- Cardiac Health and Mental Health
- Mobile Health and mHealth Applications
- Digital Mental Health Interventions
- Behavioral Health and Interventions
- Obesity, Physical Activity, Diet
- Physical Activity and Health
- Mental Health and Patient Involvement
- Telemedicine and Telehealth Implementation
- Healthcare Policy and Management
- Heart Rate Variability and Autonomic Control
- Health Policy Implementation Science
- Health Literacy and Information Accessibility
- Primary Care and Health Outcomes
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Interprofessional Education and Collaboration
- Diabetes Management and Education
- Diabetes Management and Research
- Music Therapy and Health
- Cardiovascular Health and Risk Factors
- Nutritional Studies and Diet
- Consumer Attitudes and Food Labeling
- Cardiomyopathy and Myosin Studies
- COVID-19 and Mental Health
Leiden University
2013-2025
Leiden University Medical Center
2019-2024
Amsterdam UMC Location University of Amsterdam
2024
Amsterdam University Medical Centers
2023
Pharmo Institute
2023
Erasmus University Rotterdam
2023
Creative Commons
2023
Promoting health behaviors and preventing chronic diseases through a healthy lifestyle among those with low socioeconomic status (SES) remain major challenges. eHealth interventions are promising approach to change unhealthy in this target group.This review aims identify key components, barriers, facilitators the development, reach, use, evaluation, implementation of for people SES. This provides an overview researchers developers, can assist development SES.We performed scoping based on...
As lifestyle adherence and risk factor management following completion of cardiac rehabilitation (CR) have been shown to be problematic, we developed a brief self-regulation programme for post-CR patients.Randomized-controlled trial.Following CR 210 patients were randomized receive either maintenance (n = 112) or standard care 98). The was based on principles consisted motivational interview, seven group sessions, home assignments. Risk factors health behaviours assessed at baseline (end CR)...
Healthy living is key in the prevention and rehabilitation of cardiovascular disease (CVD). Yet, supporting maintaining a healthy lifestyle exceptionally difficult people differ their needs regarding optimal support for interventions. The goals this study were threefold: to uncover stakeholders' preferences, translate these core values, develop eHealth technology based on values. Our primary research question is: What type application among with (a high risk of) CVD would provide greatest...
Background People with a low socioeconomic position (SEP) are less likely to benefit from eHealth interventions, exacerbating social health inequalities. Professionals developing interventions for this group face numerous challenges. A comprehensive guide support these professionals in their work could mitigate Objective We aimed develop web-based the development, adaptation, evaluation, and implementation of people SEP. Methods This study consisted 2 phases. The first phase involved...
Complex eHealth interventions-featuring multiple components within dynamic systems-are used for healthcare improvement. Public-private partnerships (PPPs), combining resources, expertise, and technology, are crucial in this context. Yet, integrating these interventions into practice remains challenging. This study identifies barriers facilitators affecting implementation of the BENEFIT programme, a complex intervention targeting cardiovascular disease patients, by PPP practice. A qualitative...
Aims Most hospitals still lag behind in their policies to stimulate healthier dietary choices by patients. This study investigates whether a multicomponent nudging intervention, designed prompt healthy food choices, can influence of hospitalised Methods pre-postintervention included baseline phase and an intervention (7+7 months) was carried out at the cardiology ward large hospital. All 2419 cardiac patients admitted during this period, 7559 meals were part study. The consisted choice...
A healthy lifestyle forms the basis for preventing cardiovascular disease (CVD). 1 However, initiating and maintaining a is notoriously difficult. Despite large investments in cardiac prevention rehabilitation programmes, majority of people with CVD still do not achieve guideline treatment goals risk management, such as lipid targets or receiving modification programmes. 2 The following pillars, each from different discipline, are known instrumental to facilitate sustained living: (a)...
Cardiovascular diseases (CVDs) pose a significant health threat and reduce both people's life expectancy quality of life. Healthy living is key component in the effective prevention treatment CVD. However, care professionals (HCPs) experience difficulties supporting lifestyle changes among their patients. eHealth can provide solution to these barriers.This study aims insights into factors HCPs find important support patients with CVD uptake adherence healthy perceived facilitators barriers...
