Colophon Inge van der Leden, Mireille van Poppel, Marc Soethout, Gerrit van der Wal

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Activities report 2003-2004

Department of Public Health and Occupational Health

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3

Colophon Editing

Inge van der Leden, Mireille van Poppel, Marc Soethout, Gerrit van der Wal

Translation

Faith Maddever

Layout

Inge van der Leden

Coverdesign

James van der Leden, Inge van der Leden

Photo on the cover

Audiovisueel Centrum VUmc

Edition

1200

4 PREFACE 5 LEADERSHIP AND POLICY 7 Mission _________________________________________________________________8 Organization _________________________________________________________________8 Education _________________________________________________________________9 Research _______________________________________________________________ 10 Academic workplaces _______________________________________________________________ 10 Employees _______________________________________________________________ 11 RESOURCES 17 Education _______________________________________________________________ 18 Research _______________________________________________________________ 18 PROCESSES 20 Undergraduate medical education______________________________________________________ 21 Health sciences education______________________________________________________________ 27 Research _______________________________________________________________ 29 Projects Quality of care and prevention ________________________________________________ 37 Projects Health at the end of life _______________________________________________________ 43 Projects Work and health_______________________________________________________________ 50 Projects Physical activity and health ___________________________________________________ 57 Academic workplaces _______________________________________________________________ 63 CUSTOMER APPRECIATION 64 Undergraduate medical education______________________________________________________ 65 Health sciences education______________________________________________________________ 67 Research _______________________________________________________________ 68 EMPLOYEE SATISFACTION 70 SOCIETAL RECOGNITION 73 FINAL RESULTS 76 Finances _______________________________________________________________ 77 Undergraduate medical education______________________________________________________ 77 Health sciences education______________________________________________________________ 79 Research _______________________________________________________________ 80 Publications Quality of care and prevention ____________________________________________ 81 Publications Health at the end of life ___________________________________________________ 85 Publications Work and Health __________________________________________________________ 89 Publications Physical Activity and Health_______________________________________________ 94 APPENDIX 1: FURTHER PUBLICATIONS 98 Quality of care and prevention _________________________________________________________ 98 Public health at the end of life ________________________________________________________ 101 Work and Health ______________________________________________________________ 105 Physical Activity and Health ___________________________________________________________ 107 APPENDIX 2: SCIENTIFIC AND SOCIETAL ACTIVITIES 111 Congresses an Lectures ______________________________________________________________ 111 Functions and activities ______________________________________________________________ 127

Activities Report 2003-2004

Preface

5 Preface This is our fourth biannual Activities Report. It is intended for the public health and occupational health services with which we collaborate in the field of education and research, interested colleagues within our Medical Center and University, nationally and internationally affiliated institutes, and others who wish or need to be informed about our activities. In 2004 we changed the name of the Department from Social Medicine to Public and Occupational Health. We feel that the latter is a more adequate and more widely understood – at least internationally - description of what we are and what we do. This new Activities Report shows that after a period of rapid growth the Department is now in a state of dynamic equilibrium. Only the educational activities have continued to increase, mainly through participation in a new branch of studies at our University, i.e. Health Sciences. Furthermore we were able to increase our tenured staff with two members, Frank van Leerdam and Han Anema, whose task is to develop our extramural workplaces. To date there is a considerable ‘critical mass’ of scientific personnel, albeit mainly as a result of external finance. There are now approximately 70 members of the scientific staff (totalling over 50 fte), and approximately 20 members of the administrative and supportive staff (totalling over 10 fte) compared with 65, 50, 10, and 5, respectively at the end of 2002; this is exclusive of the financial and ICT-staff at the EMGO-Institute. Compared to 2002, in 2004 there were relatively more senior researchers and post-docs and also more administrative and supportive staff; this was the intended policy. The number of articles that were published in national and international peer-reviewed journals increased considerably, a substantial number were published in general biomedical high-impact journals, and about half reached in the upper quartile of their field. Furthermore, 16 PhD students/junior researchers succesfully defended their thesis. Numerous other articles, (chapters in) books and reports were published. At the end of 2004 there were over 40 projects in progress, over 35 of which will result in a dissertation. There are also a number of external PhD students working with the Department. We are very happy that our research – as a substantial part of the research carried out at the EMGO-Institute – was rated as ‘excellent’ by an International Review Committee at the end of 2004. Our continuous efforts to create academic workplaces were eventually successful in the end. The Board of Directors of the VU University Medical Center provided funding per 1-12003 for an academic network for research and education in the field of youth health care, and per 1-1-2004 also in the field of occupational health. Unfortunately, the planned


