Onno C P van Schayck's research while affiliated with Maastricht Universitair Medisch Centrum and other places

Publications (278)

Article
2·6 billion people rely on solid fuels for cooking or heating. Accelerating access to cleaner solutions is crucial to reduce the negative effects of solid fuel use. Despite abundant evidence on how to implement these solutions, previous attempts have been disappointing. An overview of the evidence is missing and the translation of the evidence into...
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Overweight and obesity in children are an increasing public health problem. Health literacy (HL) is a determinant of obesity and body mass index (BMI) rates in adults, but few studies have addressed the impact of children’s own HL on their weight and lifestyle. In this study, we aim to assess the impact of Dutch children’s HL on (1) their BMI z-sco...
Preprint
This study aims to understand healthcare professionals’ thoughts and motivations about optimal management and treatment of patients with Chronic Obstructive Pulmonary Disease (COPD). We conducted a DELPHI survey through an online questionnaire distributed to 220 panellists from six European countries and a discrete choice experiment to describe the...
Article
Objective Lifestyle preferences are inculcated in childhood and once established, persist into adulthood. The Project PROMoting Health LIteracy in School (i-PROMISe) aims to promote a healthy lifestyle among students for the universal prevention of non-communicable diseases (NCDs) like diabetes. Study design Qualitative study using focus-group-dis...
Article
COVID-19 greatly affected the lives of adolescents through restrictions such as less playtime, more screen time, and limited interaction with peers. In this study, we assessed the impact of the COVID-19 pandemic on the dietary and physical activity-related behavior of school students aged 10-16 years. This cross-sectional study was conducted with a...
Article
Background The World Health Organization designed a minimum set of interventions, the World Health Organization Package of Essential Noncommunicable disease interventions (WHO PEN), for detection, prevention, treatment, and care of Non-communicable diseases (NCDs) in resource constraint settings. This intervention study examines the effectiveness o...
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In the context of smoking cessation treatment in primary care, identifying patients at the highest risk of relapse is relevant. We explored data from a primary care trial to assess the validity of two simple urges to smoke questions in predicting long-term relapse and their diagnostic value. Of 295 patients who received behavioural support and vare...
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Background Chronic conditions impose a major impact on quality of life and on healthcare. The Assessment of Burden of Chronic Conditions (ABCC-)tool was developed to improve experienced quality of care and quality of life by facilitating shared decision-making and self-management. It assesses the experienced burden of one or multiple conditions, an...
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Introduction: There are ongoing policies and programs to reduce tobacco use and minimise the associated health burden in India. However, there are several challenges in practice leading to different outcomes across Indian states. Inadequate understanding of how national tobacco control policies achieve their results under varied circumstances obstr...
Article
Voor veel huisartsen is het geen dagelijkse routine om patiënten te stimuleren om te stoppen met roken. Dat komt onder andere omdat het tijdrovend is en de relatie met hun patiënt kan verstoren. Een niet-confronterende methode, Very Brief Advice (VBA), kan een eenvoudige en snelle eerste stap zijn om patiënten te helpen het roken op te geven. Huisa...
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Objective Physical inactivity leads to depression and other adverse health consequences. Pregnant women are an important subgroup to study the health consequences due to physical inactivity since it can lead to adverse outcomes in pregnancy and even after delivery. Therefore, we aimed at understanding the level of physical activity among pregnant w...
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This mixed methods study aimed to examine plausible body mass index (BMI) trajectories after exposure to a primary school-based lifestyle intervention to aid in estimating the long-term intervention benefits. BMI trajectories for children at control schools (mean 7.6 years of age) were modelled until 20 years of age through extrapolating trial evid...
Article
Meer bewegen is de kern van het beleid bij COPD en verbeteren van het inspanningsvermogen is een van de belangrijkste doelstellingen. Dat geldt ook voor patiënten met lichte tot matige COPD in de huisartsenpraktijk. Een beweegprogramma blijkt inderdaad de inspanningscapaciteit enigszins te verbeteren, maar leidt niet automatisch tot actiever beweeg...
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Background This study estimated the lifetime cost-effectiveness and equity impacts associated with two lifestyle interventions in the Dutch primary school setting (targeting 4–12 year olds). Methods The Healthy Primary School of the Future (HPSF; a healthy school lunch and structured physical activity) and the Physical Activity School (PAS; struct...
