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Article ; Online: Negative language use of the physiotherapist in low back pain education impacts anxiety and illness beliefs: A randomised controlled trial in healthy respondents.

Fieke Linskens, F G / van der Scheer, E S / Stortenbeker, I / Das, E / Staal, J B / van Lankveld, W

2023 Volume 110, Page(s) 107649

Abstract: Objective: This study aimed to determine the effect of physiotherapists' negative language use on nocebo effects of state anxiety and illness beliefs.: Methods: A web-based randomised controlled trial included adults without recent musculoskeletal ... ...

Abstract	Objective: This study aimed to determine the effect of physiotherapists' negative language use on nocebo effects of state anxiety and illness beliefs. Methods: A web-based randomised controlled trial included adults without recent musculoskeletal pain. The intervention was a short educational video about low back pain using negative language (nocebo condition: n = 87) versus a video using neutral or positive language (control condition: n = 82). State anxiety was assessed using the State-Trait Anxiety Inventory. Illness beliefs were assessed using the Illness Perception Questionnaire. Results: Nocebo and control groups differed in outcome measures (MANOVA Pillai's trace = 0.22, F = 4.98; df = (9,159), p < 0.001). Post-hoc analyses showed a medium to large effect for the nocebo condition on anxiety (d = 0.71, 95% CI 0.4 -1.0). The nocebo group also had higher scores in three illness beliefs: beliefs on timeline (d = 0.45, 95% CI 0.14 - 0.75), treatment control (d = 0.43, 95% CI 0.12 - 0.74) and concern (d = 0.47, 95% CI 0.16 - 0.78). Conclusion: Physiotherapists' use of negative language contributes directly to a higher state anxiety and illness beliefs that can trigger the nocebo effects in the recipient PRACTICE IMPLICATIONS: Negative language use should be avoided.
MeSH term(s)	Adult ; Humans ; Low Back Pain/therapy ; Physical Therapists ; Anxiety ; Language ; Surveys and Questionnaires
Language	English
Publishing date	2023-01-27
Publishing country	Ireland
Document type	Randomized Controlled Trial ; Journal Article
ZDB-ID	605590-4
ISSN	1873-5134 ; 0738-3991
ISSN (online)	1873-5134
ISSN	0738-3991
DOI	10.1016/j.pec.2023.107649
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Article ; Online: Development and feasibility of stratified primary care physiotherapy integrated with eHealth in patients with neck and/or shoulder complaints: results of a mixed methods study.

van Tilburg, Mark L / Kloek, Corelien J J / Foster, Nadine E / Ostelo, Raymond W J G / Veenhof, Cindy / Staal, J Bart / Pisters, Martijn F

BMC musculoskeletal disorders

2023 Volume 24, Issue 1, Page(s) 176

Abstract: Background: Providing individualized care based on the context and preferences of the patient is important. Knowledge on both prognostic risk stratification and blended eHealth care in musculoskeletal conditions is increasing and seems promising. ... ...

Abstract	Background: Providing individualized care based on the context and preferences of the patient is important. Knowledge on both prognostic risk stratification and blended eHealth care in musculoskeletal conditions is increasing and seems promising. Stratification can be used to match patients to the most optimal content and intensity of treatment as well as mode of treatment delivery (i.e. face-to-face or blended with eHealth). However, research on the integration of stratified and blended eHealth care with corresponding matched treatment options for patients with neck and/or shoulder complaints is lacking. Methods: This study was a mixed methods study comprising the development of matched treatment options, followed by an evaluation of the feasibility of the developed Stratified Blended Physiotherapy approach. In the first phase, three focus groups with physiotherapists and physiotherapy experts were conducted. The second phase investigated the feasibility (i.e. satisfaction, usability and experiences) of the Stratified Blended Physiotherapy approach for both physiotherapists and patients in a multicenter single-arm convergent parallel mixed methods feasibility study. Results: In the first phase, matched treatment options were developed for six patient subgroups. Recommendations for content and intensity of physiotherapy were matched to the patient's risk of persistent disabling pain (using the Keele STarT MSK Tool: low/medium/high risk). In addition, selection of mode of treatment delivery was matched to the patient's suitability for blended care (using the Dutch Blended Physiotherapy Checklist: yes/no). A paper-based workbook and e-Exercise app modules were developed as two different mode of treatment delivery options, to support physiotherapists. Feasibility was evaluated in the second phase. Physiotherapists and patients were mildly satisfied with the new approach. Usability of the physiotherapist dashboard to set up the e-Exercise app was considered 'OK' by physiotherapists. Patients considered the e-Exercise app to be of 'best imaginable' usability. The paper-based workbook was not used. Conclusion: Results of the focus groups led to the development of matched treatment options. Results of the feasibility study showed experiences with integrating stratified and blended eHealth care and have informed amendments to the Stratified Blended Physiotherapy approach for patients with neck and/or shoulder complaints ready to use within a future cluster randomized trial.
MeSH term(s)	Humans ; Shoulder ; Feasibility Studies ; Physical Therapy Modalities ; Telemedicine/methods ; Primary Health Care
Language	English
Publishing date	2023-03-09
Publishing country	England
Document type	Randomized Controlled Trial ; Multicenter Study ; Journal Article
ZDB-ID	2041355-5
ISSN	1471-2474 ; 1471-2474
ISSN (online)	1471-2474
ISSN	1471-2474
DOI	10.1186/s12891-023-06272-6
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Article ; Online: Parents' and healthcare professionals' perspectives on manual therapy in infants: A mixed-methods study.

