Background: A growing body of evidence supports the potential effectiveness of electronic health (eHealth) self management interventions in improving disease self-management skills and health... Show moreBackground: A growing body of evidence supports the potential effectiveness of electronic health (eHealth) self management interventions in improving disease self-management skills and health outcomes of patients suffering from chronic kidney disease (CKD). However, current research on CKD eHealth self-management interventions has almost exclusively focused on high-income, western countries. Objective: To inform the adaptation of a tailored eHealth self-management intervention for patients with CKD in China based on the Dutch Medical Dashboard (MD) intervention, we examined the perceptions, attitudes and needs of Chinese patients with CKD and health care professionals (HCPs) towards eHealth based (self -management) interventions in general and the Dutch MD intervention in specific. Methods: We conducted a basic interpretive, cross-sectional qualitative study comprising semi-structured interviews with 11 patients with CKD and 10 HCPs, and 2 focus group discussions with 9 patients with CKD. This study was conducted in the First Affiliated Hospital of Zhengzhou University in China. Data collection continued until data saturation was reached. All data were transcribed verbatim and analyzed using a framework approach. Results: Three themes emerged: (1) experience with eHealth in CKD (self-management), (2) needs for supporting CKD self-management with the use of eHealth, and (3) adaptation and implementation of the Dutch MD intervention in China. Both patients and HCPs had experience with and solely mentioned eHealth to 'inform, monitor and track' as potentially relevant interventions to support CKD self-management, not those to support 'interaction' and 'data utilization'. Factors reported to influence the implementation of CKD eHealth self-management interventions included information barriers (i.e. quality and consistency of the disease-related information obtained via eHealth), perceived trustworthiness and safety of eHealth sources, clinical compatibility and complexity of eHealth, time constraints and eHealth literacy. Moreover, patients and HCPs expressed that eHealth interventions should support CKD self-management by improving the access to reliable and relevant disease related knowledge and optimizing the timeliness and quality of patient and HCPs interactions. Finally, suggestions to adaptation and implementation of the Dutch MD intervention in China were mainly related to improving the intervention functionalities and content of MD such as addressing the complexity of the platform and compatibility with HCPs' workflows. Conclusions: The identified perceptions, attitudes and needs towards eHealth self-management interventions in Chinese settings should be considered by researchers and intervention developers to adapt a tailored eHealth self management intervention for patients with CKD in China. In more detail, future research needs to engage in co creation processes with vulnerable groups during eHealth development and implementation, increase eHealth literacy and credibility of eHealth (information resource), ensure eHealth to be easy to use and well-integrated into HCPs' workflows. Show less
Shen, H.X.; Kleij, R. van der; Boog, P.J.M. van der; Wang, W.J.; Song, X.Y.; Li, Z.Y.; ... ; Chavannes, N. 2022
BackgroundA growing body of evidence supports the potential effectiveness of electronic health (eHealth) self-management interventions in improving disease self-management skills and health... Show moreBackgroundA growing body of evidence supports the potential effectiveness of electronic health (eHealth) self-management interventions in improving disease self-management skills and health outcomes of patients suffering from chronic kidney disease (CKD). However, current research on CKD eHealth self-management interventions has almost exclusively focused on high-income, western countries.ObjectiveTo inform the adaptation of a tailored eHealth self-management intervention for patients with CKD in China based on the Dutch Medical Dashboard (MD) intervention, we examined the perceptions, attitudes and needs of Chinese patients with CKD and health care professionals (HCPs) towards eHealth based (self-management) interventions in general and the Dutch MD intervention in specific.MethodsWe conducted a basic interpretive, cross-sectional qualitative study comprising semi-structured interviews with 11 patients with CKD and 10 HCPs, and 2 focus group discussions with 9 patients with CKD. This study was conducted in the First Affiliated Hospital of Zhengzhou University in China. Data collection continued until data saturation was reached. All data were transcribed verbatim and analyzed using a framework approach.ResultsThree themes emerged: (1) experience with eHealth in CKD (self-management), (2) needs for supporting CKD self-management with the use of eHealth, and (3) adaptation and implementation of the Dutch MD intervention in China. Both patients and HCPs had experience with and solely mentioned eHealth to ‘inform, monitor and track’ as potentially relevant interventions to