Luc De Witte

Luc De Witte
The Hague University of Applied Sciences

prof.dr.
professor of Technology for Health

About

366
Publications
119,409
Reads
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12,660
Citations
Additional affiliations
March 2008 - present
Maastricht University
Position
  • Professor (Full)
Description
  • professor of technology in care
March 2008 - present
Maastricht University
Position
  • Professor (Full)
May 2002 - present
Hogeschool Zuyd
Position
  • Professor

Publications

Publications (366)
Article
Most people with dementia (PwD) are cared for by unpaid family carers, many of whom must balance caring with paid work. This regularly entails dealing with care-related emergencies (CRE). This study aims to explore the impact of carers’ autonomy at work regarding breaks, schedule, and place on their ability to manage CRE, and use technology to that...
Article
Purpose: Globally, assistive technology (AT) is used by over 1 billion people, but the prevalence of needs and access to AT in specific countries or regions is largely unknown. This scoping review summarises the evidence available on the prevalence of needs, access and coverage of AT in the World Health Organisation European Region and the barrier...
Article
Full-text available
Purpose: This paper critically reviews and reflects on the processes for providing Assistive Technology (AT) services to Persons with Disabilities (PWD) in Bangladesh, India and Nepal. The aim is to investigate the AT service delivery systems in these countries and suggest improvements where weaknesses are identified. Materials and methods: We c...
Preprint
BACKGROUND Uncontrolled hypertension is a public health issue, with increasing prevalence worldwide. The Dietary Approach to Stop Hypertension (DASH) diet is one of the most effective dietary approaches for lowering blood pressure (BP). Dietary mobile applications (apps) have gained popularity and are being used to support DASH diet self-management...
Article
Full-text available
BACKGROUND: Rapid technological development has been opening new possibilities for children with disabilities. In particular, robots can enable and create new opportunities in therapy, rehabilitation, education, or leisure. OBJECTIVE: The aim of this article is to share experiences, challenges and learned lessons by the authors, all of them with ex...
Article
Full-text available
Limited access to assistive technology (AT) is a well-recognized global challenge. Emerging technologies have potential to develop new assistive products and bridge some of the gaps in access to AT. However, limited analyses exist on the potential of these technologies in the AT field. This paper describes a study that aimed to provide an overview...
Article
Background Smartphone apps are increasingly being used to aid in hypertension self-management, and a large and ever-growing number of self-management apps have been commercially released. However, very few of these are potentially effective and secure, and researchers have yet to establish the suitability of specific hypertension apps to particular...
Article
Full-text available
Background and aim: India has had a wheelchair-delivery system in place for several years but its impact on users is inadequate. Therefore, this research reviews the system to examine how the right to personal mobility can be served better. Method: this paper undertakes a narrative review of the existing government-aided wheelchair provision sys...
Article
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Combining work and care can be very challenging. If not adequately supported, carers’ employment, well‐being and relationships may be at risk. Technologies can be potential solutions. We carried out a scoping review to find out what is already known about technologies used by working carers. The search included academic and grey literature publishe...
Article
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Research findings suggest that robots can enhance interventions targeted at children with autism spectrum disorder. A pilot study was conducted at a special needs school to examine the effect of robot KASPAR on making contact with children with autism. Nine children between 8 and 12 years of age participated in this mixed methods study with ABAB de...
Preprint
BACKGROUND Smartphone apps are increasingly being used to aid in hypertension self-management, and a large and ever-growing number of self-management apps have been commercially released. However, very few of these are potentially effective and secure, and researchers have yet to establish the suitability of specific hypertension apps to particular...
Article
Full-text available
Background For many children, visiting the hospital can lead to a state of increased anxiety. Social robots are being explored as a possible tool to reduce anxiety and distress in children attending a clinical or hospital environment. Social robots are designed to communicate and interact through movement, music and speech. Objective This systemat...
Article
Full-text available
BACKGROUND: Walking speed predicts important clinical outcomes in older adults and is one of the most significant indicators of frailty. OBJECTIVE: To test whether it is feasible to measure walking speed frequently and unobtrusively in the home. METHODS: A longitudinal feasibility study was conducted comprising the installation and monitoring of co...