Preface

6 expansion in 2005 will not take place because the VUmc had to take measures to economize. These measures include a structural spending cut of approximately 10% in our budget. In recent years the research budgets of the funding bodies have also decreased. These circumstances make it difficult for us to expand and to acquire grants, but nevertheless we remain confident about the future. This is, among other things, based on a large grant we received in December 2004 for a comprehensive research programme on patientsafety and the research perspectives of the Knowledge Center for Health Insurance Medicine, for which an agreement was signed in January 2005. This Center is based on collaboration between our Department (and the EMGO-Institute), our colleages from the University of Amsterdam and the Institute for Employee Benefit Schemes (UWV); and will increase our research staff with approximately 4.5 fte. Finally, in 2004 our position was reinforced with the appointment of Therese Marteau (King’s College London) as an honorary part-time Professor, specializing in risk communication and decision-making in health care. We consider that this report will not only be a reflection on past activities, but also a starting point for the further development of education and research in the field of Public and Occupational Health within the VU University Medical Center. There are more than enough new challenges for us to meet. On behalf of all members of the staff,

Gerrit van der Wal, Head of the Department


Leadership and Policy

7 Leadership and Policy



8 Public and Occupational Health (Sociale Geneeskunde) is one of the eleven core disciplines included in the undergraduate medical training, and can be considered as the link between medicine and society. Public and Occupational Health physicians direct their activities towards interaction with the environment, in particular in the field of prevention, and the establishment of organizational conditions. In this respect, the focus is more on a (sub-)population than on the individual. The practical domain consists of two main streams: Community Medicine, and Occupational Medicine. Of all physicians in the Netherlands (2025%) are involved in a Public and Occupational Health profession, and most, but not all of these physicians are officially registered as such. The scientific domain of Public and Occupational Health is more extensive than the practical domain. As a scientific discipline, Public and Occupational Health is involved in two major issues: Publics Health and Health Care. The research is mainly of an epidemiological and social-scientific nature, and consists of applied and multidisciplinary research carried out in collaboration with sociologists, psychologists, health scientists, human movement scientists, anthropologists, etc. This is reflected in the composition of the staff of the Department.

Mission Because Public and Occupational Health is one of the three mainstreams in Dutch medical specialization, our Department strives for a substantial position and excellent teaching reputation in the current and future new medical curriculum. It is our ambition to achieve a prominent national and international position in our own specific fields of research. We try to integrate education, research and practice, in particular via academic workplaces, and aim to achieve societal recognition of our scientific work. We also aim to create friendly, stimulating and productive working conditions within the Department.

Organization The structure of the Department is quite simple. There is a Head of the Department (Prof. Gerrit van der Wal) and a Vice-Head (Prof. Willem van Mechelen). They each supervise two research lines, which has a senior researcher as coordinator (Danielle Timmermans, Bregje Onwuteaka-Philipsen, Allard van der Beek and Mireille van Poppel). Each research project has a project leader, who coaches the junior researchers and has considerable power of decision, but must report to one of the Professors. Another staff member is Education Coordinator (Marc Soethout), supervised by the Head. All these together form the staff, and they meet every fortnight to discuss matters concerning education, research and



9 management. There is a bi-weekly meeting of all members of the Department which is of scientific character, but there is also oppurtunity to discuss issues concerning policy and strategy, including routine business and household affairs.

Education Undergraduate medical education In the undergraduate medical education, the Department aims to accentuate the general objectives of the basic training: 'knowledge, skills and attitudes that are necessary for a physician in daily practice: aspects related to society, the health care system and prevention' (Blueprint 2001). Various forms of education, based on both theory and practice, are spread over the 6-year study period, and a contribution towards scientific training is an explicit component. The basic principle of our education is that each future physician must have basic knowledge of Public and Occupational Health. This is important because, for instance, in individual patient care (mostly provided by curative physicians) working conditions and health need an integrated approach. The influences of different societal systems are also important for patient care (e.g. social insurances, and the structure and finance of the health care system). Furthermore an introduction to the practical aspects of the different professionals in the field of Public and Occupational Health is essential to enable curative physicians to collaborate with public and occupational health physicians (e.g. general practitioners and occupational health physicians in the supervision of sickness absenteeism). Finally, it is important to create an opportunity for professional orientation, because, in fact, a considerable number of medical students eventually opt for a career in Public and Occupational Health.

