
Cees van der SchansHanze University of Applied Sciences · Research Healthy Ageing Allied Health Care and Nursing
Cees van der Schans
PT CE PhD
About
359
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Introduction
Additional affiliations
October 2002 - February 2017
Publications
Publications (359)
Siblings are important in the lives of individuals with an intellectual disability and pervasive support needs; however, adults’ experiences of the things they do with or for their siblings with pervasive support needs remain underexplored. This study examined positive and challenging aspects of their roles related to their siblings. An online ques...
Background
Early mobilization (EM) of intensive care (IC) patients is important but complex with facilitators and barriers. Compared to general IC patients, burn IC patients are more hyper-metabolic. They have extensive wounds, lengthy wound dressing changes, and repeated surgeries that may affect possibilities of EM. This study aimed to identify f...
Background
Global migration has increased in the past century, and aging in a foreign country is relevant to the Chinese diaspora.Objective
With regard to migration, this study focuses on the places of aging as the context of older Chinese adults. This study aimed to describe the general health and wellbeing of this population with respect to their...
Background
There is a lack of theory-based interventions for direct support professionals (DSPs) to support a healthy lifestyle for people with moderate to profound intellectual disabilities (ID) despite their major role in this. This study aims to evaluate the preparation, implementation, and preliminary outcomes of a theory-based training and edu...
Background
The FI-35 is a valid multidimensional Chinese frailty assessment instrument. Like other scales, functional measures rely on the information the total score provides. Our research aimed to analyze the contribution of each item.
Methods
Descriptive statistics were used to summarize the sample characteristics. The expected item score (EIS)...
Objectives to explore attitudes, perceptions, and perceived barriers to and the perceived facilitators of daily oral health care and the actual daily oral health care performances among nursing home staff. Methods A mixed methods study in 21 nursing homes was completed; a) questionnaires for nursing staff and managers; b) focus group interviews wit...
Background
Family quality of life (FQoL) of families that have a child with severe to profound intellectual disabilities (SPID) is an important and emerging concept, however, related variables are inconclusive.
Aim
To gain a better understanding of variables related to the FQoL of families that have a child with SPID, variables related to the FQoL...
Introduction
This study determined the degree of ROM limitations of extremities, joints and planes of motion and their prevalence over time after burns.
Method
For this study the database of a longitudinal multicenter cohort study in the Netherlands (2011–2012) was used. From patients with acute burns that involved joints of the neck, shoulder, el...
Background and Objectives: Loneliness is prevalent among older adults and known to be detrimental to mental health. The objective of this study was to determine the psychometric properties of the Chinese 6-item De Jong Gierveld Loneliness Scale (DJGLS) in the older native and diasporic Chinese community.
Research Design and Methods: Participants we...
Background and aim-Patients undergo one or more medical interventions in a hospital. In the hospital, patients are surrounded by spaces and services. The output in a hospital is the patients' outcome. To gain understanding about a holistic experience of patients, we assessed the experience and well-being of patients at specific focal points of the...
Self-tracking of health may have positive effects on lifestyle behavior and weight loss; however, not much is known about the role of psychological processes in this effect. The purpose of this study was to assess to what extent a change in self-regulation capabilities can explain weight loss after 4 and 12 months of self-tracking physical activity...
The purpose of this study was to develop and evaluate an interprofessional identity measurement instrument based on Extended Professional Identity Theory (EPIT). The latter states that interprofessional identity is a social identity superordinate to a professional identity consisting of three interrelated interprofessional identity characteristics:...
Frailty is the most common manifestation of serious health issues in the world, and it is becoming more prevalent worldwide as the aging population grows. Changes that occur in an individual during the aging process have physical, psychological, social, and environmental aspects that make an individual more frail. In China, older people may live in...
The capacity to utilize ingested protein for optimal support of protein synthesis and lean body mass is described within the paradigm of anabolic competence. Protein synthesis can be stimulated by physical exercise, however, it is not known if physical exercise affects post-exercise protein oxidation. Characterization of the driving forces behind p...
