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Article ; Online: Letting people flourish: defining and suggesting skills for maintaining and improving positive health.

Sponselee, Hanne C S / Ter Beek, Lies / Renders, Carry M / Kroeze, Willemieke / Fransen, Mirjam P / van Asselt, Kristel M / Steenhuis, Ingrid H M

Frontiers in public health

2023 Volume 11, Page(s) 1224470

Abstract: Background: The concept of "positive health" emerged from the need for a holistic and more dynamic perspective on health, emphasising the ability of individuals to adapt and self-manage. The positive health conversation tool helps understand how people ... ...

Abstract	Background: The concept of "positive health" emerged from the need for a holistic and more dynamic perspective on health, emphasising the ability of individuals to adapt and self-manage. The positive health conversation tool helps understand how people score on six positive health dimensions. However, skills within these dimensions to maintain or improve health have not yet been described. This is important for enabling individuals to put health advice into practise. Therefore, this paper aims to define and suggest skills for maintaining and improving positive health. Subsections: Suggestions for definitions of skills within the positive health dimensions are described using the functional, interactive, and critical health literacy framework. Additionally, executive functions and life skills were incorporated. Moreover, the environment's role in these individual skills was noted, mentioning organisational health literacy that emphasises organisations' responsibility to provide comprehensible health information to all individuals. We propose that health promotion interventions can incorporate the proposed skills in practical exercises while aligning intervention materials and implementation tools with end-users and implementers. Discussion and conclusion: The suggested skills for maintaining and improving positive health are a first step towards a more comprehensive understanding and open to discussion. These skills may also be applied to other practical conversation tools for maintaining or improving health. Increasing positive health through the defined skills may be especially relevant to those with a lower socioeconomic position who also have limited health literacy and thereby may contribute to reducing health inequalities. Taken together, strengthening the defined skills may hopefully contribute to allowing people to flourish in life.
MeSH term(s)	Humans ; Health Literacy ; Health Promotion ; Communication ; Exercise
Language	English
Publishing date	2023-10-12
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2023.1224470
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Article ; Online: Placental Pathology Contributes to Impaired Volumetric Brain Development in Neonates With Congenital Heart Disease.

Nijman, Maaike / van der Meeren, Lotte E / Nikkels, Peter G J / Stegeman, Raymond / Breur, Johannes M P J / Jansen, Nicolaas J G / Ter Heide, Henriette / Steenhuis, Trinette J / de Heus, Roel / Bekker, Mireille N / Claessens, Nathalie H P / Benders, Manon J N L

Journal of the American Heart Association

2024 Volume 13, Issue 5, Page(s) e033189

Abstract: Background: Neonates with congenital heart disease are at risk for impaired brain development in utero, predisposing children to postnatal brain injury and adverse long-term neurodevelopmental outcomes. Given the vital role of the placenta in fetal ... ...

Abstract	Background: Neonates with congenital heart disease are at risk for impaired brain development in utero, predisposing children to postnatal brain injury and adverse long-term neurodevelopmental outcomes. Given the vital role of the placenta in fetal growth, we assessed the incidence of placental pathology in fetal congenital heart disease and explored its association with total and regional brain volumes, gyrification, and brain injury after birth. Methods and results: Placentas from 96 term singleton pregnancies with severe fetal congenital heart disease were prospectively analyzed for macroscopic and microscopic pathology. We applied a placental pathology severity score to relate placental abnormalities to neurological outcome. Postnatal, presurgical magnetic resonance imaging was used to analyze brain volumes, gyrification, and brain injuries. Placental analyses revealed the following abnormalities: maternal vascular malperfusion lesions in 46%, nucleated red blood cells in 37%, chronic inflammatory lesions in 35%, delayed maturation in 30%, and placental weight below the 10th percentile in 28%. Severity of placental pathology was negatively correlated with cortical gray matter, deep gray matter, brainstem, cerebellar, and total brain volumes ( Conclusions: Placental pathology occurs frequently in neonates with severe congenital heart disease and may contribute to impaired brain development, indicated by the association between placental pathology severity and reductions in postnatal cortical, cerebellar, and total brain volumes.
MeSH term(s)	Infant, Newborn ; Child ; Pregnancy ; Humans ; Female ; Placenta/diagnostic imaging ; Placenta/pathology ; Fetal Development ; Brain/pathology ; Heart Defects, Congenital/complications ; Fetal Diseases ; Brain Injuries
Language	English
Publishing date	2024-02-29
Publishing country	England
Document type	Journal Article
ZDB-ID	2653953-6
ISSN	2047-9980 ; 2047-9980
ISSN (online)	2047-9980
ISSN	2047-9980
DOI	10.1161/JAHA.123.033189
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Article ; Online: 'I've worked so hard, I deserve a snack in the worksite cafeteria': A focus group study.

