In this paper we explore the extent to which privacy enhancing technologies (PETs) could be effective in providing privacy to citizens. Rapid development of ubiquitous computing and ‘the internet of things’ are leading to Big Data and the application of Predictive Analytics, effectively merging the real world with cyberspace. The power of information technology is increasingly used to provide personalised services to citizens, leading to the availability of huge amounts of sensitive data about individuals, with potential and actual privacy-eroding effects. To protect the private sphere, deemed essential in a state of law, information and communication systems (ICTs) should meet the requirements laid down in numerous privacy regulations. Sensitive personal information may be captured by organizations, provided that the person providing the information consents to the information being gathered, and may only be used for the express purpose the information was gathered for. Any other use of information about persons without their consent is prohibited by law; notwithstanding legal exceptions. If regulations are properly translated into written code, they will be part of the outcomes of an ICT, and that ICT will therefore be privacy compliant. We conclude that privacy compliance in the ‘technological’ sense cannot meet citizens’ concerns completely, and should therefore be augmented by a conceptual model to make privacy impact assessments at the level of citizens’ lives possible.
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Abstract: Background: Chronic obstructive pulmonary disease (COPD) and asthma have a high prevalence and disease burden. Blended self-management interventions, which combine eHealth with face-to-face interventions, can help reduce the disease burden. Objective: This systematic review and meta-analysis aims to examine the effectiveness of blended self-management interventions on health-related effectiveness and process outcomes for people with COPD or asthma. Methods: PubMed, Web of Science, COCHRANE Library, Emcare, and Embase were searched in December 2018 and updated in November 2020. Study quality was assessed using the Cochrane risk of bias (ROB) 2 tool and the Grading of Recommendations, Assessment, Development, and Evaluation. Results: A total of 15 COPD and 7 asthma randomized controlled trials were included in this study. The meta-analysis of COPD studies found that the blended intervention showed a small improvement in exercise capacity (standardized mean difference [SMD] 0.48; 95% CI 0.10-0.85) and a significant improvement in the quality of life (QoL; SMD 0.81; 95% CI 0.11-1.51). Blended intervention also reduced the admission rate (relative ratio [RR] 0.61; 95% CI 0.38-0.97). In the COPD systematic review, regarding the exacerbation frequency, both studies found that the intervention reduced exacerbation frequency (RR 0.38; 95% CI 0.26-0.56). A large effect was found on BMI (d=0.81; 95% CI 0.25-1.34); however, the effect was inconclusive because only 1 study was included. Regarding medication adherence, 2 of 3 studies found a moderate effect (d=0.73; 95% CI 0.50-0.96), and 1 study reported a mixed effect. Regarding self-management ability, 1 study reported a large effect (d=1.15; 95% CI 0.66-1.62), and no effect was reported in that study. No effect was found on other process outcomes. The meta-analysis of asthma studies found that blended intervention had a small improvement in lung function (SMD 0.40; 95% CI 0.18-0.62) and QoL (SMD 0.36; 95% CI 0.21-0.50) and a moderate improvement in asthma control (SMD 0.67; 95% CI 0.40-0.93). A large effect was found on BMI (d=1.42; 95% CI 0.28-2.42) and exercise capacity (d=1.50; 95% CI 0.35-2.50); however, 1 study was included per outcome. There was no effect on other outcomes. Furthermore, the majority of the 22 studies showed some concerns about the ROB, and the quality of evidence varied. Conclusions: In patients with COPD, the blended self-management interventions had mixed effects on health-related outcomes, with the strongest evidence found for exercise capacity, QoL, and admission rate. Furthermore, the review suggested that the interventions resulted in small effects on lung function and QoL and a moderate effect on asthma control in patients with asthma. There is some evidence for the effectiveness of blended self-management interventions for patients with COPD and asthma; however, more research is needed. Trial Registration: PROSPERO International Prospective Register of Systematic Reviews CRD42019119894; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=119894
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OBJECTIVES: In health evaluations, physical activity (PA) and cardiorespiratory fitness (maximal oxygen uptake [VO2max]) are important variables. It is not always possible to assess both of them. If the association between self-reported PA and VO2max was strong, it would be possible to use the information on PA to make assumptions about VO2max and vice versa. However, little is known about this relation, in particular among women at high risk for cardiovascular disease. Our aim was to study the association between self-reported PA (Short QUestionnaire to ASses Health enhancing PA) and fitness (determined using the Siconolfi step test) among sedentary women in a multiethnic population.STUDY DESIGN AND SETTING: Participants were sampled from an exercise program for sedentary women (The Netherlands, 2008-09). Linear regression was performed with VO2max (dependent variable) and self-reported PA (independent variable); covariates were age and body mass index.RESULTS: One hundred ninety-seven women from different ethnic backgrounds were included. No significant association was found between VO2max and PA (R(2) = 0.60).CONCLUSION: A poor association was found between self-reported PA and estimated VO2max. Hence, PA and VO2max represent two different aspects of health in sedentary women and cannot be used interchangeably. This should be taken into account when evaluating health promotion interventions or when making health risks statements in sedentary women in a multiethnic population.