Background & aims:
Malnutrition, frailty, physical frailty, and disability are common conditions in patients with chronic obstructive pulmonary disease (COPD). Insight in the coexistence and relations between these conditions may provide information on the nature of the relationship between malnutrition and frailty. Such information may help to id...
Background and aims:
We aimed to investigate the test-retest reliability and validity of ultrasound for two commonly used types of transducer, using different methods for the estimation of muscle size and echo intensity (EI).
Methods:
Fourteen healthy adults were included in this study. Ultrasound images of the rectus femoris size (thickness in...
Purpose: This study aimed to evaluate the implementation of a physical activity counseling program in rehabilitation and to study heterogeneity in received counseling and investigate its association with changes in patients’ physical activity outcomes.
Methods: This prospective cohort study was conducted in 18 rehabilitation institutions. Data were...
Background:
Scar contracture is a well-known sequela of burns that is specifically relevant as it may limit function. Reports regarding the course of scar contractures, however, are scarce and, moreover, not focussed on function. This study describes the course of prevalence of scar contractures that limit function in children and adolescents afte...
Background:
Dissatisfaction is being voiced with the generally used way joint flexibility problems are defined (operationalised), i.e. as a range of motion (ROM) one or more degrees lower than normative ROM of healthy subjects. Other, specifically more function-related operationalisations have been proposed. The current study evaluated the effect...
Purpose To evaluate the 5-year course of physical work capacity of participants with early symptomatic osteoarthritis (OA) of the hip and/or the knee; to identify trajectories and explore the relationship between trajectories and covariates. Methods In a prospective cohort study, physical work capacity was measured at baseline, using a test protoco...
p class="abstract"> Background: Surgery-related muscle loss (SRML) occurs in at least one out of three cancer patients within one week after major surgery. Though, this important phenomenon has hardly been investigated.
Methods: The MUSCLE POWER is a prospective, observational cohort study that investigates the presence, impact, and predictors for...
Study design:
Systematic review.
Background:
Manual therapy interventions targeting the neck comprise various positions and movements of the cranio-cervical region. The hemodynamic changes in various spinal positions potentially have clinical relevance.
Objectives:
To investigate the effects of cranio-cervical positions and movements on hemody...
Objective: Language development is important for children’s success in life. Therefore, language is monitored by child health care professionals and parents, but a uniform set of milestones in language development is lacking. Our aim was to identify a set of clear and distinctive milestones that empirically reflect language development in children...
Starting with finger foods is recommended from 7 months in typically developing children. However, information on which finger foods are appropriate and accepted for which age is largely lacking. The purpose of this exploratory study was to determine whether chewing skills, hand motor skills, and other personal and food characteristics influence th...
Objective:
The objective of this study was to identify the prevalence and development of after burn joint limitation by scar contracture.
Methods:
In 2011-2012, consecutive patients were enrolled in this prospective multi center cohort study. Eligible were all patients admitted to the 2 participating Dutch Burn Centers with acute burns across or...
Background
Knowledge concerning the feasibility and effects of progressive resistance training (PRT) for persons with intellectual disabilities and visual impairment who are categorized in Gross Motor Function Classification System (GMFCS) Level 1 is limited. The aim of our study was to evaluate feasibility and effect of PRT on participants' Quadri...
Background
Due to complex processes of implementation of innovations aimed at persons with intellectual disabilities in healthcare organizations, lifestyle interventions are not used as intended or not used at all. In order to provide insight into determinants influencing this implementation, this study aims to ascertain if the Measurement Instrume...
Background and aims:
Malnutrition and sarcopenia are common nutrition (-related) disorders in patients with COPD and are associated with negative health outcomes and mortality. This study aims to correlate ultrasound measured rectus femoris size with fat-free mass and muscle function in patients with COPD.
Methods:
Patients with COPD, at the sta...
Background
Dysphagia is potentially life‐threatening and highly prevalent in people with severe/profound intellectual and multiple disabilities (SPIMD). The “Signaleringslijst Verslikken” (SV) is a frequently used Dutch screening tool to detect dysphagia. The aim was to examine the convergent validity of the SV for people with SPIMD.
Method
Direct...
