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Individual and Team Factors Influencing the Adoption of Information and Communication Technology by Nurses

INfluencing Self management during Pulmonary rehabIlitation to EmpoweR patiEnts (INSPIRE)

Longaandoeningen, zoals COPD, veroorzaken problemen in het dagelijks functioneren door een afgenomen uithoudingsvermogen, benauwdheid en (bewegings-) angst. Tijdens longrevalidatie vormen inspanningstraining en het leren omgaan met dagelijkse fysieke beperkingen (zoals benauwdheid bij inspanning) de hoeksteen van de behandeling. Het is voor patiënten moeilijk om een actieve leefstijl te behouden. Na deelname aan revalidatie gaan trainingseffecten verloren door een verminderd aanbod van trainingsprikkels (reversibiliteit). Daarnaast wordt, een jaar na de revalidatie, maar liefst 20% van de patiënten opnieuw opgenomen in het ziekenhuis met een longaanval (exacerbatie). Door de verschuiving van (dure) derdelijns naar eerstelijns zorg, hebben meer patiënten toegang tot de zorg die ze nodig hebben. Hierdoor kan verergering van klachten voorkomen worden. Naast fysieke inspanning is het voor oefen- en fysiotherapeuten belangrijk om patiënten een duurzame actieve leefstijl aan te leren en het zelfmanagement van patiënten te vergroten. Een blended beweeginterventie, om het zelfmanagement (omtrent beweging, benauwdheid en beweginsgangst) van COPD patiënten te stimuleren, zowel in de praktijk als in de thuissituatie middels een eHealth toepassing, biedt mogelijk uitkomst. Echter, missen therapeuten kennis en handvatten om blended care toe te passen in de praktijk. Het doel van dit project is om samen met fysiotherapeuten en oefentherapeuten een blended care programma in te richten voor patiënten met COPD. In werkpakket 1 inventariseren we de behoeften en belemmerende factoren van een blended beweeginterventie bij therapeuten en patiënten. Op basis van deze bevindingen worden de belangrijkste elementen van de interventie geselecteerd en wordt, in co-creatie met eindgebruikers de eerste versie van de interventie ontwikkeld (WP2). Om te bepalen wat de toegevoegde waarde van de interventie is, worden de voorlopige effectiviteit en haalbaarheid onderzocht waarbij 25 eerstelijns therapeuten de blended interventie gaan gebruiken (WP3). In WP4 worden scholingsmodules ontwikkeld voor studenten en therapeuten om kennis over zelfmanagement en technologie bij COPD te vergroten.

Juicy Beans

Kumasi and RokitScience contribute to increasing the ownership and income of cocoa farmers, with an emphasis on women. Kumasi has a successful history of developing and marketing cocoa juice, which aims to keep as much income as possible with the farmer. RokitScience has been involved in the creation of the Rokbar: a "bean to bar" empowering chocolate bar that is marketed and made entirely by women. Kumasi and RokitScience started setting up a cocoa-fruit-lab at the cocoa-cooperative COVIMA in early 2021 in Ivory-Coast, in collaboration with Beyond Beans Foundation/ETG and Döhler and financially supported by the Sustainable-Trade-Initiative (IDH). The goal is to support the cooperative, which is led by women, with the establishment of circular cocoa juice and chocolate production and in this way increase the income of the members of the cooperative. The cocoa pod contains cocoa beans embedded in cocoa pulp. This pulp is sweet and juicy and partly needed for cocoa bean fermentation for flavor development. Residual pulp can be used for new products like drinks, marmalades and more. The collaboration in the cocoa fruit lab created momentum to try-out a more circular approach whereby the extraction of juice was linked to a shorter fermentation period of the beans, influencing quality features of both the beans and potentially the chocolate. However, to optimize the production of juicy beans further and find a market for this (and potentially other) products requires further testing and development of a value proposition and marketing strategy. The main question of Kumasi and RokitScience at Hanzehogeschool Groningen and NHLStenden Hogeschool Amsterdam is: What is the effect on the quality of beans and chocolate if fermented after the extraction of juice? How can this be optimized: comparing ‘cocoa of excellence’ fermentation and drying to traditional post-harvest practices and how can we tell the world?

Juicy Beans

Kumasi and RokitScience contribute to increasing the ownership and income of cocoa farmers, with an emphasis on women. Kumasi has a successful history of developing and marketing cocoa juice, which aims to keep as much income as possible with the farmer. RokitScience has been involved in the creation of the Rokbar: a "bean to bar" empowering chocolate bar that is marketed and made entirely by women. Kumasi and RokitScience started setting up a cocoa-fruit-lab at the cocoa-cooperative COVIMA in early 2021 in Ivory-Coast, in collaboration with Beyond Beans Foundation/ETG and Döhler and financially supported by the Sustainable-Trade-Initiative (IDH). The goal is to support the cooperative, which is led by women, with the establishment of circular cocoa juice and chocolate production and in this way increase the income of the members of the cooperative. The cocoa pod contains cocoa beans embedded in cocoa pulp. This pulp is sweet and juicy and partly needed for cocoa bean fermentation for flavor development. Residual pulp can be used for new products like drinks, marmalades and more. The collaboration in the cocoa fruit lab created momentum to try-out a more circular approach whereby the extraction of juice was linked to a shorter fermentation period of the beans, influencing quality features of both the beans and potentially the chocolate. However, to optimize the production of juicy beans further and find a market for this (and potentially other) products requires further testing and development of a value proposition and marketing strategy.The main question of Kumasi and RokitScience at Hanzeschool Groningen and Hogeschool Amsterdam is: What is the effect on the quality of beans and chocolate if fermented after the extraction of juice? How can this be optimized: comparing ‘cocoa of excellence’ fermentation and drying to traditional post-harvest practices and how can we tell the world?

