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  1. Article ; Online: Diversity in Stakeholder Groups in Generative Co-design for Digital Health: Assembly Procedure and Preliminary Assessment.

    Vandekerckhove, Pieter / Timmermans, Job / de Bont, Antoinette / de Mul, Marleen

    JMIR human factors

    2023  Volume 10, Page(s) e38350

    Abstract: Background: Diverse knowledge and ways of thinking are claimed to be important when involving stakeholders such as patients, care professionals, and care managers in a generative co-design (GCD) process. However, this claim is rather general and has not ...

    Abstract Background: Diverse knowledge and ways of thinking are claimed to be important when involving stakeholders such as patients, care professionals, and care managers in a generative co-design (GCD) process. However, this claim is rather general and has not been operationalized; therefore, the influence of various stakeholders on the GCD process has not been empirically tested.
    Objective: In this study, we aimed to take the first step in assessing stakeholder diversity by formulating a procedure to assemble a group of diverse stakeholders and test its influence in a GCD process.
    Methods: To test the procedure and assess its influence on the GCD process, a case was selected involving a foundation that planned to develop a serious game to help people with cancer return to work. The procedure for assembling a stakeholder group involves snowball sampling and individual interviews, leading to the formation of 2 groups of stakeholders. Thirteen people were identified through snowball sampling, and they were briefly interviewed to assess their knowledge, inference experience, and communication skills. Two diverse stakeholder groups were formed, with one more potent than the other. The influence of both stakeholder groups on the GCD process was qualitatively assessed by comparing the knowledge output and related knowledge processing in 2 identical GCD workshops.
    Results: Our hypothesis on diverse stakeholders was confirmed, although it also appeared that merely assessing the professional background of stakeholders was not sufficient to reach the full potential of the GCD process. The more potently diverse group had a stronger influence on knowledge output and knowledge processing, resulting in a more comprehensive problem definition and more precisely described solutions. In the less potently diverse group, none of the stakeholders had experience with abduction-2 inferencing, and this did not emerge in the GCD process, suggesting that at least one stakeholder should have previous abduction-2 experience.
    Conclusions: A procedure to assemble a stakeholder group with specific criteria to assess the diversity of knowledge, ways of thinking, and communication can improve the potential of the GCD process and the resulting digital health.
    Language English
    Publishing date 2023-02-14
    Publishing country Canada
    Document type Journal Article
    ISSN 2292-9495
    ISSN (online) 2292-9495
    DOI 10.2196/38350
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Leveraging User Experience to Improve Video Consultations in a Cardiology Practice During the COVID-19 Pandemic: Initial Insights.

    Vandekerckhove, Pieter / Vandekerckhove, Yves / Tavernier, Rene / De Jaegher, Kelly / de Mul, Marleen

    Journal of medical Internet research

    2020  Volume 22, Issue 6, Page(s) e19771

    Abstract: During the coronavirus disease (COVID-19) pandemic, cardiologists have attempted to minimize risks to their patients by using telehealth to provide continuing care. Rapid implementation of video consultations in outpatient clinics for patients with heart ...

    Abstract During the coronavirus disease (COVID-19) pandemic, cardiologists have attempted to minimize risks to their patients by using telehealth to provide continuing care. Rapid implementation of video consultations in outpatient clinics for patients with heart disease can be challenging. We employed a design thinking tool called a customer journey to explore challenges and opportunities when using video communication software in the cardiology department of a regional hospital. Interviews were conducted with 5 patients with implanted devices, a nurse, an information technology manager and two cardiologists. Three lessons were identified based on these challenges and opportunities. Attention should be given to the ease of use of the technology, the meeting features, and the establishment of the connection between the cardiologist and the patient. Further, facilitating the role of an assistant (or virtual assistant) with the video consultation software who can manage the telehealth process may improve the success of video consultations. Employing design thinking to implement video consultations in cardiology and to further implement telehealth is crucial to build a resilient health care system that can address urgent needs beyond the COVID-19 pandemic.
    MeSH term(s) Ambulatory Care Facilities ; Betacoronavirus ; COVID-19 ; Cardiology/methods ; Coronavirus Infections/epidemiology ; Delivery of Health Care ; Hospitals ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Referral and Consultation ; SARS-CoV-2 ; Telemedicine/methods
    Keywords covid19
    Language English
    Publishing date 2020-06-25
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1438-8871
    ISSN (online) 1438-8871
    ISSN 1438-8871
    DOI 10.2196/19771
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Gender differences in risk factor management and pharmacological treatment among CHD patients: Belgian results of the EUROASPIRE IV and EUROASPIRE V surveys.