Purpose:
The current article provides a description of the construction process of a short questionnaire that measures patients' experiences with a motivational interviewing consultation by a (sports) counselor in rehabilitation. Subsequently, results from confirmatory factor analyses are presented to investigate a first perspective on factorial c...
Disease-related malnutrition (DRM) is a frequent clinical problem and is characterized by loss
of lean body mass, and decreased function including muscle function and
immunocompetence. In DRM, nutritional intervention is necessary, but it has not consistently
been shown to be sufficient. Other factors, e.g., physical activity and hormonal/metabolic...
Family caregivers of an older person who was recently hospitalized often feel unprepared for their new or expanded tasks. Quality and continuity of care for older people is expected to improve when nurses collaborate with family caregivers as partners in care. The aim of this study was to explore the unique contribution of collaboration between fam...
Measuring family caregivers’ experiences of collaboration with nurses is important in the context of health care reforms that advocate an increased role of families in care. The Family Collaboration Scale (FCS) measures collaboration between nurses and family caregivers, however, the scale has a broad scope. Thus, the aim of this study was to const...
Noise is a common problem in hospitals, and it is known that social behavior can influence sound levels. The aim of this naturally-occurring field experiment was to assess the influence of a non-talking rule on the actual sound level and perception of patients in an outpatient infusion center. In a quasi-randomized trial two conditions were compare...
Dataset sound level.
(XLSX)
Dataset questionnaire.
(XLSX)
Background & aims:
We studied whether low pre-treatment muscle mass, measured with CT at thoracic (T4) or lumbar level (L3) associates with early termination of chemotherapy related to toxicity in head and neck cancer (HNC) patients.
Methods:
This was a retrospective chart and image review. Adult HNC patients treated with (surgery and) platinum-...
Protein oxidation may play a role in the balance between anabolism and catabolism. We assessed the effect of a protein restricted diet on protein oxidation as a possible reflection of whole body protein metabolism. Sixteen healthy males (23 ± 3 years) were instructed to use a 4-day isocaloric protein restricted diet (0.25 g protein/kg body weight/d...
Background
Promotion of a healthy lifestyle for individuals with mild intellectual disabilities is important. However, the suitability of behaviour change techniques (BCTs) for these individuals is still unclear.
Methods
A Delphi study was performed using the Coventry, Aberdeen & LOndon – REfined (CALO‐RE) taxonomy of BCTs (n = 40). Health profess...
The instrument called Families Importance in Nursing Care–Nurses’ Attitudes (FINC-NA) is used to measure nurses’ attitudes toward involving families in their nursing care. The aim of this study is to evaluate the FINC-NA scale in a population of Dutch nurses and add new psychometric information to existing knowledge about this instrument. Using a c...
We aimed to explore whether resting energy expenditure (REE) estimated by bio-impedance analysis (BIA) agrees better with measured REE than the Harris-Benedict (HB) equation, in older adults. Conclusion In this population of older adults, BIA estimates of REE do not perform better than HB, when compared to measured REE. Both HB and BIA do not adequ...
We aimed to explore whether resting energy expenditure (REE) estimated by a bio-impedance analysis (BIA) device or by the Harris-Benedict (HB) equation, and total energy expenditure (TEE) estimated by a BIA device may provide an alternative for indirect calorimetry (IC) and physical activity level (PAL) measurements in patients with head and neck c...
Background
To evaluate the effect of (new) treatments or analyse prevalence and risk factors of contractures, rating scales are used based on joint range of motion. However, cut-off points for levels of severity vary between scales, and it seems unclear how cut-off points relate to function. The purpose of this study was to compare severity ratings...
Demographic and medical characteristics of the study population.
(PDF)
Background
A feasible and reliable instrument to measure strength in persons with severe intellectual and visual disabilities (SIVD) is lacking. The aim of our study was to determine feasibility, learning period and reliability of three strength tests.
Methods
Twenty‐nine participants with SIVD performed the Minimum Sit‐to‐Stand Height test (MSST)...