LILS (SPRONG groep Low Impact Lastmile logisticS)

The SPRONG group, originating from the CoE KennisDC Logistiek, focuses on 'Low Impact in Lastmile Logistics' (LILS). The LILS group conducts practical research with local living labs and learning communities. There is potential for more collaboration and synergy for nationwide scaling of innovations, which is currently underutilized. LILS aims to make urban logistics more sustainable and facilitate necessary societal transitions. This involves expanding the monodisciplinary and regional scope of CoE KennisDC Logistiek to a multidisciplinary and supra-regional approach, incorporating expertise in spatial planning, mobility, data, circularity, AI, behavior, and energy. The research themes are:- Solutions in scarce space aiming for zero impact;- Influencing behavior of purchasers, recipients, and consumers;- Opportunities through digitalization.LILS seeks to increase its impact through research and education beyond its regions. Collaboration between BUas, HAN, HR, and HvA creates more critical mass. LILS activities are structured around four pillars:- Developing a joint research and innovation program in a roadmap;- Further integrating various knowledge domains on the research themes;- Deepening methodological approaches, enhancing collaboration between universities and partners in projects, and innovating education (LILS knowledge hub);- Establishing an organizational excellence program to improve research professionalism and quality.These pillars form the basis for initiating and executing challenging, externally funded multidisciplinary research projects. LILS is well-positioned in regions where innovations are implemented and has a strong national and international network and proven research experience.Societal issue:Last-mile logistics is crucial due to its visibility, small deliveries, high costs, and significant impact on emissions, traffic safety, and labor hours. Lastmile activities are predicted to grow a 20% growth in the next decade. Key drivers for change include climate agreements and energy transitions, urban planning focusing on livability, and evolving retail landscapes and consumer behavior. Solutions involve integrating logistics with spatial planning, influencing purchasing behavior, and leveraging digitalization for better data integration and communication. Digital twins and the Physical Internet concept can enhance efficiency through open systems, data sharing, asset sharing, standardization, collaboration protocols, and modular load units.Key partners: Buas, HR, HAN, HvAPartners: TNO, TU Delft, Gemeente Rotterdam, Hoger Onderwijs Drechtsteden, Significance, Metropolitan Hub System, evofenedex, Provincie Gelderland, Duurzaam Bereikbaar Heijendaal, Gemeente Alphen aan den Rijn, Radboud Universiteit, I&W - DMI, DHL, TLN, Noorderpoort, Fabrications, VUB, Smartwayz, RUG, Groene Metropoolregio.

Movebite

Movebite aims to combat the issue of sedentary behavior prevalent among office workers. A recent report of the Nederlandse Sportraad reveal a concerning trend of increased sitting time among Dutch employees, leading to a myriad of musculoskeletal discomforts and significant health costs for employers due to increased sick leave. Recognizing the critical importance of addressing prolonged sitting in the workplace, Movebite has developed an innovative concept leveraging cutting-edge technology to provide a solution. The Movebite app seamlessly integrates into workplace platforms such as Microsoft Teams and Slack, offering a user-friendly interface to incorporate movement into their daily routines. Through scalable AI coaching and real-time movement feedback, Movebite assists individuals in scheduling and implementing active micro-breaks throughout the workday, thereby mitigating the adverse effects of sedentary behavior. In collaboration with the Avans research group Equal Chance on Healthy Choices, Movebite conducts user-centered testing to refine its offerings and ensure maximum efficacy. This includes testing initiatives at sports events, where the diverse crowd provides invaluable feedback to fine-tune the app's features and user experience. The testing process encompasses both quantitative and qualitative approaches based on the Health Belief Model. Through digital questionnaires, Movebite aims to gauge users' perceptions of sitting as a health threat and the potential benefits of using the app to alleviate associated risks. Additionally, semi-structured interviews delve deeper into user experiences, providing qualitative insights into the app's usability, look, and feel. By this, Movebite aims to not only understand the factors influencing adoption but also to tailor its interventions effectively. Ultimately, the goal is to create an environment encouraging individuals to embrace physical activity in small, manageable increments, thereby fostering long-term engagement promoting overall well-being.Through continuous innovation and collaboration with research partners, Movebite remains committed to empowering individuals to lead healthier, more active lifestyles, one micro-break at a time.