Driehuis, Femke / Bakker-Jacobs, Annick / Staal, J Bart / de Bie, Rob A / Nijhuis-van der Sanden, Maria W G / Hoogeboom, Thomas J

PloS one

2023 Volume 18, Issue 4, Page(s) e0283646

Abstract: Objectives: Manual therapy in infants is embedded in Dutch healthcare despite inconsistent evidence and ongoing debate about its safety and merits. This study examines decision-making in manual therapy in infants and explores parents' and healthcare ... ...

Abstract	Objectives: Manual therapy in infants is embedded in Dutch healthcare despite inconsistent evidence and ongoing debate about its safety and merits. This study examines decision-making in manual therapy in infants and explores parents' and healthcare professionals' perspectives on this treatment approach. Methods: This mixed-methods study consisted of an online survey among manual physiotherapists and paediatric physiotherapists exploring decision-making on manual therapy in infants and interprofessional collaboration. These data prompted further exploration and were combined with data collected with semi-structured interviews exploring parents' and healthcare professionals' perspectives. Interviews were analysed using an inductive content analysis approach. Results: 607 manual physiotherapists and 388 paediatric physiotherapists completed the online survey; 45% and 95% indicated they treat infants, respectively. Collaboration was reported by 46% of manual physiotherapists and 64% of paediatric physiotherapists for postural asymmetry, positional preference, upper cervical dysfunction, excessive crying, anxiety or restlessness. Reasons to not treat or collaborate were: limited professional competence, practice policy, not perceiving added value, lack of evidence and fear of complications. Analysis of interviews with 7 parents, 9 manual physiotherapists, 7 paediatric physiotherapists, 5 paediatricians and 2 maternity nurses revealed that knowledge and beliefs, professional norms, interpersonal relation, treatment experiences and emotions of parents influenced attitudes and decision-making towards choosing for manual therapy in infants. Conclusion: Parents' and healthcare professionals' attitudes towards manual therapy in infants can be divided as 'in favour' or 'against'. Those who experienced a good interpersonal relation with a manual physiotherapist and positive treatment outcomes reported positive attitudes. Lack of evidence, treatment experience and related knowledge, safety issues due to publications on adverse events and professional norms led to negative attitudes. Despite lacking evidence, positive treatment experiences, good interpersonal relation and parents feeling frustrated and despaired can overrule negative attitudes and directly influence the decision-making process and choosing for manual therapy treatment.
MeSH term(s)	Pregnancy ; Humans ; Infant ; Child ; Female ; Qualitative Research ; Physical Therapists ; Attitude of Health Personnel ; Emotions ; Parents/psychology
Language	English
Publishing date	2023-04-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0283646
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Article ; Online: Challenges in Predicting the Change in the Cumulative Exposure of New Tobacco and Related Products Based on Emissions and Toxicity Dose-Response Data.

Staal, Yvonne C M / Bil, Wieneke / Bokkers, Bas G H / Soeteman-Hernández, Lya G / Stephens, W Edryd / Talhout, Reinskje

International journal of environmental research and public health

2022 Volume 19, Issue 17

Abstract: Many novel tobacco products have been developed in recent years. Although many may emit lower levels of several toxicants, their risk in the long term remains unclear. We previously published a method for the exposure assessment of mixtures that can be ... ...

