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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Social media firestorms pose a significant challenge for firms in the digital age. Tackling firestorms is difficult because the judgments and responses from social media users are influenced by not only the nature of the transgressions but also by the reactions and opinions of other social media users. Drawing on the heuristic-systematic information processing model, we propose a research model to explain the effects of social impact (the heuristic mode) and argument quality and moral intensity (the systematic mode) on perceptions of firm wrongness (the judgment outcome) as well as the effects of perceptions of firm wrongness on vindictive complaining and patronage reduction. We adopted a mixed methods approach in our investigation, including a survey, an experiment, and a focus group study. Our findings show that the heuristic and systematic modes of information processing exert both direct and interaction effects on individuals’ judgment. Specifically, the heuristic mode of information processing dominates overall and also biases the systematic mode. Our study advances the literature by offering an alternative explanation for the emergence of social media firestorms and identifying a novel context in which the heuristic mode dominates in dual information processing. It also sheds light on the formulation of response strategies to mitigate the adverse impacts resulting from social media firestorms. We conclude our paper with limitations and future research directions.
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In higher education, students often misunderstand teachers’ written feedback. This is worrisome, since written feedback is the main form of feedback in higher education. Organising feedback conversations, in which feedback request forms and verbal feedback are used, is a promising intervention to prevent misunderstanding of written feedback. In this study a 2 × 2 factorial experiment (N = 128) was conducted to examine the effects of a feedback request form (with vs. without) and feedback mode (written vs. verbal feedback). Results showed that verbal feedback had a significantly higher impact on students’ feedback perception than written feedback; it did not improve students’ self-efficacy, or motivation. Feedback request forms did not improve students’ perceptions, self-efficacy, or motivation. Based on these results, we can conclude that students have positive feedback perceptions when teachers communicate their feedback verbally and more research is needed to investigate the use of feedback request forms.
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Introduction: Shared decision-making is considered to be a key aspect of woman-centered care and a strategy to improve communication, respect, and satisfaction. This scoping review identified studies that used a shared decision-making support strategy as the primary intervention in the context of perinatal care. Methods: A literature search of PubMed, CINAHL, Cochrane Library, PsycINFO, and SCOPUS databases was completed for English-language studies conducted from January 2000 through November 2019 that examined the impact of a shared decision-making support strategy on a perinatal decision (such as choice of mode of birth after prior cesarean birth). Studies that only examined the use of a decision aid were excluded. Nine studies met inclusion criteria and were examined for the nature of the shared decision-making intervention as well as outcome measures such as decisional evaluation, including decisional conflict, decisional regret, and certainty. Results: The 9 included studies were heterogeneous with regard to shared decision-making interventions and measured outcomes and were performed in different countries and in a variety of perinatal situations, such as women facing the choice of mode of birth after prior cesarean birth. The impact of a shared decision-making intervention on women’s perception of shared decision-making and on their experiences of the decision-making process were mixed. There may be a decrease in decisional conflict and regret related to feeling informed, but no change in decisional certainty. Discussion: Despite the call to increase the use of shared decision-making in perinatal care, there are few studies that have examined the effects of a shared decision-making support strategy. Further studies that include antepartum and intrapartum settings, which include common perinatal decisions such as induction of labor, are needed. In addition, clear guidance and strategies for successfully integrating shared decision-making and practice recommendations would help women and health care providers navigate these complex decisions.
