Rookvrij Kennemerland is een samenwerking tussen 6 gemeenten, GGD Kennemerland, lokale organisaties en Hogeschool Inholland. Het doel is om mensen met een lage of middelbare opleiding beter te helpen stoppen met roken. De focus ligt in de wijken Schalkwijk (Haarlem) en Oosterwijk (Heemskerk/Beverwijk), waar veel mensen roken en een lage sociaaleconomische positie hebben. Tussen 2022 en 2025 voerde Inholland actieonderzoek uit. Wijkteams met bewoners, rookvrij ambassadeurs en professionals ontwikkelden lokale interventies zoals een inloopgroep, een training stressmanagement en rookstopcoaching. Rookvrij ambassadeurs speelden een belangrijke rol in het bereiken van bewoners. Hoewel het lastig was om veel deelnemers te werven, zorgde het project voor meer bewustwording, betere samenwerking tussen het sociaal en medisch domein en heeft het het onderwerp stoppen met roken verder op de kaart gezet. Het onderzoek laat zien dat gezondheidsaanpakken in wijken baat hebben bij co-creatie, lokaal maatwerk en samenwerking tussen sociaal werk en zorg.
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Rookvrij Kennemerland beoogt via rookstopinterventies mensen die roken ertoe te bewegen dat zij pogen te stoppen met roken. In de wijken Schalkwijk in Haarlem en Oosterwijk in Beverwijk en Heemskerk worden drie rookstopinterventies ingezet. Roken Enzo is een inloopgroep in de wijk. Stress Enzo zijn zes groepsbijkeenkomsten, gericht op de relatie tussen stress en tabaksverslaving. Gekwalificeerde rookstopcoaches begeleiden mensen die roken bij hun stoppoging. In deze rapportage beschrijven we hoe in Schalkwijk en Heemskerk de werving van mensen die roken voor rookstopinterventies geschiedt. Hiervoor hielden wij interviews met sociaal werkers, gezondheidsprofessionals en rookstopcoaches in de wijken in de drie gemeenten. De bevindingen uit de interviews werden in focusgroepen gepresenteerd, waarna betrokken professionals, coaches en geïnteresseerde buurtbewoners met elkaar in gesprek gingen over wat er nodig is om mensen die roken te werven voor rookstopinterventies. Deze inzichten en de tijdens de focusgroepen geformuleerde adviezen staan beschreven in deze rapportage.
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Stoppen met roken is moeilijker voor mensen in een lagere sociaaleconomische positie. Om stoppen-met-roken zorg toegankelijker te maken zijn daarom vanuit het samenwerkingsverband Rookvrij Kennemerland bewoners geworven en getraind als ‘rookvrijambassadeur’. Deze ambassadeurs zijn ervaringsdeskundigen die met mensen praten over (stoppen met) roken en ze vervolgens doorverwijzen naar passende rookstopzorg. In dit verslag beschrijven wij hoe een training tot rookvrijambassadeur eruit kan zien en wat hierbij de werkzame elementen zijn. We benadrukken het belang van werven op interne motivatie, het bieden van duidelijkheid over de rol van de ambassadeur, het faciliteren van zelfdeterminatie en het prioriteren van oefeningen en praktische inzichten. Door vanuit deze principes te werken draag je bij aan empowerment in de wijk en overbrug je de kloof tussen bewoners en de beschikbare zorg- en ondersteuningsfaciliteiten.
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Deze publicatie richt zich vooral op het concept Design Based Research,gezien vanuit het perspectief van de bijna 40 lectoren die de hogeschool rijk is. Dit lectoratenoverzicht kan worden beschouwd als een atlas of reisgids waarmee de lezer een route kan afleggen langs de verschillende lectoraten. De lectoraten die actief zijn op het gebied van de Service Economy worden beschreven in hoofdstuk 2. De lectoraten die actief zijn op het gebied van Vitale Regio worden beschreven in hoofdstuk 3. De lectoraten die actief zijn op het gebied van Smart Sustainable Industries worden beschreven in hoofdstuk 4. De lectoraten die actief zijn op het gebied van de hogeschoolbrede thema’s Design Based Education en Research worden beschreven in hoofdstuk 5. Tenslotte wordt er in hoofdstuk 6 een eerste aanzet gedaan om één of meer verbindende thema’s of werkwijzen te ontdekken in de aanpak van de verschillende lectoraten. Het is niet de bedoeling van deze publicatie om een definitief antwoord te geven op de vraag wat NHL Stenden precies bedoelt met het concept Design Based Research. Het doel van deze publicatie is wel om een indruk te krijgen van wat er allemaal gebeurt binnnen de lectoraten van NHL Stenden, en om nieuwsgierig te worden naar meer.