Article
Full-text available
Purpose: The purpose of this paper is to analyse and critically reflect on access to Assistive Technology (AT) for persons with disabilities (PWD) in Nepal, India and Bangladesh. This analysis aims to guide the development of a contextualised generic AT service delivery model suitable for these countries, based on the best practices identified. M...
Article
Full-text available
Some emerging technologies have potential to address older people’s care and support needs. However, there is still a gap in the knowledge on the potential uses of these technologies in some care domains. Therefore, a two-round Delphi survey was conducted to establish a consensus of opinion from a group of health and social technology experts (n =...
Article
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People living in urban slums or informal settlements are among the most vulnerable communities, highly susceptible to coronavirus disease 2019 (COVID-19) infection and vulnerable to the consequences of the measures taken to control the spread of the virus. Fear and stigma related to infection, mistrust between officials and the population, the ofte...
Preprint
Full-text available
Background: Higher than national rates of non-communicable diseases have been found in some urban slums of India. This has been attributed to potentially lower levels of education and decreased access to preventative care. We sought to assess the prevalence of NCDs in a Mumbai slum compared to national averages and understand the association with s...
Article
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Background In a changing ageing society wherein older adults are increasingly expected to take care of themselves instead of relying on health care services, online community care platforms can help older adults to meet these expectations. A considerable number of these online community care platforms have been introduced in several European countr...
Article
Full-text available
Background and aim This study investigated the current state of wheelchair services in Bangalore Rural district, as provided by Bangalore Baptist Hospital, and identified areas for improvement. Method a cross-sectional survey was held among 50 wheelchair users. Data was collected on demographics, satisfaction, wheelchair skills and level of disabi...
Article
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Objectives To describe the initial dilemmas, mental stress, adaptive measures implemented and how the healthcare team collectively coped while providing healthcare services in a large slum in India, during the COVID-19 pandemic. Setting Community Health Division, Bangalore Baptist Hospital, Bangalore. Study design We used mixed methods research w...
Preprint
BACKGROUND The use of smartphone apps to assist in the self-management of hypertension is becoming increasingly common. However, although an increasing number of apps are becoming available, very few of them have the potential to be both safe and effective. In a previous study, we identified 5 apps that are potentially effective and safe, and based...
Article
Full-text available
Background The use of smartphone apps to assist in the self-management of hypertension is becoming increasingly common, but few commercially available apps have the potential to be effective along with adequate security and privacy measures in place. In a previous study, we identified 5 apps that are potentially effective and safe, and based on the...
Article
Full-text available
Background The number of older people with unmet care and support needs is increasing substantially due to the challenges facing the formal and informal care systems. Emerging technological developments have the potential to address some of the care and support challenges of older people. However, limited work has been done to identify emerging tec...
Article
This paper reports the responses of nursing home residents who live in a psychogeriatric ward to the abstract interactive art installation ‘Morgendauw’, which was specifically designed for this study. All stakeholders were involved in designing and implementing Morgendauw. The artwork seems able to evoke responses in both the residents and their ca...
Article
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Persons with disabilities in rural India do not have the opportunity to lead a self-determined life and be included in their community as required by the convention on the rights of persons with disabilities. To investigate their experience of living everyday life and the amount of agency they are able to exercise, in-depth interviews were undertak...
Preprint
BACKGROUND In a changing ageing society where older adults are increasingly expected to take care of themselves instead of relying on healthcare services, Online Community Care (OCC) platforms can help older adults to meet these expectations. A considerable number of these OCC platforms have been introduced in several European countries based on th...
Article
Full-text available
This study aimed (1) to examine the contribution of robot ZORA in achieving therapeutic and educational goals in rehabilitation and special education for children with severe physical disabilities, and (2) to discover the roles professionals attribute to robot ZORA when it is used in robot-based play interventions in rehabilitation and special educ...
Article
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Purpose: This paper describes international actions to collaborate in the assistive technology (AT) arena and provides an update of programmes supporting AT globally. Methods: The World Health Organisation (WHO) identifies the severe global uneven distribution of resources, expertise and extensive unmet need for AT, as well the optimistic substanti...
Article
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Following publication of the original article [1], we have been notified that acknowledgement should be added to the text of the articles. The Acknowledgement section should read as follows.
