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Producten 1.262

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Behavioural Determinants of Dental Health Behaviour

Op 28 augustus 2014 heb ik een 'oral presentation' gegeven op het European Health Psychology Society congres te Innsbruck. De abstract van het artikel die ik gepresenteerd heb is gepubliceerd op de website van EHPS (zie bijgevoegd de link) The aim was to quantify the relationship between behavioural determinants and dental health behaviour among 9-18 year old children. Methods: Searches were conducted in PsycINFO, PubMed, CINAHL and EMBASE. In total 25 studies were included, which addressed 16 variables. A weighted average effect size correlation (WAES r) was calculated per determinant and dental health behaviour. According to Cohen (1988) effect sizes can be considered as small (r = 0.10), medium (r = 0.30) and large (r = 0.50). Findings: All WAES r’s were significant and revealed a positive relation between determinant and dental health behaviour. Large effects were found for coping planning and self-efficacy. Medium-to-large effects were found for the determinants: intention, affective attitude, and action planning. The WAES r was small-to-medium effects were found for: social norms, cognitive attitude, knowledge, parental oral health behaviour and parental cognitions. Discussion: Although the number of studies focusing on volitional factors are limited, the overall findings highlight the importance of volitional factors, rather than knowledge or motivational factors in explaining dental health behaviour. Refbacks There are currently no refbacks.

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Digital health interventions to improve eating behaviour of people with a lower socioeconomic position: a scoping review of behaviour change techniques

Specific approaches are needed to reach and support people with a lower socioeconomic position (SEP) to achieve healthier eating behaviours. There is a growing body of evidence suggesting that digital health tools exhibit potential to address these needs because of its specific features that enable application of various behaviour change techniques (BCTs). The aim of this scoping review is to identify the BCTs that are used in diet-related digital interventions targeted at people with a low SEP, and which of these BCTs coincide with improved eating behaviour. The systematic search was performed in 3 databases, using terms related to e/m-health, diet quality and socioeconomic position. A total of 17 full text papers were included. The average number of BCTs per intervention was 6.9 (ranged 3–15). BCTs from the cluster ‘Goals and planning’ were applied most often (25x), followed by the clusters ‘Shaping knowledge’ (18x) and ‘Natural consequences’ (18x). Other frequently applied BCT clusters were ‘Feedback and monitoring’ (15x) and ‘Comparison of behaviour’ (13x). Whereas some BCTs were frequently applied, such as goal setting, others were rarely used, such as social support. Most studies (n = 13) observed a positive effect of the intervention on eating behaviour (e.g. having breakfast) in the low SEP group, but this was not clearly associated with the number or type of applied BCTs. In conclusion, more intervention studies focused on people with a low SEP are needed to draw firm conclusions as to which BCTs are effective in improving their diet quality. Also, further research should investigate combinations of BCTs, the intervention design and context, and the use of multicomponent approaches. We encourage intervention developers and researchers to describe interventions more thoroughly, following the systematics of a behaviour change taxonomy, and to select BCTs knowingly.

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Digital health interventions to improve eating behaviour of people with a lower socioeconomic position: a scoping review of behaviour change techniques

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Report on the development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease and the associated common learning outcomes-based curriculum.

Chronic diseases represent a significant burden for the society and health systems; addressing this burden is a key goal of the European Union policy. Health and other professionals are expected to deliver behaviour change support to persons with chronic disease. A skill gap in behaviour change support has been identified, and there is room for improvement. Train4Health is a strategic partnership involving seven European Institutions in five countries, which seeks to improve behaviour change support competencies for the self-management of chronic disease. The project envisages a continuum in behaviour change support education, in which an interprofessional competency framework, relevant for those currently practising, guides the development of a learning outcomes-based curriculum and an educational package for future professionals (today’s undergraduate students).

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Report on the development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease and the associated common learning outcomes-based curriculum.