    Vynckier, Pieter / De Sutter, Johan / De Pauw, Michel / Vandekerckhove, Hans / De Backer, Guy / Vervaet, Pieter / Deweerdt, Nancy / Dendale, Paul / Persu, Alexandre / Janssen, Arne / Chenu, Patrick / Kotseva, Kornelia / Gevaert, Sofie / De Bacquer, Dirk / De Smedt, Delphine

    Acta cardiologica

    2023  Volume 78, Issue 5, Page(s) 607–613

    Abstract: Aims: The aim of this study was to provide an up-to-date overview of gender differences or similarities in risk factor control and medical management in the Belgian CHD population.: Methods: All analyses are based on the ESC EORP EUROASPIRE IV and ... ...

    Abstract Aims: The aim of this study was to provide an up-to-date overview of gender differences or similarities in risk factor control and medical management in the Belgian CHD population.
    Methods: All analyses are based on the ESC EORP EUROASPIRE IV and EUROASPIRE V (European Survey Of Cardiovascular Disease Prevention And Diabetes) surveys. Patients between 18 and 80 years old, hospitalised for a first or recurrent coronary event, were included in the survey.
    Results: Data were available for 10,519 patients, of which 23.9% were women. Women had a worse risk factor profile compared to men. Women were more physical inactive (OR = 1.31, 95% CI = 1.19-1.44), had a higher prevalence of obesity (OR = 1.37, 95% CI = 1.25-1.50) and had a worse LDL-C control (OR = 1.52, 95% CI = 1.36-1.70). Moreover, women were less likely to use ACE-I/ARBs (OR = 0.84, 95% CI = 0.76-0.94) and statins (OR = 0.79, 95% CI = 0.70-0.90). In addition, little gender differences were found in patients' risk factor awareness, except on cholesterol awareness. Women were more aware about their total cholesterol levels (OR = 1.37, 95% CI = 1.21-1.56).
    Conclusion: Despite little to no gender differences in the management of CHD patients, women still have a worse risk factor profile, both in Belgian and in other European high-income countries.
    MeSH term(s) Male ; Humans ; Female ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Aged, 80 and over ; Belgium/epidemiology ; Angiotensin Receptor Antagonists/therapeutic use ; Coronary Disease/epidemiology ; Angiotensin-Converting Enzyme Inhibitors/therapeutic use ; Risk Factors ; Europe/epidemiology ; Cholesterol
    Chemical Substances Angiotensin Receptor Antagonists ; Angiotensin-Converting Enzyme Inhibitors ; Cholesterol (97C5T2UQ7J)
    Language English
    Publishing date 2023-02-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 390197-x
    ISSN 1784-973X ; 0001-5385
    ISSN (online) 1784-973X
    ISSN 0001-5385
    DOI 10.1080/00015385.2023.2169439
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The contralateral limb is no reliable reference to restore coronal alignment in TKA.

    Beckers, Lucas / Colyn, William / Bellemans, Johan / Victor, Jan / Vandekerckhove, Pieter-Jan

    Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

    2020  Volume 30, Issue 2, Page(s) 477–487

    Abstract: Purpose: Implementation of morphometric reference data from the contralateral, unaffected lower limb is suggested when reconstructing the coronal plane alignment in TKA. Limited information, however, is available which confirms this left-to-right ... ...