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Background: Low-educated patients are disadvantaged in using questionnaires within the health care setting because most health-related questionnaires do not take the educational background of patients into account. The Dutch Talking Touch Screen Questionnaire (DTTSQ) was developed in an attempt to meet the needs of low-educated patients by using plain language and adding communication technology to an existing paper-based questionnaire. For physical therapists to use the DTTSQ as part of their intake procedure, it needs to generate accurate information from all of their patients, independent of educational level. Objective: The aim of this study was to get a first impression of the information that is generated by the DTTSQ. To achieve this goal, response processes of physical therapy patients with diverse levels of education were analyzed. Methods: The qualitative Three-Step Test-Interview method was used to collect observational data on actual response behavior of 24 physical therapy patients with diverse levels of education. The interviews included both think-aloud and retrospective probing techniques. Results: Of the 24 respondents, 20 encountered one or more problems during their response process. The use of plain language and information and communication technology (ICT) appeared to have a positive effect on the comprehensibility of the DTTSQ. However, it also had some negative effects on the interpretation, retrieval, judgment, and response selection within the response processes of the participants in this study. No educational group in this research population stood out from the rest in the kind or number of problems that arose. All respondents recognized themselves in the outcomes of the questionnaire. Conclusions: The use of plain language and ICT within the DTTSQ had both positive and negative effects on the response processes of its target population. The results of this study emphasize the importance of earlier recommendations to accompany any adaption of any questionnaire to a new mode of delivery by demonstrating the difference and equivalence between the two different modes and to scientifically evaluate the applicability of the newly developed mode of the questionnaire in its intended setting. This is especially important in a digital era in which the use of plain language within health care is increasingly being advocated.
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Full text met een HU Account Objective: To quantify diversity in components of self-management interventions and explore which components are associated with improvement in health-related quality of life (HRQoL) in patients with chronic heart failure (CHF), chronic obstructive pulmonary disease (COPD), or type 2 diabetes mellitus (T2DM). Methods: Systematic literature search was conducted from January 1985 through June 2013. Included studies were randomised trials in patients with CHF, COPD, or T2DM, comparing self-management interventions with usual care, and reporting data on disease-specific HRQoL. Data were analysed with weighted random effects linear regression models. Results: 47 trials were included, representing 10,596 patients. Self-management interventions showed great diversity in mode, content, intensity, and duration. Although self-management interventions overall improved HRQoL at 6 and 12 months, meta-regression showed counterintuitive negative effects of standardised training of interventionists (SMD = 0.16, 95% CI: 0.31 to 0.01) and peer interaction (SMD = 0.23, 95% CI 0.39 to 0.06) on HRQoL at 6 months. Conclusion: Self-management interventions improve HRQoL at 6 and 12 months, but interventions evaluated are highly heterogeneous. No components were identified that favourably affected HRQoL. Standardised training and peer interaction negatively influenced HRQoL, but the underlying mechanism remains unclear. Practice implications: Future research should address process evaluations and study response to selfmanagement on the level of individual patients
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This paper reports on the effects of an e-cycling incentive program in the province of North-Brabant, The Netherlands, in which commuters could earn monetary incentives when using their e-bike. The study used a longitudinal design allowing to observe behaviour change and mode shifts. The program appeared to be highly effective in stimulating e-bike use, as one month after the start of the program, the share of commute trips made by e-bike increased from 0% to 68%, with an increase up to 73% after half a year of participating. The environmental, congestion and health benefits of this shift are however mixed. Half of the e-bike trips substitute car trips, with positive effects on environment, congestion and health. The other half substitutes conventional cycling trips, implying fever health benefits. Our analyses further suggest that distance is an important factor for adopting e-cycling, where e-bike has a larger acceptable distance than a conventional bike. Nevertheless, we observed that the likelihood to use the e-bike decreased as commuting distance increased. Multivariate analyses suggest that a shift to e-cycling is affected by age, gender, physical condition, car ownership and household composition. Our study did find support for the hypothesis that having a strong car-commuting habit decreases the probability of mode shift to a new mode alternative. In contrast, multimodality may increase the likelihood of e-bike use as a result of openness to other travel options and a more deliberate mode choice. Lastly, dissatisfaction with the current travel mode positively influences mode shift towards the e-bike. Our results imply that stimulating e-cycling may be a promising way of stimulating physical activity, but that it will be most effective if targeted at specific groups who are not currently engaging in active travel.