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Introduction Over a third of the world’s population relies on solid fuels as their primary energy source. These fuels have damaging effects on health, air quality and forest resources. Interventions to promote access to cleaner solid fuel cookstoves and clean fuels have existed for decades. However, the adoption by local communities has largely fai...
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Background Few studies have explored the relationship between food habits and the risk of gestational diabetes mellitus (GDM) in women from India. We aimed to investigate the associations of food habits and the risk of GDM. Methods As part of the MAASTHI prospective cohort study in urban Bengaluru, India, pregnant women between 18 and 45 years, le...
Poster
A poster presented at the 6th Health systems global symposium from the ongoing DBT/ Wellcome Trust India Alliance early career fellowship awarded to Dr. Pragati Hebbar
Article
Zestig procent van de COPD-patiënten in Nederland gebruikt een inhalatiecorticosteroïd (ICS). Bij slechts 25% van deze populatie is er sprake van een indicatie. Deze vorm van overbehandeling in Nederland kost 16 miljoen euro op jaarbasis en draagt bovendien bij aan ICS bijwerkingen. Mogelijk biedt het ICS stop- en monitorings-instrument soelaas bij...
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Introduction The number of people that have one or multiple condition(s) with a chronic course is rising, which consequently challenges healthcare systems. Healthcare geared to long-term care should focus on patient-centredness, shared decision making and self-management. The Assessment of Burden of Chronic Conditions (ABCC) tool was developed to i...
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Introduction: Type 2 diabetes mellitus is responsible for high mortality and morbidity globally and in India. India has high prevalence of the condition and the burden is set to increase exponentially in the next decade. Indians traditionally reside in rural or semi-urban areas with limited access to healthcare facilities. To overcome this, the go...
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Although tobacco smoking is the world's most important preventable cause of many chronic diseases (including COPD and asthma) and premature death, many physicians do not routinely apply smoking cessation in the daily health care of their patients. Two widely felt important concerns of physicians are that smoking cessation as part of a treatment is...
Article
Background To improve the health situation of children in primary school, many school-based interventions that are aimed at changing health behaviours, are being set up. Prior to knowing the (long-term) effectiveness of such intervention, we set out to examine whether there is room for such interventions to also tackle the health gap between childr...
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Background: This study examines the social return on investment (SROI) of the "Healthy Primary School of the Future" initiative after 2 years. Methods: Healthy Primary Schools of the Future (HPSF) provide a healthy lunch and daily structured physical activity sessions, whereas Physical Activity Schools (PAS) focus on physical activity only. We eval...
Preprint
BACKGROUND The impact of the Corona Virus Disease (COVID-19) is being felt across the world, and yet we still know little about its full impact. One of the most serious gaps in our current knowledge concerns infection’s long-term mental and physical impact of the infection on affected individuals. The COVID-19 pandemic hit the Netherlands in the en...
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Background: The impact of the Corona Virus Disease (COVID-19) is felt across the world, yet we still know little about its full impact. One of the most serious gaps in our current knowledge relates to long-term mental and physical impact of the infection on affected individuals. The COVID-19 pandemic hit the Netherlands in the end of February 2020...
Article
Bullying on ‘the Healthy Primary School of the Future’: An explorative study To improve the well-being and health of students, several Dutch schools currently implement health promoting lifestyle interventions. To which degree these interventions influence bullying behavior in the school setting is unknown. This mixed methods study examines the inf...
Article
Preliminary data from the Wuhan area in China, Northern Italy and specific areas in the United States suggest a correlation between the severity of the pandemic with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), COVID-19, and air pollution. Observations in the Netherlands are in line with these data. COVID-19 struck hard in the east...
Article
Veel stoppen-met-rokeninterventies focussen op de individuele roker, maar familie, vrienden en (vooral) collega’s hebben grote invloed op stoppogingen. Het zou goed zijn in de spreekkamer ook het rookgedrag van belangrijke personen in de omgeving van de roker ter sprake te brengen en hen zo nodig te betrekken bij de stoppoging. De werkplek is een v...