Velema, Elizabeth / Vyth, Ellis L / Steenhuis, Ingrid H M

Appetite

2018 Volume 133, Page(s) 297–304

Abstract: This study obtained insight in motivation regarding food choices of Dutch employees, especially when visiting the worksite cafeteria. We also aimed to know why employees visit the worksite cafeteria. These insights are useful for intervention development ...

Abstract	This study obtained insight in motivation regarding food choices of Dutch employees, especially when visiting the worksite cafeteria. We also aimed to know why employees visit the worksite cafeteria. These insights are useful for intervention development to encourage healthier purchases in worksite cafeterias. We conducted seven focus groups among 45 employees of seven Dutch companies. The topics were 1) drivers and motives for food selection; 2) motives for visiting the worksite cafeteria; 3) motives for food selection in the worksite cafeteria; 4) perceptions of healthiness of products in the worksite cafeteria and 5) solutions brought up by the employees to encourage healthier eating. Thematic analyses were conducted with MAXQDA software. Qualitative analyses revealed that this group of Dutch employees mentioned 'healthiness', 'price' and 'taste' as most important drivers food selection. These employees generally visit the worksite cafeteria to have a break from their work setting. Healthiness played a less important role in visiting or making food choices in the worksite cafeteria. Reasons for buying unhealthy food items were being tempted and the feeling to 'deserve' it. In order to choose healthier foods employees suggested a bigger offer of healthy food options, providing knowledge, changing prices and prominent placing of healthy foods. This focus group study shows that drivers for food selection can differ from motives for visiting the worksite cafeteria and when choosing food there. Health is important for food choice in general, but less important in the worksite cafeteria. The results of this study could be used in the development of strategies that aim to change people's food choice behavior.
MeSH term(s)	Adolescent ; Adult ; Choice Behavior ; Consumer Behavior ; Diet, Healthy ; Feeding Behavior ; Female ; Focus Groups ; Food Preferences ; Humans ; Male ; Middle Aged ; Motivation ; Netherlands ; Snacks ; Workplace ; Young Adult
Language	English
Publishing date	2018-11-28
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ISSN	1095-8304
ISSN (online)	1095-8304
DOI	10.1016/j.appet.2018.11.027
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Article ; Online: Diversifying crop rotation increases food production, reduces net greenhouse gas emissions and improves soil health.

Yang, Xiaolin / Xiong, Jinran / Du, Taisheng / Ju, Xiaotang / Gan, Yantai / Li, Sien / Xia, Longlong / Shen, Yanjun / Pacenka, Steven / Steenhuis, Tammo S / Siddique, Kadambot H M / Kang, Shaozhong / Butterbach-Bahl, Klaus

Nature communications

2024 Volume 15, Issue 1, Page(s) 198

Abstract: Global food production faces challenges in balancing the need for increased yields with environmental sustainability. This study presents a six-year field experiment in the North China Plain, demonstrating the benefits of diversifying traditional cereal ... ...

Abstract	Global food production faces challenges in balancing the need for increased yields with environmental sustainability. This study presents a six-year field experiment in the North China Plain, demonstrating the benefits of diversifying traditional cereal monoculture (wheat-maize) with cash crops (sweet potato) and legumes (peanut and soybean). The diversified rotations increase equivalent yield by up to 38%, reduce N
MeSH term(s)	Soil/chemistry ; Greenhouse Gases/analysis ; Carbon/analysis ; Nitrous Oxide/analysis ; Agriculture ; Crops, Agricultural ; Edible Grain/chemistry ; Vegetables ; Zea mays ; Triticum ; China ; Crop Production
Chemical Substances	Soil ; Greenhouse Gases ; Carbon (7440-44-0) ; Nitrous Oxide (K50XQU1029)
Language	English
Publishing date	2024-01-03
Publishing country	England
Document type	Journal Article
ZDB-ID	2553671-0
ISSN	2041-1723 ; 2041-1723
ISSN (online)	2041-1723
ISSN	2041-1723
DOI	10.1038/s41467-023-44464-9
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Article ; Online: Using nudging and social marketing techniques to create healthy worksite cafeterias in the Netherlands: intervention development and study design.