Preprint
BACKGROUND The number of older people with unmet care and support needs is increasing substantially due to the challenges facing the formal and informal care systems. Emerging technological developments have the potential to address some of the care and support challenges of older people. However, limited work has been done to identify emerging tec...
Article
The number of people who combine work and unpaid care is increasing rapidly as more people need care, public and private care systems are progressively under pressure and more people are required to work for longer. Without adequate support, these working carers may experience detrimental effects on their well‐being. To adequately support working c...
Article
Background Due to demographic transitions and budget restraints, it is now necessary to search for comprehensive new strategies, in order to constitute a sustainable healthcare system. Recently, various online care platforms for community-dwelling older adults were introduced in several European countries. These platforms have aimed at solidifying...
Conference Paper
Full-text available
Assistive technology supports maintenance or improvement of an individual’s functioning and independence, though for people in need the access to assistive products is not always guaranteed. This paper presents a generic quality framework for assistive technology service delivery that can be used independent of the setting, context, legislative fra...
Conference Paper
Full-text available
Background: In the last decade or so, increased computer processing and storage capabilities, along with the availability of big data sets, have stimulated the development of more elaborate inductive machine learning algorithms and architectures. These have delivered impressive results in tasks such as natural language processing and image recognit...
Article
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Background: The number of older people with unmet care and support needs is increasing substantially due to the challenges facing the formal and informal care system in the United Kingdom. Addressing these unmet needs is becoming one of the urgent public health priorities. In order to develop effective solutions to address some of these needs, it...
Article
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Background: Individuals living with long-term physical health conditions frequently experience co-occurring mental health problems. This comorbidity has a significant impact on an individual’s levels of emotional distress, health outcomes, and associated health care utilization. As health care services struggle to meet demand and care increasingly...
Article
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Background: Hypertension is a widespread chronic disease, and its effective treatment requires self-management by patients. Health-related apps provide an effective way of supporting hypertension self-management. However, the increasing range and variety of hypertension apps available on the market, owing to the global growth in apps, creates the n...
Article
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Background Slums are home to nearly one billion people in the world and are expanding at an exponential rate. Devarjeevanahalli is a large notified slum in Bangalore, South India which is characterised by poverty, overcrowding, hazardous living environment and social complexities. The poor living conditions not only affect the health of the people...
Article
BACKGROUND:Talking Mats™ is a framework developed to support communication with communication vulnerable people. OBJECTIVE: The objective was twofold: to provide an overview of the objectives, target groups and settings for which Talking Mats has been used (Part 1), and an overview of empirical scientific knowledge on the use of Talking Mats (Part...
Article
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The aim of this research was to study roles, strengths and challenges of robot-mediated interventions using robot KASPAR for children with autism spectrum disorder (ASD). Twelve focus group sessions were organized in which 70 ASD care and/or education professionals participated. Six roles for KASPAR were identified: provoker, reinforcer, trainer, m...
Preprint
Full-text available
BACKGROUND Individuals living with long-term physical health conditions frequently experience co-occurring mental health problems. This comorbidity has a significant impact on individual’s levels of emotional distress, health outcomes and associated healthcare utilization. As healthcare services struggle to meet demand and care increasingly moves t...
Article
This article summarizes the research which has been done in the context of a PhD thesis in the field of robots for children with severe physical disabilities. Because children with physical disabilities are often limited in their play possibilities, technology might offer new possibilities. In intensive collaboration with rehabilitation and special...
Article
Purpose The purpose of this paper is to describe whether and how groups of nursing home residents respond to the interactive device “the CRDL”. The CRDL can translate touches between people into sounds. It recognises the type of touch and adjusts the produced sound accordingly. Design/methodology/approach This was as an observational explorative s...
Article
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Purpose: This is a position paper describing the elements of an international framework for assistive technology provision that could guide the development of policies, systems and service delivery procedures across the world. It describes general requirements, quality criteria and possible approaches that may help to enhance the accessibility of a...
Article
Full-text available
Background: Hypertension is a chronic disease that is considered to be a public health problem and requires efforts by patients to manage themselves. The global growth in the use of mobile phones and tablets has been accompanied by the increased use of health apps. Many of these apps support the self-management of hypertension and, therefore, they...
Article
Full-text available
Background: Recent transitions in long-term care in the Netherlands have major consequences for community-dwelling older adults. A new paradigm expects them to manage and arrange their own care and support as much as possible. Technology can support this shift. A study has been conducted to explore the needs of community-dwelling frail older adult...