    Abstract Purpose: Implementation of morphometric reference data from the contralateral, unaffected lower limb is suggested when reconstructing the coronal plane alignment in TKA. Limited information, however, is available which confirms this left-to-right symmetry in coronal alignment based upon radiographs. The purpose of the study was, therefore, (1) to verify if a left-to-right symmetry is present and (2) to assess whether the contralateral lower limb would be a reliable reference for reconstructing the frontal plane alignment.
    Methods: Full-leg standing radiographs of 250 volunteers (male, 125; female,125) were reviewed for three alignment parameters (Hip-Knee-Ankle angle (HKA), Femoral Mechanical Angle (FMA) and Tibial Mechanical Angle (TMA)). Evaluation of assumed left-to-right symmetry was performed according to two coronal alignment classifications (HKA subdivisions (HKA) and limb, femoral and tibial phenotypes (HKA, FMA and TMA)). Inter- and within-subject variability was calculated, along with correlations coefficients (r) and coefficients of determination (r
    Results: Symmetrical distribution in coronal alignment was found in 79% (HKA subdivision) and 59% (limb phenotype) of the cohort. Gender differences were present for the most common symmetric limb phenotypes (VAR
    Conclusion: No strict left-to-right symmetry was observed in coronal alignment measurements. There is insufficient left-to-right agreement to consider the concept of the contralateral unaffected limb as an idealized reference for frontal plane alignment reconstruction based upon full-leg standing radiographs.
    Level of evidence: I.
    MeSH term(s) Arthroplasty, Replacement, Knee ; Female ; Femur/surgery ; Humans ; Knee Joint/diagnostic imaging ; Knee Joint/surgery ; Male ; Osteoarthritis, Knee/surgery ; Reproducibility of Results ; Tibia/diagnostic imaging ; Tibia/surgery
    Language English
    Publishing date 2020-07-21
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1159064-6
    ISSN 1433-7347 ; 0942-2056
    ISSN (online) 1433-7347
    ISSN 0942-2056
    DOI 10.1007/s00167-020-06152-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Generative Participatory Design Methodology to Develop Electronic Health Interventions: Systematic Literature Review.

    Vandekerckhove, Pieter / de Mul, Marleen / Bramer, Wichor M / de Bont, Antoinette A

    Journal of medical Internet research

    2020  Volume 22, Issue 4, Page(s) e13780

    Abstract: Background: Generative participatory design (PD) may help in developing electronic health (eHealth) interventions. PD is characterized by the involvement of all stakeholders in creative activities. This is different from the traditional user-centered ... ...

    Abstract Background: Generative participatory design (PD) may help in developing electronic health (eHealth) interventions. PD is characterized by the involvement of all stakeholders in creative activities. This is different from the traditional user-centered design, where users are less involved. When looking at PD from a research through design perspective, it is important to summarize the reasons for choosing a certain form of generative PD to further develop its methodology. However, the scientific literature is currently unclear about which forms of PD are used to develop eHealth and which arguments are used to substantiate the decision to use a certain form of generative PD.
    Objective: This study aimed to explore the reporting and substantiation of generative PD methodologies in empirical eHealth studies published in scientific journals to further develop PD methodology in the field of eHealth.
    Methods: A systematic literature review following the Cochrane guidelines was conducted in several databases (EMBASE, MEDLINE Ovid, Web of Science, and CINAHL EBSCOhost). Data were extracted on the recruitment and management of stakeholders, the use of tools, and the use of outcome measures.
    Results: Of the 3131 studies initially identified, 69 were selected for qualitative synthesis. The reporting was very variable, depending to a large extent on whether the study stated that reporting on the PD process was a major aim. The different levels of reporting and substantiation of the choices of a recruitment strategy, stakeholder management, and tools and outcome measures are presented. Only a few authors explicitly used arguments directly related to PD guiding principles such as democratic, mutual learning, tacit and latent knowledge, and collective creativity. Even though PD principles were not always explicitly discussed in the method descriptions of the studies, they were implicitly present, mostly in the descriptions of the use of PD tools. The arguments used to substantiate the choices made in stakeholder management, PD tools, and the type of outcome measures adopted point to the involvement of PD principles.
    Conclusions: Studies that have used a PD research methodology to develop eHealth primarily substantiate the choice of tools made and much less the use of stakeholders and outcome measures.
    MeSH term(s) Humans ; Research Design/standards ; Telemedicine/methods
    Language English
    Publishing date 2020-04-27
    Publishing country Canada
    Document type Journal Article ; Systematic Review
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1438-8871
    ISSN (online) 1438-8871
    ISSN 1438-8871
    DOI 10.2196/13780
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Leveraging user experience to improve video consultations in a cardiology practice: initial insights during COVID-19

    Vandekerckhove, Pieter / Vandekerckhove, Yves / Tavernier, Rene / De Jaegher, Kelly / de Mul, Marleen

    J. med. internet res

    Abstract: UNSTRUCTURED: During the COVID-19 pandemic, cardiologists try to minimize the risks for their patients by using telehealth to provide continuing care. Rapidly implementing video consultations (VCs) in outpatient clinics for heart patients can be ... ...

