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  1. Article ; Online: Monitoring asthma: no matter how?

    van den Wijngaart, Lara S / Roukema, Jolt / Merkus, Peter J F M

    The European respiratory journal

    2016  Volume 48, Issue 3, Page(s) 614–616

    Language English
    Publishing date 2016-09
    Publishing country England
    Document type Editorial
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.01217-2016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2322: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 292: Show issues

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  2. Article: The value of spirometry and exercise challenge test to diagnose and monitor children with asthma.

    van den Wijngaart, Lara S / Roukema, Jolt / Merkus, Peter Jfm

    Respirology case reports

    2015  Volume 3, Issue 1, Page(s) 25–28

    Abstract: Asthma is defined as a chronic inflammatory disease of the airways with characteristic symptoms including recurrent episodes of wheezing, breathlessness, chest tightness, and coughing. It may result in abnormalities of ventilator function, which can be ... ...

    Abstract Asthma is defined as a chronic inflammatory disease of the airways with characteristic symptoms including recurrent episodes of wheezing, breathlessness, chest tightness, and coughing. It may result in abnormalities of ventilator function, which can be assessed by different pulmonary function tests. In this case report, we present a 15-year-old boy with asthma and illustrate the value and limitations of spirometry and exercise challenge test in daily practice.
    Language English
    Publishing date 2015-02-03
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2750180-2
    ISSN 2051-3380
    ISSN 2051-3380
    DOI 10.1002/rcr2.92
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Respiratory disease and respiratory physiology: putting lung function into perspective: paediatric asthma.

    van den Wijngaart, Lara S / Roukema, Jolt / Merkus, Peter J F M

    Respirology (Carlton, Vic.)

    2015  Volume 20, Issue 3, Page(s) 379–388

    Abstract: Dealing with paediatric asthma in daily practice, we are mostly interested in the airway function: the hallmark of asthma is the variability of airway patency. Various pulmonary function tests (PFT) can be used to quantify airway caliber in asthmatic ... ...

    Abstract Dealing with paediatric asthma in daily practice, we are mostly interested in the airway function: the hallmark of asthma is the variability of airway patency. Various pulmonary function tests (PFT) can be used to quantify airway caliber in asthmatic children. The choice of the test is based on the developmental age of the child, knowledge of the diagnosis/underlying pathophysiology, clinical questions and reasoning, and treatment. PFT is performed to monitor the severity of asthma and the response to therapy, but can also be used as a diagnostic tool, and to study growth and development of the lungs and airways. This review aims to provide clinicians an overview of the differences in assessing PFT in infants and preschool children compared with older cooperative children, which tests are feasible in infants and young children, the limitations of and usefulness of these tests, and of their interpretation in these age groups.
    MeSH term(s) Asthma/diagnosis ; Asthma/physiopathology ; Asthma/therapy ; Child ; Child, Preschool ; Disease Management ; Female ; Humans ; Infant ; Male ; Respiratory Function Tests/methods ; Respiratory Physiological Phenomena ; Severity of Illness Index
    Language English
    Publishing date 2015-04
    Publishing country Australia
    Document type Journal Article ; Review
    ZDB-ID 1435849-9
    ISSN 1440-1843 ; 1323-7799
    ISSN (online) 1440-1843
    ISSN 1323-7799
    DOI 10.1111/resp.12480
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4957: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: It Is Not Just the FEV1 That Matters, but the Personal Goals We Reach Along the Way: Qualitative, Multicenter, Prospective, Observational Study.

    Oppelaar, Martinus C / van den Wijngaart, Lara S / Merkus, Peter J F M / Croonen, Ellen A / Hugen, Cindy A C / Brouwer, Marianne L / Boehmer, Annemie L M / Roukema, Jolt

    Journal of medical Internet research

    2021  Volume 23, Issue 10, Page(s) e29218

    Abstract: Background: The COVID-19 pandemic has boosted the use of forced expiratory volume in 1 second (FEV: Objective: The aim of this study was to provide perspectives on how FEV: Methods: This is a qualitative, multicenter, prospective, observational ... ...

