Bart Visser

Amsterdam University of Applied Sciences/Centre for Applied Research on Education · Centre of Expertise Urban Vitality

Background Work-related musculoskeletal disorders (WMSDs) are a key topic in occupational health. In the primary prevention of these disorders, interventions to minimize exposure to work-related physical risk factors are widely advocated. Besides interventions aimed at the work organisation and the workplace, interventions are also aimed at the beh...

Objective: To evaluate the effectiveness of psychosomatic therapy versus care as usual in primary care for patients with persistent somatic symptoms (PSS). Methods: We conducted a pragmatic, two-armed, randomised controlled trial among primary care patients with PSS in the Netherlands that included 39 general practices and 34 psychosomatic thera...

Objectives To identify factors associated with kinesiophobia (fear of movement) after cardiac hospitalisation and to assess the impact of kinesiophobia on cardiac rehabilitation (CR) initiation. Design Prospective cohort study. Setting Academic Medical Centre, Department of Cardiology. Participants We performed a prospective cohort study in card...

BACKGROUND Children with asthma can decrease the impact of their disease by improving their physical activity (PA). However, healthcare providers lack in interventions for children with asthma that effectively increase their PA levels and achieve behavior change regarding PA. A technology supported approach can positively influence PA and physical...

The aging population faces two conditions that threaten healthy aging: high fat mass (obesity) and low muscle mass and function (sarcopenia). The combination of both—referred to as sarcopenic obesity—synergistically increases the risk of adverse health outcomes. The two conditions often co-occur because they reinforce each other and share common et...

Background Although physical activity (PA) has positive effects on health and well-being, physical inactivity is a worldwide problem. Mobile health interventions have been shown to be effective in promoting PA. Personalizing persuasive strategies improves intervention success and can be conducted using machine learning (ML). For PA, several studies...

Background: Exercise-induced fatigue is a common consequence of physical activities. Particularly in older adults, it can affect gait performance. Due to a wide variety in fatiguing protocols and gait parameters used in experimental settings, pooled effects are not yet clear. Furthermore, specific elements of fatiguing protocols (i.e., intensity, d...

Background Fall prevention programs have been proven effective in reducing falls and fall-related injuries in specific target groups and settings. However, implementing these programs on a larger scale often requires adjustments for feasibility. This study assessed the effectiveness of a nationally implemented fall prevention intervention compared...

Background Little is known about the association between fear of movement (kinesiophobia) and objectively measured physical activity (PA), the first 12 weeks after cardiac hospitalization. Purpose To assess the longitudinal association between kinesiophobia and objectively measured PA and to assess the factor structure of kinesiophobia. Methods W...

Background Both the Short Physical Performance Battery (SPPB) and daily life gait quality and quantity values obtained from wearable sensors are used to measure functional status. It is generally assumed that they are interrelated and exchangeable, but this has not yet been established. Interchangeability of these measures would pave the way for re...

Falls and fall-related injuries among older adults are associated with decreased health. Therefore, fall prevention programs (FPPs) are increasingly important. However, the translation of such complex programs into clinical practice lacks insight into factors that influence implementation. Therefore, the aim of this study was to identify how to opt...

Background Falls and fall-related injuries among older adults are associated with decreased health and increased costs. Therefore, fall prevention programs (FPPs) have become increasingly important and shown effective. However, the translation of such complex programs into clinical practice is difficult and still lacks insight into factors that inf...

Een gecombineerde leefstijlinterventie (GLI) richt zich op het aanleren van een gezonde leef-stijl bij mensen met gewichtsgerelateerde gezondheidsrisico's. Een GLI is een persoonlijk begeleidingstraject uitgevoerd door (post-)hbo-opgeleide leefstijlcoaches (kortheidshalve hierna steeds 'leefstijlcoaches' genoemd), en duurt gemiddeld twee jaar, met...

Background The Observable Movement Quality scale for patients with low back pain (OMQ-LBP) is a newly developed measurement instrument for use in primary care settings of physical and exercise therapists to assess movement quality (MQ) of patients with low back pain (LBP). Objective This study aims to determine validity, reliability and feasibilit...

