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Article: Crisis-induced disruptions in place-based social-ecological research - an opportunity for redirection

Hermans, Kathleen

2021 Volume 30, Issue 2, Page(s) 72

Language	German ; English
Document type	Article
ZDB-ID	1114994-2
ISSN	0940-5550
Database	Current Contents Nutrition, Environment, Agriculture

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Article: The Use of Mobile Health Apps in Clinical Practice Remains Challenging.

van Tubergen, Astrid / Hermans, Kasper

The Journal of rheumatology

2022 Volume 49, Issue 8, Page(s) 861–863

MeSH term(s)	Humans ; Mobile Applications ; Telemedicine
Language	English
Publishing date	2022-06-01
Publishing country	Canada
Document type	Journal Article ; Review ; Comment
ZDB-ID	194928-7
ISSN	1499-2752 ; 0315-162X
ISSN (online)	1499-2752
ISSN	0315-162X
DOI	10.3899/jrheum.220476
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Climate change, drought, land degradation and migration: exploring the linkages

Hermans, Kathleen / McLeman, Robert

Current opinion in environmental sustainability. 2021 June, v. 50

2021

Abstract: Droughts are significant drivers of land degradation, which in turn has adverse effects on resource-dependent rural populations and can potentially lead to livelihood losses and subsequent migration out of affected areas. Linkages between land ... ...

Abstract	Droughts are significant drivers of land degradation, which in turn has adverse effects on resource-dependent rural populations and can potentially lead to livelihood losses and subsequent migration out of affected areas. Linkages between land degradation and migration are complex and not particularly well documented, as they occur within a larger context of multi-scale interactions of socio-economic, political, demographic, and environmental processes. Given these uncertainties, further research in this field is needed. Here, we review existing research on how droughts affect land degradation-migration dynamics, and illustrate the pathways by which migration is affected by and responds to the climatic driver. We pay particular attention to methods used to identify, measure, and understand migration related to land degradation – including statistical approaches, application of remote sensing data and qualitative approaches – and identify common challenges encountered by researchers. We conclude by identifying future directions and priorities for research.
Keywords	climate change ; climatic factors ; drought ; environmental sustainability ; land degradation ; livelihood ; politics ; socioeconomics
Language	English
Dates of publication	2021-06
Size	p. 236-244.
Publishing place	Elsevier B.V.
Document type	Article
Note	NAL-AP-2-clean
ZDB-ID	2514810-2
ISSN	1877-3435
ISSN	1877-3435
DOI	10.1016/j.cosust.2021.04.013
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Development of an intervention (PICASO) to optimise the palliative care capacity of social workers in Flanders: a study protocol based on phase I of the Medical Research Council framework.

Taels, Brent / Hermans, Kirsten / Van Audenhove, Chantal / Cohen, Joachim / Hermans, Koen / Declercq, Anja

BMJ open

2022 Volume 12, Issue 10, Page(s) e060167

Abstract: Introduction: An important challenge for future palliative care delivery is the growing number of people with palliative care needs compared with the limited qualified professional workforce. Existing but underused professional potential can further be ... ...

Abstract	Introduction: An important challenge for future palliative care delivery is the growing number of people with palliative care needs compared with the limited qualified professional workforce. Existing but underused professional potential can further be optimised. This is certainly the case for social work, a profession that fits well in multidisciplinary palliative care practice but whose capacities remain underused. This study aims to optimise the palliative care capacity of social workers in Flanders (Belgium) by the development of a Palliative Care Program for Social Work (PICASO). Methods and analysis: This protocol paper covers the steps of the development of PICASO, which are based on phase I of the Medical Research Council framework. However, additional steps were added to the original framework to include more opportunities for stakeholder involvement. The development of PICASO follows an iterative approach. First, we will identify existing evidence by reviewing the international literature and describe the problem by conducting quantitative and qualitative research among Flemish social workers. Second, we will further examine practice and identify an appropriate intervention theory by means of expert panels. Third, the process and outcomes will be depicted in a logic model. Ethics and dissemination: Ethical approval for this study was given by the KU Leuven Social and Societal Ethics Committee (SMEC) on 14 April 2021 (reference number: G-2020-2247-R2(MIN)). Findings will be disseminated through professional networks, conference presentations and publications in scientific journals.
MeSH term(s)	Clinical Trials, Phase I as Topic ; Humans ; Palliative Care ; Qualitative Research ; Social Workers
Language	English
Publishing date	2022-10-11
Publishing country	England
Document type	Clinical Trial Protocol ; Journal Article
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2021-060167
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Effectiveness and cost-effectiveness of combined asynchronous telemonitoring and patient-initiated care for spondyloarthritis: protocol for a pragmatic multicentre randomised controlled trial (TeleSpA Study).