    Abstract Background: The COVID-19 pandemic has boosted the use of forced expiratory volume in 1 second (FEV
    Objective: The aim of this study was to provide perspectives on how FEV
    Methods: This is a qualitative, multicenter, prospective, observational study which included patients with asthma aged 6-16 and HCPs. Primary outcomes were results of 2 surveys that were sent to all participants at study start and after 3-4 months. Secondary outcomes consisted of FEV
    Results: A total of 39 participants (26 patients and 13 HCPs) were included in this study. Survey response rates were 97% (38/39) at the start and 87% (34/39) at the end of the study. Both patients and HCPs were receptive toward online FEV
    Conclusions: Patients and HCPs are receptive toward online FEV
    MeSH term(s) COVID-19 ; Child ; Forced Expiratory Volume ; Goals ; Humans ; Pandemics ; Prospective Studies ; Reproducibility of Results ; SARS-CoV-2
    Language English
    Publishing date 2021-10-20
    Publishing country Canada
    Document type Journal Article ; Multicenter Study ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1439-4456
    ISSN (online) 1438-8871
    ISSN 1439-4456
    DOI 10.2196/29218
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Online asthma management for children is cost-effective.

    van den Wijngaart, Lara S / Kievit, Wietske / Roukema, Jolt / Boehmer, Annemie L M / Brouwer, Marianne L / Hugen, Cindy A C / Niers, Laetitia E M / Sprij, Arwen J / Rikkers-Mutsaerts, Eleonora R V M / Rottier, Bart L / Verhaak, Chris M / Pijnenburg, Mariëlle W / Merkus, Peter J F M

    The European respiratory journal

    2017  Volume 50, Issue 4

    MeSH term(s) Adolescent ; Airway Management/methods ; Ambulatory Care/economics ; Ambulatory Care/methods ; Asthma/economics ; Asthma/psychology ; Asthma/therapy ; Child ; Cost-Benefit Analysis ; Female ; Humans ; Male ; Netherlands ; Patient Care Management/economics ; Patient Care Management/methods ; Patient Care Management/standards ; Quality Improvement ; Quality of Life ; Surveys and Questionnaires ; Telemedicine/economics ; Telemedicine/methods ; Treatment Outcome
    Language English
    Publishing date 2017-10-05
    Publishing country England
    Document type Letter ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.01413-2017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2322: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 292: Show issues

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  6. Article ; Online: A virtual asthma clinic for children: fewer routine outpatient visits, same asthma control.

    van den Wijngaart, Lara S / Roukema, Jolt / Boehmer, Annemie L M / Brouwer, Marianne L / Hugen, Cindy A C / Niers, Laetitia E M / Sprij, Arwen J / Rikkers-Mutsaerts, Eleonora R V M / Rottier, Bart L / Donders, A Rogier T / Verhaak, Chris M / Pijnenburg, Mariëlle W / Merkus, Peter J F M

    The European respiratory journal

    2017  Volume 50, Issue 4

    Abstract: eHealth is an appealing medium to improve healthcare and its value (in addition to standard care) has been assessed in previous studies. We aimed to assess whether an eHealth intervention could improve asthma control while reducing 50% of routine ... ...

    Abstract eHealth is an appealing medium to improve healthcare and its value (in addition to standard care) has been assessed in previous studies. We aimed to assess whether an eHealth intervention could improve asthma control while reducing 50% of routine outpatient visits.In a multicentre, randomised controlled trial with a 16-month follow-up, asthmatic children (6-16 years) treated in eight Dutch hospitals were randomised to usual care (4-monthly outpatient visits) and online care using a virtual asthma clinic (VAC) (8-monthly outpatient visits with monthly web-based monitoring). Outcome measures were the number of symptom-free days in the last 4 weeks of the study, asthma control, forced expiratory volume in 1 s, exhaled nitric oxide fraction, asthma exacerbations, unscheduled outpatient visits, hospital admissions, daily dose of inhaled corticosteroids and courses of systemic corticosteroids.We included 210 children. After follow-up, symptom-free days differed statistically between the usual care and VAC groups (difference of 1.23 days, 95% CI 0.42-2.04; p=0.003) in favour of the VAC. In terms of asthma control, the Childhood Asthma Control Test improved more in the VAC group (difference of 1.17 points, 95% CI 0.09-2.25; p=0.03). No differences were found for other outcome measures.Routine outpatient visits can partly be replaced by monitoring asthmatic children
    MeSH term(s) Administration, Inhalation ; Adrenal Cortex Hormones/therapeutic use ; Ambulatory Care/statistics & numerical data ; Anti-Asthmatic Agents/therapeutic use ; Asthma/diagnosis ; Asthma/therapy ; Child ; Disease Progression ; Female ; Humans ; Male ; Netherlands ; Outcome Assessment (Health Care) ; Outpatients/statistics & numerical data ; Patient Care Management/methods ; Quality Improvement ; Remote Consultation/methods ; Respiratory Function Tests ; Telemedicine/methods ; Telemetry/methods
    Chemical Substances Adrenal Cortex Hormones ; Anti-Asthmatic Agents
    Language English
    Publishing date 2017-10-05
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 639359-7
    ISSN 1399-3003 ; 0903-1936
    ISSN (online) 1399-3003
    ISSN 0903-1936
    DOI 10.1183/13993003.00471-2017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2322: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 292: Show issues