Dit hoofdstuk over "Gezond ouder worden" behandelt het verlangen naar een vitaal leven op latere leeftijd en de factoren die hierbij een rol spelen. Het begint met de observatie dat hoewel er geen magisch recept voor eeuwige jeugd bestaat, mensen blijven dromen van een gezonde ouderdom, waarin tachtig- en negentigjarigen nog steeds actief en fit zi...

Background Mobility is a key determinant and outcome of healthy ageing but its definition, conceptual framework and underlying constructs within the physical domain may need clarification for data comparison and sharing in ageing research. This study aimed to (1) review definitions and conceptual frameworks of mobility, (2) explore agreement on the...

BACKGROUND Although physical activity (PA) has positive effects on health and well-being, physical inactivity is a worldwide problem. Mobile health interventions have been shown to be effective in promoting PA. Personalizing persuasive strategies improves intervention success and can be conducted using machine learning (ML). For PA, several studies...

IntroductionIn the Netherlands, half of the adult population is overweight. Combined Lifestyle Interventions guide overweight clients towards a healthy lifestyle. In addition to the face-to face sessions with clients, lifestyle professionals can use digital coaching tools to guide their clients remotely. In practice it appears that the digital appl...

Background Physical activity may be both a risk and protective factor for falls and fall-related fractures. Despite its positive effects on muscle and bone health, physical activity also increases exposure to situations where falls and fractures occur. This paradox could possibly be explained by frailty status. Therefore, the aim of this study was...

Objectives: The primary objective was to determine the responsiveness of the Dutch version of the 13-item Tampa Scale for Kinesiophobia for cardiac patients (TSK-NL Heart). The secondary objective was to assess changes in kinesiophobia during cardiac rehabilitation. Methods: Kinesiophobia was measured pre- and post-cardiac rehabilitation using t...

Background: Children with asthma can decrease the impact of their disease by improving their physical activity (PA). However, health care providers lack interventions for children with asthma that effectively increase their PA levels and achieve behavior change. A technology-supported approach can positively influence PA and physical functioning i...

Background: Work-related musculoskeletal disorders (WMSDs) are a key topic in occupational health. In the primary prevention of these disorders, interventions to minimize exposure to work-related physical risk factors are widely advocated. Besides interventions aimed at the work organisation and the workplace, interventions are also aimed at the be...

Background: Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR). Objective: The goal of the research was to explore and summarize information and support needs of patients with CAD and dev...

Funding Acknowledgements Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Dutch Research Council (NWO) RAAK-PRO grant Background Fear of movement (kinesiophobia) after cardiac hospitalization is associated with low physical activity levels and reduced quality of life. Participation in cardiac rehabilitation...

ePoster ESC Preventive Cardiology conference 2022

Objectives To explore the perceived working mechanisms of psychosomatic therapy according to patients with persistent somatic symptoms (PSS) and their psychosomatic therapists. Design Qualitative study using semistructured face-to-face interviews and focus groups. All interviews were audiorecorded, transcribed verbatim and analysed, by two researc...

Combined lifestyle interventions (CLI) are focused on guiding clients with weight-related health risks into a healthy lifestyle. CLIs are most often delivered through face-to-face sessions with limited use of eHealth technologies. To integrate eHealth into existing CLIs, it is important to identify how behavior change techniques are being used by h...

BACKGROUND Remote coaching might potentially be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR). OBJECTIVE To explore and summarize information- and support needs of patients with CAD, and to develop an early...

Background Remote coaching might be suited for providing information and support to patients with coronary artery disease (CAD) in the vulnerable phase between hospital discharge and the start of cardiac rehabilitation (CR). Objective The goal of the research was to explore and summarize information and support needs of patients with CAD and devel...

Background: Maintaining a healthy lifestyle is important for wheelchair users’ well-being, as it can have a major impact on their daily functioning. Mobile health (mHealth) apps can support a healthy lifestyle; however, these apps are not necessarily suitable for wheelchair users with spinal cord injury or lower limb amputation. Therefore, a new mH...

Background Falls and fall-related injuries among older adults are a serious threat to the quality of life and result in high healthcare and societal costs. Despite evidence that falls can be prevented by fall prevention programmes, practical barriers may challenge the implementation of these programmes. In this study, we will investigate the effect...

