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  1. Article ; Online: The Effects of Teacher Communication During a Health Intervention on Older Adolescents’ Predictors of Health Behaviour

    Mathijs Mesman / Hanneke Hendriks / Simone Onrust / Bas van den Putte

    European Journal of Health Communication (EJHC), Vol 3, Iss

    2022  Volume 3

    Abstract: This study investigated the influence of teacher communication behaviours on predictors of alcohol use, snack intake, and physical exercise during a school-based health intervention. Additionally, we investigated whether students’ evaluations of the ... ...

    Abstract This study investigated the influence of teacher communication behaviours on predictors of alcohol use, snack intake, and physical exercise during a school-based health intervention. Additionally, we investigated whether students’ evaluations of the intervention mediated these effects. In a two-way prospective study, 389 adolescents (222 females; Mage = 16.64, SDage = 1.97) completed a survey. Key variables were teacher communication behaviours (i.e., clarity, verbal immediacy, and content relevance), predictors (i.e., attitudes, social norms, perceived behavioural control, and intentions) of alcohol use, snack intake, and physical exercise, and students’ evaluations of the health intervention were investigated. Results showed that teacher clarity resulted in significantly healthier injunctive norms and higher perceived behavioural control regarding alcohol use, and for exercise in significantly healthier attitudes, descriptive norms, and intentions to exercise. No effects of teacher clarity were found for snack intake. Furthermore, teacher clarity, verbal immediacy, and content relevance did not indirectly result in healthier predictors of health behaviour through evaluations of the intervention. Findings support the role of teacher clarity for intervention effectiveness, and advise designers of health interventions to incorporate the role of teacher clarity in their teacher training programs to achieve more desired changes in health behaviour.
    Keywords interpersonal communication ; health behaviour ; adolescents ; school-based intervention ; teacher communication ; Public aspects of medicine ; RA1-1270 ; Social sciences (General) ; H1-99
    Subject code 796
    Language English
    Publishing date 2022-11-01T00:00:00Z
    Publisher University of Zurich, IKMZ – Department of Communication and Media Research
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Understanding public support for COVID-19 pandemic mitigation measures over time

    John B. F. De Wit / Denise T. D. de Ridder / Wijnand van den Boom / Floor M. Kroese / Bas van den Putte / F. Marijn Stok / Mariken Leurs / Marijn de Bruin

    Frontiers in Public Health, Vol

    Does it wear out?

    2023  Volume 11

    Abstract: BackgroundCOVID-19 mitigation measures intend to protect public health, but their adverse psychological, social, and economic effects weaken public support. Less favorable trade-offs may especially weaken support for more restrictive measures. Support ... ...

    Abstract BackgroundCOVID-19 mitigation measures intend to protect public health, but their adverse psychological, social, and economic effects weaken public support. Less favorable trade-offs may especially weaken support for more restrictive measures. Support for mitigation measures may also differ between population subgroups who experience different benefits and costs, and decrease over time, a phenomenon termed “pandemic fatigue.”MethodsWe examined self-reported support for COVID-19 mitigation measures in the Netherlands over 12 consecutives waves of data collection between April 2020 and May 2021 in an open population cohort study. Participants were recruited through community panels of the 25 regional public health services, and through links to the online surveys advertised on social media. The 54,010 unique participants in the cohort study on average participated in 4 waves of data collection. Most participants were female (65%), middle-aged [57% (40–69 years)], highly educated (57%), not living alone (84%), residing in an urban area (60%), and born in the Netherlands (95%).ResultsCOVID-19 mitigation measures implemented in the Netherlands remained generally well-supported over time [all scores >3 on 5-point scale ranging 1 (low)−5 (high)]. During the whole period studied, support was highest for personal hygiene measures, quarantine and wearing face masks, high but somewhat lower for not shaking hands, testing and self-isolation, and restricting social contacts, and lowest for limiting visitors at home, and not traveling abroad. Women and higher educated people were more supportive of some mitigation measures than men and lower educated people. Older people were more supportive of more restrictive measures than younger people, and support for more socially restrictive measures decreased most over time in higher educated people or in younger people.ConclusionsThis study found no support for pandemic fatigue in terms of a gradual decline in support for all mitigation measures in the first year of the pandemic. ...
    Keywords COVID-19 ; mitigation measures ; health protection ; health behavior (MeSH) ; public support ; pandemic fatigue ; Public aspects of medicine ; RA1-1270
    Subject code 710
    Language English
    Publishing date 2023-03-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Dutch youth’s smoking behaviour during a partial covid-19 lockdown