Article
Full-text available
Background: Electronic health (eHealth) solutions are considered to relieve current and future pressure on the sustainability of primary health care systems. However, evidence of the effectiveness of eHealth in daily practice is missing. Furthermore, eHealth solutions are often not implemented structurally after a pilot phase, even if successful d...
Article
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Background: Urban slums are characterised by unique challenging living conditions, which increase their inhabitants' vulnerability to specific health conditions. The identification and prioritization of the key health issues occurring in these settings is essential for the development of programmes that aim to enhance the health of local slum comm...
Article
This study responds to the need for participatory, context-oriented approaches to address the growing health threat of indoor air pollution faced by marginalised communities of urban India. It explored the application of the co-designing model employed by Project Exhale in two non-notified slums in Bangalore, by analysing processes and tools of mul...
Article
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Background: While any type of field-based research is challenging, building action-oriented, participatory research in resource-constrained settings can be even more so. Objective: In this article, we aim to examine and provide insights into some of the practical challenges that were faced during the course of a participatory project based in tw...
Article
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Objectives It is unclear why the use of email consultation is not more widespread in Dutch general practice, particularly because, since 2006, its costs can be reimbursed. To encourage further implementation, it is needed to understand the current use of email consultations. This study aims to understand the use of email consultation by different p...
Chapter
Mensen met dementie krijgen in de loop van het ziekteproces in toenemende mate problemen op verschillende terreinen, zoals bij het boodschappen doen, koken, de zelfverzorging en de oriëntatie in tijd en ruimte. Om veilig en op een zo prettig mogelijke manier thuis te kunnen blijven wonen zijn ondersteuning en zorg nodig. Die kunnen worden geboden d...
Article
Full-text available
This multi-perspective study focuses on how a service robot for the elderly should behave when interacting with potential users. An existing service robot and a scenario were used as a concrete case which was discussed and analyzed during focus group sessions with older adults (n = 38), informal caregivers (n = 24) and professional caregivers (n =...
Article
Full-text available
The aim of this study was to gain insight into how robots can be practically implemented into current education and therapy interventions for children with autism spectrum disorder (ASD). This qualitative study included focus groups and co-creation sessions. 73 Participants (professionals and adults with ASD) took part in 13 focus groups to elicit...
Conference Paper
The aim of the present study was to explore the potential of a ZORA-robot based intervention in rehabilitation and special education for children with (severe) physical disabilities from the professionals perspective. The qualitative results of this study will be presented. Professionals indicated meaningful application possibilities for ZORA. Over...
Article
Full-text available
BACKGROUND: Play is essential for children's development. Children with severe physical disabilities often experience problems engaging in play. In rehabilitation and special education for children with physical disabilities play-like activities and play for play's sake are important. OBJECTIVE: The current study aimed at examining the possibilitie...
Article
BACKGROUND: The service delivery process of dynamic arm support (DAS) is complex. Obtaining an optimal match between user and DAS depends on a variety of interrelated factors, different professionals are involved, and the market of available solutions is evolving. OBJECTIVE: To determine how the service delivery process of DAS could be optimized. M...
Article
Full-text available
Robots are increasingly considered as a promising tool in therapeutic and educational interventions for children with autism spectrum disorder (ASD). International literature indicates that robots can potentially be applied to a wide range of objectives. The aim of this article is to present an overview of robots that are currently used in therapy...
Article
Full-text available
Background Large-scale cohort studies are needed to confirm the relation between dementia and its possible risk factors. The inclusion of people with dementia in research is a challenge, however, children of people with dementia are at risk and are highly motivated to participate in dementia research. For technologies to support home-based data col...
Article
The aim of this study was to explore the potential of ZORA robot-based interventions in rehabilitation and special education for children with severe physical disabilities. A two-centre explorative pilot study was carried out over a 2.5-month period involving children with severe physical disabilities with a developmental age ranging from 2 to 8 ye...
Article
Purpose: The potential of service robots for seniors is given increasing attention as the ageing population in Western countries will continue to grow as well as the demand for home care. In order to capture the experience of living with a robot at home, a multi-perspective evaluation was conducted. Methods: Older adults (n = 10) were invited to ex...