Background Movement behaviors (i.e., physical activity levels, sedentary behavior) in people with stroke are not self-contained but cluster in patterns. Recent research identified three commonly distinct movement behavior patterns in people with stroke. However, it remains unknown if movement behavior patterns remain stable and if individuals change in movement behavior pattern over time. Objectives 1) To investigate the stability of the composition of movement behavior patterns over time, and 2) determine if individuals change their movement behavior resulting in allocation to another movement behavior pattern within the first two years after discharge to home in people with a first-ever stroke. Methods Accelerometer data of 200 people with stroke of the RISE-cohort study were analyzed. Ten movement behavior variables were compressed using Principal Componence Analysis and K-means clustering was used to identify movement behavior patterns at three weeks, six months, one year, and two years after home discharge. The stability of the components within movement behavior patterns was investigated. Frequencies of individuals’ movement behavior pattern and changes in movement behavior pattern allocation were objectified. Results The composition of the movement behavior patterns at discharge did not change over time. At baseline, there were 22% sedentary exercisers (active/sedentary), 45% sedentary movers (inactive/sedentary) and 33% sedentary prolongers (inactive/highly sedentary). Thirty-five percent of the stroke survivors allocated to another movement behavior pattern within the first two years, of whom 63% deteriorated to a movement behavior pattern with higher health risks. After two years there were, 19% sedentary exercisers, 42% sedentary movers, and 39% sedentary prolongers. Conclusions The composition of movement behavior patterns remains stable over time. However, individuals change their movement behavior. Significantly more people allocated to a movement behavior pattern with higher health risks. The increase of people allocated to sedentary movers and sedentary prolongers is of great concern. It underlines the importance of improving or maintaining healthy movement behavior to prevent future health risks after stroke.
MULTIFILE
Production of the Persian lime (Citrus latifolia tanaka) has been the main objective of several studies related to the problem of low performance of yield and fruit quality in the orchard, attributed among different technological factors to the minimal application of Good Agricultural Practices (GAP) and to the cultural aspects of the producer. This paper contributes to the recognition of the behavior patterns of GAP for seasonal orchard (SO), to allow the Persian lime producers to make the right decisions assessing and improving the management of their orchards. To identify the behavior patterns in the Persian lime production process an expert system (ES) based on fuzzy logic proposed by Fernández et al. (2014) has been used, in which a set of inference rules based on the knowledge of experts in this field is encoded to explain the interrelationship of the agricultural practices and uncertainties in the production of Persian lime: Pruning, Soil nutrition, Pests Control, Planting density, Tree production, Wind, Rainfall. The ES simulates from agricultural practices and uncertainties, the Persian lime production system in three stages of fruit growth, which represent the fuzzy models of the ES: flowering, bud, and fruit. The manipulation of the agricultural practices in the ES allowed to model production scenarios for SO of Persian lime, and helped to identify behavior patterns in these practices with production yield and fruit quality. The results demonstrate that if prior to fertilization, the practice of "pruning" the tree is performed, orchard productivity increases. However, when the "pruning" (aesthetics or stressful) is performed less than 50mmmonth-1 of rain, even in optimal conditions of application of nutrients and pest control, the production yield is similar. The modeling scenarios of the ES provide information regarding behavior patterns to the producer, and the interrelation of agricultural practices in uncertain environments of rain and wind in order to improve the decision-making process in Persian lime production.
DOCUMENT
To improve people’s lives, human-computer interaction researchers are increasingly designing technological solutions based on behavior change theory, such as social comparison theory (SCT). However, how researchers operationalize such a theory as a design remains largely unclear. One way to clarify this methodological step is to clearly state which functional elements of a design are aimed at operationalizing a specific behavior change theory construct to evaluate if such aims were successful. In this article, we investigate how the operationalization of functional elements of theories and designs can be more easily conveyed. First, we present a scoping review of the literature to determine the state of operationalizations of SCT as behavior change designs. Second, we introduce a new tool to facilitate the operationalization process. We term the tool blueprints. A blueprint explicates essential functional elements of a behavior change theory by describing it in relation to necessary and sufficient building blocks incorporated in a design. We describe the process of developing a blueprint for SCT. Last, we illustrate how the blueprint can be used during the design refinement and reflection process.
DOCUMENT
Personal data is increasingly used by cities to track the behavior of their inhabitants. While the data is often used to mainly provide information to the authorities, it can also be harnessed for providing information to the citizens in real-time. In an on-going research project on increasing the awareness of motorists w.r.t. the environmental consequences of their driving behavior, we make use of sensors, artificial intelligence, and real-time feedback to design an intervention. A key component for successful deployment of the system is data related to the personal driving behavior of individual motorists. Through this outset, we identify challenges and research questions that relate to the use of personal data in systems, which are designed to increase the quality of life of the inhabitants of the built environment.
DOCUMENT
Business process modeling and system dynamics are different approaches that are used in the design and management of organizations. Both approaches are concerned with the processes in, and around, organizations with the aim to identify, design and understand their behavior as well as potential improvements. At the same time, these approaches differ considerably in their methodological focus. While business process modeling specifically takes the (control flow of) business processes as its primary focus, system dynamics takes the analysis of complex and multi-faceted systems as its core focus. More explicitly combining both approaches has the potential to better model and analyze (by way of simulation) complex business processes, while specifically also including more relevant facets from the environment of these business processes. Furthermore, the inherent ability for simulation of system dynamics models, can be used to simulate the behavior of processes over time, while also putting business processes in a broader multi-faceted context. In this paper, we report on initial results on making such a more explicit combination of business process modeling and system dynamics. In doing so, we also provide a step-by-step guide on how to use BPMN based models and system dynamics models together to model and analyze complex business processes, while illustrating this in terms of a case study on the maintenance of building facades.