    Abstract UNSTRUCTURED: During the COVID-19 pandemic, cardiologists try to minimize the risks for their patients by using telehealth to provide continuing care. Rapidly implementing video consultations (VCs) in outpatient clinics for heart patients can be challenging. We employed a design thinking (DT) tool, called a customer journey, to explore challenges and opportunities when using video communication software in the cardiology department of a regional hospital. Interviews were conducted with five patients with implanted devices, a nurse, an IT manager and two cardiologists. Three lessons were identified based on these challenges and opportunities. Attention should be given to the ease of use of the technology, the meeting features and the establishment of the connection between the cardiologist and the patient. Further, facilitating the role of an (virtual) assistant in video consultation software who can manage the telehealth process may improve the success of video consultations. Employing DT to implement VCs in cardiology and to further implement telehealth is crucial to build a resilient healthcare system that can cope with urgent needs beyond COVID-19.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32519964
    Database COVID19

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  7. Article: Leveraging User Experience to Improve Video Consultations in a Cardiology Practice During the COVID-19 Pandemic: Initial Insights

    Vandekerckhove, Pieter / Vandekerckhove, Yves / Tavernier, Rene / De Jaegher, Kelly / de Mul, Marleen

    J Med Internet Res

    Abstract: During the coronavirus disease (COVID-19) pandemic, cardiologists have attempted to minimize risks to their patients by using telehealth to provide continuing care. Rapid implementation of video consultations in outpatient clinics for patients with heart ...

    Abstract During the coronavirus disease (COVID-19) pandemic, cardiologists have attempted to minimize risks to their patients by using telehealth to provide continuing care. Rapid implementation of video consultations in outpatient clinics for patients with heart disease can be challenging. We employed a design thinking tool called a customer journey to explore challenges and opportunities when using video communication software in the cardiology department of a regional hospital. Interviews were conducted with 5 patients with implanted devices, a nurse, an information technology manager and two cardiologists. Three lessons were identified based on these challenges and opportunities. Attention should be given to the ease of use of the technology, the meeting features, and the establishment of the connection between the cardiologist and the patient. Further, facilitating the role of an assistant (or virtual assistant) with the video consultation software who can manage the telehealth process may improve the success of video consultations. Employing design thinking to implement video consultations in cardiology and to further implement telehealth is crucial to build a resilient health care system that can address urgent needs beyond the COVID-19 pandemic.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32519964
    Database COVID19

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  8. Article ; Online: Leveraging User Experience to Improve Video Consultations in a Cardiology Practice During the COVID-19 Pandemic

    Vandekerckhove, P. (Pieter) / Vandekerckhove, Y. (Yves) / Tavernier, R. (Rene) / De Jaegher, K. (Kelly) / Mul, M. (Marleen) de

    Journal of Medical Internet Research vol. 22 no. 6

    Initial Insights

    2020  

    Abstract: During the coronavirus disease (COVID-19) pandemic, cardiologists have attempted to minimize risks to their patients by using telehealth to provide continuing care. Rapid implementation of video consultations in outpatient clinics for patients with heart ...

    Abstract During the coronavirus disease (COVID-19) pandemic, cardiologists have attempted to minimize risks to their patients by using telehealth to provide continuing care. Rapid implementation of video consultations in outpatient clinics for patients with heart disease can be challenging. We employed a design thinking tool called a customer journey to explore challenges and opportunities when using video communication software in the cardiology department of a regional hospital. Interviews were conducted with 5 patients with implanted devices, a nurse, an information technology manager and two cardiologists. Three lessons were identified based on these challenges and opportunities. Attention should be given to the ease of use of the technology, the meeting features, and the establishment of the connection between the cardiologist and the patient. Further, facilitating the role of an assistant (or virtual assistant) with the video cons
    Keywords cardiology ; COVID-19 ; design thinking ; patient ; telemedicine ; user experience ; covid19
    Language English
    Publishing date 2020-06-25
    Publishing country nl
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Leveraging User Experience to Improve Video Consultations in a Cardiology Practice During the COVID-19 Pandemic

    Vandekerckhove, Pieter / Vandekerckhove, Yves / Tavernier, Rene / De Jaegher, Kelly / de Mul, Marleen

    Journal of Medical Internet Research, Vol 22, Iss 6, p e

    Initial Insights

    2020  Volume 19771

    Abstract: During the coronavirus disease (COVID-19) pandemic, cardiologists have attempted to minimize risks to their patients by using telehealth to provide continuing care. Rapid implementation of video consultations in outpatient clinics for patients with heart ...