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Self-injurious behaviour in forensic mental health care

Purpose Incidents of self-injury by forensic psychiatric patients often have a deleterious impact on all those involved. Moreover, self-injurious behaviour is an important predictor for violence towards others during treatment. The aim of this study is to analyse methods and severity of incidents of self-injury of patients admitted to forensic psychiatry, as well as the diagnoses of self-injuring patients. Design/methodology/approach All incidents of self-injury during treatment in a forensic psychiatric centre recorded between 2008 and 2019 were analysed and the severity was coded with the modified observed aggression scale+ (MOAS+). Findings In this period, 299 incidents of self-injury were recorded, displayed by 106 patients. Most of these incidents (87.6%) were classified as non-suicidal. Methods most often used were skin cutting with glass, broken plates, a razor or knife and swallowing dangerous objects or liquids. Ten patients died by suicide, almost all by suffocation with a rope or belt. The majority of the incidents was coded as severe or extreme with the MOAS+. Female patients were overrepresented and they caused on average three times more incidents than male patients. Practical implications More attention is warranted for self-injurious behaviour during forensic treatment considering the distressing consequences for both patients themselves, supervisors and witnesses. Adequate screening for risk of self-injurious behaviour could help to prevent this behaviour. Further research is needed in different forensic settings into predictors of self-injurious behaviour, more specifically, if there are distinct predictors for aggression to others versus to the self. Originality/value Incidents of self-injury occur with some regularity in forensic mental health care and are usually classified as severe. The impact of suicide (attempts) and incidents of self-injurious behaviour on all those involved can be enormous. More research is needed into the impact on all those involved, motivations, precipitants and functions of self-injurious behaviour and effective treatment of it.

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Innovative Work Behaviour of teachers in Higher Education : An extended view; A first exploration

Within health education, many innovations are introduced, but are often not successful or sustainable. It is generally acknowledged that the quality of an educational system mainly depends on the quality of the teachers. Innovations will only succeed if teachers experience a climate that stimulates innovation and if they possess a sufficient level of innovative work behaviour. The current concept of innovative work behaviour (IWB) consists of three different behavioural dimensions: Idea generation, promotion and realization. However, the concept lacks attention for idea sustainability, which is necessary to embed the innovation deeply in daily practice. The limited attention for improving and continuation of an implemented idea is an often-mentioned explanation for the lack of the long-term success of innovations. Aim: This study aims at the development and validation of an instrument for innovative work behaviour that also includes the dimension idea sustainability, which has been overlooked by other researchers. Method: A questionnaire is developed, based on the questionnaire of Messmann (2012). Additional items are added to measure the new dimension idea sustainability. This new dimension contains the following concepts: Improving and optimising the innovation, disseminating the innovation in depth in the system of the organization and disseminating on a larger scale, and finally visualization of the benefits for stakeholders. The questionnaire is send to 400 teachers of a University for applied sciences in the South of The Netherlands. Results: 179 questionnaires were completed. It can be concluded that the scales to measure innovative work behaviour are strongly interrelated. There are significant correlations between the original dimensions and the added dimensions. The results for individual characteristics indicated that age and tenure did not correlate with any of the scales. Work experience, gender and also the faculty to which teachers belong did make some difference with regard to IWB. The results for job characteristics showed that the number of working hours, job position and the participation in research groups did make a difference with regard to IWB. In general, job characteristics showed more links with the various scales to measure innovative work behavior compared to the individual characteristics.

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Innovative Work Behaviour of teachers in Higher Education : An extended view; A first exploration

Personen 1

persoon

Eric Blaauw

Professor

Projecten 15

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ARise

Alcohol use disorder (AUD) is a pattern of alcohol use that involves having trouble controlling drinking behaviour, even when it causes health issues (addiction) or problems functioning in daily (social and professional) life. Moreover, festivals are a common place where large crowds of festival-goers experience challenges refusing or controlling alcohol and substance use. Studies have shown that interventions at festivals are still very problematic. ARise is the first project that wants to help prevent AUD at festivals using Augmented Reality (AR) as a tool to help people, particular festival visitors, to say no to alcohol (and other substances). ARise is based on the on the first Augmented Reality Exposure Therapy (ARET) in the world that we developed for clinical treatment of AUD. It is an AR smartphone driven application in which (potential) visitors are confronted with virtual humans that will try to seduce the user to accept an alcoholic beverage. These virtual humans are projected in the real physical context (of a festival), using innovative AR glasses. Using intuitive phone, voice and gesture interactions, it allows users to personalize the safe experience by choosing different drinks and virtual humans with different looks and levels of realism. ARET has been successfully developed and tested on (former) AUD patients within a clinical setting. Research with patients and healthcare specialists revealed the wish to further develop ARET as a prevention tool to reach people before being diagnosed with AUD and to extend the application for other substances (smoking and pills). In this project, festival visitors will experience ARise and provide feedback on the following topics: (a) experience, (b) awareness and confidence to refuse alcohol drinks, (c) intention to use ARise, (d) usability & efficiency (the level of realism needed), and (e) ideas on how to extend ARise with new substances.

