This paper describes the approach used to identify elderly people’s needs and attitudes towards applying ambient sensor systems for monitoring daily activities in the home. As elderly are typically unfamiliar with such ambient technology, interactive tools for explicating sensor monitoring –an interactive dollhouse and iPad applications for displaying live monitored sensor activity data– were developed and used for this study. Furthermore, four studies conducted by occupational therapists with more than 60 elderly participants –including questionnaires (n=41), interviews (n=6), user sessions (n=14) and field studies (n=2)– were conducted. The experiences from these studies suggest that this approach helped to democratically engage the elderly as end-user and identify acceptance issues.
Built environments are increasingly vulnerable to the impacts of climate change. Most European towns and cities have developed horizontally over time but are currently in the process of further densification. High-rise developments are being built within city boundaries at an unprecedented rate to accommodate a growing urban population. This densification contributes to the Urban Heat Island phenomenon and can increase the frequency and duration of extreme heat events locally. These new build-up areas, in common with historic city centres, consist mainly of solid surfaces often lacking open green urban spaces.The Intervention Catalogue is the third publication in a series produced by the Cool Towns project and has been designed as a resource for decision makers, urban planners, landscape architects, environmental consultants, elected members and anyone else considering how to mitigate heat stress and increase thermal comfort in urban areas. Technical information on the effectiveness of the full array of intervention types from trees to water features, shading sails to green walls, has been assessed for their heat stress mitigation properties, expressed in Physiological Equivalent Temperature (PET). The results shown in factsheets will help the process of making an informed, evidence based, choice so that the most appropriate intervention for the specific spatial situation can be identified.
Background: Alcohol use is associated with an automatic tendency to approach alcohol, and the retraining of this tendency (cognitive bias modification [CBM]) shows therapeutic promise in clinical settings. To improve access to training and to enhance participant engagement, a mobile version of alcohol avoidance training was developed.Objective: The aims of this pilot study were to assess (1) adherence to a mobile health (mHealth) app; (2) changes in weekly alcohol use from before to after training; and (3) user experience with regard to the mHealth app.Methods: A self-selected nonclinical sample of 1082 participants, who were experiencing problems associated with alcohol, signed up to use the alcohol avoidance training app Breindebaas for 3 weeks with at least two training sessions per week. In each training session, 100 pictures (50 of alcoholic beverages and 50 of nonalcoholic beverages) were presented consecutively in a random order at the center of a touchscreen. Alcoholic beverages were swiped upward (away from the body), whereas nonalcoholic beverages were swiped downward (toward the body). During approach responses, the picture size increased to mimic an approach movement, and conversely, during avoidance responses, the picture size decreased to mimic avoidance. At baseline, we assessed sociodemographic characteristics, alcohol consumption, alcohol-related problems, use of other substances, self-efficacy, and craving. After 3 weeks, 37.89% (410/1082) of the participants (posttest responders) completed an online questionnaire evaluating adherence, alcohol consumption, and user satisfaction. Three months later, 19.03% (206/1082) of the participants (follow-up responders) filled in a follow-up questionnaire examining adherence and alcohol consumption.Results: The 410 posttest responders were older, were more commonly female, and had a higher education as compared with posttest dropouts. Among those who completed the study, 79.0% (324/410) were considered adherent as they completed four or more sessions, whereas 58.0% (238/410) performed the advised six or more training sessions. The study identified a significant reduction in alcohol consumption of 7.8 units per week after 3 weeks (95% CI 6.2-9.4, P<.001; n=410) and another reduction of 6.2 units at 3 months for follow-up responders (95% CI 3.7-8.7, P<.001; n=206). Posttest responders provided positive feedback regarding the fast-working, simple, and user-friendly design of the app. Almost half of the posttest responders reported gaining more control over their alcohol use. The repetitious and nonpersonalized nature of the intervention was suggested as a point for improvement.Conclusions: This is one of the first studies to employ alcohol avoidance training in a mobile app for problem drinkers. Preliminary findings suggest that a mobile CBM app fulfils a need for problem drinkers and may contribute to a reduction in alcohol use. Replicating these findings in a controlled study is warranted.
Mensen die moeite hebben met lezen en schrijven (laaggeletterden) zijn ondervertegenwoordigd in onderzoek, waardoor een belangrijke onderzoekspopulatie ontbreekt. Dit is een probleem, omdat zorgbeleid dan onvoldoende op hun behoeften wordt aangepast. Laaggeletterden hebben vaak een lage sociaal economische positie (SEP). Mensen met een lage SEP leven gemiddeld 4 jaar korter en 15 jaar in minder goed ervaren gezondheid vergeleken met mensen met een hoge SEP. Om laaggeletterden te betrekken in onderzoek, is het o.a. nodig om onderzoek toegankelijker te maken. Dit project draagt hieraan bij door de ontwikkeling van een toolbox voor toegankelijke (proefpersonen)informatie (pif) en toestemmingsverklaringen. We ontwikkelen in co-creatie met de doelgroep toegankelijke audiovisuele materialen die breed ingezet kunnen worden door (gezondheids)onderzoekers van (zorggerelateerde) instanties/bedrijven én kennisinstellingen voor de werving voor en informatieverstrekking over onderzoek. In de multidisciplinaire samenwerking met onze partners YURR.studio, Pharos, Stichting ABC, Stichting Crowdience, de HAN-Sterkplaats en de Academische Werkplaats Sterker op eigen benen (AW-SOEB) van Radboudumc stellen we de behoeften van de doelgroep centraal. Middels creatieve sessies en gebruikerservaringen wordt in een iteratief ontwerpende onderzoeksaanpak toegewerkt naar diverse ontwerpen van informatiebrieven en toestemmingsverklaringen, waarbij de visuele communicatie dragend is. Het ontwikkelproces biedt kennisontwikkeling en hands-on praktijkvoorbeelden voor designers en grafisch vormgevers in het toegankelijk maken van informatie. Als laaggeletterden beter bereikt worden d.m.v. de pif-toolbox, kunnen de inzichten van deze groep worden meegenomen. Dit zorgt voor een minder scheef beeld in onderzoek, waardoor (gezondheids)beleid zich beter kan richten op kwetsbare doelgroepen. Hiermee wordt een bijdrage geleverd aan het verkleinen van gezondheidsverschillen.
The main objective is to write a scientific paper in a peer-reviewed Open Access journal on the results of our feasibility study on increasing physical activity in home dwelling adults with chronic stroke. We feel this is important as this article aims to close a gap in the existing literature on behavioral interventions in physical therapy practice. Though our main target audience are other researchers, we feel clinical practice and current education on patients with stroke will benefit as well.
In dit project ontwikkelt het HvA-lectoraat Responsible IT in co-creatie met Digital Agency Fonk een werkend prototype van een innovatieve educatieve AI-applicatie, die de taalvaardigheid van kinderen en ouders vergroot. Onderdeel van deze applicatie is een functionaliteit voor taalvereenvoudiging op basis van AI. Dit software-onderdeel analyseert tijdens het lezen het AVI niveau van de lezers en past het verhaal hier automatisch op aan. Met audio- en spraakanalyse worden fouten in o.a. uitspraak, grammatica en woordbegrip gedetecteerd, en het niveau van de tekst automatisch verhoogd of te verlaagd. Door de moeilijkheidsgraad van de tekst langzaam te verhogen wordt de leesvaardigheid verbeterd.
