In dit project wordt er voortgeborduurd op de kennis en expertise omtrent beweeginterventies die een brug van zorg naar bewegen slaan (sportzorgprogramma’s). Hier is er veel expertise opgedaan binnen Physical Activity Centre (PAC), een project vanuit het Lectoraat Fysieke Activiteit en Gezondheid van Fontys Sporthogeschool. PAC is ontstaan vanuit twee invalshoeken. Enerzijds als een verbeteractie om een optimale koppeling te realiseren tussen de theoretische kennis (medisch-biologisch en gedragswetenschappelijke theorieën) en het praktisch handelen van een student. Anderzijds was er de maatschappelijke vraag naar ‘beweegaanbod op maat’ omtrent de problematiek rondom chronische ziekten, vergrijzing en bewegingsarmoede.
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Background Physical activity after bariatric surgery is associated with sustained weight loss and improved quality of life. Some bariatric patients engage insufficiently in physical activity. The aim of this study was to examine whether and to what extent both physical activity and exercise cognitions have changed at one and two years post-surgery, and whether exercise cognitions predict physical activity. Methods Forty-two bariatric patients (38 women, 4 men; mean age 38 ± 8 years, mean body mass index prior to surgery 47 ± 6 kg/m²), filled out self-report instruments to examine physical activity and exercise cognitions pre- and post surgery. Results Moderate to large healthy changes in physical activity and exercise cognitions were observed after surgery. Perceiving less exercise benefits and having less confidence in exercising before surgery predicted less physical activity two years after surgery. High fear of injury one year after surgery predicted less physical activity two years after surgery. Conclusion After bariatric surgery, favorable changes in physical activity and exercise cognitions are observed. Our results suggest that targeting exercise cognitions before and after surgery might be relevant to improve physical activity.
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Aware of the consequences of their inactive lifestyles, many people still struggle to integrate enough physical activity into their busy lives. Interventions that nudge to reinforce existing active behaviour seem therefore more likely to be effective than those adding an activity to daily routines. To encourage people to increase their physical activity level, we designed Discov, a network of physical waypoints triggering people to lengthen their walks. Placed in a public park, Discov encourages people to explore their surroundings in a fun and challenging way by creating an interactive walking experience. Adopting a Research-through-Design approach, we explore the potential of the design of accessible infrastructures and human-environment interactions to impact public health by nudging citizens into being more physically active. We discuss insights gathered through this process and report on first user tests of this interactive walking experience.
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Samen met onderzoekers van het Lectoraat Healthy Ageing, Allied Health Care and Nursing van de Hanzehogeschool en het Centrum voor Beweging en Onderzoek (CBO Groningen) hebben we tien populaire activity trackers onder de loep genomen. In het kort bestond dit onderzoek eruit dat we een groep proefpersonen de verschillende trackers hebben laten testen, zowel in een laboratoriumsetting (waarbij de metingen werden vergeleken met de gouden standaard; een handteller die – leuk om te vermelden – na al die duizenden stappen is stukgegaan) als buiten, in het wild, op een gewone werkdag. Recent hebben we nog eens tien populaire activity trackers in het lab getest. De resultaten waren over het algemeen boven verwachting, met name op het vlak van de betrouwbaarheid. Wat betreft de validiteit kan gezegd worden dat die in het algemeen minder goed is bij activity trackers die om de pols worden gedragen. (En dat is in feite logisch: ‘polstrackers’ letten op armbewegingen. In het lab, op de loopband, gaat dit nog behoorlijk goed (1 armzwaai = 1 looppas ) maar in het echte leven zwaai je ook wel eens met een arm bij het koffiezetten.) Uit de twintig geteste trackers is de volgende top 5 naar voren gekomen.
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Veel van de instrumenten die de dagelijkse activiteiten in kaart brengen doen dat op basis van een gesprek (interview). Maar er zijn ook instrumenten die foto’s van dagelijkse activiteiten gebruiken om het gesprek aan te gaan over die dagelijkse activiteiten, zoals de Activity Card Sort (ACS-NL). Dit artikel gaat over de ontwikkeling van vernieuwde versies van de ACS-NL voor verschillende doelgroepen.
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Purpose Worldwide, there are 30 million people with dementia (PWD) in 2009 and 100 million in 2050, respectively.These numbers show the need for a change in care for PWD. Leisure is one of these care aspects. Leisure activities can support PWD in several ways: meeting basic needs, providing comfort and social interaction, and reducing boredom, agitation, and isolation. An exemplary activity targeted at meeting these needs is ‘De Klessebessers (KB)’ (The Chitchatters), which aims to stimulate social interaction among PWD and provide comfort with supporting technology. This is innovative since technology for PWD generally concentrates on safety and monitoring activities. The activity comprises a radio, television, telephone, and treasure box. Method This study’s focus follows from the original aim of the KB-designers; to stimulate social interaction. In a nursing home and day care centre, the KB game was played with different groups of PWD (n=21: 12 females, 9 males, mean MMSE=17, range 3-28). In the morning KB (with technology), and in the afternoon an activity called ‘Questiongame’ (without technology) were played for 45 minutes. These activities were played twice in a two-month period, and outcomes were compared in terms of impact on social interaction. Group sizes ranged from 3 to 8 PWD assisted by 1 or 2 activity therapists. Two researchers observed the players during the activity with the Oshkosh Social Behavior Coding (OSBC) scale, which encompasses both verbal and nonverbal social and nonsocial behaviour. These behaviours can have a person-initiated and otherinitiated character (quantitative study). A total of 6 activity therapists were interviewed on the KB afterwards (qualitative study). Results & Discussion The quantitative results showed significantly higher scores for KB for the total of social interaction compared to Questiongame. Most of the behaviour is other-initiated (activity therapist). PWD with a lower MMSE score showed more non-verbal behaviour. For PWD with a MMSE score below 7, there was no difference in social interaction between the two activities. According to the qualitative research, KB triggered more social interaction, since the movies and music were stimulating the players to initiate a conversation, to which other players responded. The results of this research correspond with earlier research, which concludes that leisure activities with technology can show positive results on well-being.