Hermans, Kasper / Boonen, Annelies / Vonkeman, Harald E / van Tubergen, Astrid

BMJ open

2023 Volume 13, Issue 2, Page(s) e067445

Abstract: Introduction: During the COVID-19 pandemic, an accelerated uptake of remote monitoring strategies, replacing traditional face-to-face care, has been observed. However, data on the effects of remote care interventions for patients with rheumatic and ... ...

Abstract	Introduction: During the COVID-19 pandemic, an accelerated uptake of remote monitoring strategies, replacing traditional face-to-face care, has been observed. However, data on the effects of remote care interventions for patients with rheumatic and musculoskeletal diseases remain scarce and interpretation is hampered by study heterogeneity and research quality concerns. High-quality evidence is required to guide future implementation in clinical practice, with health economic analyses identified as an important knowledge gap. Randomised controlled trials (RCTs) comparing telemonitoring with conventional care for patients with spondyloarthritis (SpA) are currently lacking. Methods and analysis: TeleSpA is a pragmatic, multicentre RCT investigating the effectiveness and cost-effectiveness of combined asynchronous telemonitoring and patient-initiated follow-up for patients with SpA, compared with conventional care. Two-hundred patients will be recruited at two hospitals and randomised (1:1) to the study intervention or standard care. The primary endpoint is a reduction in the number of follow-up visits by ≥25% in the intervention compared with standard care group, during a 1-year period. Secondary endpoints are (a) non-inferiority of the study intervention with regard to health outcomes, quality of care and patient-reported experience with care; and (b) cost-effectiveness of the intervention, evaluated through a prospective trial-based cost-utility analysis. In addition, experiences with the study intervention will be assessed among patients and healthcare providers, and factors associated with primary and secondary endpoints will be identified. Ethics and dissemination: This study was approved by the Medical Research Ethics Committee of the Academic Hospital Maastricht/Maastricht University (NL71041.068.19/METC 19-059). Results will be disseminated through publications in peer-reviewed journals and conference presentations. Trial registration number: NCT04673825.
MeSH term(s)	Humans ; Cost-Benefit Analysis ; COVID-19 ; Patient Care ; Spondylarthritis/therapy ; Hospitals, University ; Randomized Controlled Trials as Topic ; Multicenter Studies as Topic
Language	English
Publishing date	2023-02-20
Publishing country	England
Document type	Clinical Trial Protocol ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2022-067445
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Fatigue in patients with rheumatic and musculoskeletal diseases: a scoping review on definitions, measurement instruments, determinants, consequences and interventions.

Beckers, Esther / Hermans, Kasper / Van Tubergen, Astrid / Boonen, Annelies

RMD open

2023 Volume 9, Issue 3

Abstract: Objectives: To scope published reviews addressing fatigue in rheumatoid arthritis (RA), spondyloarthritis, osteoarthritis and fibromyalgia in areas relevant for clinical practice: (1) definition, (2) measurement instruments and diagnosis, (3) ... ...

Abstract	Objectives: To scope published reviews addressing fatigue in rheumatoid arthritis (RA), spondyloarthritis, osteoarthritis and fibromyalgia in areas relevant for clinical practice: (1) definition, (2) measurement instruments and diagnosis, (3) determinants, (4) consequences and (5) effectiveness of interventions. Methods: A systematic literature search of reviews was performed in five bibliographical databases. A hierarchical data extraction was applied based on review type (Cochrane reviews (CRs), followed by non-Cochrane systematic reviews (SRs) and narrative reviews (NRs)) and year of publication. Extracted data were summarised in elaborated narrative syntheses. Results were discussed with a patient panel. Results: One hundred and thirty-four reviews were included (19 CRs, 44 SRs, 71 NRs). No agreed on definition was reported for general fatigue, nor for types of fatigue. Twenty-five measurement instruments were found, all self-reported. Five instruments proposed a threshold for excessive fatigue. Pain, physical function and depressive symptoms were the most frequently studied disease-related determinants of fatigue; female sex and stress the most frequent contextual determinants. Work performance, followed by impact on pain, physical activity and social roles were the most frequently studied consequences. Whenever quantified, associations between fatigue with determinants and consequences were on average small. For non-pharmacological interventions, if effect sizes were reported, these were negligible to small and for pharmacological interventions negligible to moderate. Patients recommended actions for research and practice. Conclusion: Syntheses of reviews point to the complexity of fatigue. The extensive amount of evidence could be used to offer tailored management plans to patients in clinical practice and inform future research agendas.
MeSH term(s)	Humans ; Female ; Fatigue/diagnosis ; Fatigue/etiology ; Fatigue/therapy ; Arthritis, Rheumatoid/complications ; Arthritis, Rheumatoid/diagnosis ; Arthritis, Rheumatoid/therapy ; Fibromyalgia/diagnosis ; Fibromyalgia/epidemiology ; Fibromyalgia/therapy ; Musculoskeletal Diseases ; Pain
Language	English
Publishing date	2023-08-02
Publishing country	England
Document type	Review ; Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2812592-7
ISSN	2056-5933 ; 2056-5933
ISSN (online)	2056-5933
ISSN	2056-5933
DOI	10.1136/rmdopen-2023-003056
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Are All Routine Spondyloarthritis Outpatient Visits Considered Useful by Rheumatologists? An Exploratory Clinical Practice Study.