Lopend

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CycleSpex

There is increasing interest for the use of Virtual Reality (VR) in the field of sustainable transportation and urban development. Even though much has been said about the opportunities of using VR technology to enhance design and involve stakeholders in the process, implementations of VR technology are still limited. To bridge this gap, the urban intelligence team of NHTV Breda University of Applied Sciences developed CycleSPEX, a Virtual Reality (VR) simulator for cycling. CycleSpex enables researchers, planners and policy makers to shape a variety of scenarios around knowledge- and design questions and test their impact on users experiences and behaviour, in this case (potential) cyclists. The impact of infrastructure enhancements as well as changes in the surrounding built environment can be tested, analysed an evaluated. The main advantage for planners and policy makers is that the VR environment enables them to test scenarios ex-ante in a safe and controlled setting.“The key to a smart, healthy and safe urban environment lies in engaging mobility. Healthy cities are often characterized by high quality facilities for the active modes. But what contributes to a pleasant cycling experience? CycleSPEX helps us to understand the relations between cyclists on the move and (designed) urban environments”

Onbekend

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De Krachten Gebundeld: ondersteunen van een gezonde leefstijl voor mensen met een verstandelijke beperking

Producten1. Een leertraject voor MBO- en HBO geschoolde professionele begeleiders van mensen met een matige en (zeer) ernstige verstandelijke beperking (VB). Het bestaat uit verschillende, op individuele behoeften afgestemde, leerinterventies: online leren (met praktijksimulaties) en het geleerde in de praktijk toepassen.2. Een omgevingsscan; een hulpmiddel waarmee begeleiders kunnen beoordelen of de leef- en werkomgeving gezond gedrag van mensen met een verstandelijke beperking uitlokt.De producten van het project De Krachten Gebundeld helpen bij het creëren van een gezonde omgeving die een gezonde leefstijl van mensen met een VB ondersteunt. Informatie over de producten en hoe deze te implementeren zijn, is te vinden op de website, www.dekrachtengebundeld.nl Resultaten voor:- Mensen met een verstandelijke beperking: gezonde omgeving en leefstijl;- Zorgorganisaties en professionele begeleiders: leertraject en omgevingsscan;- Onderwijs: aanpassen benodigde competenties curricula MBO- en HBO opleidingen;- Wetenschap: kennis over leefstijl en percepties van mensen met VB en hun professionele begeleiders;- Politiek: aanpassen beleid met betrekking tot inrichting zorg gericht op gezondheid van mensen met een verstandelijke beperking.'De krachten gebundeld: ondersteunen van een gezonde leefstijl voor mensen met een verstandelijke beperking' wil een gezondheidsbevorderende omgeving creëren, zodat deze cliënten kan ondersteunen bij een gezonde leefstijl.Een gezonde leefstijl is belangrijk, ook voor mensen met een verstandelijke beperking. Het ZonMw project 'Ondersteunen gezonde leefstijl: de krachten gebundeld!' had de intentie een gezondheidsbevorderende omgeving creëren, zodat deze cliënten kan ondersteunen bij een gezonde leefstijl.DoelMensen met een verstandelijke beperking leven in een gezondheidsbevorderende omgeving: de leef-, werk- en vrije tijdsruimten lokken gezond gedrag uit en ze voelen zich ondersteund in dit gedrag door de mensen om hen heen.AanpakHet onderzoek bestond uit drie projecten:- Kennis verzamelen bij mensen met een VB en hun professionele begeleiders over gezondheid, het belang van een gezonde leefstijl en de benodigde ondersteuning in de omgeving;- Ontwikkelen van een leertraject voor de professionele begeleiders en een omgevingsscan voor de omgeving van mensen met een VB in co-creatie met hen;- Implementeren en evalueren van het leertraject en de omgevingsscan.SamenwerkingDe krachten gebundeld!Binnen dit onderzoek werkten veel wetenschappers met elkaar samen. Het Erasmus MC, dr. T. Hilgenkamp; Radboud UMC, dr. J. Naaldenberg; RUG Research Centre EMB, prof. dr. A. van der Putten, het Alfa-college Groningen en de Hanzehogeschool, prof. C. van der Schans en dr. A. Waninge. Dit deden zij ook samen met mensen met een verstandelijke beperking, hun vertegenwoordigers, 19 zorgorganisaties en MBO, HBO en WO onderwijs.