support CKD self-management, not those to support ‘interaction’ and ‘data utilization’. Factors reported to influence the implementation of CKD eHealth self-management interventions included information barriers (i.e. quality and consistency of the disease-related information obtained via eHealth), perceived trustworthiness and safety of eHealth sources, clinical compatibility and complexity of eHealth, time constraints and eHealth literacy. Moreover, patients and HCPs expressed that eHealth interventions should support CKD self-management by improving the access to reliable and relevant disease related knowledge and optimizing the timeliness and quality of patient and HCPs interactions. Finally, suggestions to adaptation and implementation of the Dutch MD intervention in China were mainly related to improving the intervention functionalities and content of MD such as addressing the complexity of the platform and compatibility with HCPs’ workflows.ConclusionsThe identified perceptions, attitudes and needs towards eHealth self-management interventions in Chinese settings should be considered by researchers and intervention developers to adapt a tailored eHealth self-management intervention for patients with CKD in China. In more detail, future research needs to engage in co-creation processes with vulnerable groups during eHealth development and implementation, increase eHealth literacy and credibility of eHealth (information resource), ensure eHealth to be easy to use and well-integrated into HCPs’ workflows. Show less
Shen, H.X.; Kleij, R. van der; Boog, P.J.M. van der; Wang, W.J.; Song, X.Y.; Li, Z.Y.; ... ; Chavannes, N. 2022
BackgroundA growing body of evidence supports the potential effectiveness of electronic health (eHealth) self-management interventions in improving disease self-management skills and health... Show moreBackgroundA growing body of evidence supports the potential effectiveness of electronic health (eHealth) self-management interventions in improving disease self-management skills and health outcomes of patients suffering from chronic kidney disease (CKD). However, current research on CKD eHealth self-management interventions has almost exclusively focused on high-income, western countries.ObjectiveTo inform the adaptation of a tailored eHealth self-management intervention for patients with CKD in China based on the Dutch Medical Dashboard (MD) intervention, we examined the perceptions, attitudes and needs of Chinese patients with CKD and health care professionals (HCPs) towards eHealth based (self-management) interventions in general and the Dutch MD intervention in specific.MethodsWe conducted a basic interpretive, cross-sectional qualitative study comprising semi-structured interviews with 11 patients with CKD and 10 HCPs, and 2 focus group discussions with 9 patients with CKD. This study was conducted in the First Affiliated Hospital of Zhengzhou University in China. Data collection continued until data saturation was reached. All data were transcribed verbatim and analyzed using a framework approach.ResultsThree themes emerged: (1) experience with eHealth in CKD (self-management), (2) needs for supporting CKD self-management with the use of eHealth, and (3) adaptation and implementation of the Dutch MD intervention in China. Both patients and HCPs had experience with and solely mentioned eHealth to ‘inform, monitor and track’ as potentially relevant interventions to support CKD self-management, not those to support ‘interaction’ and ‘data utilization’. Factors reported to influence the implementation of CKD eHealth self-management interventions included information barriers (i.e. quality and consistency of the disease-related information obtained via eHealth), perceived trustworthiness and safety of eHealth sources, clinical compatibility and complexity of eHealth, time constraints and eHealth literacy. Moreover, patients and HCPs expressed that eHealth interventions should support CKD self-management by improving the access to reliable and relevant disease related knowledge and optimizing the timeliness and quality of patient and HCPs interactions. Finally, suggestions to adaptation and implementation of the Dutch MD intervention in China were mainly related to improving the intervention functionalities and content of MD such as addressing the complexity of the platform and compatibility with HCPs’ workflows.ConclusionsThe identified perceptions, attitudes and needs towards eHealth self-management interventions in Chinese settings should be considered by researchers and intervention developers to adapt a tailored eHealth self-management intervention for patients with CKD in China. In more detail, future research needs to engage in co-creation processes with vulnerable groups during eHealth development and implementation, increase eHealth literacy and credibility of eHealth (information resource), ensure eHealth to be easy to use and well-integrated into HCPs’ workflows. Show less