Velema, Elizabeth / Vyth, Ellis L / Steenhuis, Ingrid H M

BMC public health

2017 Volume 17, Issue 1, Page(s) 63

Abstract: Background: The worksite cafeteria is a suitable setting for interventions focusing on changing eating behavior, because a lot of employees visit the worksite cafeteria regularly and a variety of interventions could be implemented there. The aim of this ...

Abstract	Background: The worksite cafeteria is a suitable setting for interventions focusing on changing eating behavior, because a lot of employees visit the worksite cafeteria regularly and a variety of interventions could be implemented there. The aim of this paper is to describe the intervention development and design of the evaluation of an intervention to make the purchase behavior of employees in the worksite cafeteria healthier. The developed intervention called "the worksite cafeteria 2.0" consists of a set of 19 strategies based on theory of nudging and social marketing (marketing mix). The intervention will be evaluated in a real-life setting, that is Dutch worksite cafeterias of different companies and with a number of contract catering organizations. Methods/design: The study is a randomized controlled trial (RCT), with 34 Dutch worksite cafeterias randomly allocated to the 12-week intervention or to the control group. Primary outcomes are sales data of selected products groups like sandwiches, salads, snacks and bread topping. Secondary outcomes are satisfaction of employees with the cafeteria and vitality. Discussion: When executed, the described RCT will provide better knowledge in the effect of the intervention "the worksite cafeteria 2.0" on the purchasing behavior of Dutch employees in worksite cafeterias. Trial registration: Dutch Trial register: NTR5372 .
MeSH term(s)	Feeding Behavior ; Female ; Food Preferences ; Health Promotion/methods ; Humans ; Male ; Netherlands ; Program Evaluation/statistics & numerical data ; Research Design ; Social Marketing ; Workplace
Language	English
Publishing date	2017-01-11
Publishing country	England
Document type	Journal Article ; Randomized Controlled Trial
ISSN	1471-2458
ISSN (online)	1471-2458
DOI	10.1186/s12889-016-3927-7
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Article ; Online: Stakeholders' Perceptions Regarding Adaptation and Implementation of Existing Individual and Environmental Workplace Health Promotion Interventions in Blue-Collar Work Settings.

Sponselee, Hanne C S / Ter Beek, Lies / Renders, Carry M / Robroek, Suzan J W / Steenhuis, Ingrid H M / Kroeze, Willemieke

International journal of environmental research and public health

2022 Volume 19, Issue 20

Abstract: Blue-collar workers often have disadvantageous health statuses and might therefore benefit from a combination of individual and environmental workplace health promotion interventions. Exploring stakeholders' perceived facilitators and barriers regarding ... ...

Abstract	Blue-collar workers often have disadvantageous health statuses and might therefore benefit from a combination of individual and environmental workplace health promotion interventions. Exploring stakeholders' perceived facilitators and barriers regarding the combined implementation of these interventions in blue-collar work settings is important for effective implementation. A qualitative study consisting of 20 stakeholder interviews within six types of organisations in The Netherlands was conducted. The potential implementation of the evidence-based individual intervention SMARTsize and the environmental intervention company cafeteria 2.0 was discussed. Data were analysed using thematic analysis with a deductive approach. Five main themes emerged: (1) the availability of resources, (2) professional obligation, (3) expected employee cooperation, (4) the compatibility of the proposed health interventions, and (5) the content of implementation tools and procedures. Generally, stakeholders expressed a sense of professional obligation toward workplace health promotion, mentioning that the current societal focus on health and lifestyle provided the perfect opportunity to implement interventions to promote healthy eating and physical activity. However, they often perceived the high doses of employees' occupational physical activity as a barrier. We recommend co-creating interventions, implementation tools, and processes by involving stakeholders with different professional backgrounds and by adapting communication strategies at diverse organisational levels.
MeSH term(s)	Humans ; Workplace ; Occupational Health ; Health Promotion/methods ; Diet, Healthy ; Qualitative Research
Language	English
Publishing date	2022-10-19
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph192013545
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Article ; Online: Nudging and social marketing techniques encourage employees to make healthier food choices: a randomized controlled trial in 30 worksite cafeterias in The Netherlands.