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Purpose: This study examined how the catering business quickly responded and recovered from the threats caused by COVID-19 with the use of social media in Beijing, China. It evidences how various catering businesses in Beijing continued to pursue their businesses after restrictive social distancing measures were imposed. Methodology: Unstructured face-to-face interviews were conducted with nine restaurant managers in Beijing, who worked during both waves of the pandemic in the spring and fall of 2020. Findings: COVID-19 further strengthened the smoke-free law enforcement in Beijing for the catering business. The Chinese consumers were found to replace restaurant consumption with stay-at-home delivery. Caterers consider social media platforms as essential tools for digital-led customer interaction in a pandemic, but also show concerns about the market power of these platforms. The Chinese government successfully implemented its health tracking app into popular local social media platforms in the battle against COVID-19, and enabled businesses to continue functioning. Value: COVID-19 not only disrupts our daily lives, but it has significantly impacted and improved a smoke-free environment, and it has accelerated the catering business to actively embrace technology which led to remarkable innovations. Integrating health tracking apps into popular and highly penetrated social media platforms is considered as one significant success factor for the containment of the coronavirus and a great help in restoring consumer confidence, leading to purchasing action. This research offers a Chinese inside view of the power of social media to enhance customer interaction and business performance even during a pandemic, profiting both businesses and consumers alike. Implications are raised for similar integration of health apps elsewhere.
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This overview can be regarded as an atlas or travel guide with which the reader can follow a route along the various professorships. Chapter 2 centres on the professorships that are active in the field of Service Economy. Chapter 3 is dedicated to the professorships that are focussed on the field of Vital Region. Chapter 4 describes the professorships operating in the field of Smart Sustainable Industries. Chapter 5 deals with the professorships that are active in the field of the institution-wide themes of Design Based Education and Design Based Research. Lastly, in Chapter 6 we make an attempt to discover one or more connecting themes or procedures in the approach of the various professorships. This publication is not intended to give a definitive answer to the question as to what exactly NHL Stenden means by the concept of Design Based Research. The aim of this publication is to get an idea of everything that is happening in the NHL Stenden professorships and to pique one’s curiosity to find out more.
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Interview met Jackie Middeldorp (kenniskring GGZ- Verpleegkunde) verschenen op site van V&VN. Onderwerp: een rookvrije omgeving in de verslavingszorg.
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Abstract Background Smoking among people with severe mental illness (SMI) is highly prevalent and strongly associated with poor physical health. Currently, evidence-based smoking cessation interventions are scarce and need to be integrated into current mental health care treatment guidelines and clinical practice. Therefore, the present study aims to evaluate the implementation and effectiveness of a smoking cessation intervention in comparison with usual care in people with SMI treated by Flexible Assertive Community Treatment (FACT) teams in the Netherlands. Methods A pragmatic, cluster-randomised controlled trial with embedded process evaluation will be conducted. Randomisation will be performed at the level of FACT teams, which will be assigned to the KISMET intervention or a control group (care as usual). The intervention will include pharmacological treatment combined with behavioural counselling and peer support provided by trained mental health care professionals. The intervention was developed using a Delphi study, through which a consensus was reached on the core elements of the intervention. We aim to include a total of 318 people with SMI (aged 18–65 years) who smoke and desire to quit smoking. The primary outcome is smoking status, as verified by carbon monoxide measurements and self-report. The secondary outcomes are depression and anxiety, psychotic symptoms, physical fitness, cardiovascular risks, substance use, quality of life, and health-related self-efficacy at 12 months. Alongside the trial, a qualitative process evaluation will be conducted to evaluate the barriers to and facilitators of its implementation as well as the satisfaction and experiences of both patients and mental health care professionals. Discussion The results of the KISMET trial will contribute to the evidence gap of effective smoking cessation interventions for people treated by FACT teams. Moreover, insights will be obtained regarding the implementation process of the intervention in current mental health care. The outcomes should advance the understanding of the interdependence of physical and mental health and the gradual integration of both within the mental health care system. Trial registration Netherlands Trial Register, NTR9783. Registered on 18 October 2021.
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Abstract Background Smoking among people with severe mental illness (SMI) is highly prevalent and strongly associated with poor physical health. Currently, evidence-based smoking cessation interventions are scarce and need to be integrated into current mental health care treatment guidelines and clinical practice. Therefore, the present study aims to evaluate the implementation and efectiveness of a smoking cessation intervention in comparison with usual care in people with SMI treated by Flexible Assertive Community Treatment (FACT) teams in the Netherlands. Methods A pragmatic, cluster-randomised controlled trial with embedded process evaluation will be conducted. Randomisation will be performed at the level of FACT teams, which will be assigned to the KISMET intervention or a control group (care as usual). The intervention will include pharmacological treatment combined with behavioural counselling and peer support provided by trained mental health care professionals. The intervention was developed using a Delphi study, through which a consensus was reached on the core elements of the intervention. We aim to include a total of 318 people with SMI (aged 18–65 years) who smoke and desire to quit smoking. The primary outcome is smoking status, as verifed by carbon monoxide measurements and self-report. The secondary outcomes are depression and anxiety, psychotic symptoms, physical ftness, cardiovascular risks, substance use, quality of life, and health-related self-efcacy at 12months. Alongside the trial, a qualitative process evaluation will be conducted to evaluate the barriers to and facilitators of its implementation as well as the satisfaction and experiences of both patients and mental health care professionals. Discussion The results of the KISMET trial will contribute to the evidence gap of efective smoking cessation interventions for people treated by FACT teams. Moreover, insights will be obtained regarding the implementation process of the intervention in current mental health care. The outcomes should advance the understanding of the interdependence of physical and mental health and the gradual integration of both within the mental health care system. Trial registration Netherlands Trial Register, NTR9783. Registered on 18 October 2021.
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