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Background Fatigue is a prevalent and debilitating problem in Sjögren's syndrome. It has been suggested that physical activity and cognitions about physical activity can influence fatigue. Objective The aim of this study was to examine fatigue and physical activity levels in patients with Sjögren's syndrome and the associations of physical activity and physical activity cognitions with fatigue. Methods In 300 patients with primary Sjögren's syndrome and 100 demographically matched people from the general population (mean age 57, 93% female), fatigue (five dimensions of the 'Multidimensional Fatigue Inventory') and physical activity (three dimensions of the 'International Physical Activity Questionnaire') were assessed. The physical activity cognitions 'activity avoidance' and 'somatic focus' of the 'Tampa Scale of Kinesiophobia' were assessed in the Sjögren's group only. Results Sjögren's patients had higher scores on all five fatigue dimensions (p < .001) and lower scores on moderate and vigorous intensity activity (p < .01) as compared to control participants. In the Sjögren's group, lower physical activity and a higher activity avoidance and somatic focus were associated with more severe fatigue on most fatigue dimensions (p < .05). For general fatigue and physical fatigue, especially the combination of low physical activity and either high avoidance or high somatic focus was associated with more severe fatigue (p < .05). Conclusions Our results suggest that fatigue in patients with Sjögren's syndrome might be reduced by targeting both physical activity and physical activity cognitions. This suggestion requires verification in clinical experimental studies.
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Objective: To evaluate the preliminary effectiveness of a goal-directed movement intervention using a movement sensor on physical activity of hospitalized patients. Design: Prospective, pre-post study. Setting: A university medical center. Participants: Patients admitted to the pulmonology and nephrology/gastro-enterology wards. Intervention: The movement intervention consisted of (1) self-monitoring of patients' physical activity, (2) setting daily movement goals and (3) posters with exercises and walking routes. Physical activity was measured with a movement sensor (PAM AM400) which measures active minutes per day. Main measures: Primary outcome was the mean difference in active minutes per day pre- and post-implementation. Secondary outcomes were length of stay, discharge destination, immobility-related complications, physical functioning, perceived difficulty to move, 30-day readmission, 30-day mortality and the adoption of the intervention. Results: A total of 61 patients was included pre-implementation, and a total of 56 patients was included post-implementation. Pre-implementation, patients were active 38 ± 21 minutes (mean ± SD) per day, and post-implementation 50 ± 31 minutes per day (Δ12, P = 0.031). Perceived difficulty to move decreased from 3.4 to 1.7 (0-10) (Δ1.7, P = 0.008). No significant differences were found in other secondary outcomes. Conclusions: The goal-directed movement intervention seems to increase physical activity levels during hospitalization. Therefore, this intervention might be useful for other hospitals to stimulate inpatient physical activity.
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Despite the increased use of activity trackers, little is known about how they can be used in healthcare settings. This study aimed to support healthcare professionals and patients with embedding an activity tracker in the daily clinical practice of a specialized mental healthcare center and gaining knowledge about the implementation process. An action research design was used to let healthcare professionals and patients learn about how and when they can use an activity tracker. Data collection was performed in the specialized center with audio recordings of conversations during therapy, reflection sessions with the therapists, and semi-structured interviews with the patients. Analyses were performed by directed content analyses. Twenty-eight conversations during therapy, four reflection sessions, and eleven interviews were recorded. Both healthcare professionals and patients were positive about the use of activity trackers and experienced it as an added value. Therapists formulated exclusion criteria for patients, a flowchart on when to use the activity tracker, defined goals, and guidance on how to discuss (the data of) the activity tracker. The action research approach was helpful to allow therapists to learn and reflect with each other and embed the activity trackers into their clinical practice at a specialized mental healthcare center.
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Objective: To obtain insight into (a) the prevalence of nursing staff–experienced barriers regarding the promotion of functional activity among nursing home residents, and (b) the association between these barriers and nursing staff–perceived promotion of functional activity. Method: Barriers experienced by 368 nurses from 41 nursing homes in the Netherlands were measured with the MAastrIcht Nurses Activity INventory (MAINtAIN)-barriers; perceived promotion of functional activities was measured with the MAINtAIN-behaviors. Descriptive statistics and hierarchical linear regression analyses were performed. Results: Most often experienced barriers were staffing levels, capabilities of residents, and availability of resources. Barriers that were most strongly associated with the promotion of functional activity were communication within the team, (a lack of) referral to responsibilities, and care routines. Discussion: Barriers that are most often experienced among nursing staff are not necessarily the barriers that are most strongly associated with nursing staff–perceived promotion of functional activity.
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