Introduction: Cancer survivors face physical, lifestyle, psychological, and psychosocial challenges. Despite the availability of aftercare services, survivors still have unmet needs. Digital aftercare programs may offer support, but their use is limited. This study aimed to examine what is needed to improve uptake and adoption of these programs. Additionally, it explored sociodemographic and clinical variables that may influence these needs. Methods: A mixed-methods approach was used, involving qualitative interviews and a questionnaire. The research was guided by the COM-B model of behaviour, which considers capability, opportunity, and motivation crucial for behaviour. Qualitative analysis was performed using the framework method. Statistical analyses involved descriptive statistics and regression analysis. Results: Fourteen cancer survivors were interviewed, and 213 participants completed the questionnaire. Findings indicated that most respondents had a positive or neutral attitude towards digital aftercare programs, believing these could address their cancer-related challenges. Still, only a small percentage had experience with them, and most were unaware of their existence. Many expressed a desire to be informed about them. Some were uncertain about their effectiveness. Others were concerned about a lack of reimbursement. No significant influence of the sociodemographic and clinical variables was found. Conclusion: Cancer survivors are generally positive about digital aftercare programs but are often unaware of their availability. Raising awareness, clarifying their value, and providing support and reimbursement could enhance uptake and adoption. Implications for Cancer Survivors: The current insights can help improve participation in digital aftercare programs, ultimately fostering health, well-being, and quality of life of cancer survivors.
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Het doel van het dit onderzoek is om inzicht te krijgen in het gedrag van burgers in NoordNederland met betrekking tot het omgaan met ongebruikte medicijnen. Deze inzichten kunnen worden gebruikt om media-gedragsinterventies te ontwerpen die burgers stimuleren om ongebruikte medicijnen in te leveren bij een apotheek of de milieustraat. Het onderzoek is uitgevoerd door het lectoraat Transformational Media van NHL Stenden Hogeschool en maakt deel uit van het door SNN-gesubsidieerde project "Medicijnresten uit Water", een samenwerkingsproject van het Netwerk Medicijnresten uit water Noord-Nederland. Dit is een brede samenwerking van 20 partners uit de zorg-, water- en kennissector, geleid door het HANNN (Healthy Ageing Network Noord-Nederland), met als doelstelling om medicijnresten in het water te verminderen door een Mcross-sectorale samenwerking.
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NL samenvatting: In dit verkennend onderzoek werden social engineering-aanvallen bestudeerd, vooral de aanvallen die mislukten, om organisaties te helpen weerbaarder te worden. Fysieke, telefonische en digitale aanvallen werden uitgevoerd met behulp van een script volgens de 'social engineering-cyclus'. We gebruikten het COM-B model van gedragsverandering, verfijnd door het Theoretical Domains Framework, om door middel van een enquête te onderzoeken hoe Capability, Motivational en vooral Opportunity factoren helpen om de weerbaarheid van organisaties tegen social engineering-aanvallen te vergroten. Binnen Opportunity leek sociale invloed van extra belang. Werknemers die in kleine ondernemingen werken (<50 werknemers) waren succesvoller in het weerstaan van digitale social engineering-aanvallen dan werknemers die in grotere organisaties werken. Een verklaring hiervoor zou een grotere mate van sociale controle kunnen zijn; deze medewerkers werken dicht bij elkaar, waardoor ze in staat zijn om onregelmatigheden te controleren of elkaar te waarschuwen. Ook het installeren van een gespreksprotocol over hoe om te gaan met buitenstaanders was een maatregel die door alle organisaties werd genomen waar telefonische aanvallen faalden. Daarom is het moeilijker voor een buitenstaander om toegang te krijgen tot de organisatie door middel van social engineering. Dit artikel eindigt met een discussie en enkele aanbevelingen voor organisaties, bijvoorbeeld met betrekking tot het ontwerp van de werkomgeving, om hun weerbaarheid tegen social engineering-aanvallen te vergroten. ENG abstract: In this explorative research social engineering attacks