Objective: Healthcare providers' (HCPs) perceptions of smokers' responsibility for smoking may affect implementation of smoking cessation care (SCC), but are understudied. This study examined Dutch... Show moreObjective: Healthcare providers' (HCPs) perceptions of smokers' responsibility for smoking may affect implementation of smoking cessation care (SCC), but are understudied. This study examined Dutch HCPs' perceptions of smokers' responsibility for smoking, and how many and which subgroups exist with regard to these perceptions.Methods: Observational cross-sectional study among physicians and other HCPs (N = 570). Latent class analysis was used to analyse data.Results: Results showed two latent classes of HCPs: a majority (77 %) that appeared to hold smokers themselves more accountable for their smoking, and a minority (23 %) that seemed more inclined to believe that people smoked as a consequence of factors such as addiction, and smoking initiation when people were young and could not foresee consequences. The two-class model showed excellent certainty in classification. Class membership was associated with age, working experience, and smoking status. The majority class experienced more barriers to SCC than the minority class and provided SCC tasks to fewer patients.Conclusions: HCPs' perceptions of smokers' responsibility for smoking relate to HCP background characteristics, barriers to SCC and implementation of SCC.Practice Implications: New approaches to improving SCC might be needed that take HCP's perceptions of smokers' responsibility into account. (C) 2020 The Author(s). Published by Elsevier B.V. Show less
Research and design are two activities that are becoming increasingly important in STEM education (Science, Technology, Engineering and Mathematics). Research and design projects are often still... Show moreResearch and design are two activities that are becoming increasingly important in STEM education (Science, Technology, Engineering and Mathematics). Research and design projects are often still employed separately in school, while these activities are often connected in professional practice. The studies in this dissertation indicate that teachers and students of the Dutch subjects O&O (Dutch abbreviation for ‘research and design’) and NLT (Dutch abbreviation for ‘nature, life and technology’) already have some knowledge of ways in which research and design can be connected, and that this knowledge can be developed in a relatively short time. However, interviews with teachers and students showed that students often skipped the research part of the design cycle. This is remarkable, because students were able to state the relevance of research within design. A study in the context of the subject NLT showed that both teachers and students have a strong idea that design should start with a research component. This can be a limiting thought for students with different learning preferences. We therefore recommend to offer the research and design processes in a more differentiated and varied manner to students. Show less
Twenty years after the coming into force of the Rome Statute, not much has been written on its impact on the country level, neither is there consensus on the goals of the ICC. This thesis seeks... Show moreTwenty years after the coming into force of the Rome Statute, not much has been written on its impact on the country level, neither is there consensus on the goals of the ICC. This thesis seeks to put forward a framework for assessing the impact of the Rome Statute, by measuring four types of impact: systemic effect on domestic legal systems; transformative effect on peace processes (such as through including the rights of victims); reparative effect for victims; and a demonstration effect on affected populations. The thesis measures these effects mainly in four countries: Afghanistan, Colombia, Libya and Uganda. Sources include (legal) literature, policy papers, news stories and interviews. The thesis concludes that while there is some normative impact of the Rome Statute and the ICC, in the form of systemic and transformative effect, it is undermined by lack of societal impact, mainly due to negative perceptions among affected population (demonstration effect) and lack of impact on victims (reparative effect). The thesis also makes a preliminary conclusion that the impact of the Court may have been the most in the country where it was needed the least (Colombia, which has a fairly robust legal system). Show less
Meijer, E.; Kampman, M.; Geisler, M.S.; Chavannes, N.H. 2018
BackgroundLittle research has investigated in-depth how physicians perceive their role in smoking cessation care. This qualitative study sought to understand physicians' perceptions of... Show moreBackgroundLittle research has investigated in-depth how physicians perceive their role in smoking cessation care. This qualitative study sought to understand physicians' perceptions of responsibility for smoking cessation.MethodsData were collected through individual semi-structured interviews and focus group interviews between June and November 2017 in The Netherlands. We interviewed 5 addiction specialists, 5 anesthesiologist, 4 cardiologists, 8 GPs, 5 internists, 5 neurologists, 2 pediatricians, 6 pulmonologists, 7 surgeons, and 8 youth healthcare physicians (N=55). Data analysis followed the framework approach.ResultsThe analysis showed that three actors were perceived as responsible for smoking cessation: physicians, patients, and the