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Pepijn van Empelen

Pepijn van Empelen
TNO | tno · Expertise Group for Child Health

PhD

About

128
Publications
32,933
Reads
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3,848
Citations
Additional affiliations
January 2016 - present
TNO
Position
  • Senior Researcher
August 2010 - December 2015
TNO
Position
  • Senior Researcher
May 2008 - September 2010
Erasmus University Rotterdam
Position
  • Professor (Assistant)

Publications

Publications (128)
Article
Full-text available
Objectives: Behavioural measures such as social distancing are crucial to prevent the spread of COVID-19. People sometimes have difficulty to comply with these behavioural measures for various reasons. Insight is needed into evidence-based strategies that can promote compliance. In the present study, we examined whether behaviour change techniques...
Article
Full-text available
Background Many parents frequently struggle with undesirable or problematic behavior (ie, temper tantrums and whining) displayed by their child. To support parents in promoting positive parenting skills (ie, recognizing challenging situations and reacting appropriately), the interactive video e-learning tool ParentCoach was developed. The tool aims...
Preprint
BACKGROUND The high prevalence and adverse consequences of excessive drinking among lower educated adolescents and young adults is a public concern in the Netherlands. Evidence-based alcohol prevention programs targeting adolescents and young adults with a low educational background are sparse. OBJECTIVE The present study describes the planned pro...
Article
Background The high prevalence and adverse consequences of excessive drinking among lower-educated adolescents and young adults are public concerns in the Netherlands. Evidence-based alcohol prevention programs targeting adolescents and young adults with a low educational background are sparse. Objective This study aimed to describe the planned pr...
Preprint
BACKGROUND Type 2 Diabetes (T2D) is a lifestyle-related disease, which prevalence increases with age. Diabetes self-management through mobile health (mHealth) apps enables T2D patients to improve their health. Following the Technology Acceptance Model (TAM), technology acceptance (i.e., intended use) is necessary to ensure mHealth can be implemente...
Article
Full-text available
Background: Type 2 diabetes (T2D) is a lifestyle-related disease whose prevalence increases with age. Diabetes self-management through mobile health (mHealth) apps enables patients with T2D to improve their health. According to the Technology Acceptance Model (TAM), technology acceptance (ie, intended use) is necessary to ensure mHealth can be imp...
Preprint
BACKGROUND Many parents frequently struggle with undesirable or problematic behavior (ie, temper tantrums and whining) displayed by their child. To support parents in promoting positive parenting skills (ie, recognizing challenging situations and reacting appropriately), the interactive video e-learning tool ParentCoach was developed. The tool aims...
Article
Full-text available
Objective To examine the relationship between risk factors for low patient activation and change in patient activation, well-being, and health outcomes in people with type 2 diabetes mellitus (T2DM). Method A longitudinal prospective study was conducted with measurements at baseline and 20-week follow-up among 603 people with T2DM participating in...
Article
Full-text available
Aims To investigate changes in physical activity (PA) and psychological factors during societal lockdown in people with type 2 diabetes. Methods A cross‐sectional study among Dutch adults with type 2 diabetes. Data were collected using online questionnaires. A multivariate multinomial logistic regression was performed with change in PA during soci...
Article
Our reaction on the letter of Yosiko Myoken et al.(2020): Yosiko Myoken et al. commented on our article about the effect of using a mobile application (“WhiteTeeth”) on improving oral hygiene ². Although they commended our article, they raised some questions that we would like to respond to. First, Myoken et al. believed that we should have evaluat...
Article
Full-text available
Introduction Despite the positive outcomes of physical activity (PA) interventions on health and PA behavior in people with type 2 diabetes mellitus (T2DM), it proves rather difficult to structurally implement such interventions in daily diabetes care. The National Diabetes Challenge (NDC) was designed as a low‐intensity and low‐cost annual walking...
Article
Background Maternal Pertussis Vaccination (MPV) during pregnancy became part of the National Immunization Program in the Netherlands late 2019. This study aims to identify social-psychological factors associated with MPV acceptance among Dutch women to add to the current understanding of vaccine hesitancy worldwide, and to inform the development of...