Abstract	Many novel tobacco products have been developed in recent years. Although many may emit lower levels of several toxicants, their risk in the long term remains unclear. We previously published a method for the exposure assessment of mixtures that can be used to compare the changes in cumulative exposure to carcinogens among tobacco products. While further developing this method by including more carcinogens or to explore its application to non-cancer endpoints, we encountered a lack of data that are required for better-substantiated conclusions regarding differences in exposure between products. In this special communication, we argue the case for more data on adverse health effects, as well as more data on the composition of the emissions from tobacco products. Such information can be used to identify significant changes in relevance to health using the cumulative exposure method with different products and to substantiate regulatory decisions.
MeSH term(s)	Carcinogens/toxicity ; Nicotiana/toxicity ; Tobacco Products/toxicity
Chemical Substances	Carcinogens
Language	English
Publishing date	2022-08-24
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph191710528
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Article: Suïcidaliteit bij adolescenten met therapieresistente internaliserende problematiek.

Herpers, P C M / Neumann, J E C / Staal, W G

Tijdschrift voor psychiatrie

2020 Volume 62, Issue 4, Page(s) 283–290

Abstract: Background: Suicidality in adolescence is increasingly becoming a societal problem, especially because there remains a small group of patients in which treatment effectiveness is small. Existing formal guidelines often are of limited value in this group ...

Title translation	Suicidality in adolescents with therapy refractory internalising behaviour.
Abstract	Background: Suicidality in adolescence is increasingly becoming a societal problem, especially because there remains a small group of patients in which treatment effectiveness is small. Existing formal guidelines often are of limited value in this group that often shows complex comorbidity.<br/> AIM: To contribute to the diagnostic and aetiological perspective in order to better understand therapy refractory internalising behaviour.<br/> METHOD: Integration of several scientific theoretical concepts into a holistic model.<br/> RESULTS: Evidence shows that suicidality should be considered within a broader scope of therapy refractory internalising behaviour. Important underpinnings comprise a partially overprotective parenting style, disturbed attachment processes and social anxiety. Internalising and externalising behaviour problems are viewed as expressions of avoidance behaviour. Furthermore, we discuss important implications for treatment.<br/> CONCLUSION: Applying an aetiological model for therapy refractory internalising behaviour may help to increase efficacy of treatment. Thus, transdiagnostic treatment can be offered, being less dependent on specific dsm-classifications. Focus of treatment is on restoration of basic trust between the youngster and his parents, and on ending avoidance behaviour that is based on social anxiety.
MeSH term(s)	Adolescent ; Comorbidity ; Humans ; Parenting ; Parents ; Problem Behavior ; Suicide
Keywords	covid19
Language	Dutch
Publishing date	2020-05-09
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	604662-9
ISSN	0303-7339
ISSN	0303-7339
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Zs.B 2520: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
Zs.MO 29: Show issues

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Article ; Online: Long-term outcomes of successful left atrial appendage occlusion with focus on stroke prevention: 10-year follow-up of a single-center registry.

Maarse, Moniek / Aarnink, Errol W / Huijboom, Marina F M / Abeln, Bob G S / Staal, Diederik / Rensing, Benno J W M / Kerklaan, Joost P / van Dijk, Vincent F / Swaans, Martin J / Boersma, Lucas V A

Heart rhythm O2

2023 Volume 4, Issue 5, Page(s) 298–308

Abstract: Background: Percutaneous left atrial appendage occlusion (LAAO) is an alternative to anticoagulation in the prevention of stroke in patients with nonvalvular atrial fibrillation, especially in patients with a contraindication for oral anticoagulation ... ...