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Western cities are rapidly densifying, and new building typologies are being invented to mitigate high-rise and balance residential, commercial and recreational functions. This vertical urbanization requires rethinking the traditional design of public space to promote citizens’ well-being. While the scarce studies on high-rise environments indicate several risks, including social fragmentation (Henderson-Wilson 2008; Love et al., 2014), mental stress and undermining attention restoration (Mazumder et al., 2020; Lindal & Hartig 2013), evidence on the potential salutary and mitigating effects of architectural design qualities is limited (Suurenbroek & Spanjar 2023).The Building for Well-being research project combines biometric and social data-collection techniques to address this gap. It builds on studies investigating how built environments allow user engagement (Mallgrave 2013; Simpson 2018) and afford important activities (Gibson 1966). This case study focuses on the experiences of predominant users of the NDSM Wharf in Amsterdam as it is transformed from a post-industrial site into a high-density, mixed-use neighborhood. Using eye-tracking, field and laboratory-based surveys, it explores how residents, passers-by and visitors visually experience, appreciate and perceive the restorative value of the wharf’s recently developed urban spaces.Thirty-six university students were randomly recruited as test subjects for the laboratory test and assigned to one of the three user groups. The resident and passer-by groups were primed for familiarity. Each group was assigned a distinct walking mode and participants were told to imagine they were strolling (residents), rushing (passers-by) or exploring (visitors). The exposure time to visual stimuli of participants was five seconds per image. Afterwards, they reported on the perceived restorative quality of ten urban spaces, focusing on: (1) sense of being away, (2) level of complexity-compatibility and (3) fascination, based on an adapted Restorative Components Scale (RCS, Yin et al. 2022; Laumann et al. 2001). Self-reported appreciation per scene was measured on a 10-point Likert scale and subjects indicated elements in the ten urban spaces they liked or disliked (see Figure 1). A semi-structured on-site survey was also carried out to investigate user experiences further and for triangulation. Thirty-one users, consisting of residents, passers-by and visitors to the NDSM Wharf, rated their appreciation of the site and its perceived restorative and design qualities (following Ewing & Clemente, 2013) on a 10-point Likert scale.The meta-data analysis of RCS statistics, appreciation values, eye-tracking metrics and heatmaps reveals distinct visual patterns among user groups. This points to the influence of environmental tasks and roles (see Figure 2). Strolling and exploring resulted in a comprehensive visual exploration of scenes with a higher mean total fixation count and shorter mean total fixation duration than goal-oriented walking. It suggests that walking mode determines the level of openness to the environment and that architectural attributes can also steer visual exploration. Scenes with the highest appreciation scores correlated with the RCS outcomes. They displayed coherence and opportunities for social engagement, contrasting with scenes with inconsistent industrial and contemporary features. These findings provide spatial designers with insights into the subliminal experiences of predominant user groups to promote well-being in urban transformation.
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Background: Despite evidence supporting the safety of vaginal birth after caesarean section (VBAC), rates are low in many countries. Methods: OptiBIRTH investigated the effects of a woman-centred intervention designed to increase VBAC rates through an unblinded cluster randomised trial in 15 maternity units with VBAC rates < 35% in Germany, Ireland and Italy. Sites were matched in pairs or triplets based on annual birth numbers and VBAC rate, and randomised, 1:1 or 2:1, intervention versus control, following trial registration. The intervention involved evidence-based education of clinicians and women with one previous caesarean section (CS), appointment of opinion leaders, audit/peer review, and joint discussions by women and clinicians. Control sites provided usual care. Primary outcome was annual hospital-level VBAC rates before the trial (2012) versus final year of the trial (2016). Between April 2014 and October 2015, 2002 women were recruited (intervention 1195, control 807), with mode-of-birth data available for 1940 women. Results: The OptiBIRTH intervention was feasible and safe across hospital settings in three countries. There was no statistically significant difference in the change in the proportion of women having a VBAC between intervention sites (25.6% in 2012 to 25.1% in 2016) and control sites (18.3 to 22.3%) (odds ratio adjusted for differences between intervention and control groups (2012) and for homogeneity in VBAC rates at sites in the countries: 0.87, 95% CI: 0.67, 1.14, p = 0.32 based on 5674 women (2012) and 5284 (2016) with outcome data. Among recruited women with birth data, 4/1147 perinatal deaths > 24 weeks gestation occurred in the intervention group (0.34%) and 4/782 in the control group (0.51%), and two uterine ruptures (one per group), a rate of 1:1000. Conclusions: Changing clinical practice takes time. As elective repeat CS is the most common reason for CS in multiparous women, interventions that are feasible and safe and that have been shown to lead to decreasing repeat CS, should be promoted. Continued research to refine the best way of promoting VBAC is essential. This may best be done using an implementation science approach that can modify evidence-based interventions in response to changing clinical circumstances.