    Tessa R.D. van Deelen / Bas van den Putte / Anton E. Kunst / Mirte A. G. Kuipers

    Journal of Public Health Research (2021)

    2021  

    Abstract: Previous research found that adult smokers increased their smoking in response to the Covid-19 lockdown in spring 2020. This study explored changes in youth’s smoking during, compared to before, the partial lockdown in the Netherlands in a cross- ... ...

    Abstract Previous research found that adult smokers increased their smoking in response to the Covid-19 lockdown in spring 2020. This study explored changes in youth’s smoking during, compared to before, the partial lockdown in the Netherlands in a cross-sectional sample of 287 adolescents. Smoking prevalence increased from 4.5% to 5.2%. Cigarette consumption remained the same on school days and increased with +1.9 cigarettes per weekend day. The largest increase in cigarette consumption on weekend days was observed for adolescents who 1) did not consider smoking a risk factor for contracting Covid-19 (+4.5), 2) had smoking siblings (+4.1), and 3) had smoking friends (+2.4). Youth without smoking friends (-0.8) and who considered smoking a risk factor for Covid-19 (-0.2) decreased their cigarette consumption.
    Keywords Covid-19 ; lockdown ; smoking ; tobacco ; youth ; adolescents ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2021-09-01T00:00:00Z
    Publisher PAGEPress Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Adolescent Smoking in Secondary Schools that Have Implemented Smoke-Free Policies

    Michael Schreuders / Loekie Klompmaker / Bas van den Putte / Anton E Kunst

    International Journal of Environmental Research and Public Health, Vol 16, Iss 12, p

    In-Depth Exploration of Shared Smoking Patterns

    2019  Volume 2100

    Abstract: Large numbers of adolescents smoke during school hours, despite the implementation of smoke-free school policies (SFSPs). Studies about SFSPs predominantly analyse smoking as individual behaviour, yet there is increasing recognition that smoking should ... ...

    Abstract Large numbers of adolescents smoke during school hours, despite the implementation of smoke-free school policies (SFSPs). Studies about SFSPs predominantly analyse smoking as individual behaviour, yet there is increasing recognition that smoking should be understood as social behaviour. We explored shared smoking patterns specifying where , when , and with whom , and social meanings about why groups of adolescents smoke in two Dutch schools that have implemented SFSPs. Surveys among adolescents were held to obtain contextual information about the schools. Four focus group discussions and fourteen individual interviews were held with adolescents to identify shared smoking patterns in each school. Two shared patterns were identified at a school where 17% of students smoked daily: Dependent smoking and Rebellious smoking. Both built on pro-smoking norms and underscored the benefits of smoking. Three shared patterns were identified at a school where 3% of students smoked daily: Social bonding smoking, Low-profile smoking and Smoking-friendly event smoking. These built on anti-smoking norms and helped smokers cope with negative social judgements related to smoking. We conclude that adolescent smoking during school hours is embedded in diverse shared smoking patterns. Future studies should develop more understanding about how to deal with adolescents’ shared smoking patterns that decrease the effectiveness of tobacco policies.
    Keywords Smoking ; adolescents ; smoke-free school policies ; tobacco control ; shared smoking patterns ; social context ; Medicine ; R
    Subject code 370 ; 300
    Language English
    Publishing date 2019-06-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Differences in smokers’ awareness of the health risks of smoking before and after introducing pictorial tobacco health warnings

    Dirk-Jan A. van Mourik / Gera E. Nagelhout / Marc C. Willemsen / Bas van den Putte / Hein de Vries

    BMC Public Health, Vol 20, Iss 1, Pp 1-

    findings from the 2012–2017 international tobacco control (ITC) Netherlands surveys

    2020  Volume 10

    Abstract: Abstract Background As of May 2016, pictorial health warnings (PHWs) showing the harms of smoking were implemented in the European Union. After one year they had to be fully implemented. We studied changes in awareness of the health risks of smoking ... ...

