In de BMS Studies 34 tot en met 37 wordt uitgebreid gerapporteerd over de resultaten van de derde wave van het Vlaamse Sportclub Panel (VSP3.0). Gezien de grote hoeveelheid aan resultaten werd besloten om de rapportering op te splitsen in vier delen en dit te bundelen onder BMS-reeks 'Barometer van de sportclubs in Vlaanderen'. Meer bepaald komen in de vier betreffende BMS Studies de volgende thema's aan bod: - Een stand van zaken en een terugblik (BMS 34) - Clubprofiel, sportaanbod en gezondheidspromotie (BMS 35) - Ledenprofiel, medewerkersprofiel en financiële situatie (BMS 36) - Diversiteit, sociale inclusie, beleid en samenwerking (BMS 37)
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Background: The objective of this study was to derive evidence-based physical activity guidelines for the general Dutch population. Methods: Two systematic reviews were conducted of English language meta-analyses in PubMed summarizing separately randomized controlled trials and prospective cohort studies on the relation between physical activity and sedentary behaviour on the one hand and the risk of all-cause mortality and incidence of 15 major chronic diseases and conditions on the other hand. Other outcome measures were risk factors for cardiovascular disease and type 2 diabetes, physical functioning, and fitness. On the basis of these reviews, an expert committee derived physical activity guidelines. In deriving the guidelines, the committee first selected only experimental and observational prospective findings with a strong level of evidence and then integrated both lines of evidence. Results: The evidence found for beneficial effects on a large number of the outcome measures was sufficiently strong to draw up guidelines to increase physical activity and reduce sedentary behaviour, respectively. At the same time, the current evidence did not provide a sufficient basis for quantifying how much physical activity is minimally needed to achieve beneficial health effects, or at what amount sedentary behaviour becomes detrimental. A general tenet was that at every level of current activity, further increases in physical activity provide additional health benefits, with relatively larger effects among those who are currently not active or active only at light intensity. Three specific guidelines on (1) moderate- and vigorous-intensity physical activity, (2) bone- and musclestrengthening activities, and (3) sedentary behaviour were formulated separately for adults and children. Conclusions: There is an unabated need for evidence-based physical activity guidelines that can guide public health policies. Research in which physical activity is measured both objectively (quantity) and subjectively (type and quality) is needed to provide better estimates of the type and actual amount of physical activity required for health.
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BACKGROUND: Although the importance of evaluating implementation fidelity is acknowledged, little is known about heterogeneity in fidelity over time. This study aims to generate insight into the heterogeneity in implementation fidelity trajectories of a health promotion program in multidisciplinary settings and the relationship with changes in patients' health behavior.METHODS: This study used longitudinal data from the nationwide implementation of an evidence-informed physical activity promotion program in Dutch rehabilitation care. Fidelity scores were calculated based on annual surveys filled in by involved professionals (n = ± 70). Higher fidelity scores indicate a more complete implementation of the program's core components. A hierarchical cluster analysis was conducted on the implementation fidelity scores of 17 organizations at three different time points. Quantitative and qualitative data were used to explore organizational and professional differences between identified trajectories. Regression analyses were conducted to determine differences in patient outcomes.RESULTS: Three trajectories were identified as the following: 'stable high fidelity' (n = 9), 'moderate and improving fidelity' (n = 6), and 'unstable fidelity' (n = 2). The stable high fidelity organizations were generally smaller, started earlier, and implemented the program in a more structured way compared to moderate and improving fidelity organizations. At the implementation period's start and end, support from physicians and physiotherapists, professionals' appreciation, and program compatibility were rated more positively by professionals working in stable high fidelity organizations as compared to the moderate and improving fidelity organizations (p < .05). Qualitative data showed that the stable high fidelity organizations had often an explicit vision and strategy about the implementation of the program. Intriguingly, the trajectories were not associated with patients' self-reported physical activity outcomes (adjusted model β = - 651.6, t(613) = - 1032, p = .303).CONCLUSIONS: Differences in organizational-level implementation fidelity trajectories did not result in outcome differences at patient-level. This suggests that an effective implementation fidelity trajectory is contingent on the local organization's conditions. More specifically, achieving stable high implementation fidelity required the management of tensions: realizing a localized change vision, while safeguarding the program's standardized core components and engaging the scarce physicians throughout the process. When scaling up evidence-informed health promotion programs, we propose to tailor the management of implementation tensions to local organizations' starting position, size, and circumstances.TRIAL REGISTRATION: The Netherlands National Trial Register NTR3961 . Registered 18 April 2013.
