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Complex self-management interventions in chronic disease unravelled: A review of lessons learned from an individual patient data meta-analysis

Nini H. Jonkman; Rolf H.H. Groenwold; Jaap C.A. Trappenburg; Arno W. Hoes; Marieke Schuurmans (Lector)

Objectives Meta-analyses using individual patient data (IPD) rather than aggregated data are increasingly applied to analyze sources of heterogeneity between trials and have only recently been applied to unravel multicomponent, complex interventions. This study reflects on methodological challenges …

2017GezondheidArtikel

Self-management behaviors to reduce exacerbation impact in COPD patients: a Delphi study

Yvonne Korpershoek (Lid Lectoraat); Joyce C. Bruins Slot; Tanja W. Effing; Marieke Schuurmans (Lector); Jaap C.A. Trappenburg

Little is known about which self-management behaviors have the highest potential to influence exacerbation impact in COPD patients. We aimed to reach expert consensus on the most relevant set of self-management behaviors that can be targeted and influenced to maximize reduction of exacerbation impact. Materials …

2017Ruimtelijke ordening & planningArtikel

Nurses' perspectives of a new individualized nursing care intervention for COPD patients in primary care settings: A mixed method study

Saskia W.M. Weldam; Jan-Willem J. Lammers; Marieke Zwakman; Marieke Schuurmans (Lector)

Background The major challenges in Chronic Obstructive Pulmonary Disease (COPD) care are guiding a patient in daily living with the consequences of the disease, reducing the impact of symptoms and improving Health Related Quality of Life (HRQoL). The new nurse-led COPD-Guidance, Research on an Illness …

2017GezondheidArtikel

Dietary resilience in COPD patients at the start of a pulmonary rehabilitation program

ter Beek, Lies; Dzialendzik, Sasha; van der Vaart, Hester; Roodenburg, Jan L.N.; van der Schans, Cees P. (Healthy Ageing, Allied Health Care And Nursing); Keller, Heather; Jager-Wittenaar, Harriët (Healthy Ageing, Allied Health Care And Nursing); Wempe, Johan

2016-09-18AlgemeenConferentiebijdrage

Een Mixed Methods studie: Bewegen COPD patiënten voldoende tijdens ziekenhuisopname?

Wim van Lankveld (Begeleider); Denise Gijsbers (Student); Angelique Verkade (Student); Anna Kordt (Student)

Introductie Chronic Obstructive Pulmonary Disease (COPD) is een chronische progressieve aandoening waarbij de longen onomkeerbaar worden aangetast. Hierbij kunnen exacerbaties optreden waarvoor in sommige gevallen ziekenhuisopname noodzakelijk is. Uit onderzoek is gebleken dat bewegen een gunstig effect …

2016-06-12AlgemeenBachelor

Characteristics of effective self-management interventions in patients with COPD: individual patient data meta-analysis

Job van der Palen; Evelyn M. Monninkhof; Nini H. Jonkman; Rolf H.H. Groenwold; Kathryn L. Rice; Jean Bourbeau; Suzanne M. Lloyd; Michael Epton; Stephanie J.C. Taylor; Arno W. Hoes; David Coultas; Erik W.M.A. Bischoff; Marieke J. Schuurmans (Lector); Maria Sedeno; Judith Garcia-Aymerich; Frode Gallefoss; Tanja W. Effing; Nicolas A. Zwar; Christine E. Bucknall; Thierry Troosters; Heleen Westland; Huong Q. Nguyen; Jaap C.A. Trappenburg

ABSTRACT It is unknown whether heterogeneity in effects of self-management interventions in patients with chronic obstructive pulmonary disease (COPD) can be explained by differences in programme characteristics. This study aimed to identify which characteristics of COPD self-management interventions are …

2016-04-28GezondheidArtikel

Phenotypic variation in patients with chronic obstructive pulmonary disease in primary care

Rob A. de Bie; Eva A.M. van Eerd; Rik Gosselink; Emmylou Beekman (Lid Lectoraat); Onno C.P. van Schayck; Ilse Mesters; Mark G. Spigt

Introduction. Despite the high number of inactive patients with COPD, not all inactive patients are referred to physical therapy, unlike recommendations of general practitioner (GP) guidelines. It is likely that GPs take other factors into account, determining a subpopulation that is treated by a physical …

2016-04-11GezondheidArtikel

Changes in the in-hospital mortality and 30-day post-discharge mortality in acutely admitted older patients: retrospective observational study

van Rijn, Marjon; Buurman, Bianca M.; Macneil Vroomen, Janet L.; Suijker, Jacqueline J.; ter Riet, Gerben (Faculteit Gezondheid); Moll van Charante, Eric P.; de Rooij, Sophia E.

Objectives: to compare changes over time in the in-hospital mortality and the mortality from discharge to 30 days post-discharge for six highly prevalent discharge diagnoses in acutely admitted older patients as well as to assess the effect of separately analysing the in-hospital mortality and the mortality …

2016-01AlgemeenArtikel

The effect of interventions in reducing sedentary time in adults with a non-communicable disease

Julia Agmon (Student); Roderick Wondergem (Begeleider)

Abstract Problem definition. Chronic diseases are accountable for the leading cause of mortality on the globe. Non-communicable disease (NCD) – a type of chronic illness – causes burden on multiple levels, ranging from personal to economical strain, resulting in immense number deaths annually. Dominant causes …

2016GezondheidBachelor

A mobile phone application to stimulate daily physical activity in patients with chronic obstructive pulmonary disease: development, feasibility and pilot studies

Helianthe S.M. Kort (Lector); Sigrid N.W. Vorrink (Lid Lectoraat); Thierry Troosters; Jan-Willem J. Lammers

Background: Patients with chronic obstructive pulmonary disease (COPD) demonstrate reduced levels of daily physical activity (DPA) compared to healthy controls. This results in a higher risk of hospital admission and shorter survival. Performing regular DPA reduces these risks. Objective: To develop …

2016GezondheidArtikel

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