Article
Samenvatting Inleiding We hebben onderzocht wat de behoefte is van zwangere vrouwen ten aanzien van de informatievoorziening en organisatie van de kinkhoestvaccinatie tijdens de zwangerschap. Methode Door middel van een cross-sectionele online vragenlijst werden 202 zwangere vrouwen gevraagd naar hun wensen met betrekking tot de kinkhoestvaccinat...
Article
Full-text available
Objective: To evaluate the effectiveness of the WhiteTeeth mobile app, a theory-based mobile health (mHealth) program for promoting oral hygiene in adolescent orthodontic patients. Methods: In this parallel randomized controlled trial, the data of 132 adolescents were collected during three orthodontic check-ups: at baseline (T0), at 6-week foll...
Article
De digitalisering van de maatschappij neemt een steeds grotere vlucht. Vrijwel alle jongeren zijn te vinden op sociale media en internet. Op het NCVGZ verzorgde TNO een track over de rol die digitalisering speelt of kan spelen waar het gaat om de gezondheid van jongeren.
Article
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...
Article
Full-text available
Background: Adolescents with fixed orthodontic appliances are at high risk of developing dental caries. To date, new smartphone technologies have seldom been used to support them in the preventive behavior that can help prevent dental caries. After an intervention-mapping process, we developed a smartphone application (the WhiteTeeth app) for prev...
Article
Full-text available
From a biological view, most of the processes involved in insulin resistance, which drives the pathobiology of type 2 diabetes, are reversible. This theoretically makes the disease reversible and curable by changing dietary habits and physical activity, particularly when adopted early in the disease process. Yet, this is not fully implemented and e...
Article
Full-text available
This paper describes the development of a Dutch online programme called Long Live Love+ focusing on positive, coercion-free relationships, contraception use, and the prevention of STIs, using the Intervention Mapping (IM) approach. All six steps of the approach were followed. Step 1 confirmed the need for a sexual health programme targeting young p...
Article
Full-text available
Background: The insertion of fixed orthodontic appliances increases the risk of dental caries, particularly in adolescents. Caries can be prevented through good oral health behavior. To support adolescents with fixed orthodontic appliances and for promoting oral health behavior, we developed a theory- and evidence-based mHealth program, the WhiteT...
Article
Full-text available
Previous studies have documented links between sub-clinical narcissism and the active pursuit of short-term mating strategies (e.g., unrestricted sociosexuality, marital infidelity, mate poaching). Nearly all of these investigations have relied solely on samples from Western cultures. In the current study, responses from a cross-cultural survey of...
Article
Full-text available
An aging population is associated with an increased prevalence of diabetes, cardiovascular diseases and depression. Important aspects of programmes targeted at older people are: to reach those at risk, effective screening, optimising advice, and referral to local interventions. We examined the effect of a preventive health consultation (PRIMUS), a...
Article
Background: The Health Action Process Approach (HAPA) model addresses health behaviours, but it has never been applied to model adolescents' oral hygiene behaviour during fixed orthodontic treatment. Aim: This study aimed to apply the HAPA model to explain adolescents' oral hygiene behaviour and dental plaque during orthodontic treatment with fi...
Article
Full-text available
Understanding the spread of smoking cessation and relapse within social networks may offer new approaches to further curb the smoking epidemic. Whether smoking behavior among social network members determines smoking cessation and relapse of adults however, is less known. For this study, longitudinal data of 4623 adults participating in the Dutch L...
Article
Full-text available
Background: The quality of implementation is important to ensure the effectiveness of behavioral change interventions in practice. Implementing such programs with completeness and adherence is not an automatic process and may require additional support. In school settings, the support teachers receive during implementation is often limited and app...
Technical Report
Full-text available
Digital health is considered the ‘holy grail’ of effective and sustainable health(care). It uses the latest technology, apps and data to support and improve health. Digital health tools can benefit both patients and healthy individuals, with support and advice. But healthcare professionals, policymakers and scientist can also benefit from the (big)...
Article
Mental wellbeing is influenced by self-regulation processes. However, little is known on the efficacy of change techniques based on self-regulation to promote mental wellbeing. The aim of this meta-analysis is to identify effective self-regulation techniques (SRTs) in primary and secondary prevention interventions on mental wellbeing in adolescents...