Afgerond

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HUman-like Behaviour of Robotic In-vehicle Systems (HUBRIS): Phase-2

Traffic accidents are a severe public health problem worldwide, accounting for approximately 1.35 million deaths annually. Besides the loss of life, the social costs (accidents, congestion, and environmental damage) are significant. In the Netherlands, in 2018, these social costs were approximately € 28 billion, in which traffic accidents alone accounted for € 17 billion. Experts believe that Automated Driving Systems (ADS) can significantly reduce these traffic fatalities and injuries. For this reason, the European Union mandates several ADS in new vehicles from 2022 onwards. However, the utility of ADS still proves to present difficulties, and their acceptance among drivers is generally low. As of now, ADS only supports drivers within their pre-defined safety and comfort margins without considering individual drivers’ preferences, limiting ADS in behaving and interacting naturally with drivers and other road users. Thereby, drivers are susceptible to distraction (when out-of-the-loop), cannot monitor the traffic environment nor supervise the ADS adequately. These aspects induce the gap between drivers and ADS, raising doubts about ADS’ usefulness among drivers and, subsequently, affecting ADS acceptance and usage by drivers. To resolve this issue, the HUBRIS Phase-2 consortium of expert academic and industry partners aims at developing a self-learning high-level control system, namely, Human Counterpart, to bridge the gap between drivers and ADS. The central research question of this research is: How to develop and demonstrate a human counterpart system that can enable socially responsible human-like behaviour for automated driving systems? HUBRIS Phase-2 will result in the development of the human counterpart system to improve the trust and acceptance of drivers regarding ADS. In this RAAK-PRO project, the development of this system is validated in two use-cases: I. Highway: non-professional drivers; II. Distribution Centre: professional drivers.

Lopend

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HUman-like Behaviour of Robotic In-vehicle Systems.

Traffic accidents are a severe public health problem worldwide, accounting for approximately 1.35 million deaths annually. Besides the loss of life, the social costs (accidents, congestion, and environmental damage) are significant. In the Netherlands, in 2018, these social costs were approximately € 28 billion, in which traffic accidents alone accounted for € 17 billion. Experts believe that Automated Driving Systems (ADS) can significantly reduce these traffic fatalities and injuries. For this reason, the European Union mandates several ADS in new vehicles from 2022 onwards. However, the utility of ADS still proves to present difficulties, and their acceptance among drivers is generally low.As of now, ADS only supports drivers within their pre-defined safety and comfort margins without considering individual drivers’ preferences, limiting ADS in behaving and interacting naturally with drivers and other road users. Thereby, drivers are susceptible to distraction (when out-of-the-loop), cannot monitor the traffic environment nor supervise the ADS adequately. These aspects induce the gap between drivers and ADS, raising doubts about ADS’ usefulness among drivers and, subsequently, affecting ADS acceptance and usage by drivers.To resolve this issue, the HUBRIS Phase-2 consortium of expert academic and industry partners aims at developing a self-learning high-level control system, namely, Human Counterpart, to bridge the gap between drivers and ADS. The central research question of this research is:How to develop and demonstrate a human counterpart system that can enable socially responsible human-like behaviour for automated driving systems?HUBRIS Phase-2 will result in the development of the human counterpart system to improve the trust and acceptance of drivers regarding ADS. In this RAAK-PRO project, the development of this system is validated in two use-cases:I. Highway: non-professional drivers;II. Distribution Centre: professional drivers.Collaborative partners:Bielefeld University of Applied Sciences, Bricklog B.V., Goudappel B.V., HaskoningDHV Nederland B.V., Rhine-Waal University of Applied Sciences, Rijkswaterstaat, Saxion, Sencure B.V., Siemens Industry Software Netherlands B.V., Smits Opleidingen B.V., Stichting Innovatiecentrum Verkeer en Logistiek, TNO Den Haag, TU Delft, University of Twente, V-Tron B.V., XL Businesspark Twente.