Velema, Elizabeth / Vyth, Ellis L / Hoekstra, Trynke / Steenhuis, Ingrid H M

The American journal of clinical nutrition

2018 Volume 107, Issue 2, Page(s) 236–246

Abstract: Background: Currently, many studies focus on how the environment can be changed to encourage healthier eating behavior, referred to as choice architecture or "nudging." However, to date, these strategies are not often investigated in real-life settings, ...

Abstract	Background: Currently, many studies focus on how the environment can be changed to encourage healthier eating behavior, referred to as choice architecture or "nudging." However, to date, these strategies are not often investigated in real-life settings, such as worksite cafeterias, or are only done so on a short-term basis. Objective: The objective of this study is to examine the effects of a healthy worksite cafeteria ["worksite cafeteria 2.0" (WC 2.0)] intervention on Dutch employees' purchase behavior over a 12-wk period. Design: We conducted a randomized controlled trial in 30 worksite cafeterias. Worksite cafeterias were randomized to either the intervention or control group. The intervention aimed to encourage employees to make healthier food choices during their daily worksite cafeteria visits. The intervention consisted of 14 simultaneously executed strategies based on nudging and social marketing theories, involving product, price, placement, and promotion. Results: Adjusted multilevel models showed significant positive effects of the intervention on purchases for 3 of the 7 studied product groups: healthier sandwiches, healthier cheese as a sandwich filling, and the inclusion of fruit. The increased sales of these healthier meal options were constant throughout the 12-wk intervention period. Conclusions: This study shows that the way worksite cafeterias offer products affects purchase behavior. Situated nudging and social marketing-based strategies are effective in promoting healthier choices and aim to remain effective over time. Some product groups only indicated an upward trend in purchases. Such an intervention could ultimately help prevent and reduce obesity in the Dutch working population. This trial was registered at the Dutch Trial Register (http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=5372) as NTR5372.
MeSH term(s)	Choice Behavior ; Commerce ; Consumer Behavior ; Diet, Healthy ; Female ; Food Preferences ; Food Services ; Health Behavior ; Health Promotion ; Humans ; Male ; Meals ; Netherlands ; Social Marketing ; Surveys and Questionnaires ; Workplace
Language	English
Publishing date	2018-02-01
Publishing country	United States
Document type	Journal Article ; Multicenter Study ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
ZDB-ID	280048-2
ISSN	1938-3207 ; 0002-9165
ISSN (online)	1938-3207
ISSN	0002-9165
DOI	10.1093/ajcn/nqx045
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Article ; Online: Patient-perspective and feasibility of home finger-prick testing to complement and facilitate large-scale research in rheumatology.

Besten, Yaëlle R / Boekel, Laura / Steenhuis, Maurice / Hooijberg, Femke / Atiqi, Sadaf / Leeuw, Maureen / Vogelzang, Erik H / Keijser, Jim / Keijzer, Sofie / Loeff, Floris C / Gerritsen, Martijn / Tas, Sander W / Nurmohamed, Michael T / Rispens, Theo / Wolbink, Gertjan

RMD open

2024 Volume 10, Issue 2

Abstract: Background: During the COVID-19 pandemic, we developed a digital research platform to longitudinally investigate COVID-19-related outcomes in patients with rheumatic diseases and healthy controls. We used home finger-prick testing in order to collect ... ...