Article
Voor rokers lijkt overstappen op e-sigaretten een goede manier om te stoppen. De meeste overstappers blijven echter doorgaan met ‘dampen’ en lopen zo alsnog risico op longschade en andere, nog onbekende langetermijneffecten. Wie echt wil stoppen, heeft meer baat bij nicotinevervangers.
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Evidence supports the link between air pollution and COVID-19 and thus it is likely that exposure to biomass smoke is associated with COVID-19. The poor, including refugees and migrant workers staying in fragile conditions, are most vulnerable. An outbreak of COVID-19 in a place where the concept of physical distancing is next to impossible could e...
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Experimental vaccines to treat smoking are tested in randomised clinical trials (RCTs) where participants receive real or placebo ‘nicotine vaccination’ plus additional support. RCTs are a standard method within the current conventions of evidence-based medicine. As yet, nicotine vaccines did not ‘work’ better than placebos. Interestingly, several...
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Disembarking from a traditional approach of narrow hazardous environmental and structural conditions in understanding urban slums’ health problems and moving towards a new notion of what constitutes health for slum dwellers will open a new avenue to recognise whether and how health is being prioritised in disadvantaged settings. Drawing on in‐depth...
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Background: Numerous instruments have been developed to assess patient reported outcomes; most approaches however focus on a single condition. With the increasing prevalence of multimorbidity, this might no longer be appropriate. Moreover, a more comprehensive approach that facilitates shared decision making and stimulates self-management is most...
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Randomized studies have shown that financial incentives can significantly increase the effect of smoking cessation treatment in company settings. Evidence of effectiveness alone is, however, not enough to ensure that companies will offer this intervention. Knowledge about the barriers and facilitators for implementation in the workplace is needed,...
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Aims: To perform an economic evaluation of a work-place smoking cessation group training programme with incentives compared with a training programme without incentives. Design: A trial-based cost-effectiveness analysis (CEA) and cost-utility analysis (CUA) from a societal perspective and an employer's perspective. Setting: Sixty-one companies...
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Objectives Schools play an important role in promoting healthy behaviours in children and can offer perspective in the ongoing obesity epidemic. The ‘Healthy Primary School of the Future’ (HPSF) aims to improve children’s health and well-being by enhancing school health promotion. The current study aims to assess the effect of HPSF on children’s bo...
Article
In the article, ‘A Cost Analysis of School-Based Lifestyle Interventions’, we calculated the societal costs of two school-based lifestyle interventions: ‘the Healthy Primary School of the Future’ and ‘the Physical Activity School’.
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Background In discrete-choice experiments (DCEs), choice alternatives are described by attributes. The importance of each attribute can be quantified by analyzing respondents’ choices. Estimates are valid only if alternatives are defined comprehensively, but choice tasks can become too difficult for respondents if too many attributes are included....
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Erratum bij: Tijdschr gezondheidswet (2018) 10.1007/s12508-018-0149-7 In onze bijdrage ‘Leefstijlinterventies in het onderwijs: hoe zit het met de kosten?’ beschreven we hoe de maatschappelijke kosten van leefstijlinterventies in het basisonderwijs zijn opgebouwd [1]. Ter illustratie …
Article
Inleiding Doel van dit onderzoek was te onderzoeken of een financiële beloning voor stopsucces de effectiviteit van een trainingsprogramma voor rokende werknemers om te stoppen met roken kan verhogen. Methode Clustergerandomiseerde, gecontroleerde trial binnen Nederlandse bedrijven. Geïncludeerd werden werknemers van 18 jaar en ouder die tabak rook...
Article
Objective Combatting disparities in health outcomes among children is a major public health concern. This study focuses on two questions: (1) To what extent does socioeconomic status (SES) contribute to disparities in health outcomes? and (2) To what extent can social inequalities in health outcomes be explained by differences in children’s health...
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Schools can help to improve children's health. The 'Healthy Primary School of the Future' (HPSF) aims to sustainably integrate health and well-being into the school system. This study examined the effects of HPSF on children's dietary and physical activity (PA) behaviours after 1 and 2 years' follow-up. The study (n = 1676 children) has a quasi-exp...
Article
Context Childhood obesity increases the risk of diseases as diabetes, cardiovascular disease and non-alcoholic fatty liver disease. Objective To evaluate the prevalence of comorbidities in school-age children with obesity and to compare its prevalence and the effect of a lifestyle intervention between children in primary and secondary school and b...