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Western cities are rapidly densifying, and new building typologies are beinginvented to mitigate high-rise and balance residential, commercial andrecreational functions. This vertical urbanization requires rethinking thetraditional design of public space to promote citizens’ well-being. While the scarce studies on high-rise environments indicate several risks, including social fragmentation and privatization of public functions (Henderson-Wilson 2008; Love et al., 2014), mental stress and undermining attention restoration (Mazumder et al., 2020; Lindal & Hartig 2013), evidence on the potential salutary and mitigating effects of architectural design qualities is limited (Suurenbroek & Spanjar 2023).The Building for Well-being research project combines biometric and socialdata-collection techniques to address this gap. It builds on studies investigatinghow built environments allow user engagement (Mallgrave 2013; Simpson2018) and afford important activities (Gibson 1966). This case study focuseson the experiences of predominant users of the NDSM Wharf in Amsterdamas it is transformed from a post-industrial site into a high-density, mixeduseneighborhood. Using eye-tracking, field and laboratory-based surveys, itexplores how residents, passers-by and visitors visually experience, appreciateand perceive the restorative value of the wharf’s recently developed urbanspaces.Thirty-six university students were randomly recruited as test subjects for thelaboratory test and assigned to one of the three user groups. The residentand passer-by groups were primed for familiarity. Each group was assigneda distinct walking mode and participants were told to imagine they werestrolling (residents), rushing (passers-by) or exploring (visitors). The exposuretime to visual stimuli of participants was five seconds per image. Afterwards,they reported on the perceived restorative quality of ten urban spaces,focusing on: (1) sense of being away, (2) level of complexity-compatibilityand (3) fascination, based on an adapted Restorative Components Scale (RCS,Yin et al. 2022; Laumann et al. 2001). Self-reported appreciation per scenewas measured on a 10-point Likert scale and subjects indicated elements inthe ten urban spaces they liked or disliked (see Figure 1). A semi-structuredon-site survey was also carried out to investigate user experiences furtherand for triangulation. Thirty-one users, consisting of residents, passers-byand visitors to the NDSM Wharf, rated their appreciation of the site and itsperceived restorative and design qualities (following Ewing & Clemente, 2013)on a 10-point Likert scale.The meta-data analysis of RCS statistics, appreciation values, eye-trackingmetrics and heatmaps reveals distinct visual patterns among user groups. Thispoints to the influence of environmental tasks and roles (see Figure 2). Strollingand exploring resulted in a comprehensive visual exploration of scenes with ahigher mean total fixation count and shorter mean total fixation duration thangoal-oriented walking. It suggests that walking mode determines the level ofopenness to the environment and that architectural attributes can also steervisual exploration. Scenes with the highest appreciation scores correlatedwith the RCS outcomes. They displayed coherence and opportunities forsocial engagement, contrasting with scenes with inconsistent industrial andcontemporary features. These findings provide spatial designers with insightsinto the subliminal experiences of predominant user groups to promote wellbeing in urban transformation.
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