government. Participants perceived physicians as responsible for facilitating smoking cessation -albeit to different extents-, patients as carrying the ultimate responsibility for quitting smoking, and the government as responsible for creating a society in which smoking uptake is more difficult and quitting smoking easier. Perceptions of smoking itself were found to be important for how participants viewed responsibility for smoking cessation. It remained unclear for many participants which healthcare provider is responsible for smoking cessation care.ConclusionsThe organization of smoking cessation care within health systems should be a focus of intervention, to better define physician roles and perceptions of responsibility. In addition, it seems important to target perceptions of smoking itself on the level of physicians and -as suggested by comments by several participants- the government. Show less
Huisman, B.A.; Saab, N.; Driel, J.H. van; Broek, P.W. van den 2018
Within the higher education context, peer feedback is frequently applied as an instructional method. Research on the learning mechanisms involved in the peer feedback process has covered aspects of... Show moreWithin the higher education context, peer feedback is frequently applied as an instructional method. Research on the learning mechanisms involved in the peer feedback process has covered aspects of both providing and receiving feedback. However, a direct comparison of the impact that providing and receiving peer feedback has on students’ writing performance is still lacking. The current study compared the writing performance of undergraduate students (N = 83) who either provided or received anonymous written peer feedback in the context of an authentic academic writing task. In addition, we investigated whether students’ peer feedback perceptions were related to the nature of the peer feedback they received and to writing performance. Results showed that both providing and receiving feedback led to similar improvements of writing performance. The presence of explanatory comments positively related both to how adequate students perceived the peer feedback to be, as well as to students’ willingness to improve based upon it. However, no direct relation was found between these peer feedback perceptions and students’ writing performance increase. Show less
Walsh, B.M.; Plank, S. van der; Behrens, P.A. 2017
Consultation is the predominant method of community engagement in infrastructure development. Therefore, understanding stakeholder interactions within consultation is critical to acquiring a... Show moreConsultation is the predominant method of community engagement in infrastructure development. Therefore, understanding stakeholder interactions within consultation is critical to acquiring a social licence to operate. While previous research has focused on the factors which contribute to this social licence, little work has been conducted on how mining company consultation strategies influence perception formation. We explore how stakeholder expectations and experience of consultation impact perceptions of proposed mining projects. We undertook a case study of a proposed, large-scale, mineral sands mine in rural Australia using an open and closed-question questionnaire (n =32) and semi-structured interviews (n =20). We find that there are multiple, diverging understandings of the purpose of consultation both within and between stakeholder groups. The community experience of consultation drove negative perceptions of the proposed mine due to procedural and personal factors. We find several overlaps with the renewable energy (RE) literature, including: calls for two-way communication, (mis)trust of professional stakeholders, and the need for consistent and well-timed consultation. Other factors are not as common in the RE literature, and may be more specific to mining, such as stakeholder disenfranchisement misunderstood as apathy, calls for community involvement in agenda setting, the need for careful selection of company representatives, and the importance of meeting stakeholder expectations of consultation. Show less
The links between conservation and livelihood concerns remain much debated, and there is no agreement about the degree to which these concerns are linked, and how they should be tackled... Show more The links between conservation and livelihood concerns remain much debated, and there is no agreement about the degree to which these concerns are linked, and how they should be tackled together. The main objectives of this study are to uncover the local values of birds, the environment and conservation for rural people in Burkina Faso’s Sahel region, and to increase insights into interventions that aim to achieve integrated (migrant bird) conservation and sustainable development objectives in this area. By focusing on issues like local perceptions, local participation, local institutional arrangements and the role of birds, this study adds new insights to the existing literature and knowledge. The study demonstrates that both birds and the environment are valued in many ways and are strongly linked with local livelihoods. At the same time, the study shows that serious environmental problems exist, and that both local livelihoods and birds are negatively impacted. This has created conservation incentives among the local population, which is a major contributing factor for conservation organizations seeking local motivation and participation to combat environmental issues. In fact, the study provides a strong argument for the need to increase local participation, and demonstrates several ways to do so. Show less