were studied, especially the ones that failed, in order to help organisations to become more resilient. Physical, phone and digital attacks were carried out using a script following the ‘social engineering cycle’. We used the COM-B model of behaviour change, refined by the Theoretical Domains Framework, to examine by means of a survey how Capability, Motivational and foremost Opportunity factors help to increase resilience of organisations against social engineering attacks. Within Opportunity, social influence seemed of extra importance. Employees who work in small sized enterprises (<50 employees) were more successful in withstanding digital social engineering attacks than employees who work in larger organisations. An explanation for this could be a greater amount of social control; these employees work in close proximity to one another, so they are able to check irregularities or warn each other. Also, having a conversation protocol installed on how to interact with outsiders, was a measure taken by all organisations where attacks by telephone failed. Therefore, it is more difficult for an outsider to get access to the organisation by means of social engineering. This paper ends with a discussion and some recommendations for organisations, e.g. the design of the work environment, to help increase their resilience against social engineering attacks. https://openaccess.cms-conferences.org/publications/book/978-1-958651-29-2/article/978-1-958651-29-2_8 DOI: 10.54941/ahfe1002203
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Docenten Lichamelijke Opvoeding (LO) ervaren uitdagingen bij het omgaan met de diversiteit van hun leerlingen, terwijl de kwetsbaarheid van jongeren tijdens de gymles groter is dan in andere lessen. Het samenwerkingsproject “Samen bewegen” onderzoekt pedagogisch-didactische handvatten om recht te doen aan de diversiteit van leerlingen en daarmee een inclusiever beweegaanbod te realiseren.MethodeBij zeven docenten LO werden tijdens een gymles verbale uitingen en handelingen geobserveerd op het gebied van diversiteit en inclusie, zoals neurodiversiteit, gender, geaardheid, cultuur, religie en sociaaleconomische status. Daarna reflecteerden docenten op lessituaties in een semigestructureerd interview. Observaties en interviews waren gestructureerd volgens het COM-B model waarin de mogelijkheden (Capability), het vermogen (Opportunity) en de motivatie (Motivation) van leerlingen om actief deel te nemen (Behavior) gekoppeld werd aan pedagogisch-didactisch handelen van de docent LO.“De meesten willen wel, maar ze schamen zich gewoon”ResultatenDocenten LO in deze studie gaven meerdere belemmeringen aan, zoals schaamte: leerlingen wilden niet deelnemen aan bepaalde beweegactiviteiten wanneer andere leerlingen keken of er negatief over spraken. Ook was er een gebrek aan sociale veiligheid en zorgde de genderindeling voor dilemma’s, waarbij scholen dit thema verschillend benaderden.Een terugkerend pedagogisch-didactisch handvat was het belang van “verbinding met de docent”. Zo verdiepten de docenten in deze studie zich in culturen en religies van de leerlingen en hielden daar waar mogelijk rekening mee. Ook stonden docenten ervoor open om leerlingen in aparte kleedkamers te laten omkleden, indien daar behoefte aan was. Docenten benadrukten dat ze leerlingen aanspreken op uitlachen of schelden, hoewel dit tijdens de lesobservaties niet altijd gebeurde. Opvallend was dat neurodiversiteit en LHBTIQ+ nauwelijks benoemd werden.Discussie en conclusieDe verbinding tussen docent en leerling lijkt een belangrijk pedagogisch-didactisch handvat om D&I te bevorderen. Door uit te vragen naar individuele behoeften kunnen docenten beter omgaan met specifieke dilemma’s als culturele gevoeligheden of genderkwesties.
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In 2018 gaf 8,5% van de internetgebruikers van 12 jaar of ouder aan in de afgelopen twaalf maanden slachtoffer te zijn geweest van online criminaliteit (CBS 2019). In totaal zijn dat jaar 1,2 miljoen Nederlanders slachtoffer geworden van online criminaliteit. Zo werd 2,9% van de Nederlanders slachtoffer van fraude met online handel en 1% slachtoffer van identiteitsdiefstal (CBS 2019). Recente studies laten zien dat de impact van slachtofferschap van dergelijke delicten hoog kan zijn en dat slachtoffers naast financiële schade diverse vormen van psychologische en emotionele schade ervaren (Cross e.a. 2016; Jansen & Leukfeldt 2018; Leukfeldt e.a. 2018; 2019).