Purpose
The purpose of this letter is to respond to Moncrieff's (2017) letter to the editor, “Response to de Wit et al., 2016, ‘Characteristics of Auditory Processing Disorders: A Systematic Review,’” published in May 2017 by the Journal of Speech, Language, and Hearing Research.
Conclusion
We believe that our original conclusions are valid given...
Background:
Short-term survival after solid-organ transplantation has substantially improved, and the focus has shifted to long-term survival, including the role of physical activity (PA). Knowledge about PA and sedentary time in recipients of solid-organ transplantation is limited, and identification of the levels and associated factors is necess...
Background
Promotion of a healthy lifestyle for people with intellectual disabilities is important; however, the effectiveness of lifestyle change interventions is unclear.
Aims
This research will examine the effectiveness of lifestyle change interventions for people with intellectual disabilities.
Methods and Procedures
Randomized controlled tri...
An extended professional identity theory is proposed to enhance interprofessional collaboration. The purpose of this study is to investigate whether comparative feedback on interprofessional interaction can decrease the degree of profession-based dominance and general dominance in mixed profession groups. This observational study comprised a random...
The purpose of this study was to determine the efficacy of an online self-tracking program on physical activity, glycated hemoglobin, and other health measures in patients with type 2 diabetes. Seventy-two patients with type 2 diabetes were randomly assigned to an intervention or control group. All participants received usual care. The intervention...
Background
Decline in physical activity and functioning is commonly observed in the older population and might be associated with biomarkers such as Advanced Glycation End-products (AGEs). AGEs contribute to age-related decline in the function of cells and tissues in normal aging and have been found to be associated with motor function decline. The...
Background
COPD may impact food-related activities, such as grocery shopping, cooking, and eating. Decreased food intake may result in an unhealthy diet, and in malnutrition, which is highly prevalent in patients with COPD. Malnutrition is known to negatively impact clinical outcome and quality of life.
Aims
In this qualitative study, we aimed to...
Het doel van deze studie is het analyseren van de (1) interventie componenten, (2) de doelgroepen en determinanten waar een interventie zich op richt, (3) het gebruik van een theoretische onderbouwing en (4) condities voor duurzaamheid van de leefstijlinterventies
die worden uitgevoerd binnen de leefstijl aanpak gericht op de thema’s fysieke activi...
The loss of range of motion (ROM) in the upper extremities can interfere with activities of daily living (ADL) and, therefore, many interventions focus on improving impaired ROM. The question, however, is what joint angles are needed to naturally perform ADL. The present review aimed to compile and synthesize data from literature on shoulder and el...
The purpose of these systematic review and meta-analysis was to assess the effectiveness of dairy components on nutritional status and physical fitness in older adults, as evidence for efficacy of the supplementation of these components is inconclusive. Scopus and MEDLINE were searched. Main inclusion criteria for articles were as follows: double-b...
Background:
Paratonia is a distinctive form of hypertonia, causing loss of functional mobility in early stages of dementia to severe high muscle tone and pain in the late stages. For assessing and evaluating therapeutic interventions, objective instruments are required.
Objective:
Determine the psychometric properties of the MyotonPRO, a portabl...
Abstract Background Although the importance of evaluating implementation fidelity is acknowledged, little is known about heterogeneity in fidelity over time. This study aims to generate insight into the heterogeneity in implementation fidelity trajectories of a health promotion program in multidisciplinary settings and the relationship with changes...
Background:
Malnutrition is an important risk factor for adverse post-operative outcomes. The prevalence of risk for malnutrition is unknown in patients prior to vascular surgery. We aimed to assess prevalence and associated factors of risk for malnutrition in this patient group.
Methods:
Patients were assessed for risk for malnutrition by the P...
Being able to identify socially frail older adults is essential for designing interventions and policy and for the prediction of health outcomes, both on the level of individual older adults and of the population. The aim of the present study was to adapt the Social Vulnerability Index (SVI) to the Dutch language and culture for those purposes. A s...
Background: To date, there is no evidence-based functional therapy programme available for children with both cerebral palsy (CP) and cerebral visual impairment (CVI). This study evaluates an individually targeted functional therapy programme adapted for these children experiencing difficulties with gross motor functioning and functional skills. Me...