LINK
Business process modeling and system dynamics are different approaches that are used in the design and management of organizations. Both approaches are concerned with the processes in, and around, organizations with the aim to identify, design and understand their behavior as well as potential improvements. At the same time, these approaches differ considerably in their methodological focus. While business process modeling specifically takes the (control flow of) business processes as its primary focus, system dynamics takes the analysis of complex and multi-faceted systems as its core focus. More explicitly combining both approaches has the potential to better model and analyze (by way of simulation) complex business processes, while specifically also including more relevant facets from the environment of these business processes. Furthermore, the inherent ability for simulation of system dynamics models, can be used to simulate the behavior of processes over time, while also putting business processes in a broader multi-faceted context. In this paper, we report on initial results on making such a more explicit combination of business process modeling and system dynamics. In doing so, we also provide a step-by-step guide on how to use BPMN based models and system dynamics models together to model and analyze complex business processes, while illustrating this in terms of a case study on the maintenance of building facades.
LINK
Background and purpose The aim of this study is to investigate changes in movement behaviors, sedentary behavior and physical activity, and to identify potential movement behavior trajectory subgroups within the first two months after discharge from the hospital to the home setting in first-time stroke patients. Methods A total of 140 participants were included. Within three weeks after discharge, participants received an accelerometer, which they wore continuously for five weeks to objectively measure movement behavior outcomes. The movement behavior outcomes of interest were the mean time spent in sedentary behavior (SB), light physical activity (LPA) and moderate to vigorous physical activity (MVPA); the mean time spent in MVPA bouts ≥ 10 minutes; and the weighted median sedentary bout. Generalized estimation equation analyses were performed to investigate overall changes in movement behavior outcomes. Latent class growth analyses were performed to identify patient subgroups of movement behavior outcome trajectories. Results In the first week, the participants spent an average, of 9.22 hours (67.03%) per day in SB, 3.87 hours (27.95%) per day in LPA and 0.70 hours (5.02%) per day in MVPA. Within the entire sample, a small but significant decrease in SB and increase in LPA were found in the first weeks in the home setting. For each movement behavior outcome variable, two or three distinctive subgroup trajectories were found. Although subgroup trajectories for each movement behavior outcome were identified, no relevant changes over time were found. Conclusion Overall, the majority of stroke survivors are highly sedentary and a substantial part is inactive in the period immediately after discharge from hospital care. Movement behavior outcomes remain fairly stable during this period, although distinctive subgroup trajectories were found for each movement behavior outcome. Future research should investigate whether movement behavior outcomes cluster in patterns.
MULTIFILE
Movement behaviors, that is, both physical activity and sedentary behavior, are independently associated with health risks. Although both behaviors have been investigated separately in people after stroke, little is known about the combined movement behavior patterns, differences in these patterns between individuals, or the factors associated with these patterns. Therefore, the objectives of this study are (1) to identify movement behavior patterns in people with first-ever stroke discharged to the home setting and (2) to explore factors associated with the identified patterns.
DOCUMENT
Purpose (1) To investigate the differences in the course of participation up to one year after stroke between distinct movement behavior patterns identified directly after discharge to the home setting, and (2) to investigate the longitudinal association between the development of movement behavior patterns over time and participation after stroke. Materials and methods 200 individuals with a first-ever stroke were assessed directly after discharge to the home setting, at six months and at one year. The Participation domain of the Stroke Impact Scale 3.0 was used to measure participation. Movement behavior was objectified using accelerometry for 14 days. Participants were categorized into three distinct movement behavior patterns: sedentary exercisers, sedentary movers and sedentary prolongers. Generalized estimating equations (GEE) were performed. Results People who were classified as sedentary prolongers directly after discharge was associated with a worse course of participation up to one year after stroke. The development of sedentary prolongers over time was also associated with worse participation compared to sedentary exercisers. Conclusions The course of participation after stroke differs across distinct movement behavior patterns after discharge to the home setting. Highly sedentary and inactive people with stroke are at risk for restrictions in participation over time. Implications for rehabilitation The course of participation in people with a first-ever stroke up to one year after discharge to the home setting differed based on three distinct movement behavior patterns, i.e., sedentary exercisers, sedentary movers and sedentary prolongers. Early identification of highly sedentary and inactive people with stroke after discharge to the home setting is important, as sedentary prolongers are at risk for restrictions in participation over time. Supporting people with stroke to adapt and maintain a healthy movement behavior after discharge to the home setting could prevent potential long-term restrictions in participation.
MULTIFILE
Full text aanvragen via link What makes a juvenile delinquent develop into an adult criminal? What defines-cognitively, developmentally, legally-the transition from juvenile to adult and what determines whether patterns of criminal behavior persist? In most US states and Western nations, legal adulthood begins at age 18. This volume focuses on the period surrounding that abrupt transition (roughly ages 15-29) and addresses what happens to offending careers during it. Edited by two leading authorities in the fields of psychology and criminology, Transitions from Juvenile Delinquency to Adult Crime examines why the period of transition is important and how it can be better understood and addressed both inside and outside of the justice system.
LINK