    Abstract During the coronavirus disease (COVID-19) pandemic, cardiologists have attempted to minimize risks to their patients by using telehealth to provide continuing care. Rapid implementation of video consultations in outpatient clinics for patients with heart disease can be challenging. We employed a design thinking tool called a customer journey to explore challenges and opportunities when using video communication software in the cardiology department of a regional hospital. Interviews were conducted with 5 patients with implanted devices, a nurse, an information technology manager and two cardiologists. Three lessons were identified based on these challenges and opportunities. Attention should be given to the ease of use of the technology, the meeting features, and the establishment of the connection between the cardiologist and the patient. Further, facilitating the role of an assistant (or virtual assistant) with the video consultation software who can manage the telehealth process may improve the success of video consultations. Employing design thinking to implement video consultations in cardiology and to further implement telehealth is crucial to build a resilient health care system that can address urgent needs beyond the COVID-19 pandemic.
    Keywords Computer applications to medicine. Medical informatics ; R858-859.7 ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher JMIR Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: Intravenous Injection of Equine Mesenchymal Stem Cells in Dogs with Articular Pain and Lameness: A Feasibility Study.

    Brondeel, Carlien / Weekers, Frederik / van Hecke, Lore / Depuydt, Eva / Pauwelyn, Glenn / Verhoeven, Geert / de Bouvré, Nathalie / De Roeck, Peter / Vandekerckhove, Peter / Vanacker, Pieter / Böhm-Geerdink, Davina / Daems, Robert / Duchateau, Luc / Saunders, Jimmy / Samoy, Yves / Spaas, Jan H

    Stem cells and development

    2023  Volume 32, Issue 11-12, Page(s) 292–300

    Abstract: Osteoarthritis is a frequently occurring joint disorder in veterinary practice. Current treatments are focused on pain and inflammation; however, these are not able to reverse the pathological condition. Mesenchymal stem cells (MSCs) could provide an ... ...

    Abstract Osteoarthritis is a frequently occurring joint disorder in veterinary practice. Current treatments are focused on pain and inflammation; however, these are not able to reverse the pathological condition. Mesenchymal stem cells (MSCs) could provide an interesting alternative because of their immunomodulatory properties. The objective of this study was to evaluate the potential of a single intravenous (IV) injection of xenogeneic equine peripheral blood-derived MSCs (epbMSCs) as treatment for articular pain and lameness. Patients with chronic articular pain were injected intravenously with epbMSCs. They were evaluated at three time points (baseline and two follow-ups) by a veterinarian based on an orthopedic joint assessment and an owner canine brief pain inventory scoring. Thirty-five dogs were included in the safety and efficacy evaluation of the study. Results showed that the epbMSC therapy was well tolerated, with no treatment-related adverse events and no increase in articular heat or pain. A significant improvement in lameness, range of motion, joint effusion, pain severity, and interference scores was found 6 weeks post-treatment compared with baseline. This study demonstrates that future research on IV administration of epbMSCs is warranted to further explore its possible beneficial effects in dogs with chronic articular pain and lameness. Clinical Trial gov ID: EC_2018_002.
    MeSH term(s) Animals ; Dogs ; Feasibility Studies ; Horses ; Injections, Intra-Articular/adverse effects ; Injections, Intra-Articular/veterinary ; Injections, Intravenous ; Lameness, Animal/therapy ; Lameness, Animal/etiology ; Mesenchymal Stem Cell Transplantation/adverse effects ; Mesenchymal Stem Cells ; Pain/complications ; Pain/veterinary
    Language English
    Publishing date 2023-04-19
    Publishing country United States
    Document type Clinical Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2142214-X
    ISSN 1557-8534 ; 1547-3287
    ISSN (online) 1557-8534
    ISSN 1547-3287
    DOI 10.1089/scd.2022.0296
    Database MEDical Literature Analysis and Retrieval System OnLINE

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