Lopend

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Musician, friend and muse: an ethnographic exploration of emerging practices of musicians devising co-creative musicking with elderly people

In leaving the more traditional territories of the concert performance for broader societal contexts, professional musicians increasingly devise music in closer collaboration with their audience rather than present it on a stage. Although the interest for such forms of devising co-creative musicking within the (elderly) health care sector is growing, the work can be considered relatively new. In terms of research, multiple studies have sought to understand the impact of such work on musicians and participants, however little is known about what underpins the musicians’ actions in these settings. With this study, I sought to address this gap by investigating professional musicians’ emerging practices when devising co-creative musicking with elderly people. Three broad concepts were used as a theoretical background to the study: Theory of Practice, co-creative musicking, and Praxialism. Firstly, I used Theory of Practice to help understand the nature of emerging practices in a wider context of change in the field of music and habitus of musicians and participants. Theory of Practice enabled me to consider a practice as “a routinized type of behaviour which consists of several elements, interconnected to one another: forms of bodily activities, forms of mental activities, ‘things’ and their use, a background knowledge in the form of understanding, know-how, states of emotion, and motivational knowledge” (Reckwitz, 2002, p. 249). Secondly, I drew the knowledge from co-creative musicking, which is a concept I gathered from two existing concepts: co-creation and musicking. Musicking (Small, 1998), which considers music as something we do (including any mode of engagement with music), provided a holistic and inclusive way of looking at participation in music-making. The co-creation paradigm encompasses a view on enterprise that consists of bringing together parties to jointly create an outcome that is meaningful to all (Prahalad & Ramaswamy, 2004; Ramaswamy & Ozcan, 2014). The concept served as a lens to specify the jointness of the musicking and challenge issues of power in the engagement of participants in the creative-productive process. Thirdly, Praxialism considers musicking as an activity that encompasses “musical doers, musical doing, something done and contexts in which the former take place” (Elliott, 1995). Praxialism sets out a vision on music that goes beyond the musical work and includes the meanings and values of those involved (Silverman, Davis & Elliott, 2014). The concept allowed me to examine the work and emerging relationships as a result of devising co-creative musicking from an ethical perspective. Given the subject’s relative newness and rather unexplored status, I examined existing work empirically through an ethnographic approach (Hammersley & Atkinson, 2007). Four cases were selected where data was gathered through episodic interviewing (Flick, 2009) and participant observation. Elements of a constructivist Grounded Theory (Charmaz, 2014) were used for performing an abductive analysis. The analysis included initial coding, focused coding, the use of sensitizing concepts (Blumer 1969 in Hammersley, 2013) and memoing. I wrote a thick description (Geertz, 1973) for each case portraying the work from my personal experience. The descriptions are included in the dissertation as one separate chapter and foreshadow the exposition of the analysis in a next chapter. In-depth study of the creative-productive processes of the cases showed the involvement of multiple co-creative elements, such as a dialogical interaction between musicians and audience. However, participants’ contributions were often adopted implicitly, through the musicians interpreting behaviour and situations. This created a particular power dynamic and challenges as to what extent the negotiation can be considered co-creative. The implicitness of ‘making use’ of another person’s behaviour with the other not (always) being aware of this also triggered an ethical perspective, especially because some of the cases involved participants that were vulnerable. The imbalance in power made me examine the relationship that emerges between musicians and participants. As a result of a closer contact in the co-creative negotiation, I witnessed a contact of a highly personal, sometimes intimate, nature. I recognized elements of two types of connections. One type could be called ‘humanistic’, as a friendship in which there is reciprocal care and interest for the other. The other could be seen as ‘functional’, which means that the relationship is used as a resource for providing input for the creative musicking process. From this angle, I have compared the relationship with that of a relationship of an artist with a muse. After having examined the co-creative and relational sides of the interaction in the four cases, I tuned in to the musicians’ contribution to these processes and relationships. I discovered that their devising in practice consisted of a continuous double balancing act on two axes: one axis considers the other and oneself as its two ends. Another axis concerns the preparedness and unpredictability at its ends. Situated at the intersection of the two axes are the musicians’ intentionality, which is fed by their intentions, values and ethics. The implicitness of the co-creation, the two-sided relationship, the potential vulnerability of participants, and the musicians’ freedom in navigating and negotiation, together, make the devising of co-creative musicking with elderly people an activity that involves ethical challenges that are centred around a tension between prioritizing doing good for the other, associated with a eudaimonic intention, and prioritizing values of the musical art form, resembling a musicianist intention. The results therefore call for a musicianship that involves acting reflectively from an ethical perspective. Doctoral study by Karolien Dons

Afgerond

Producten 1.262

product

Behavioural Determinants of Dental Health Behaviour

LINK

product

Digital health interventions to improve eating behaviour of people with a lower socioeconomic position: a scoping review of behaviour change techniques

DOCUMENT

product

Report on the development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic disease and the associated common learning outcomes-based curriculum.

DOCUMENT

product

Self-injurious behaviour in forensic mental health care

DOCUMENT

product

Innovative Work Behaviour of teachers in Higher Education : An extended view; A first exploration

DOCUMENT