Background Evidence about the impact of the COVID-19 pandemic on existing health inequalities is emerging. This study explored differences in mental health, sense of coherence (SOC), sense of community coherence (SOCC), sense of national coherence (SONC), and social support between low and high socioeconomic (SES) groups, and the predictive value of these predictors for mental health. participants and procedure A cross-sectional study was conducted using an online survey in the Netherlands in October 2021, comprising a total of 91 respondents (n = 41, low SES; n = 50, high SES). results There were no differences in mental health, SOC, SOCC, SONC, and social support between the groups. SOC was a predictor for mental health in both groups and SOCC for the low SES group. conclusions We found that both SOC and SOCC predict mental health during the pandemic. In the article we reflect on possible pathways for strengthening these resources for mental health.
This study investigated the association of fatigue and cognitive complaints among employees post-cancer diagnosis, with work-related outcomes, and moderation by cancer-related anxiety. A survey was carried out among workers 2–10 years after cancer diagnosis. Employees without cancer recurrence or metastases were selected (N = 566). Self-reported fatigue and cognitive complaints were classified into three groups. ANOVA’s and regression analyses were used, controlling for age. Group 1 (cognitive complaints, n = 25, 4.4%), group 2 (fatigue, n = 205, 36.2%), and group 3 (cognitive complaints and fatigue, n = 211, 37.3%) were associated with higher burnout complaints and lower work engagement, and group 2 and 3 with lower work ability. Cancer-related anxiety positively moderated the association of group 3 with higher burnout complaints. Employees with both fatigue and cognitive complaints report less favorable work functioning. Cancer-related anxiety needs attention in the context of burnout complaints.
Background: Neck and shoulder complaints are common in primary care physiotherapy. These patients experience pain and disability, resulting in high societal costs due to, for example, healthcare use and work absence. Content and intensity of physiotherapy care can be matched to a patient’s risk of persistent disabling pain. Mode of care delivery can be matched to the patient’s suitability for blended care (integrating eHealth with physiotherapy sessions). It is hypothesized that combining these two approaches to stratified care (referred to from this point as Stratified Blended Approach) will improve the effectiveness and cost-effectiveness of physiotherapy for patients with neck and/or shoulder complaints compared to usual physiotherapy. Methods: This paper presents the protocol of a multicenter, pragmatic, two-arm, parallel-group, cluster randomized controlled trial. A total of 92 physiotherapists will be recruited from Dutch primary care physiotherapy practices. Physiotherapy practices will be randomized to the Stratified Blended Approach arm or usual physiotherapy arm by a computer-generated random sequence table using SPSS (1:1 allocation). Number of physiotherapists (1 or > 1) will be used as a stratification variable. A total of 238 adults consulting with neck and/or shoulder complaints will be recruited to the trial by the physiotherapy practices. In the Stratified Blended Approach arm, physiotherapists will match I) the content and intensity of physiotherapy care to the patient’s risk of persistent disabling pain, categorized as low, medium or high (using the Keele STarT MSK Tool) and II) the mode of care delivery to the patient’s suitability and willingness to receive blended care. The control arm will receive physiotherapy as usual. Neither physiotherapists nor patients in the control arm will be informed about the Stratified Blended Approach arm. The primary outcome is region-specific pain and disability (combined score of Shoulder Pain and Disability Index & Neck Pain and Disability Scale) over 9 months. Effectiveness will be compared using linear mixed models. An economic evaluation will be performed from the societal and healthcare perspective. Discussion: The trial will be the first to provide evidence on the effectiveness and cost-effectiveness of the Stratified Blended Approach compared with usual physiotherapy in patients with neck and/or shoulder complaints.
Individuals are increasingly confronted with ‘diseases of modernity’, such as stress and burnout. While insights from the work-family interface have mainly pointed towards demands and resources coming from the work and nonwork domains, the proposed multi-method PhD research project aims to contribute to contemporary scholarly and societal work-life and burnout debates by presenting an alternative theoretical lens on the development of mental health complaints in today’s society, especially among the younger Millennial generation. The project aims to shed light on how and why Millennial employees engage in a so-called ‘work/nonwork image (re)construction process’.The project will reflect on the following questions:How, why and when do individual workers engage in a process in which they construct their image(s) in the work and nonwork domains? What are the relationships, if any, between the image (re)construction process individuals engage in and potential positive- and negative consequences?The findings are expected to have important implications not only for preventive measures for individuals and organizations, but also for possible avenues for future studies. Project Partner: Nyenrode Business Universiteit
De zorgbehoeftes van patiënten met nek- en/of schouderklachten kunnen per persoon verschillen. We onderzoeken of de fysiotherapie verbeterd kan worden door dit te personaliseren en met een online programma te combineren.Doel Het doel van dit project is het verbeteren van de fysiotherapeutische zorg voor patiënten met nek- en/of schouderklachten. Door de vorm en inhoud aan te passen aan de behoeftes van de individuele patiënt denken we de therapie (kosten-)effectiever te maken. We willen dat zoveel mogelijk fysiotherapeuten deze behandeling kunnen toepassen. Daarnaast gebruiken we de kennis uit dit onderzoek in het opleiden van professionals in de gezondheidszorg. Resultaten Dit onderzoek loopt nog. Na afronding vind je hier een samenvatting van de resultaten. Looptijd 01 juni 2018 - 01 juni 2023 Aanpak We bieden de fysiotherapeut hulpmiddelen om te bepalen of een patiënt geschikt is voor blended fysiotherapie en om te bepalen hoe de behandeling er dan uit zou moeten zien. Blended fysiotherapie is een integratie van consulten fysiotherapie en een digitaal programma waarmee patiënten thuis aan de slag gaan, zoals het bestaande E- Excercise. Deze zogenoemde gestratificeerde blended fysiotherapie behandeling vergelijken we met gebruikelijke fysiotherapie op (kosten-)effectiviteit. Lees hier het wetenschappelijk artikel dat Mark van Tilburg en collega-onderzoekers erover publiceerden: Stratified care integrated with eHealth versus usual primary care physiotherapy in patients with neck and/or shoulder complaints: protocol for a cluster randomized controlled trial
Especially during the summer period, a significant amount of the population experience a health issues caused by the stinging hair of oak-caterpillars. These health complaints are often caused by the skin irritation and allergic reaction when the stinging hair comes in contact with the skin. Additional complaints include swelling and inflammation problems on eyes and throats. The health complaints range from simple itching to serious allergic reactions that can last weeks. Currently, the oak-caterpillars are removed using manual labor, which is labor intensive and time consuming. Cranes are often deployed to reach to various parts of a tree for inspection and combat, which is a slow and an expensive process. In general, since inspection of oak-caterpillars is done with bare eyes of the professionals and detection often occurs at a later stage, significant number of people are affected already. Therefore, a new effective combating methodology is needed. The main goal of this project is to conduct feasibility study of the applicability of semi-autonomous aerial robots (drones) for early stage detection and combat against oak-caterpillars. This innovative solution aspires to use smart aerial robots that employ AI-based techniques for early phase and real-time detection of oak-caterpillars. Once the oak-caterpillars are detected, a direct and selective combating resources will be applied. Within this project, the first proof-of-concepts will be developed. The results of this project will be used to expand the existing network and formulate a bigger project to address additional critical aspects in order to develop a complete oak-caterpillar combating drone. The project will be executed with Research Group of Mechatronics at Saxion, together with the participating innovative SMEs (DronExperts,Drone4Agro). The project will be facilitated by the Municipality of Enschede with respect to polices and the Space53 cluster for networking and testing in operational environments.