Health Sciences education The Faculty of Earth and Life Sciences at the Vrije Universiteit in Amsterdam organizes the Health Sciences education programme. A majority of these students will finally work in management, policy or research in the field of Preventive Medicine and Public and Occupational Health. Because of the available expertise, the Department makes a major contribution to the courses of this education program. There is a promising spin-off for the Department because an increasing number of students participate in several research projects; this implies not only a contribution to the work that has been done, but also an opportunity to scout for new research talent.



10 Postgraduate medical education The Department intends to play a more significant role in postgraduate education and, in particular, in the training programs of the Netherlands School for Public and Occupational Health. In the past, the emphasis was mainly restricted to activities involved in the professional training for occupational health physicians, but the Department has now started to participate in the public health education program. Finally we are substantially involved in the postgraduate training of youth health care physicians.

Research The Department has decided to concentrate on the following research lines: 1) Quality of care and prevention, 2) Public health at the end of life, 3) Work and health, and 4) Physical activity and health. Cross-links between these lines are stimulated. The research projects are embedded in the Institute for Research in Extramural Medicine (EMGO Institute), which implies that, in principle, the research lines must fit into the EMGO research programs. Research must be extramurally or transmurally orientated, and outcome measures are patient, individual, or population-orientated, i.e. the dependent variables are preferably a health outcome. Our Department uses the infrastructure of the EMGO Institute, i.e. the financial administration of research projects, epidemiological and statistical expertise, assessment of the quality of the research proposals by the Scientific Committee and monitoring the quality of the scientific process by the Quality Committes. (see: www.emgo.nl)

Academic workplaces The aim is to create academic workplaces in public and occupational health services and institutions where work is carried out at an academic level, and with which the Department will collaborate closely in the field of education and research. Examples are the larger Municipal and Community Health Services (GGDs), Home Care Services (Parent and Child Care), Occupational Health and Safety Services (ARBO services) and the Institution for Employee Benefit Schemes (UWV) that mainly deals with the disability regulations.


Employees

11 Employees


Employees

12 In achieving the ambitions mentioned in the previous chapter, adequate human resource management is of crucial importance. Thus we aim to provide reasonable remuneration, pleasant working conditions, good support, adequate potentials for (internal) training, methodological and conceptual discussions (‘stimulating environment’), adequate career prospects and an active post-doc policy (including international exchanges). The aims of the management are based on support and motivation, and creativity, precision and productivity are appreciated. We are watchful for sub-optimal performance and undesirable conduct. Performance is assessed annually with each individual member of our staff, and attention is paid to training and career development. Change-over in personnel is minimal and the rate of sick-leave is low. An optimal combination of work and private life is considered to be important, the working hours are flexible, and it is possible to work at home. However, the pressure of work is high for many members of our staff, so this problem has to be addressed continuously. After a rapid increase in personnel between 1997 and 2002 the Department is now in state of dynamic equilibrium. At present there are approximately 70 members of the scientific staff and approximately 20 members of the non-scientific staff. The majority are PhD students/junior researchers, who have a formal contract with the EMGO Institute. There are now two full-time Endowed Professors, a part-time Endowed Professor, three Honorary Professors and three Associate Professors in the Department. However, in view of the number of PhD students/junior researchers who have to be supervised, the number of directly funded senior staff members is relatively low. Appointment per 31/12/2004 Names