    Abstract Abstract Background As of May 2016, pictorial health warnings (PHWs) showing the harms of smoking were implemented in the European Union. After one year they had to be fully implemented. We studied changes in awareness of the health risks of smoking after implementation of PHWs among smokers from the Netherlands, whether the trend before the implementation changed after the implementation, and whether there were differences between subgroups. Methods We used survey data from six yearly waves of the International Tobacco Control (ITC) Netherlands Survey from 2012 to 2017. The number of participating smokers ranged between 1236 and 1604 per wave. Data were analyzed using Generalized Estimating Equations (GEE) analyses. Results Indicators of awareness of the health risks of smoking that did not change between 2015 and 2017 were perceived susceptibility (β = 0.043, p = 0.059) and perceived severity (β = − 0.006, p = 0.679) regarding lung problems. Perceived susceptibility, however, was more pronounced between 2015 and 2017 than between 2012 and 2015(p value of interaction: p = 0.044). Noticing information about the dangers of smoking (β = 0.119, p < 0.001) and knowledge about the health risks of smoking (β = 0.184, p < 0.001) increased between 2015 and 2017. These increases were both more pronounced when compared to 2012–2015 (p values of interactions: p = 0.002 and p < 0.001 respectively). Compared to high educated smokers, low educated smokers (β = − 1.137, p < 0.001) and moderate educated smokers (β = − 0.894, p < 0.001) were less knowledgeable about the health risks of smoking in 2016 and 2017. Conclusions Introducing PHWs coincided with an increase in smokers’ knowledge about the health risks of smoking. Dutch tobacco control policy and campaigns should focus on improving Dutch smokers’ awareness of the health risks of smoking even more, especially among low educated smokers.
    Keywords Awareness ; Longitudinal ; Smokers ; Pictorial health warnings ; The Netherlands ; Public aspects of medicine ; RA1-1270
    Subject code 300
    Language English
    Publishing date 2020-05-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Boy Smokers’ Rationalisations for Engaging in Potentially Fatal Behaviour

    Michael Schreuders / Nikha T. Krooneman / Bas van den Putte / Anton E. Kunst

    International Journal of Environmental Research and Public Health, Vol 15, Iss 4, p

    In-Depth Interviews in The Netherlands

    2018  Volume 767

    Abstract: Adolescent smokers engage in cognitive rationalisation processes that lower perceptions of personal vulnerability to the health consequences of smoking. There is, however, hardly any evidence that provides in-depth insights on adolescents’ recurring ... ...

    Abstract Adolescent smokers engage in cognitive rationalisation processes that lower perceptions of personal vulnerability to the health consequences of smoking. There is, however, hardly any evidence that provides in-depth insights on adolescents’ recurring rationalisations. Therefore, we explored how boy smokers deal with the knowledge that they are engaging in potentially fatal behaviour. Interviews were held with 16 boy smokers aged 16 to 17 years old. The qualitative analysis focussed on combining boys’ reasons about why they think they will not experience severe health consequences into coherent rationalisations that recurred among interviewees. Three rationalisations emerged from the analysis. First, boys trivialize the immediate consequences and think these can be compensated for and are outweighed by the benefits of smoking. Second, boys assume that smoking will only take place during adolescence and they will, therefore, recover from the damage inflicted. Third, boys believe that they have control over the amount and frequency of smoking and, thereby, can ensure that they will not experience fatal consequences. Boys’ recurring rationalisations build on their view that they are supposed to have fun and will not become typical adult smokers. Interventions should address these rationalisations in order to increase adolescents’ perceptions of personal vulnerability, and thereby contribute to decreasing adolescent smoking.
    Keywords adolescent health ; adolescent smoking ; tobacco ; health risk appraisal ; cognitive dissonance ; Medicine ; R
    Language English
    Publishing date 2018-04-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: “At least someone thinks I’m doing well”

    Eline Meijer / Janneke S. Korst / Kristiene G. Oosting / Eline Heemskerk / Sander Hermsen / Marc C. Willemsen / Bas van den Putte / Niels H. Chavannes / Jamie Brown

    Addiction Science & Clinical Practice, Vol 16, Iss 1, Pp 1-

    a real-world evaluation of the quit-smoking app StopCoach for lower socio-economic status smokers

    2021  Volume 14

    Abstract: Abstract Background Smoking is more prevalent and persistent among lower socio-economic status (SES) compared with higher-SES groups, and contributes greatly to SES-based health inequities. Few interventions exist that effectively help lower-SES smokers ... ...