Article
Full-text available
Background: Serious games have the potential to promote health behavior. Because overweight is still a major issue among secondary vocational education students in the Netherlands, this study piloted the effects of "Balance It," a serious self-regulation game intervention targeting students' overweight-related behaviors: dietary intake and physica...
Article
Full-text available
Background Many online interventions designed to promote health behaviors combine multiple behavior change techniques (BCTs), adopt different modes of delivery (MoD) (eg, text messages), and range in how usable they are. Research is therefore needed to examine the impact of these features on the effectiveness of online interventions. Objective This...
Article
Objective: The aim of this study was to evaluate the use of and adherence to a 7-step strategy for the development, implementation, and continuation of a comprehensive, multicomponent lifestyle program. Methods: Strategy use and adherence was assessed with 12 performance indicators. Data were collected by combining onsite monitoring with semi-st...
Article
Full-text available
Objectives: This systematic and meta-analytic review aimed to quantify the association of psychosocial correlates with oral hygiene behaviour among 9- to 19-year olds. Methods: A systematic search up to August 2015 was carried out using the following databases: PubMed, PsycInfo, Embase, CINAHL and Web of Science. If necessary, authors of studies...
Article
This article presents the results of a randomised controlled trial that tests whether two behavioural change strategies provided an additional effect for an existing online intervention (www. drinktest. nl) among Dutch excessive drinking adults: drinker image alteration and cue reminders. Drinktest.nl is a tailored intervention that provides person...
Article
This article describes the design rationale behind a serious self-regulation game intervention. The aim of the game is to promote healthy dietary intake and physical activity among secondary vocational educational students in The Netherlands (approximately 16-20 years of age). The game "Balance It" was developed according to an intervention mapping...
Conference Paper
Full-text available
Despite its acknowledged benefits for health promotion, the full potential of persuasive technology is not (yet) reached in regard to usability, effectiveness, and reproducibility. It often lacks an effective combination of technical features and behavior change strategies. This paper presents a multidisciplinary approach, addressing both aspects....
Article
Gezondheid en kwaliteit van leven kunnen worden bevorderd door een gezonde wijk te cree¨ren. Voor de realisatie van een gezonde wijk is samenwerking tussen sectoren noodzakelijk. In deze studie onderzochten we over welke factoren experts en ervaringsdeskundigen het eens zijn dat zij bijdragen aan effectieve intersectorale samenwerking. Deze studie...
Article
Full-text available
Bij digitaal onderwijs wordt gesproken over “flipping the classroom” als ideaal. Hierin leren leerlingen thuis via digitale ondersteuning zoals instructie video’s (i.p.v. klassikale uitleg door de docent), terwijl in de klas de tijd gebruikt wordt voor vragen, individuele aandacht, verdiepende en activerende opdrachten en interactie (in plaats van...
Article
Full-text available
Background Excessive alcohol use is a prevalent and worldwide problem. Excessive drinking causes a significant burden of disease and is associated with both morbidity and excess mortality. Prototype alteration and provision of a cue reminder could be useful strategies to enhance the effectiveness of online tailored interventions for excessive drink...
Article
Full-text available
Objective: To evaluate the implementation of a multicomponent lifestyle intervention at two different worksites. Methods: Data on eight process components were collected by means of questionnaires and interviews. Data on the effectiveness were collected using questionnaires. Results: The program was implemented partly as planned, and 84.0% (max 2...
Article
Objective The aim of this paper is to provide a guideline to a universal understanding of the analysis of co-occurrence of risk behaviors. The use of cluster analysis and factor analysis was clarified. Method A theoretical introduction to cluster analysis and factor analysis and examples from literature were provided. A representative sample (N =...
Article
Full-text available
Prototypes (i.e., social images representing perceptions of typical persons engaging in or refraining from certain behaviour) have been shown to explain health-related behaviours. The present meta-analysis quantified the strength of the associations of prototype perceptions with health motivation and behaviour. Specifically, the analysis addressed...
Conference Paper
Background: The aim was to quantify the relationship between behavioural determinants and dental health behaviour among 9-18 year olds. Methods: Searches were conducted in PsycINFO, PubMed, CINAHL and EMBASE. In total 25 studies were included, which addressed 16 variables. A weighted average effect size correlation (WAES r) was calculated per deter...