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In de BMS Studies 34 tot en met 37 wordt uitgebreid gerapporteerd over de resultaten van de derde wave van het Vlaamse Sportclub Panel (VSP3.0). Gezien de grote hoeveelheid aan resultaten werd besloten om de rapportering op te splitsen in vier delen en dit te bundelen onder BMS-reeks 'Barometer van de sportclubs in Vlaanderen'. Meer bepaald komen in de vier betreffende BMS Studies de volgende thema's aan bod: - Een stand van zaken en een terugblik (BMS 34) - Clubprofiel, sportaanbod en gezondheidspromotie (BMS 35) - Ledenprofiel, medewerkersprofiel en financiële situatie (BMS 36) - Diversiteit, sociale inclusie, beleid en samenwerking (BMS 37)
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In de BMS Studies 34 tot en met 37 wordt uitgebreid gerapporteerd over de resultaten van de derde wave van het Vlaamse Sportclub Panel (VSP3.0). Gezien de grote hoeveelheid aan resultaten werd besloten om de rapportering op te splitsen in vier delen en dit te bundelen onder BMS-reeks 'Barometer van de sportclubs in Vlaanderen'. Meer bepaald komen in de vier betreffende BMS Studies de volgende thema's aan bod: - Een stand van zaken en een terugblik (BMS 34) - Clubprofiel, sportaanbod en gezondheidspromotie (BMS 35) - Ledenprofiel, medewerkersprofiel en financiële situatie (BMS 36) - Diversiteit, sociale inclusie, beleid en samenwerking (BMS 37)
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In de BMS Studies 34 tot en met 37 wordt uitgebreid gerapporteerd over de resultaten van de derde wave van het Vlaamse Sportclub Panel (VSP3.0). Gezien de grote hoeveelheid aan resultaten werd besloten om de rapportering op te splitsen in vier delen en dit te bundelen onder BMS-reeks 'Barometer van de sportclubs in Vlaanderen'. Meer bepaald komen in de vier betreffende BMS Studies de volgende thema's aan bod: - Een stand van zaken en een terugblik (BMS 34) - Clubprofiel, sportaanbod en gezondheidspromotie (BMS 35) - Ledenprofiel, medewerkersprofiel en financiële situatie (BMS 36) - Diversiteit, sociale inclusie, beleid en samenwerking (BMS 37)
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This exploratory study aims to obtain a first impression of the wishes and needs of employees on the use of wearables at work for health promotion. 76 employ-ees with a mean age of 40 years old (SD ±11.7) filled in a survey after trying out a wearable. Most employees see the potential of using wearable devices for workplace health promotion. However, according to employees, some negative aspects should be overcome before wearables can effectively contribute to health promotion. The most mentioned negative aspects were poor visualization and un-pleasantness of wearing. Specifically for the workplace, employees were con-cerned about the privacy of data collection.
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Artikel, naar aanleididng van onderzoek gedaan door studenten, over de keerzijde van het benutten van het sociale netwerk van ggz-clienten
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We zijn tegenwoordig allemaal wel actief op sociale netwerksites zoals Facebook of Linkedin. Hoewel sociale netwerken op die manier zowel privé als zakelijk maximaal worden ingezet en positief worden gewaardeerd, lijkt de sociale sector dat vreemd genoeg beduidend minder te doen. Dat is niet altijd zo geweest, enkele decennia geleden was er wel degelijk de nodige theorievorming en ontwikkeling van sociale interventies. Het nieuwe sociaal beleid in Nederland, mede naar aanleiding van de Wet maatschappelijke ondersteuning (Wmo), vraagt om meer zorgkracht uit sociale netwerken van burgers. Die zorgkracht is er niet automatisch, maar kan en moet door professionals 'ontgonnen' worden. In dit boek wordt daarom de oude vakkennis van onder het stof gehaald en geactualiseerd met nieuwe relevante ervaringen. Deze publicatie bevat resultaten van de Wmo-werkplaats Noord-Brabant.
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Self-tracking and automated persuasive eCoaching combined in a smartphone application may enhance stress management among employees at an early stage. For the application to be persuasive and create impact, we need to achieve a fit between the design and end-users’ and important stakeholders’ values. Semi-structured interviews were conducted among 8 employees and 8 human resource advisors to identify values of self-tracking, persuasive eCoaching, and preconditions (e.g., privacy and implementation) for a stress management application, using the value proposition design by Osterwalder et al. Results suggest essential features and functionalities that the application should possess. In general, respondents see potential in combining self-tracking and persuasive eCoaching for stress management via a smartphone application. Future design of the application should mainly focus on gaining awareness about the level of stress and causes of stress. In addition, the application should possess a positive approach besides solely the focus on negative aspects of stress.
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