    Abstract Abstract Background Smoking is more prevalent and persistent among lower socio-economic status (SES) compared with higher-SES groups, and contributes greatly to SES-based health inequities. Few interventions exist that effectively help lower-SES smokers quit. This study evaluated “De StopCoach”, a mobile phone delivered eHealth intervention targeted at lower-SES smokers based on the evidence-based StopAdvisor, in a real-world setting (five municipalities) in The Netherlands in 2019–2020. Method We conducted individual semi-structured interviews with project leaders, healthcare professionals, and participating smokers (N = 22), and examined log data from the app (N = 235). For practical reasons, SES of app users was not measured. Qualitative data were analysed using the Framework Approach, with the Consolidated Framework for Implementation Research (CFIR) and Unified Theory of Acceptance and Use of Technology (UTAUT) as theoretical models. Results Qualitative data showed that factors from the Intervention and Setting domains were most important for the implementation. StopCoach seemed suitable for lower-SES smokers in terms of performance and effort expectancy, especially when integrated with regular smoking cessation counseling (SCC). Key barriers to implementation of the app were limited integration of the app in SCC programs in practice, difficulty experienced by project leaders and healthcare professionals to engage the local community, and barriers to SCC more generally (e.g., perceived resistance to quitting in patients) that prevented healthcare professionals from offering the app to smokers. Quantitative data showed that 48% of app users continued using the app after the preparation phase and pre-quit day, and that 33% of app users had attempted to quit. Both app adherence and quit attempts were more likely if smokers also received SCC from a professional coach. Posthoc analyses suggest that adherence is related to higher likelihood of a quit attempt among participants with and without a professional ...
    Keywords Socio-economic status ; Smoking ; eHealth ; Blended care ; Real-world evaluation ; Implementation ; Medicine (General) ; R5-920 ; Social pathology. Social and public welfare. Criminology ; HV1-9960
    Subject code 616
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Did E-Cigarette Users Notice the New European Union’s E-Cigarette Legislation? Findings from the 2015–2017 International Tobacco Control (ITC) Netherlands Survey

    Dirk-Jan A. van Mourik / Gera E. Nagelhout / Bas van den Putte / Karin Hummel / Marc C. Willemsen / Hein de Vries

    International Journal of Environmental Research and Public Health, Vol 16, Iss 16, p

    2019  Volume 2917

    Abstract: This study examined to what extent e-cigarette users noticed the European Union’s new legislation regarding e-cigarettes, and whether this may have influenced perceptions regarding addictiveness and toxicity. Data were obtained from yearly surveys (2015− ... ...

    Abstract This study examined to what extent e-cigarette users noticed the European Union’s new legislation regarding e-cigarettes, and whether this may have influenced perceptions regarding addictiveness and toxicity. Data were obtained from yearly surveys (2015−2017) of the International Tobacco Control (ITC) Netherlands Survey. Descriptive statistics and Generalized Estimating Equations were applied. About a third of the e-cigarette users noticed the text warning (28%) and the leaflet (32%). When compared to tobacco-only smokers, e-cigarette users showed greater increases in perceptions regarding addictiveness (β = 0.457, p = 0.045 vs. β = 0.135, p < 0.001) and toxicity (β = 0.246, p = 0.055 vs. β = 0.071, p = 0.010). In conclusion, the new legislation’s noticeability should be increased.
    Keywords electronic cigarette ; health warnings ; noticing ; Medicine ; R
    Language English
    Publishing date 2019-08-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Understanding the impact of school tobacco policies on adolescent smoking behaviour

    Michael Schreuders / Paulien A.W. Nuyts / Bas van den Putte / Anton E Kunst

    Tobacco Prevention and Cessation, Vol 3, Iss May Supplement (2017)

    a realist review

    2017  

    Abstract: Introduction Secondary schools increasingly implement school tobacco policies (STPs) to decrease adolescents’ smoking. We explored adolescents’ cognitive and behavioural responses to STPs that impact adolescents’ smoking and how these responses depend ... ...

