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37
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Introduction
Additional affiliations
August 2016 - present
January 2014 - August 2016
Publications
Publications (37)
Background
Smoking is more prevalent and persistent among lower socio-economic status (SES) compared with higher-SES groups, and contributes greatly to SES-based health inequities. Few interventions exist that effectively help lower-SES smokers quit. This study evaluated “De StopCoach”, a mobile phone delivered eHealth intervention targeted at lowe...
Background: Huntington's disease (HD) is an autosomal dominant neurodegenerative disease that affects the quality of life (QoL) of HD gene expansion carriers (HDGECs) and their partners. Although HD expertise centers have been emerging across Europe, there are still some important barriers to care provision for those affected by this rare disease,...
Background:
People with chronic obstructive pulmonary disease (COPD) show considerable variation in symptoms, limitations, and well-being; this often complicates medical care. A multi-disciplinary and multi-component programme that addresses different elements of care could improve quality of life (QoL) and exercise tolerance, while reducing the n...
Background
Few European smokers receive professional counselling when attempting to quit smoking, resulting in suboptimal success rates and poor health outcomes. Healthcare providers in general practice play an important role in referring smokers to smoking cessation counselling. We chose the Netherlands as a case study to qualitatively explore whi...
Smoking cessation yields large health gains, especially in times of COVID-19. Compared to measures to stop COVID-19, tobacco control is lagging behind. We studied smoking-cessation-care in the Netherlands, using qualitative interviews with physicians (N=55) and questionnaires among physicians and other healthcare providers (HCPs; N=883) in 2017. Wh...
Introduction
The burden of chronic diseases has continued to grow globally. Technology has been used successfully in the management of chronic conditions through diagnosis, monitoring and education. This review aims to collate available evidence to evaluate the role of short message services (SMS), as an intervention, in patient participation in di...
A number of recent studies have found low percentages of smokers among COVID-19 patients, causing scientists to conclude that smokers may be protected against SARS-CoV-2 infection. National and international media were interested in this story and we soon began receiving questions about this topic in general practice. In this article, we shed light...
Background
Given the pressure on modern healthcare systems, eHealth can offer valuable opportunities. However, understanding the potential and challenges of eHealth in daily practice can be challenging for many general practitioners (GPs) and their staff.
Objectives
To critically appraise five widely used eHealth applications, in relation to safe,...
Background
Education is essential to the integration of eHealth into primary care, but eHealth is not yet embedded in medical education.
Objectives
In this opinion article, we aim to support organisers of Continuing Professional Development (CPD) and teachers delivering medical vocational training by providing recommendations for eHealth education...
The importance of identity in smoking cessation is increasingly becoming recognized by researchers. This study is the first in-depth longitudinal qualitative investigation of identity change processes among smokers who intend to quit. Participants’ accounts of smoking, attempts to quit and sense of identity were explored over time to examine identi...
Background
The implementation of eHealth applications in primary care remains challenging. Enhancing knowledge and awareness of implementation determinants is critical to build evidence-based implementation strategies and optimise uptake and sustainability.
Objectives
We consider how evidence-based implementation strategies can be built to support...
Introduction
Self-management is important in asthma control. Self-management in adolescents is complicated by physical and psychological developmental transitions, which may result in undertreated, potentially life-threatening asthma. It is unclear which interventions fit adolescents’ needs and improve asthma-related outcomes. This systematic revie...
Early recognition of COPD exacerbations and prompt treatment could reduce recovery time, hospitalization risk and improve quality of life. We aimed to assess whether education of patients and healthcare providers could reduce the time between onset of COPD exacerbation symptoms and patient presentation in primary care. All the patients who were inc...
Background:
The cluster randomized controlled trial on (cost-)effectiveness of integrated chronic obstructive pulmonary disease (COPD) management in primary care (RECODE) showed that integrated disease management (IDM) in primary care had no effect on quality of life (QOL) in COPD patients compared with usual care (guideline-supported non-programm...
Background: The cluster randomized controlled trial on (cost-)effectiveness of integrated chronic obstructive pulmonary disease (COPD) management in primary care (RECODE) showed that integrated disease management (IDM) in primary care had no effect on quality of life (QOL) in COPD patients compared with usual care. It is possible that only a subset...
Background: The cluster randomized controlled trial on (cost-)effectiveness of integrated chronic obstructive pulmonary disease (COPD) management in primary care (RECODE) showed that integrated disease management (IDM) in primary care had no effect on quality of life (QOL) in COPD patients compared with usual care (guideline-supported non-programma...
Background: The cluster randomized controlled trial on (cost-)effectiveness of integrated chronic obstructive pulmonary disease (COPD) management in primary care (RECODE) showed that integrated disease management (IDM) in primary care had no effect on quality of life (QOL) in COPD patients compared with usual care (guideline-supported non-programma...
