back pain (e-Exercise LBP), a proof of concept study was carried out and showed promising results.Objective: To investigate the feasibility of the e-Exercise LBP prototype for patients and physiotherapists to improve the intervention.Methods: A mixed methods study was executed, embedded in the development phase of e-Exercise LBP. 21 physiotherapists treated 41 patients with e-Exercise LBP. Quantitative data consisted of: patients’ satisfaction on a five-point Likert Scale; patients’ and physiotherapists’ experienced usability of the web-based application (System Usability Scale) and; patients’ experiences with e-Exercise LBP (closed-ended questions and statements related to the elements and goals of e-Exercise LBP). Semi-structured interviews about experiences with e-Exercise LBP were conducted with seven patients and seven physiotherapists. Qualitative data were analyzed by a phenomenological approach. Quantitative data were analyzed with descriptive statistics.Results: Patients were satisfied with e-Exercise LBP (mean: 4.0; SD:0.8; range: extreme dissatisfaction (1)-extreme satisfaction (5)). Usability of the web-based application was acceptable (patients: mean: 73.2 (SD:16.3); physiotherapists: mean: 63.3 (SD:12.0); range: 0–100). Interviews revealed that physiotherapists’ training is essential to successfully integrate the web-based application and face-to-face sessions within physiotherapy treatment. Also, patients addressed the need of reminder messages to support long-term (exercise) adherence.Conclusion: e-Exercise LBP appeared to be feasible. However, various prerequisites and points of improvement were mentioned to improve physiotherapists’ training and the prototype.

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Nevenactiviteiten op het platteland door niet-agrariërs

Dit onderzoeksrapport maakt onderdeel uit van een onderzoek naar nevenactiviteiten van niet-agrariërs op het platteland van Nederland. De reden van het onderzoek is het achterhalen van de motivatie van niet-agrariërs voor het starten van een nevenactiviteit op het platteland. Tevens wordtonderzocht wat de gevolgen zijn op het platteland op gebied van het plattelandsbeleid. Onder platteland worden de gebieden buiten de blauwe gemeenteborden in de gemeente bedoeld. De populatie binnen dit onderzoek zijn alle niet-agrariërs met nevenactiviteiten op het platteland inde gemeenten: Borger-Odoorn, Emmen, Pekela en Vlagtwedde. Binnen dit onderzoek is gebruik gemaakt van een clustersteekproef. Alle niet-agrariërs met nevenactiviteiten die buiten de bebouwde kom wonen in de betreffende gemeenten zijn voor zover mogelijk in het onderzoek betrokken.De resultaten van dit onderzoek zijn verkregen door kwantitatief onderzoek door middel van face to face enquêtes met niet-agrariërs en kwalitatief onderzoek door interviews met medewerkers van de afdeling Ruimtelijke Ordening bij iedere gemeente. Studentenonderzoek in het kader van het thema Leefomgeving

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Nevenactiviteiten op het platteland door niet-agrariërs

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Changing identities through collective performance at events: the case of the Redhead Days

This paper examines the (collective) performance of identities in an event context. During events, the participants not only engage in face-to-face performances, but also in the collective performances of crowds and audiences. This study analyses collective performance using Collins’ framework of Interaction Ritual Chains, which combines Goffman’s performance metaphor with Durkheim’s work on rituals and collective effervescence. This provides a more complete analysis of the ways identities are performed and (re)constructed during an event. This qualitative study presents the case of the Redhead Days, the world’s largest gathering of redheads. Visitor interviews and participant observation over four editions of the event show how a temporary majority of redheads is created, which greatly impacts both face-to-face and collective performance. Social practices that facilitate performance include photographing and storytelling. The data reveal that collective performance is inherently different from face-to-face performance, and that the combination of the two contributes to a change in narrative identities of the event attendees

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Changing identities through collective performance at events: the case of the Redhead Days

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Report on interviews with experts and informants. Gaming Horizons Deliverable D 2.3

Gaming Horizons is a EU-funded project that explored the role of video games in culture, the economy and education. We engaged with more than 280 stakeholders through interviews, workshops and webinars.