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  7. Article ; Online: Barriers and Facilitators When Implementing Web-Based Disease Monitoring and Management as a Substitution for Regular Outpatient Care in Pediatric Asthma: Qualitative Survey Study.

    van den Wijngaart, Lara S / Geense, Wytske W / Boehmer, Annemie Lm / Brouwer, Marianne L / Hugen, Cindy Ac / van Ewijk, Bart E / Koenen-Jacobs, Marie-José / Landstra, Anneke M / Niers, Laetitia Em / van Onzenoort-Bokken, Lonneke / Ottink, Mark D / Rikkers-Mutsaerts, Eleonora Rvm / Groothuis, Iris / Vaessen-Verberne, Anja A / Roukema, Jolt / Merkus, Peter Jfm

    Journal of medical Internet research

    2018  Volume 20, Issue 10, Page(s) e284

    Abstract: Background: Despite their potential benefits, many electronic health (eHealth) innovations evaluated in major studies fail to integrate into organizational routines, and the implementation of these innovations remains problematic.: Objective: The ... ...

    Abstract Background: Despite their potential benefits, many electronic health (eHealth) innovations evaluated in major studies fail to integrate into organizational routines, and the implementation of these innovations remains problematic.
    Objective: The purpose of this study was to describe health care professionals' self-identified perceived barriers and facilitators for the implementation of a Web-based portal to monitor asthmatic children as a substitution for routine outpatient care. Also, we assessed patients' (or their parents) satisfaction with this eHealth innovation.
    Methods: Between April and November 2015, we recruited 76 health care professionals (from 14 hospitals). During a period of 6 months, participants received 3 questionnaires to identify factors that facilitated or impeded the use of this eHealth innovation. Questionnaires for patients (or parents) were completed after the 6-month virtual asthma clinic (VAC) implementation period.
    Results: Major perceived barriers included concerns about the lack of structural financial reimbursement for Web-based monitoring, lack of integration of this eHealth innovation with electronic medical records, the burden of Web-based portal use on clinician workload, and altered patient-professional relationship (due to fewer face-to-face contacts). Major perceived facilitators included enthusiastic and active initiators, a positive attitude of professionals toward eHealth, the possibility to tailor care to individual patients ("personalized eHealth"), easily deliverable care according to current guidelines using the VAC, and long-term profit and efficiency.
    Conclusions: The implementation of Web-based disease monitoring and management in children is complex and dynamic and is influenced by multiple factors at the levels of the innovation itself, individual professionals, patients, social context, organizational context, and economic and political context. Understanding and defining the barriers and facilitators that influence the context is crucial for the successful implementation and sustainability of eHealth innovations.
    MeSH term(s) Ambulatory Care ; Asthma/therapy ; Child ; Female ; Humans ; Internet/trends ; Male ; Middle Aged ; Qualitative Research ; Surveys and Questionnaires ; Telemedicine/methods
    Language English
    Publishing date 2018-10-30
    Publishing country Canada
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2028830-X
    ISSN 1438-8871 ; 1439-4456
    ISSN (online) 1438-8871
    ISSN 1439-4456
    DOI 10.2196/jmir.9245
    Database MEDical Literature Analysis and Retrieval System OnLINE

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