Hermans, Kasper / Boonen, Annelies / van Tubergen, Astrid

The Journal of rheumatology

2022 Volume 49, Issue 11, Page(s) 1214–1220

Abstract: Objective: To determine (1) the proportion of routine spondyloarthritis (SpA) outpatient visits considered (un)necessary by rheumatologists, (2) characteristics of (un)necessary visits, and (3) whether previsit remote health outcome assessments can ... ...

Abstract	Objective: To determine (1) the proportion of routine spondyloarthritis (SpA) outpatient visits considered (un)necessary by rheumatologists, (2) characteristics of (un)necessary visits, and (3) whether previsit remote health outcome assessments can identify the necessity of ensuing visits. Methods: A random sample of follow-up visits was evaluated at an SpA outpatient clinic. Before visits, patient-reported outcomes and disease activity were collected through an online health registry (SpA-Net). Rheumatologists were asked whether visits were considered necessary and whether therapy was altered. Clinical actions during visits were documented alongside demographic and clinical patient characteristics; these were compared for necessary vs unnecessary visits. Multivariable logistic regressions explored which previsit health outcomes (disease activity, patient-reported physical and mental health) were associated with the perceived necessity of visits. Predictive value was calculated for high disease activity thresholds of Ankylosing Spondylitis Disease Activity Score (ASDAS) and patient global assessment (PtGA). Results: Of 114 outpatient visits, 39 (34.2%) were considered unnecessary. These visits involved fewer treatment changes (6 of 39 [15.4%] vs 39 of 75 [52.0%] visits) and clinical actions (9 of 39 [23.1%] vs 47 of 75 [62.7%] visits) compared to visits considered necessary. Previsit ASDAS (OR 4.06, 95% CI 1.80-9.17) and PtGA (OR 1.65, 95% CI 1.25-2.17) were associated with the perceived necessity of visits. Positive predictive value of ASDAS ≥ 2.1 and PtGA ≥ 3.0 were 91.7% and 80.0%, respectively. Conclusion: Traditional physician-initiated follow-up for patients with SpA likely results in a suboptimal use of time and resources. Remote disease activity assessments can help identify patients for whom visits might be necessary from a rheumatologist's perspective.
MeSH term(s)	Humans ; Rheumatologists ; Outpatients ; Severity of Illness Index ; Spondylarthritis ; Spondylitis, Ankylosing
Language	English
Publishing date	2022-06-01
Publishing country	Canada
Document type	Journal Article
ZDB-ID	194928-7
ISSN	1499-2752 ; 0315-162X
ISSN (online)	1499-2752
ISSN	0315-162X
DOI	10.3899/jrheum.220037
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Rainfall changes perceived by farmers and captured by meteorological data

Hubertus, Lena / Groth, Juliane / Teucher, Mike / Hermans, Kathleen

Two sides to every story

2023

Abstract: Subsistence farmers with high dependency on natural resources are exceptionally vulnerable to rainfall changes. Besides, they are in the front row when it comes to observing these changes. Studies that systematically investigate similarities and ... ...

