Integrating knowledge and expertise from designers and scientists proposes solutions to complex problems in a flexible and open-minded way. However, little insight is available in how this collaboration works. Therefore, we reflected on a research project aimed at supportive care interventions for child oncology, and detected barriers and enablers for effective designer scientist collaboration. We interviewed medical scientists (n=2), designers (n=5), health care professionals (n=2), design students (n=3), and one design innovation-expert. Enablers appeared a receptive attitude towards innovation, and shared terminology facilitated by participatory design tools, internal communication means, and common goals. Largest barrier was unstable team membership. Future collaborative research projects might benefit when preventing barriers and stimulating enablers.
Na twee jaar met veel studenten te hebben gewerkt aan het project Wireless Sensortechnologie bij Calamiteiten geeft dit boek een overzicht van de activiteiten die zijn uitgevoerd. In 14 deelprojecten verspreid over vier werkpakketten hebben vooral studenten onder leiding van docenten en medewerkers van het Saxion-lectoraat Ambient Intelligence in het Kenniscentrum Design en Technologie van Saxion zich verdiept in een breed scala van onderwerpen. Na een eerste verkenning door middel van literatuurstudie en verkenning van de markt is er gewerkt aan praktische oplossingen van problemen. In de meeste gevallen zijn de oplossingen vormgegeven in echte systemen met de nodige hard-en software. Bij de testen en de experimenten werd duidelijk in hoeverre de oplossing ook echt voldeed als antwoord op de onderzoeksvraag die aan het begin gesteld werd. Alle deelprojecten zijn beschreven en aan het eind van het boek worden de belangrijkste conclusies op een rij gezet.
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OBJECTIVE: In this pilot study, we investigated the feasibility of a home-based, remotely guided exercise intervention for patients with gliomas.DESIGN: Pilot randomized controlled trial (RCT) with randomization (2:1) to exercise or control group.SUBJECTS: Patients with stable grade II and III gliomas.INTERVENTION: The six-month intervention included three home-based exercise sessions per week at 60%-85% of maximum heart rate. Participants wore heart rate monitors connected to an online platform to record activities that were monitored weekly by the physiotherapist.MAIN MEASURES: Accrual, attrition, adherence, safety, satisfaction, patient-reported physical activity, VO2 peak (by maximal cardiopulmonary exercise testing) and body mass index (BMI) at baseline and at six-month follow-up.RESULTS: In all, 34 of 136 eligible patients (25%) were randomized to exercise training ( N = 23) or the control group ( N = 11), of whom 19 and 9, respectively, underwent follow-up. Mean adherence to prescribed sessions was 79%. Patients' experiences were positive. There were no adverse events. Compared to the control group, the exercise group showed larger improvements in absolute VO2 peak (+158.9 mL/min; 95% CI: -44.8 to 362.5) and BMI (-0.3 kg/m²; 95% CI: -0.9 to 0.2). The median increase in physical activity was 1489 metabolic equivalent of task (MET) minutes higher in the exercise group. The most reported reasons for non-participation were lack of motivation or time.CONCLUSION: This innovative and intensive home-based exercise intervention was feasible in a small subset of patients with stable gliomas who were interested in exercising. The observed effects suggest that the programme may improve cardiorespiratory fitness. These results support the need for large-scale trials of exercise interventions in brain tumour patients.