Article
Objectives: Smoking cessation programmes in combination with financial incentives have shown to increase quit rates in smokers, but it is not clear which elements of this intervention help smokers to succeed in their quit attempt. The aim of this study was to explore the view of successful and unsuccessful quitters about which factors had affected...
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Background: Financial incentives are potentially useful tools to aid smoking cessation, but robust evidence to support their efficacy, particularly in combination with other interventions (eg, group counselling), has not been reported. We aimed to investigate whether financial incentives combined with a smoking cessation group training programme (...
Article
We schreven er al eerder over: de ziektelastmeter COPD als hulpmiddel om een persoonsgericht zorgplan op te stellen. Een belangrijk onderdeel van het zorgplan is het persoonlijk streefdoel, een vorm van zelfmanagement. Uit onderzoek blijkt dat de manier waarop het streefdoel wordt opgesteld invloed heeft op de kans dat het gewenste doel daadwerkeli...
Data
Thakur M, Boudewijns EA, Babu GR, Winkens B, de Witte LP, Gruiskens J, Sushama P, Ghergu CT, van Schayck OCP (2017) Data from: Low-smoke chulha in Indian slums: study protocol for a randomised controlled trial. Dryad Digital Repository. https://doi.org/10.5061/dryad.cr6dm10
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Objectives Improved biomass cookstoves may help reduce the substantial global burden of morbidity and mortality due to household air pollution (HAP) that disproportionately affects women and children in low and middle income countries (LMICs). Design Systematic review and meta-analysis of (quasi-)experimental studies identified from 13 electronic...
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Current guidelines for economic evaluations do not provide specific recommendations for the evaluation of school-based lifestyle interventions. This study examined and discussed the key aspects in the design of economic evaluations on school-based interventions targeting weight-related behaviours among 4–12 year olds. The PubMed and CRD databases (...
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A uniform approach for costing school-based lifestyle interventions is currently lacking. The objective of this study was to develop a template for costing primary school-based lifestyle interventions and apply this to the costing of the “Healthy Primary School of the Future” (HPSF) and the “Physical Activity School” (PAS), which aim to improve phy...
Article
In het project ‘de Gezonde Basisschool van de Toekomst’ worden twee nieuwe schooltypen onderzocht. De Beweegschool focust op extra aandacht voor sport, bewegen en spelen gedurende de schooldag. De Gezonde Basisschool van de Toekomst is behalve op bewegen ook gericht op gezonde voeding. In deze bijdrage worden de kosten van beide schooltypen beschre...
Article
Objective To investigate whether mentioning free or lower cost smoking cessation medication as a trigger for thinking about quitting is related to higher medication use, more quit attempts and quit success, and whether these associations are modified by education and income. Methods Data were derived from the 2013 and 2014 surveys of the Internati...
Article
Te veel patiënten met mild tot matig COPD gebruiken inhalatiecosteroïden (ICS), maar bij deze patiënten zijn ICS niet effectief. Het gebruik leidt echter wel tot onnodige bijwerkingen en hogere kosten van de gezondheidszorg. Daarom ontwikkelden de auteurs een ICS-reductietool voor patiënten met COPD die geen ICS hoeven te gebruiken.
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Background: Empirical evidence shows that the relationship between health-seeking behaviour and diverse gender elements, such as gendered social status, social control, ideology, gender process, marital status and procreative status, changes across settings. Given the high relevance of social settings, this paper intends to explore how gender elem...
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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...
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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...
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Background: Slum dwellers display specific traits when it comes to disclosing their illnesses to professionals. The resulting actions lead to poor health-seeking behaviour and underutilisation of existing formal health facilities. The ways that slum people use to communicate their feelings about illness, the type of confidants that they choose, an...
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A correction to this article has been published and is linked from the HTML version of this article.
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Background: A multi pronged community based strategy, known as National Rural Health Mission (NRHM), was implemented from 2005-06 to 2012-13 in India to curtail maternal and child health (MCH) disparities between poor and rich, rural and urban areas, and boys and girls,. This study aimed to determine the degree to which MCH plans of NRHM implement...