Background: eHealth promises to increase self-management and personalised medicine and improve cost-effectiveness in primary care. Paired with these promises are ethical implications, as eHealth will affect patients’ and primary care professionals’ (PCPs) experiences, values, norms, and relationships.
Objectives: We argue what ethical implications...
Background:
Although healthcare providers are well placed to help smokers quit, implementation of smoking cessation care is still suboptimal. The Ask-Advise-Refer tasks are important aspects of smoking cessation care. We examined to which extent a large and diverse sample of healthcare providers expressed the intention to implement smoking cessati...
KEY MESSAGES eHealth should support the transition towards personalized medicine, self-management and shared decisions in primary care. Several conditions need to be met to ensure that eHealth applications are safe, evidence-based and of high quality. Innovative but valid research methodology—e.g. adaptive (action research) designs—is a prerequisit...
Objectives
Implementation of smoking cessation care (SCC) guidelines is suboptimal. This mixed-method study evaluated a two-component implementation strategy for the revised Dutch multidisciplinary tobacco dependence treatment guideline, which consisted of the provision of text-messages and summary-sheets tailored to specific healthcare professiona...
Objective To investigate implementation of a tobacco dependence treatment guideline among five groups of healthcare professionals. Methods Data collected in The Netherlands (2016–2017) were compared among gynaecologists (N = 49), midwives (N = 68), respiratory nurses (N = 72), practice nurses (N = 84) and paediatricians (N = 38). Intentions to use...
Steeds meer publieke en private partijen onderstrepen het belang van e-Health in de zorg. Door e-Health beoogt men de kwaliteit en toegankelijkheid van zorg te verbeteren en patiënten eigenaarschap te laten ervaren over de eigen gezondheid. Dit hoofdstuk verkent verschillende mogelijkheden om zorgprofessionals op een gedegen manier te begeleiden in...
Background
Little 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.
Methods
Data were collected through individual semi-structured interviews and focus group interviews between June and Novembe...
Early prediction of academic performance is important for student support. The authors explored, in a multivariate approach, whether pre‐entry data (e.g., high school study results, preparative activities, expectations, capabilities, motivation, and attitude) could predict university students’ first‐year academic performance. Preregistered applican...
Objectives: Smoking-related self-identity processes are important for smoking cessation. We examined whether quitter self-identity (i.e. identification with quitting smoking) could be strengthened through a writing exercise, and whether expected social support for quitting, manipulated through vignettes, could facilitate identification with quittin...
Background
Quit-advice provided
by healthcare professionals effectively increases quit rates. Tobacco dependence
treatment guidelines therefore recommend providing quit-advice to all patients who smoke
(PWS), however, many healthcare professionals do not advise PWS to quit. This results
in worse patient outcomes and higher healthcare costs. We exam...
Objective:
Although it has been found that identity constructs related to smoking are associated with changes in smoking behaviour, the direction of causal associations is as yet unclear. This study aims to clarify the nature and direction of these associations.
Methods:
In this longitudinal study we examined the reciprocal relations between ide...
Objective:
We examined smoker and non-smoker self-identities among smokers visiting their general practitioner (GP) for other reasons than smoking cessation counselling. We determined whether identity impacted on patients' appreciation of GP-initiated conversations about smoking and quit advice, and subsequent quit attempts, and examined the role...
Successful smoking cessation appears to be facilitated by identity change, that is, when quitting or nonsmoking becomes part of smokers’ and ex-smokers’ self-concepts. The current longitudinal study is the first to examine how identity changes over time among smokers and ex-smokers and whether this can be predicted by socioeconomic status (SES) and...
De herziene richtlijn ‘Behandeling van tabaksverslaving en stoppen met roken ondersteuning’ biedt zorgverleners handvatten om evidencebased zorg te verlenen aan rokende patiënten, wat ertoe zal leiden dat de rookprevalentie en de rookgerelateerde morbiditeit en mortaliteit zullen afnemen.
De richtlijn is herzien op 4 onderwerpen: gedragsmatige inte...
We examined how 'smoker' and 'non-smoker' self- and group-identities and socio-economic status may predict smoking behaviour and responses to antismoking measures (i.e. the Dutch smoking ban in hospitality venues). We validated a measure of responses to the smoking ban.
Longitudinal online survey study with one year follow-up (N = 623 at T1 in 2011...
Members of groups with low societal status can pursue individual upward mobility to improve their status. We examine the conditions under which ingroup and outgroup members are most inclined to support such upward mobility attempts. Whereas both ingroup and outgroup supports are important, there may be tension: dissociation from the low status grou...
Projects
Projects (3)
This project aims to identify effective strategies in A) behavioural change smoking cessation programs and B) smoking cessation support training programs for health professionals to be used in primary health care settings. We will make an inventory using a Realist Evaluation approach, applying the Behaviour Change Technique/Mechanisms of Action Taxonomy. We aim not only to identify program elements, but also consider the context (what works for whom).
see also https://winniegebhardt.com/self-views-and-identity-processes/