Abstract	Background: Percutaneous left atrial appendage occlusion (LAAO) is an alternative to anticoagulation in the prevention of stroke in patients with nonvalvular atrial fibrillation, especially in patients with a contraindication for oral anticoagulation therapy (OAT). Objective: The study sought to obtain long-term patient outcomes after successful LAAO in everyday clinical practice. Methods: In this single-center registry spanning over 10 years, data of all consecutive patients that underwent percutaneous LAAO were collected. Observed thromboembolic and major bleeding event rates after successful LAAO during follow-up were compared with expected event rates based on CHA Results: Of 230 patients scheduled for LAAO (38% women, 69.5 ± 8.2 years of age, CHA Conclusion: Thromboembolic event rates during long-term follow-up after successful LAAO remained consistently lower than expected supporting the efficacy of LAAO.
Language	English
Publishing date	2023-03-17
Publishing country	United States
Document type	Journal Article
ISSN	2666-5018
ISSN (online)	2666-5018
DOI	10.1016/j.hroo.2023.03.002
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Article ; Online: Pivotal Response Treatment (PRT) - Parent Group Training for Young Children with Autism Spectrum Disorder: A Qualitative Study on Perspectives of Parents.

de Korte, Manon W P / Kaijadoe, Shireen P T / Buitelaar, Jan K / Staal, Wouter G / van Dongen-Boomsma, Martine

Journal of autism and developmental disorders

2022 Volume 52, Issue 12, Page(s) 5414–5427

Abstract: Pivotal Response Treatment (PRT) is considered to be an empirically supported parent-mediated treatment for children with autism spectrum disorder (ASD), but research on parental experiences is lacking. This qualitative study examined the perspectives of ...

Abstract	Pivotal Response Treatment (PRT) is considered to be an empirically supported parent-mediated treatment for children with autism spectrum disorder (ASD), but research on parental experiences is lacking. This qualitative study examined the perspectives of parents of young children with ASD who participated in a 14-week PRT with parent group training (PRT-PG). Semi-structured interviews (n = 12) were carried out, based on Grounded Theory principles. Results indicated that facilitators and barriers were related to timing and expectations, training setting and characteristics, and participant characteristics. Perceived effects were related to improved child's social-communication skills and well-being, parental insights into their child's needs and own habitual patterns in communication and behavior, and positive changes in family cohesion. The findings indicate that in general parents value PRT-PG as feasible and effective.
MeSH term(s)	Child ; Humans ; Child, Preschool ; Autism Spectrum Disorder/therapy ; Parents/education ; Qualitative Research ; Social Skills ; Communication
Language	English
Publishing date	2022-01-27
Publishing country	United States
Document type	Journal Article
ZDB-ID	391999-7
ISSN	1573-3432 ; 0162-3257
ISSN (online)	1573-3432
ISSN	0162-3257
DOI	10.1007/s10803-021-05397-8
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Article ; Online: Pivotal Response Treatment (PRT) parent group training for young children with autism spectrum disorder: a pilot study.

de Korte, Manon W P / van Dongen-Boomsma, Martine / Oosterling, Iris J / Buitelaar, Jan K / Staal, Wouter G

Scientific reports

2022 Volume 12, Issue 1, Page(s) 7691

Abstract: ... involvement of multiple important contexts (e.g. home, school, community) of the young child. The current ...

Abstract	Pivotal Response Treatment (PRT) is a promising intervention addressing core symptoms of autism spectrum disorder (ASD), with parent involvement as key component. Parent group-delivered PRT may be an effective treatment model, but currently the evidence is limited. Also, little attention has been paid to therapeutic involvement of multiple important contexts (e.g. home, school, community) of the young child. The current study explores a 14-week protocol of PRT parent group training (PRT-PG), complemented with individual parent-child sessions and involvement of teachers and other childcare providers. Children aged 2-6 years old with ASD and their parents (n = 20) were included. Preliminary results showed a significant increase in spontaneous initiations during a semi-structured therapist-child interaction together with widespread gains in clinical global functioning. No significant improvement on parent-rated general social-communication skills was observed. These findings justify further research on parent group delivered PRT models.
MeSH term(s)	Autism Spectrum Disorder/therapy ; Child ; Child, Preschool ; Communication ; Humans ; Parents/education ; Pilot Projects ; Social Skills
Language	English
Publishing date	2022-05-11
Publishing country	England
Document type	Journal Article
ZDB-ID	2615211-3
ISSN	2045-2322 ; 2045-2322
ISSN (online)	2045-2322
ISSN	2045-2322
DOI	10.1038/s41598-022-10604-2
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Article ; Online: Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.

Staal, Justine / Hooftman, Jacky / Gunput, Sabrina T G / Mamede, Sílvia / Frens, Maarten A / Van den Broek, Walter W / Alsma, Jelmer / Zwaan, Laura

BMJ quality & safety

2022 Volume 31, Issue 12, Page(s) 899–910

Abstract: Background: Preventable diagnostic errors are a large burden on healthcare. Cognitive reasoning tools, that is, tools that aim to improve clinical reasoning, are commonly suggested interventions. However, quantitative estimates of tool effectiveness ... ...