Sufficient physical activity can prolong the ability of older adults to live independently. Community-based exercise programs can be enhanced by regularly performing exercises at home. To support such a home-based exercise program, a blended intervention was developed that combined the use of a tablet application with a personal coach. The purpose...

Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): Dutch Research Council INTRODUCTION Cardiac rehabilitation (CR) is the cornerstone of secondary prevention. After hospital discharge, patients have to wait for participation in CR while often feeling overwhelmed by their cardiac event and in need of ta...

Funding Acknowledgements Type of funding sources: None. Background An important factor related to low physical activity in cardiac patients is fear of movement (kinesiophobia). The setting of cardiac rehabilitation (CR) seems suitable for targeting kinesiophobia. Nevertheless, the impact of CR on kinesiophobia is currently unknown, partly due to t...

The purpose of this study was to study the association between the presence of generalized joint hypermobility (GJH) and anxiety within a non-clinical high performing group of adolescents and young adults. Second, to study the impact of GJH and/or anxiety on physical and psychosocial functioning, 168 adolescents and young adults (mean (SD) age 20 (...

Digitally supported dietary counselling may be helpful in increasing the protein intake in combined exercise and nutritional interventions in community-dwelling older adults. To study the effect of this approach, 212 older adults (72.2 ± 6.3 years) were randomised in three groups: control, exercise, or exercise plus dietary counselling. The dietary...

Sufficient physical activity can prolong the ability of older adults to live inde-pendently. Community-based exercise programs can be enhanced by regularly performing exercises at home. To support such a home-based exercise program, a blended intervention was developed that combined the use of a tablet application with a personal coach. The purpose...

Background Fear of movement (kinesiophobia) after an acute cardiac hospitalization (ACH) is associated with reduced physical activity (PA) and non-adherence to cardiac rehabilitation (CR). Purpose To investigate which factors are related to kinesiophobia after an ACH, and to investigate the support needs of patients in relation to PA and the uptak...

Background Effective and sustainable interventions are needed to counteract the decline in physical function and sarcopenia in the growing aging population. The aim of this study was to determine the 6 and 12 month effectiveness of blended (e‐health + coaching) home‐based exercise and a dietary protein intervention on physical performance in commun...

Physical activity can prolong the ability of older adults to live independently at home. A blended intervention was developed to sustain healthy aging. During a clinical trial 133 participants, with an average age of 71 years old, received a tablet and coaching to support them in performing home-based exercises for 6 months. To investigate how the...

BACKGROUND Maintaining a healthy lifestyle is important for wheelchair users’ wellbeing, as it can have a major impact on their daily functioning. Mobile health (mHealth) applications can support a healthy lifestyle, however, are not suitable for wheelchair users with spinal cord injury or lower limb amputation. Therefore, a new mHealth application...

https://www.verenso.nl/magazine-augustus-2020/no-4-augustus-2020/praktijk/ontwikkeling-en-implementatie-van-een-geriatrisch-revalidatieprogramma-co-fit Doel Door de COVID-19-pandemie is een nieuwe groep revalidanten ontstaan waarbij voor een deel intensieve multidisciplinaire geriatrische revalidatie cruciaal lijkt te zijn. Gezien de nog beperkt b...

Background: Physical activity can prolong the ability of older adults to live independently. Home-based exercises can help achieve the recommended levels. A blended intervention was developed to support older adults in performing home-based exercises. A tablet and a personal coach were provided to facilitate the self-regulation of exercise behavio...

Objective: To explore driving performance and driving safety in patients with cervical dystonia (CD) on a simulated lane tracking, intersections and highway ride and to compare it to healthy controls. Design: This study was performed as an explorative between groups comparison. Participants: Ten CD patients with idiopathic CD, 30 years or older, st...

Objectives: To determine the psychometric properties of a questionnaire to assess fear of movement (kinesiophobia): the Tampa Scale for Kinesiophobia (TSK-NL Heart), and to investigate the prevalence of kinesiophobia in patients attending cardiac rehabilitation. Methods: A total of 152 patients were evaluated with the TSK-NL Heart during intake...