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BackgroundTackling challenges related to health, environmental sustainability and equity requires many sectors to work together. This “intersectoral co-operation” can pose a challenge on its own. Research commonly focuses on one field or is conducted within one region or country. The aim of this study was to investigate facilitators and barriers regarding intersectoral co-operative behaviour as experienced in twelve distinct case studies in ten European countries. The COM-B behavioural system was applied to investigate which capabilities, opportunities and motivational elements appear necessary for co-operative behaviour.MethodTwelve focus groups were conducted between October 2018 and March 2019, with a total of 76 participants (policymakers, case study coordinators, governmental institutes and/or non-governmental organisations representing citizens or citizens). Focus groups were organised locally and held in the native language using a common protocol and handbook. One central organisation coordinated the focus groups and analysed the results. Translated data were analysed using deductive thematic analysis, applying previous intersectoral co-operation frameworks and the COM-B behavioural system.ResultsAmongst the main facilitators experienced were having highly motivated partners who find common goals and see mutual benefits, with good personal relationships and trust (Motivation). In addition, having supportive environments that provide opportunities to co-operate in terms of support and resources facilitated co-operation (Opportunity), along with motivated co-operation partners who have long-term visions, create good external visibility and who have clear agreements and clarity on roles from early on (Capability). Barriers included not having necessary and/or structural resources or enough time, and negative attitudes from specific stakeholders.ConclusionsThis study on facilitators and barriers to intersectoral co-operation in ten European countries confirms findings of earlier studies. This study also demonstrates that the COM-B model can serve as a relatively simple tool to understand co-operative behaviour in terms of the capability, opportunity and motivation required amongst co-operation partners from different sectors. Results can support co-operators’ and policymakers’ understanding of necessary elements of intersectoral co-operation. It can help them in developing more successful intersectoral co-operation when dealing with challenges of health, environmental sustainability and equity.
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Human behaviour change is necessary to meet targets set by the Paris Agreement to mitigate climate change. Restrictions and regulations put in place globally to mitigate the spread of COVID-19 during 2020 have had a substantial impact on everyday life, including many carbon-intensive behaviours such as transportation. Changes to transportation behaviour may reduce carbon emissions. Behaviour change theory can offer perspective on the drivers and influences of behaviour and shape recommendations for how policy-makers can capitalise on any observed behaviour changes that may mitigate climate change. For this commentary, we aimed to describe changes in data relating to transportation behaviours concerning working from home during the COVID-19 pandemic across the Netherlands, Sweden and the UK. We display these identified changes in a concept map, suggesting links between the changes in behaviour and levels of carbon emissions. We consider these changes in relation to a comprehensive and easy to understand model of behaviour, the Opportunity, Motivation Behaviour (COM-B) model, to understand the capabilities, opportunities and behaviours related to the observed behaviour changes and potential policy to mitigate climate change. There is now an opportunity for policy-makers to increase the likelihood of maintaining pro-environmental behaviour changes by providing opportunities, improving capabilities and maintaining motivation for these behaviours.
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Presentatie gegeven op de NVC congres 2022.
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Presentation given at EURCRIM 2022 conference
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Currently, the Netherlands is still experiencing high levels of food waste, especially among young adults. Despite growing awareness on this topic, one specific group remains largely unexplored: Dutch vocational education (MBO) students. Therefore, this project explores the perceptions and current behaviour of this group regarding food waste and investigated the underlying determinants of food waste behaviour. Ultimately, the main purpose of this project is to provide insights and tailored interventions to reduce food waste behaviour among Dutch vocational education students. In this project, the Behaviour Change Wheel (COM-B model) serves as a theoretical foundation to understand and ultimately influence the food waste behaviour among students. To investigate the underlying food waste determinants and provide tailored interventions and recommendations, we conducted three main activities: literature review and desk research, the conduction of a quantitative survey, and qualitative interviews.Keywords: Food waste, COM-B, vocational students/MBO studenten, interventions.
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