Abstract	Background: Preventable diagnostic errors are a large burden on healthcare. Cognitive reasoning tools, that is, tools that aim to improve clinical reasoning, are commonly suggested interventions. However, quantitative estimates of tool effectiveness have been aggregated over both workplace-oriented and educational-oriented tools, leaving the impact of workplace-oriented cognitive reasoning tools alone unclear. This systematic review and meta-analysis aims to estimate the effect of cognitive reasoning tools on improving diagnostic performance among medical professionals and students, and to identify factors associated with larger improvements. Methods: Controlled experimental studies that assessed whether cognitive reasoning tools improved the diagnostic accuracy of individual medical students or professionals in a workplace setting were included. Embase.com, Medline ALL via Ovid, Web of Science Core Collection, Cochrane Central Register of Controlled Trials and Google Scholar were searched from inception to 15 October 2021, supplemented with handsearching. Meta-analysis was performed using a random-effects model. Results: The literature search resulted in 4546 articles of which 29 studies with data from 2732 participants were included for meta-analysis. The pooled estimate showed considerable heterogeneity (I Conclusion: Cognitive reasoning tools resulted in small but clinically important improvements in diagnostic accuracy in medical students and professionals, although no factors could be distinguished that resulted in larger improvements. Cognitive reasoning tools could be routinely implemented to improve diagnosis in practice, but going forward, more large-scale studies and evaluations of these tools in practice are needed to determine how these tools can be effectively implemented. Prospero registration number: CRD42020186994.
MeSH term(s)	Humans ; Workplace ; Diagnostic Errors ; Students, Medical ; Cognition
Language	English
Publishing date	2022-09-02
Publishing country	England
Document type	Meta-Analysis ; Systematic Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2592909-4
ISSN	2044-5423 ; 2044-5415
ISSN (online)	2044-5423
ISSN	2044-5415
DOI	10.1136/bmjqs-2022-014865
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Article ; Online: Percutaneous left atrial appendage occlusion in patients with a cardiac implantable electronic device.

Staal, D P / Maarse, M / Aarnink, E / Huijboom, M F M / Abeln, B G S / Rensing, B J M W / Swaans, M J / Van Dijk, V F / Boersma, L V A

Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing

2023 Volume 66, Issue 9, Page(s) 1971–1978

Abstract: Background: Left atrial appendage occlusion (LAAO) may be a viable option for stroke prevention in patients with non-valvular atrial fibrillation and a contraindication for oral anticoagulation. No evidence evaluating the safety of this procedure in ... ...

Abstract	Background: Left atrial appendage occlusion (LAAO) may be a viable option for stroke prevention in patients with non-valvular atrial fibrillation and a contraindication for oral anticoagulation. No evidence evaluating the safety of this procedure in patients with a cardiac implantable electronic device (CIED) exists. The aim of this study was to evaluate whether CIED function is affected by LAAO and to explore LAAO procedural characteristics and complications in patients with a CIED. Methods: This single-center cohort study included consecutive patients scheduled for percutaneous LAAO. Patients with a CIED prior to LAAO were selected and compared to the patients without CIED, concerning procedural characteristics and peri-procedural complications. In the group of patients with CIEDs, essential pacemaker integrity parameters were compared before and after the procedure to detect possible micro and macro lead displacements. Results: Thirty-one patients with CIED were scheduled for LAAO (age 73.7 ± 5.4 years, 65% males, CHA Conclusion: This study supports the feasibility and safety of LAAO in patients with a CIED.
MeSH term(s)	Male ; Humans ; Aged ; Female ; Atrial Appendage/diagnostic imaging ; Atrial Appendage/surgery ; Treatment Outcome ; Cohort Studies ; Septal Occluder Device ; Atrial Fibrillation/diagnostic imaging ; Atrial Fibrillation/surgery ; Atrial Fibrillation/complications ; Stroke/etiology ; Stroke/prevention & control
Language	English
Publishing date	2023-03-01
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1329179-8
ISSN	1572-8595 ; 1383-875X
ISSN (online)	1572-8595
ISSN	1383-875X
DOI	10.1007/s10840-023-01512-0
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