Background: Medically unexplained symptoms (MUS) are highly prevalent and pose a burden both on patients and on health care. In a pilot study psychosomatic therapy delivered by specialised therapists for patients with MUS showed promising results with regard to patient's acceptability, feasibility and effects on symptoms. The aim of this study is...

Background: Observing and analyzing movement quality (MQ) in patients with non-specific low back pain (NS-LBP) is important in the clinical reasoning of primary care physiotherapists and exercise therapists. However, there is no standardized form of assessment. Research question: which MQ domains are measured with which instruments, and which ac...

For children with asthma, physical activity (PA) can decrease the impact of their asthma. Thus far, effective PA promoting interventions for this group are lacking. To develop an intervention, the current study aimed to identify perspectives on physical activity of children with asthma, their parents, and healthcare providers. Children with asthma...

BACKGROUND Physical activity can the prolong the ability of older adults to live independently. Home-based exercises can help achieve the recommended levels. A blended intervention was developed to support older adults in performing home-based exercises. A tablet and a personal coach were provided to facilitate the self-regulation of exercise behav...

BACKGROUND Physical activity (PA) is important for children with a chronic disease. Serious games may be useful to promote PA levels among these children. OBJECTIVE The primary purpose of the present systematic review was to evaluate the effectiveness of serious games on PA levels in children with a chronic disease. METHODS PubMed, EMBASE, PsycIN...

Background: Physical activity (PA) is important for children with a chronic disease. Serious games may be useful to promote PA levels among these children. Objective: The primary purpose of this systematic review was to evaluate the effectiveness of serious games on PA levels in children with a chronic disease. Methods: PubMed, EMBASE, PsycINF...

Measuring Fear of movement in patients with referred for Cardiac Rehabilitation.

Purpose: To gain insight into determinants of physical activity in wheelchair users with spinal cord injury or lower limb amputation, from the perspective of both wheelchair users and rehabilitation professionals. Methods: Seven focus groups were conducted: five with wheelchair users (n = 25) and two with rehabilitation professionals (n = 11). The...

Om kinderen met astma meer te laten bewegen, is de digitale tool Foxfit ontwikkeld. De tool bevat interactieve modulen met persoonlijke doelstellingen, educatie, agendavoering en een visuele terugkoppeling van het beweeggedrag. Bewegen is belangrijk voor ieders gezondheid. De impact van te weinig bewegen is extra groot voor kinderen met een chronis...

Background: For older adults, physical activity is vital for maintaining their health and ability to live independently. Home-based programs can help them achieve the recommended exercise frequency. An application for a tablet computer was developed to support older adults in following a personal training program. It featured goal setting, tailorin...

Abstract Objective: To evaluate the effectiveness of a specialized physical therapy (SPT) program on disability in cervical dystonia (CD) compared to regular physical therapy (RPT). Design: A single blinded randomized controlled trial. Setting: This study was performed by physical therapist in a primary healthcare setting. Measurements were perf...

Background: Chronic pain is a common persistent, multifacto- rial health problem. Functional exercise therapists developed the chronic pain protocol (CPP) to treat patients with chronic pain. Aim: to give an overview of patient characteristics and the results of the CPP with different outcome measures and time points at baseline (T0), after 3 (T1),...

1. De vraag. Het onderzoek kent één concept mapping vraag: Wat helpt een kind met astma om meer te bewegen? Kinderen, ouders en zorgverleners zitten ieder in een eigen groep en beantwoorden de vraag individueel. 2. Genereren van ideeën. Iedere deelnemer genereert zo veel mogelijk ideeën om de onderzoeksvraag te beantwoorden en deelt zijn ideeën in...

Background In primary and secondary care medically unexplained symptoms (MUS) or functional somatic syndromes (FSS) constitute a major burden for patients and society with high healthcare costs and societal costs. Objectives were to provide an overview of the evidence regarding the cost-effectiveness of interventions for MUS or FSS, and to assess t...

CHEC extended scoring instruction. (DOCX)

Studies excluded on full-text level. (DOCX)

Protocol of the study, PROSPERO. (PDF)