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Op 28 augustus 2014 heb ik een 'oral presentation' gegeven op het European Health Psychology Society congres te Innsbruck. De abstract van het artikel die ik gepresenteerd heb is gepubliceerd op de website van EHPS (zie bijgevoegd de link) The aim was to quantify the relationship between behavioural determinants and dental health behaviour among 9-18 year old children. Methods: Searches were conducted in PsycINFO, PubMed, CINAHL and EMBASE. In total 25 studies were included, which addressed 16 variables. A weighted average effect size correlation (WAES r) was calculated per determinant and dental health behaviour. According to Cohen (1988) effect sizes can be considered as small (r = 0.10), medium (r = 0.30) and large (r = 0.50). Findings: All WAES r’s were significant and revealed a positive relation between determinant and dental health behaviour. Large effects were found for coping planning and self-efficacy. Medium-to-large effects were found for the determinants: intention, affective attitude, and action planning. The WAES r was small-to-medium effects were found for: social norms, cognitive attitude, knowledge, parental oral health behaviour and parental cognitions. Discussion: Although the number of studies focusing on volitional factors are limited, the overall findings highlight the importance of volitional factors, rather than knowledge or motivational factors in explaining dental health behaviour. Refbacks There are currently no refbacks.
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Video games clearly have great educational potential, both for formal and informal learning, and this avenue is being thoroughly investigated in the psychology and education literature. However, there appears to be a disconnect between social science academic research and the game development sector, in that research and development practices rarely inform each other. This paper presents a two-part analysis of this communicative disconnect based on investigations carried out within the H2020 Gaming Horizons project. The first part regards a literature review that identified the main topics of focus in the social sciences literature on games, as well as the chief recommendations authors express. The second part examines 73 interviews with 30 developers, 14 researchers, 13 players, 12 educators, and 4 policy makers, investigating how they perceived games and gaming. The study highlights several factors contributing to the disconnect: different priorities and dissemination practices; the lag between innovation in the games market and research advancements; low accessibility of academic research; and disproportionate academic focus on serious games compared to entertainment games. The authors suggest closer contact between researchers and developers might be sought by diversifying academic dissemination channels, promoting conferences involving both groups, and developing research partnerships with entertainment game companies.
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Objectives: Promoting unstructured outside play is a promising vehicle to increase children’s physical activity (PA). This study investigates if factors of the social environment moderate the relationship between the perceived physical environment and outside play. Study design: 1875 parents from the KOALA Birth Cohort Study reported on their child’s outside play around age five years, and 1516 parents around age seven years. Linear mixed model analyses were performed to evaluate (moderating) relationships among factors of the social environment (parenting influences and social capital), the perceived physical environment, and outside play at age five and seven. Season was entered as a random factor in these analyses. Results: Accessibility of PA facilities, positive parental attitude towards PA and social capital were associated with more outside play, while parental concern and restriction of screen time were related with less outside play. We found two significant interactions; both involving parent perceived responsibility towards child PA participation. Conclusion: Although we found a limited number of interactions, this study demonstrated that the impact of the perceived physical environment may differ across levels of parent responsibility.
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Standard SARS-CoV-2 testing protocols using nasopharyngeal/throat (NP/T) swabs are invasive and require trained medical staff for reliable sampling. In addition, it has been shown that PCR is more sensitive as compared to antigen-based tests. Here we describe the analytical and clinical evaluation of our in-house RNA extraction-free saliva-based molecular assay for the detection of SARS-CoV-2. Analytical sensitivity of the test was equal to the sensitivity obtained in other Dutch diagnostic laboratories that process NP/T swabs. In this study, 955 individuals participated and provided NP/T swabs for routine molecular analysis (with RNA extraction) and saliva for comparison. Our RT-qPCR resulted in a sensitivity of 82,86% and a specificity of 98,94% compared to the gold standard. A false-negative ratio of 1,9% was found. The SARS-CoV-2 detection workflow described here enables easy, economical, and reliable saliva processing, useful for repeated testing of individuals.
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The relationship between project management and sustainable development is rapidly gaining interest from both practitioners and academics. Studies on the integration of the concepts of sustainability into project management, approach this topic mostly from a conceptual, logical or moral point of view. Given the fact that the relationship between sustainability and project management is still an emerging field of study, these approaches make sense. However, they do not diminish the need for more empirical studies to understand how the concepts of sustainable development are implemented in practice. This paper reports an analysis of 56 case studies on the integration of the concepts of sustainability in the way organizations initiate, develop and manage projects. The research question of the study was: To what extent, do organizations consider the concepts of sustainability in the initiation, development and management of projects? The study uses the maturity model for sustainability integration that was presented at the 2010 IPMA World Congress for the assessment of the level of sustainability consideration. The study found an overall average level of sustainability consideration in the actual situation of 25.9%. For the desired situation, this score is almost 10 percent higher, showing an ambition to take sustainability more into consideration. The study also showed that the way sustainability currently is considered, shows the traditional ‘less bad’ approach to sustainability integration and not a more modern social responsibility approach.
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