Abstract	Subsistence farmers with high dependency on natural resources are exceptionally vulnerable to rainfall changes. Besides, they are in the front row when it comes to observing these changes. Studies that systematically investigate similarities and differences between measured and perceived rainfall changes are typically limited to trends in rainfall amounts, thereby disregarding changes in extreme events, rainy season durations, and timing. We address this gap by contrasting rainfall changes perceived by subsistence farmers in the Ethiopian highlands with meteorological daily rainfall data derived from the Climate Hazards Group Infrared Precipitation with Stations (CHIRPS). We applied nine distinct metrics for rainfall dynamics, accounting for rainfall variability, including extreme events and changes in the onset and cessation of the two rainy seasons. Farmers perceived increasingly unreliable rainfall for both the short and the long rainy seasons, with later onset and earlier cessation, increasing rainfall intensity, and increasing occurrence of untimely rainfall and droughts. This partially disagrees with the CHIRPS data that indicate most significant rainfall changes for the short rainy season only. Since the early 1980s, this season has been experiencing decreasing rainfall amounts, with high variability between years and an increasingly uncertain – yet delayed – onset. In contrast, the long rainy season experienced little changes in rainfall. Our results point towards changing farmers' water availability and water demand as an explanation for the perceived deteriorating rainfall conditions. As farmers’ perceptions partly diverge from meteorological observations, both data sources should be used complementarily to improve our understanding of climatic change.
Keywords	ddc:320 ; rainfall changes ; perceptions ; meteorological data ; CHIRPS ; Ethiopian highlands
Subject code	333 ; 910
Language	English
Publisher	Berlin: Springer Nature
Publishing country	de
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: What we know and do not know about reciprocal pathways of environmental change and migration

Hermans, Kathleen / Wiederkehr, Charlotte / Groth, Juliane / Sakdapolrak, Patrick

lessons from Ethiopia

2023

Abstract: Linkages between environmental change and migration can be reciprocal: declining environmental conditions can trigger people to leave a place, while the movement of people to certain places can have implications for the natural environment and may ... ...

Abstract	Linkages between environmental change and migration can be reciprocal: declining environmental conditions can trigger people to leave a place, while the movement of people to certain places can have implications for the natural environment and may enhance conflict risks. Although a growing body of research has enriched our knowledge on these two main directions of influence, including the role of conflict, research on dynamic linkages between environmental out-migration and degradation through in-migration is virtually lacking. To fill this gap, we have developed a conceptual framework and have outlined specific pathways of environmental change, migration, immobility, and resource use conflicts. We focus on reciprocal linkages to understand the mechanisms through which environmental change contributes to out-migration and how in-migration, in turn, may contribute to changes in the environment and resource use conflicts. The framework and corresponding pathways are based on our empirical research on resource-dependent rural communities in Ethiopia, which we have embedded in a broader Global South perspective. We identified the following four specific pathways of change: first, environmental change increases migration needs, primarily through declining agricultural production and food insecurity, with financial means and migration experiences being key factors enabling migration. Second, environmental change increases migration needs but hampers migration abilities through care responsibilities and lack of financial resources. This lack inhibits migration and leads to involuntary immobility. Third, migration to rural areas triggers land use change and deforestation through livelihood transitions and adopted land management in receiving areas. Forth, blaming migrants for perceived resource degradation contributes to resource disputes and violence between migrants and the local population. We conclude with future directions for identifying and understanding reciprocal environment-migration linkages and priorities ...
Subject code	333 ; 910
Language	English
Publishing country	de
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Rainfall changes perceived by farmers and captured by meteorological data

Hubertus, Lena / Groth, Juliane / Teucher, Mike / Hermans, Kathleen

two sides to every story

2023

Abstract	Subsistence farmers with high dependency on natural resources are exceptionally vulnerable to rainfall changes. Besides, they are in the front row when it comes to observing these changes. Studies that systematically investigate similarities and differences between measured and perceived rainfall changes are typically limited to trends in rainfall amounts, thereby disregarding changes in extreme events, rainy season durations, and timing. We address this gap by contrasting rainfall changes perceived by subsistence farmers in the Ethiopian highlands with meteorological daily rainfall data derived from the Climate Hazards Group Infrared Precipitation with Stations (CHIRPS). We applied nine distinct metrics for rainfall dynamics, accounting for rainfall variability, including extreme events and changes in the onset and cessation of the two rainy seasons. Farmers perceived increasingly unreliable rainfall for both the short and the long rainy seasons, with later onset and earlier cessation, increasing rainfall intensity, and increasing occurrence of untimely rainfall and droughts. This partially disagrees with the CHIRPS data that indicate most significant rainfall changes for the short rainy season only. Since the early 1980s, this season has been experiencing decreasing rainfall amounts, with high variability between years and an increasingly uncertain – yet delayed – onset. In contrast, the long rainy season experienced little changes in rainfall. Our results point towards changing farmers' water availability and water demand as an explanation for the perceived deteriorating rainfall conditions. As farmers’ perceptions partly diverge from meteorological observations, both data sources should be used complementarily to improve our understanding of climatic change.
Keywords	Text ; ddc:630 ; Rainfall changes -- Perceptions -- Meteorological data -- CHIRPS -- Ethiopian highlands
Subject code	333 ; 910
Language	English
Publishing date	2023-05-25
Publisher	Springer Nature
Publishing country	de
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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