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Is the hotel industry prepared to face the challenge of sustainable development?

This article focuses on one of the hotel industry’s key challenges: sustainable development. By reviewing the current impact and characteristics of this industry, its high potential to contribute to this challenge is established. The key question addressed here – especially interesting from a futures perspective – is whether the hotel industry is prepared to fulfil that potential. Through a review of relevant literature and 12 in-depth interviews with hoteliers in leading positions in Dutch hotels, this article evaluates to what extent the hotel industry’s current business models and its managers’ willingness and capabilities are ‘future proof’ from a sustainable development perspective. It concludes that the hotel industry is not yet able to make an optimal contribution and needs assistance to do so in the future, especially with respect to addressing guests’ needs and wants and (subsequent) institutionalization of sustainability, but the potential is there and maybe even more so than before.

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E-IMR: e-health added to face-to-face delivery of Illness Management & Recovery programme for people with severe mental illness, an exploratory clustered randomized controlled trial

BackgroundE-mental health holds promise for people with severe mental illness, but has a limited evidence base. This study explored the effect of e-health added to face-to-face delivery of the Illness Management and Recovery Programme (e-IMR).MethodIn this multi-centre exploratory cluster randomized controlled trial, seven clusters (n = 60; 41 in intervention group and 19 in control group) were randomly assigned to e-IMR + IMR or IMR only. Outcomes of illness management, self-management, recovery, symptoms, quality of life, and general health were measured at baseline (T0), halfway (T1), and at twelve months (T2). The data were analysed using mixed model for repeated measurements in four models: in 1) we included fixed main effects for time trend and group, in 2) we controlled for confounding effects, in 3) we controlled for interaction effects, and in 4) we performed sub-group analyses within the intervention group.ResultsNotwithstanding low activity on e-IMR, significant effects were present in model 1 analyses for self-management (p = .01) and recovery (p = .02) at T1, and for general health perception (p = .02) at T2, all in favour of the intervention group. In model 2, the confounding covariate gender explained the effects at T1 and T2, except for self-management. In model 3, the interacting covariate non-completer explained the effects for self-management (p = .03) at T1. In model 4, the sub-group analyses of e-IMR-users versus non-users showed no differences in effect.ConclusionBecause of confounding and interaction modifications, effectiveness of e-IMR cannot be concluded. Low use of e-health precludes definite conclusions on its potential efficacy. Low use of e-IMR calls for a thorough process evaluation of the intervention.

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E-IMR: e-health added to face-to-face delivery of Illness Management & Recovery programme for people with severe mental illness, an exploratory clustered randomized controlled trial

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Comparing the Effectiveness of the Blended Delivery Mode With the Face-to-Face Delivery Mode of Smoking Cessation Treatment

Background:Tobacco consumption is a leading cause of death and disease, killing >8 million people each year. Smoking cessation significantly reduces the risk of developing smoking-related diseases. Although combined treatment for addiction is promising, evidence of its effectiveness is still emerging. Currently, there is no published research comparing the effectiveness of blended smoking cessation treatments (BSCTs) with face-to-face (F2F) treatments, where web-based components replace 50% of the F2F components in blended treatment.Objective:The primary objective of this 2-arm noninferiority randomized controlled trial was to determine whether a BSCT is noninferior to an F2F treatment with identical ingredients in achieving abstinence rates.Methods:This study included 344 individuals who smoke (at least 1 cigarette per day) attending an outpatient smoking cessation clinic in the Netherlands. The participants received either a blended 50% F2F and 50% web-based BSCT or only F2F treatment with similar content and intensity. The primary outcome measure was cotinine-validated abstinence rates from all smoking products at 3 and 15 months after treatment initiation. Additional measures included carbon monoxide–validated point prevalence abstinence; self-reported point prevalence abstinence; and self-reported continuous abstinence rates at 3, 6, 9, and 15 months after treatment initiation.Results:None of the 13 outcomes showed statistically confirmed noninferiority of the BSCT, whereas 4 outcomes showed significantly (P<.001) inferior abstinence rates of the BSCT: cotinine-validated point prevalence abstinence rate at 3 months (difference 12.7, 95% CI 6.2-19.4), self-reported point prevalence abstinence rate at 6 months (difference 19.3, 95% CI 11.5-27.0) and at 15 months (difference 11.7, 95% CI 5.8-17.9), and self-reported continuous abstinence rate at 6 months (difference 13.8, 95% CI 6.8-20.8). The remaining 9 outcomes, including the cotinine-validated point prevalence abstinence rate at 15 months, were inconclusive.Conclusions:In this high-intensity outpatient smoking cessation trial, the blended mode was predominantly less effective than the traditional F2F mode. The results contradict the widely assumed potential benefits of blended treatment and suggest that further research is needed to identify the critical factors in the design of blended interventions.Trial Registration:Netherlands Trial Register 27150; https://onderzoekmetmensen.nl/nl/trial/27150