Article
Full-text available
Background: There are many online interventions aiming for health behavior change but it is unclear how such interventions and specific planning tools are being used. Objective: The aim of this study is to identify which user characteristics were associated with use of an online, computer-tailored self-regulation intervention aimed at prevention...
Article
Full-text available
Abstract Older people with intellectual disability (ID) are characterized by low physical activity (PA) levels. PA is important for reducing health risks and maintaining adequate fitness levels for performing activities of daily living. The aim of this study was to explore preferences of older adults with ID for specific physical activities, and to...
Article
Objectives: Prototypes (i.e., social images) predict health-related behaviours and intentions within the context of the Theory of Planned Behaviour (TPB). This study tested the moderating role of temporal stability of drinker prototype perceptions on prototype-intentions and prototype-behaviour relationships, within an augmented TPB. The study exa...
Article
Full-text available
Numerous worksite health promotion program (WHPPs) have been implemented the past years to improve employees' health and lifestyle (i.e., physical activity, nutrition, smoking, alcohol use and relaxation). Research primarily focused on the effectiveness of these WHPPs. Whereas process evaluations provide essential information necessary to improve l...
Article
Objective: This study examined the use of an active gaming program in a pre-vocational school over a 1-year period. Subjects and Methods: Three hundred students (mean age, 13.3 years; range, 12–18 years) were invited to participate and exposed to the active game program called E-sportszone, in which they could participate during the school day and...
Article
Full-text available
Objective: Many health-promoting interventions combine multiple behavior change techniques (BCTs) to maximize effectiveness. Although, in theory, BCTs can amplify each other, the available meta-analyses have not been able to identify specific combinations of techniques that provide synergistic effects. This study overcomes some of the shortcomings...
Article
Full-text available
Despite the growing body of research on complex lifestyle behaviors (eg, Dietary Intake [DI] and Physical Activity [PA]), monitoring of these behaviors has been hampered by a lack of suitable methods. A possible solution to this deficiency is mobile-based Ecological Momentary Assessment (mEMA), which enables researchers to collect data on participa...
Article
Full-text available
To assess among parents longitudinal predictors of human papillomavirus (HPV) vaccination uptake for their daughters, random samples of parents were identified via municipal services and sent baseline questionnaires in June 2009 and follow-up questionnaires in November 2011 after their uptake decision. Hierarchical logistic regression analysis was...
Article
Full-text available
Objective: Previous research has focused mostly on abstainer and/or general drinker prototypes. The present studies examined an abstainer, moderate drinker and heavy drinker prototype in relation to drinking behaviour. Design: Two studies among young adults aged 18-25 (paper-and-pencil, cross-sectional, N = 140; online, prospective, N = 451) ass...
Article
Objectives Despite effectiveness of worksite health promotion programs (WHPPs), their implementation in practice is often unsuccessful. Since most research still focusses on effect evaluations, key determinants of implementation are often not identified nor reported. Therefore we aim to systematically evaluate the degree of adoption and implementat...
Article
Full-text available
Older people with intellectual disabilities have very low physical activity levels. Well designed, theory-driven and evidence-based health promotion programmes for the target population are lacking. This paper describes the design of a cluster-randomised trial for a systematically developed health promotion programme aimed at improving physical act...
Article
Hepatitis B virus (HBV) is an important health problem in the Turkish Dutch. Screening is necessary for detection and prevention of HBV. We aimed to identify social-cognitive and socio-cultural determinants of HBV-screening intention among Turkish Dutch. A cross-sectional survey was carried out amongst 335 Turkish Dutch, aged 16-40 years. Responden...
Article
Full-text available
Prototypes (social images) have been shown to influence behaviour, which is likely to depend on the type of image. Prototype evaluation is based on (un)desirable characteristics related to that image. By an elicitation procedure we examined which adjectives are attributed to specific drinker prototypes. In total 149 young Dutch adults (18-25 years...
Article
Full-text available
Hepatitis B virus (HBV) infections are an important health problem in Turkish migrants in the Netherlands. This study describes the effectiveness of a culturally tailored internet intervention promoting HBV screening in Turkish migrants. Methods: Turkish migrants, aged 16–40 years old, could participate in an online intervention offering either: (i...