Gamification and deposit contracts (a financial incentive in which participants pledge their own money) can enhance effectiveness of mobile behavior change interventions. However, to assess potential for improving population health, research should investigate implementation gamified outside the setting. Therefore, we analyzed data from StepBet, a smartphone application originally developed by WayBetter, Inc.To perform naturalistic evaluation StepBet contracts, whom they work best, under...
The number of complex eHealth interventions has increased considerably. Despite available implementation theory outlining well-designed strategies, implementing within practice proves challenging and often does not lead to sustainable use. To improve sustainability, should be addressed during the development an strategy. By subsequently transparently reporting executed theory-based steps their corresponding findings, others can learn from these valuable lessons learned. This study outlines...
To improve lifestyle guidance within cardiac rehabilitation (CR), a comprehensive understanding of the motivation and lifestyle-supporting needs patients with cardiovascular disease (CVD) is required.
eHealth interventions are developed to support and facilitate patients with lifestyle changes self-care tasks after being diagnosed a cardiovascular disease (CVD). Creating long-lasting effects on change health outcomes is challenging requires good understanding of patient values.
Financial incentive interventions for improving physical activity have proven to be effective but costly. Deposit contracts (in which participants pledge their own money) could an affordable alternative. In addition, deposit may superior effects by exploiting the power of loss aversion. Previous research has often operationalized through framing a financial reward (without requiring deposit) mimic feelings involved in contract.
eHealth technology can help patients with cardiovascular disease adopt and maintain a healthy lifestyle by supporting self-management offering guidance, coaching, tailored information. However, to support over time, needs blend in their needs, treatment, daily lives. Just as differ between patients, change within time. To better adapt features patients' it is necessary account for these changes contexts of use.This study aimed identify monitor from web-based health management platform how It...
eHealth interventions can improve the health outcomes of people with a low socioeconomic position (SEP) by promoting healthy lifestyle behaviours. However, developing and implementing these among target group be challenging for professionals. To facilitate uptake effective interventions, this study aimed to identify barriers facilitators anticipated or experienced professionals in development, reach, adherence, implementation evaluation phases SEP.We used Delphi method, consisting two online...
Abstract This research explores the dynamic nature of family involvement in remote patient management for cardiovascular disease and its impact on lifestyle behaviour changes. Through an interview study with patients members, we categorise into three types: Inform, Integrate, Influence, highlighting heterogeneous across different phases activities. Overall, emphasise need personalised adaptable interventions to cater diversity families propose a modular approach monitoring design.
Background Healthcare professionals (HPs) can play a substantial role in smoking cessation counseling (SCC) but practice often skip this task due to time constraints. This study evaluates the implementation of rapid Ask-Advise-Connect (AAC) method University hospital setting. Methods mixed methods pre-post interventional was performed at Cardiology department and consisted (1) quantitative assessment patient registration HP connection rates external SCC from Electronic Medical Record, (2)...
ABSTRACT Objective eHealth is a useful tool to deliver lifestyle interventions for patients with cardiometabolic diseases. However, there are inconsistent findings about whether these should be supported by human professional, or self-help equally effective. Methods Databases were searched between January 1995 and October 2021 randomized controlled trials on diseases (cardiovascular disease, chronic kidney type 1 2 diabetes mellitus) interventions. A multilevel meta-analysis was used pool...
Previous research has shown that experiencing an acute cardiac event, such as a myocardial infarction (MI), can lead to lifestyle changes. This study aimed explore the potential of MI 'teachable moment' (TM) for positive changes and identify psychosocial sensemaking processes facilitate or hinder presence TM.
Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge start of cardiac rehabilitation (CR).The goal research was explore summarize needs CAD develop an early remote program tailored support.We used intervention mapping approach a program. Three steps were completed this study: (1) identification CAD, using exploratory literature study semistructured interviews, (2) definition...