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Comparing the Effectiveness of the Blended Delivery Mode With the Face-to-Face Delivery Mode of Smoking Cessation Treatment

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Effects of adjustments in face-to-face data collection due to the COVID-19 pandemic on survey results

Like many countries, the COVID-19 pandemic has forced Statistics Netherlands to make changes in its fieldwork strategy. Since mid-March 2020, there have been limited opportunities to conduct face-to-face interviews. Therefore, from September 2020, CAPI sampled people are offered the opportunity to respond by telephone. For this purpose, face-to-face interviewers are instructed to persuade the potential respondent at the doorway. When people refuse a face-to-face interview, interviewers ask for a telephone number and try to make an appointment to conduct the interview by telephone. The aim of our study was to investigate the effects of conducting the interview by telephone instead of face-to-face on important survey outcome variables. We were particularly interested in whether differences are due to selection effects or caused by mode-specific measurement errors. Because we did not have the time or capacity to set up a controlled experiment, we performed regression analyses to decompensate the differences between selection effects and mode-specific measurement errors. We used data of the Labour Force Survey (LFS) and the Housing Survey (WoON). Our analysis showed that there were differences in important target variables, for both LFS and WoON. These differences were, however, mainly caused by selection effects – which can be taken into account for during weighting – and were less likely to be caused by mode specific measurement errors. Although there are important limitations and caveats, these findings are supportive to further implement this field strategy.

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Ervaringen en ondersteuningsbehoeften van leefstijlcoaches in het gebruik van digitale coachingsmiddelen bij cliënten met overgewicht

Feasibility of a stratified blended physiotherapy intervention for patients with non-specific low back pain: a mixed methods study

Nevenactiviteiten op het platteland door niet-agrariërs

Changing identities through collective performance at events: the case of the Redhead Days

Report on interviews with experts and informants. Gaming Horizons Deliverable D 2.3

Is the hotel industry prepared to face the challenge of sustainable development?

E-IMR: e-health added to face-to-face delivery of Illness Management & Recovery programme for people with severe mental illness, an exploratory clustered randomized controlled trial

Comparing the Effectiveness of the Blended Delivery Mode With the Face-to-Face Delivery Mode of Smoking Cessation Treatment

Effects of adjustments in face-to-face data collection due to the COVID-19 pandemic on survey results

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Ervaringen en ondersteuningsbehoeften van leefstijlcoaches in het gebruik van digitale coachingsmiddelen bij cliënten met overgewicht

Feasibility of a stratified blended physiotherapy intervention for patients with non-specific low back pain: a mixed methods study

Nevenactiviteiten op het platteland door niet-agrariërs

Changing identities through collective performance at events: the case of the Redhead Days

Report on interviews with experts and informants. Gaming Horizons Deliverable D 2.3

Is the hotel industry prepared to face the challenge of sustainable development?

E-IMR: e-health added to face-to-face delivery of Illness Management & Recovery programme for people with severe mental illness, an exploratory clustered randomized controlled trial

Comparing the Effectiveness of the Blended Delivery Mode With the Face-to-Face Delivery Mode of Smoking Cessation Treatment

Effects of adjustments in face-to-face data collection due to the COVID-19 pandemic on survey results

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