Abstract	Background: During the COVID-19 pandemic, we developed a digital research platform to longitudinally investigate COVID-19-related outcomes in patients with rheumatic diseases and healthy controls. We used home finger-prick testing in order to collect serum samples remotely and increase the overall efficiency of the platform. The aim of the present study was to evaluate the success rate of the finger prick and patients' perspective towards the finger prick. Methods: Serum samples were collected up to five times during follow-up, either via a venepuncture at the research institute or a finger prick from participants' home. Participants were asked to complete a digital evaluation questionnaire of the finger prick after their attempts. Results: A total of 2135 patients and 899 controls performed at least one finger prick and were included in this study. The first finger prick was successfully done by 92% (95% CI: 90% to 93%) of patients, 94% (95% CI: 92% to 95%) of controls, 93% (95% CI: 92% to 94%) of all participants aged ≤70 years and 89% (95% CI: 86% to 92%) of all participants aged >70 years. Sex did not impact these success rates. Repeated failure occurred in 11/439 (0.8%) patients and 4/712 (0.6%) controls. Both patients and controls were less willing to perform a finger prick for individual healthcare compared with scientific research. Conclusion: The vast majority of participants, among which elderly and patients with rheumatic diseases, were able to successfully draw the required amount of blood for serological analyses. This shows that finger-prick testing is suitable for a high-throughput implementation to monitor patients remotely.
MeSH term(s)	Aged ; Humans ; Rheumatology ; Pandemics ; Feasibility Studies ; Blood Specimen Collection ; COVID-19/diagnosis ; COVID-19/epidemiology ; Rheumatic Diseases/diagnosis
Language	English
Publishing date	2024-04-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2812592-7
ISSN	2056-5933 ; 2056-5933
ISSN (online)	2056-5933
ISSN	2056-5933
DOI	10.1136/rmdopen-2023-003933
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Article ; Online: Correction: Treating Depressive Symptoms in Psychosis: A Network Meta-Analysis on the Effects of Non-Verbal Therapies.

Steenhuis, Laura A / Nauta, Maaike H / Bockting, Claudi L H / Pijnenborg, Gerdina H M

PloS one

2018 Volume 13, Issue 12, Page(s) e0209762

Abstract: This corrects the article DOI: 10.1371/journal.pone.0140637.]. ...

Abstract	[This corrects the article DOI: 10.1371/journal.pone.0140637.].
Language	English
Publishing date	2018-12-19
Publishing country	United States
Document type	Journal Article ; Published Erratum
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0209762
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Article: High Yield of Chest X-ray in the Follow-Up of Colorectal Cancer.

Steenhuis, Eline G M / Schoenaker, Ivonne J H / De Groot, Jan Willem B / Stigt, Jos A / Reerink, Onne / De Vos Tot Nederveen Cappel, Wouter H / Van Westreenen, Henderik L / Brohet, Richard M

Journal of clinical medicine

2022 Volume 11, Issue 13

Abstract: Purpose: Worldwide, colorectal carcinoma (CRC) has a high incidence and a substantial cancer-related mortality. The recurrence risk is 30-50% and lung metastases are common. Treatment of lung metastases with stereotactic ablative radiotherapy (SABR) or ... ...

Abstract	Purpose: Worldwide, colorectal carcinoma (CRC) has a high incidence and a substantial cancer-related mortality. The recurrence risk is 30-50% and lung metastases are common. Treatment of lung metastases with stereotactic ablative radiotherapy (SABR) or metastasectomy may increase survival. The best modality for thoracic screening in the follow-up, however, remains controversial. In this study, we aimed to unravel the additional value of routine chest X-ray (CXR) for detecting lung metastases during the follow-up of CRC patients treated with curative surgery. Methods: Between 2013 and 2017, 668 CRC patients were treated with curative intent, of whom 633 patients were included in follow-up, which consisted of CXR, serum Carcino-Embryonic Antigen (CEA) and ultrasound of the liver. Patients who developed lung metastases, diagnosed with CXR and characterised by a normal concomitant serum CEA level, were identified. Number, size and treatment of lung metastases were described. Results: Thirty-four (5.4%) patients developed lung metastases. Seventeen (50%) were detected by CXR without pathological CEA levels. Eleven (65%) of these patients were treated with curative intent, whereas 21% of patients with lung metastases and elevated CEA levels were treated with curative intent ( Conclusions: More than 50% of patients with lung metastases on CXR in the follow-up would not have been detected with CEA-triggered imaging only. In addition, patients with colorectal lung metastases without elevated CEA levels were often suitable for curative treatment and, therefore, CXR seems to have additional value within the follow-up of CRC.
Language	English
Publishing date	2022-07-01
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm11133828
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