The form and evolution of stakeholder perceptions toward renewable energy (RE) developments continue to be investigated, but there has been little similar research regarding mines. Responses of... Show moreThe form and evolution of stakeholder perceptions toward renewable energy (RE) developments continue to be investigated, but there has been little similar research regarding mines. Responses of community members and other stakeholders cannot be expected to evolve the same way between different resource and infrastructure projects. We ask what the various expectations of planned mines are among community members, and what factors impact these expectations. We perform a case study of a planned, large-scale, mineral sands mine in rural Victoria, Australia (2013–2015). Using a closed-question questionnaire (n=32) and semi-structured interviews (n=25), individual and community experiences of the planning process were examined. We explore stakeholder perceptions of the mining company and development process to date, as well as future expectations. Despite the recognition of mining as a normalised part of modern Australian economy and culture, the results revealed a community with low-trust in the mining company, and accompanying negative perceptions of their own involvement thus far. These perceptions translated into negative future expectations. Many factors influential in the formation of RE opinions were also significant here, these include: background factors; visual and environmental impacts; and, the actions of the company to date. Other factors are not so prevalent in RE literature and may be specific to mines, these include issues surrounding the rehabilitation of the land and the history of the mining company. Show less
Students' and teachers' perceptions of the level to which Assesment for Learning (AfL) is practiced in classrooms are largely incongruent. Teachers perceived more practice of AfL than students.... Show moreStudents' and teachers' perceptions of the level to which Assesment for Learning (AfL) is practiced in classrooms are largely incongruent. Teachers perceived more practice of AfL than students. Congruency in perceptions of AfL predicted higher student intrinsic motivation. In accordance with Self-Determination Theory (Ryan, 2000), the differences in intrinsic motivation were explained by students' lower feelings of competence and autonomy and relatedness towards their teacher. Congruency in AfL perceptions were explained by student Dutch language proficiency and teachers’ efficacious beliefs about their teaching skills. Teachers' positive impact on motivational interpersonal factors was partly offset by their own possible over-efficaciousness, which might have limited the degree to which they reflected on their own teaching. This relationship seems to hold for students regardless of their ethnic background. Teacher-efficacy associated with intrinsic motivation in a dualistic fashion: high teacher efficacy negatively related to congruence, but positively to fulfillment of the needs for competence and relatedness. Even though teachers may be conducive to the maintenance and emergence of feelings of competence in their classrooms, and are perceived as having good relationship with their students, there is also a negative relation between efficacy and the perception of congruencies. Show less
The morally laden question “What went wrong with Islam” is usually associated with Bernard Lewis and has gained seeming relevance in the wake of 9/11. Interestingly however, the question has a... Show moreThe morally laden question “What went wrong with Islam” is usually associated with Bernard Lewis and has gained seeming relevance in the wake of 9/11. Interestingly however, the question has a fairly long tradition in the Muslim world as well. This article dissects the question’s rhetorical qualities through a discussion of its invocation by late nineteenth century Arab reformers. The analysis reveals that, both then and now, asking the question functions to preclude further inquiries, to silence disagreeing voices, and to strategically boost the agendas of the questioner. Show less
Although Bernard Lewis and Samuel Huntington are often lumped together as the twin ideological gurus of the Bush administration, they make diametrically opposite theoretical and political uses of... Show moreAlthough Bernard Lewis and Samuel Huntington are often lumped together as the twin ideological gurus of the Bush administration, they make diametrically opposite theoretical and political uses of their common understanding of Islam. In this contribution Nafissi analyzes these sharply contrasting “clash theses” to critically evaluate the other and to sketch an agenda on the basis of which a more defensible account of Islam in the contemporary world could be based. Show less
