Background: Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR).Objective: The goal of the research was to explore and summarize information and support needs of patients with CAD and develop an early remote coaching program providing tailored information and support.Methods: We used the intervention mapping approach to develop a remote coaching program. Three steps were completed in this study: (1) identification of information and support needs in patients with CAD, using an exploratory literature study and semistructured interviews, (2) definition of program objectives, and (3) selection of theory-based methods and practical intervention strategies.Results: Our exploratory literature study (n=38) and semistructured interviews (n=17) identified that after hospital discharge, patients with CAD report a need for tailored information and support about CAD itself and the specific treatment procedures, medication and side effects, physical activity, and psychological distress. Based on the preceding steps, we defined the following program objectives: (1) patients gain knowledge on how CAD and revascularization affect their bodies and health, (2) patients gain knowledge about medication and side effects and adhere to their treatment plan, (3) patients know which daily physical activities they can and can’t do safely after hospital discharge and are physically active, and (4) patients know the psychosocial consequences of CAD and know how to discriminate between harmful and harmless body signals. Based on the preceding steps, a remote coaching program was developed with the theory of health behavior change as a theoretical framework with behavioral counseling and video modeling as practical strategies for the program.Conclusions: This study shows that after (acute) cardiac hospitalization, patients are in need of information and support about CAD and revascularization, medication and side effects, physical activity, and psychological distress. In this study, we present the design of an early remote coaching program based on the needs of patients with CAD. The development of this program constitutes a step in the process of bridging the gap from hospital discharge to start of CR.
Policy makers are looking for effective ways to promote the adoption of electric vehicles (EVs). Among the options is the roll-out and management of charging infrastructure to meet the EV drivers’ refuelling needs. However, policies in this area do not only have a long-term effect on the adoption of EVs among prospective owners, they also have short-term impacts on the usage of public charging infrastructure among current EV owners and vice-versa. Presently, studies focusing on both effects simultaneously are lacking, missing out on possible cross-pollination between these areas. This study uniquely combines stated and revealed preference data to estimate the effect of particular policy measures aimed at EV adoption, on the one hand, and charging behaviour, on the other. Using a large dataset (1.7 million charging sessions) related to charging behaviour using public charging infrastructure in the Netherlands we quantify the effects of (i) daytime-parking (to manage parking pressure) and (ii) free parking (to promote purchase of EVs) policies on charging behaviour. To estimate the effects of these particular policies on EV purchase intentions, a stated choice experiment was conducted among potential EV-buyers. Results show that cross-pollinations between EV charging and adaptation policies exist and should be taken into account when designing policies for EV adoption.
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Background: The need for effective continuing education is especially high in in-hospital geriatric care, as older patients have a higher risk of complications, such as falls. It is important that nurses are able to prevent them. However, it remains unknown which interventions change the behavior of nurses. Therefore, the aim of this study is to identify intervention options to change the behavior of hospital nurses regarding fall prevention among older hospitalized patients. Methods: This study used a mixed method design. The Behavior Change Wheel (BCW) was used to identify intervention functions and policy categories to change the behavior of nurses regarding fall prevention. This study followed the eight steps of the BCW and two methods of data collection were used: five focus groups and three Delphi rounds. The focus groups were held with hospital nurses (n = 26). Geriatric experts (n = 11), managers (n = 13) and educators (n = 13) were included in the Delphi rounds. All data were collected within ten tertiary teaching hospitals in the Netherlands. All participants were included based on predefined in- and exclusion criteria and availability. Results: In Geriatric experts’ opinions interventions targeting behavior change of nurses regarding fall prevention should aim at ‘after-care’, ‘estimating fall risk’ and ‘providing information’. However, in nurses’ opinions it should target; ‘providing information’, ‘fall prevention’ and ‘multifactorial fall risk assessment’. Nurses experience a diversity of limitations relating to capability, opportunity and motivation to prevent fall incidents among older patients. Based on these limitations educational experts identified three intervention functions: Incentivisation, modelling and enablement. Managers selected the following policy categories; communication/marketing, regulation and environmental/social planning. Conclusions: The results of this study show there is a discrepancy in opinions of nurses, geriatric experts, managers and educators. Further insight in the role and collaboration of managers, educators and nurses is necessary for the development of education programs strengthening change at the workplace that enable excellence in nursing practice. DOI: https://doi.org/10.1186/s12912-021-00598-z
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In de transitie naar duurzame voedselsystemen is de consumptie van duurzaam geproduceerd vlees een eerste stap. Vlees eten is diepgeworteld in onze eetcultuur. Het veranderen van eetpatronen naar minder vlees (flexitariërs), geheel geen vlees (vegetariërs, veganisten) of de overstap naar vleesvervangers/kweekvlees, vraagt tijd. Om op kortere termijn een verschil te maken, zal het stimuleren van de keuze van consumenten voor duurzaam geproduceerd vlees in belangrijke mate bijdragen aan de gewenste verandering richting ‘minder en beter’. In aanvulling op hedendaagse vervangingsstrategieën van retailorganisaties, beoogt dit project consumentenpull naar duurzame vleesproducten te realiseren. Dit vraagt om specifieke tactieken, wetende dat consumenten een intention-behaviour gap vertonen met betrekking tot duurzaamheid: de wil is er, maar vertaalt zich onvoldoende in koopgedrag. Dit komt doordat een sociaal dilemma optreedt: een ego-belang in strijd met een maatschappelijk belang. Om dit te overkomen, is een combinatie van intentiebeïnvloeding, bewijsvoering en gedragsbeïnvloeding nodig. Kennis hiervan is echter gefragmenteerd, onvoldoende doorgedrongen in de praktijk en niet specifiek genoeg om consumentengroepen met een latente vraag voldoende aan te spreken. DIERZAAM zal integrale (marketing)principes ontwikkelen voor duurzame gedragsverandering, om het marktaandeel van duurzame vleesproducten te vergroten en daarmee bij te dragen aan de transitie van het voedselsysteem. Met een Design Thinking aanpak ontwikkelen we een breed en diep beeld van consumentenmotivaties en -gedrag. Vanuit dit beeld worden iteratief interventies ontwikkeld: van idee naar prototype naar test bij die consumentensegmenten waar de relevantie, en daarmee mogelijke impact, het grootst is. De centrale onderzoeksvraag luidt: “Hoe kunnen positionerings-, waarborgings- en gedragsbeïnvloedende strategieën het koopgedrag van duurzaam vlees van specifieke consumentengroepen zodanig stimuleren dat een groter marktaandeel van duurzaam vlees wordt bereikt?” Het consortium achter dit voorstel bestaat uit diverse MKB-organisaties, zoals producenten van duurzame vleesproducten, marketing- en communicatiespecialisten, ketenpartners, brancheverenigingen en kennispartners op gebied van consumentenpsychologie, gedragsverandering en agrifood & business.