    Abstract Introduction Secondary schools increasingly implement school tobacco policies (STPs) to decrease adolescents’ smoking. We explored adolescents’ cognitive and behavioural responses to STPs that impact adolescents’ smoking and how these responses depend STPs’ implementation. Material and Methods We performed a realist review. This is an explanatory approach that synthesizes existing evidence into a program theory that links elements of STPs’ implementation to outcomes by specifying its underlying generative mechanisms. 37 articles were included, reporting quantitative and/or qualitative evidence on STPs, adolescent smoking and mechanisms. From these articles, evidence was extracted about mechanisms that decrease smoking and associated countervailing-mechanisms that reduce, nullify or revert this positive impact. Results The program theory showed that STPs may trigger four mechanisms and seven associated countervailing-mechanisms. Adolescents’ smoking decreases if STPs make them feel they can get sanctioned, feel less pressure to conform to smokers, internalise anti-smoking beliefs, and find it easier to stick to the decision not to smoke. This positive impact may reduce, nullify or revert if STPs cause adolescents to find alternative places to smoke, develop new social meanings of smoking, want to belong in smoker groups, internalise beliefs that smoking is not bad or that it asserts personal autonomy, or alienate from schools and schools’ messages. The program theory moreover provided insights on how elements of STPs’ implementation trigger mechanisms and avoid countervailing-mechanisms. Conclusions STPs’ impact can be influenced by adequate implementation and embedding them in continuous monitoring and adaptation cycles, so that schools can proactively deal with suboptimal responses. Funding This review is part of the SILNE-R project, which is supported by the European Union's Horizon 2020 research and innovation programme, under grant agreement 635056.
    Keywords smoking ; adolescents ; school ; Smoke-free Policy ; Public aspects of medicine ; RA1-1270
    Subject code 306
    Language English
    Publishing date 2017-05-01T00:00:00Z
    Publisher European Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Article ; Online: The role of income and psychological distress in the relationship between work loss and smoking cessation

    Karin Hummel / Bas van den Putte / Ute Mons / Marc C. Willemsen / Geoffrey T. Fong / Raphaël Andler / Hein de Vries / Gera E. Nagelhout

    Tobacco Prevention and Cessation, Vol 5, Iss November (2019)

    Findings from three International Tobacco Control (ITC) Europe countries

    2019  

    Abstract: Introduction The relationship between work loss and smoking has not been studied extensively, and underlying factors are often not examined. The aim of this study was to test two hypotheses. First, work loss is associated with greater intention to quit ... ...

    Abstract Introduction The relationship between work loss and smoking has not been studied extensively, and underlying factors are often not examined. The aim of this study was to test two hypotheses. First, work loss is associated with greater intention to quit and more likelihood of smoking cessation, and this relationship is moderated by a decrease in income. Second, work loss is associated with lower quit intention and lower rates of smoking cessation, and this relationship is moderated by an increase in psychological distress. Methods We used pooled data from three countries participating in the ITC Project: France, Germany and the Netherlands (n=2712). We measured unemployment, income and psychological distress at two consecutive survey waves, and calculated changes between survey waves. We first conducted multiple logistic regression analyses to examine the association between work loss and smoking cessation behavior. Next, we added income decrease and psychological distress increase to the models. Finally, we added interaction terms of work loss by income decrease and work loss by distress increase to the model. Results Work loss was not associated with quit intention, quit attempts, and quit success. When income decrease and psychological distress increase were added to the model, we found a positive association between distress increase and quit attempts. The interactions, however, were not statistically significant. Conclusions Our results indicate that smokers who become unemployed and face a decrease in income are not less likely to quit smoking than smokers who are employed.
    Keywords survey ; unemployment ; cessation ; income ; Public aspects of medicine ; RA1-1270
    Subject code 336
    Language English
    Publishing date 2019-11-01T00:00:00Z
    Publisher European Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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