Function

Education

Research

Direct

Direct

Indirect

funding

funding

funding

Ms E Althuizen, MSc

PhD Student

0.8

JR Anema, MD, PhD

Assistant Professor

Ms GAM Ariëns, PhD

Senior Researcher

0.9

Ms MA Bak, MA

Research Assistant

0.5

Ms B Blatter, PhD

Researcher

0.2

AJ v/d Beek, PhD

Associate Professor

M v/d Berg, MSc

PhD Student

1.0

Ms CM Bernaards, PhD

Post-doc

0.8

JA Bijlsma, MD, PhD

Researcher

0.2

1.0

0.05

0.95


Employees

13 Names

Function

Education

Research

Direct

Direct

Indirect

funding

funding

funding

Ms PM Bongers, PhD

Professor

0.2

S Borgsteede, MSc

PhD Student

1.0

Ms K Brouwer, MA

Secretary

0.5

Ms A Bulk, MD, PhD

Senior Researcher

DJ Bruinvels, MD, PhD

Senior Researcher

0.3

GJ de Bruijn, MSc

PhD student

0.2

Ms MJM Chin A Paw, PhD

Senior Researcher

Ms EAM Claassen, MA

PhD Student

1.0

Ms I Christiaans, LLM

Junior Researcher

0.2

Ms JM Cuperus-Bosma, LLM,MD,PhD

Senior Researcher

Ms JC Dekkers, PhD

Post-doc

L Deliens, PhD

Senior Researcher

L Engbers, MSc

Junior Researcher

Ms M Ershadi

Secretary

Ms M Gademan, MA

Research Assistant*

0.8

Ms E Garcia, PhD

PhD Student

0.5

JJ Georges, MA

Junior Researcher

0.8

Ms J Goedhart, MA

Research Assistant

0.5

Ms H Hamberg-van Reenen, MSc

Junior Researcher

0.8

Ms IJM Hendriksen, PhD

Researcher

0.2

Ms L Henneman, PhD

Post-doc

0.7

MW Heymans, PhD

Post-doc

1.0

VH Hildebrandt, PhD

Researcher

0.2

RA Hira Sing, MD, PhD

Professor

H Hlobil, MD

Researcher

0.3

Ms L ter Hofstede

Research Assistant

0.5

Ms M Hollander

Research Assistant*

0.8

Ms WE Hooftman-Schimmel, MSc

PhD Student

1.0

Ms LHF Hoonhout, MSc

Junior Researcher

0.9

Ms M Hopman-Rock, PhD

Researcher

0.2

Ms PK Houwen, MA

Research Assistant*

0.5

Ms AC Huizink, PhD

Post-doc

0.2

S IJmker, MSc

Junior Researcher

1.0

Ms JH Kleinveld, MA

PhD Student

0.8

Ms M.A. Kollau, MA

Secretary

0.4

L Koppes, PhD

Post-doc

0.15

0.5

0.2

0.4

0.05

0.4

0.2 1.0

0.5 1.0 0.6

0.3

0.2

0.2

0.1

1.0


Employees

14 Names

Function

Education

Research

Direct

Direct

Indirect

funding

funding

funding

Ms AMM Kuin, PhD

Post-doc

0.7

Ms CWE v/d Laar, MSc

Junior Researcher

1.0

Ms I v/d Leden

Secretary

0.5

FJM van Leerdam, MD

Assistant Professor

0.8

Ms M van Leeuwe-Bankespoor, MSc

Junior Researcher

0.4

Ms JE van Leeuwen, MA

Research Assistant

0.5

Ms Th Marteau, PhD

Professor

0.05

W van Mechelen, MD, PhD

Professor

Ms A Nooyens, MSc

PhD Student

Ms BD Onwuteaka-Philipsen, PhD

Associate Professor

Ms ME Ooms, MSc

Research Assistant

0.4

Ms N Oostdam, MSc

Research Assistant*

0.5

Ms E Paap, MA

Research Assistant

0.8

Ms C Pennings, MA

Research Assistant

0.4

HP v/d Ploeg, MSc

PhD Student

0.8

HN Plomp, PhD

Associate Professor

0.55

Ms MNM van Poppel, PhD

Senior Researcher

0.15

DS Rebergen, MA

PhD Student

0.8

Ms CM Renders, PhD

Researcher

1.0

Ms ML Rurup, MA

Junior Researcher

1.0

DCM Ruys, MD

Researcher

0.2

Ms M Simons

Research Assistant

0.5

Ms AS Singh, MSc

PhD Student

1.0

SM Slootmaker, MSc

Junior Researcher

1.0

Ms P Slottje, MSc

Junior Researcher

1.0

T Smid, PhD

Professor

0.2

Ms N Smidt, PhD

Post-doc

1.0

MBM Soethout, MD

Assistant Professor

Ms SGM Stomp-v/d Berg, MSc

Junior Researcher

0.8

Ms MM van Stralen, MA

Research Assistant*

0.8

Ms DRM Timmermans, PhD

Senior Researcher

Ms BAM The, LLM, PhD

Senior Researcher

Ms K Uegaki, MSc

PhD Student

Ms JGZ van Uffelen, MSc

Junior Researcher

1.0

EALM Verhagen, PhD

Post-doc

1.0

Ms CF Vermey, MA

PhD Student

1.0

0.2

0.2

0.3

0.8 0.2

0.05

0.90

0.05

0.85

0.45

0.1

0.1

0.1

0.95 0.7 1.0


Employees

15 Names

Function

Education

Research

Direct

Direct

Indirect

funding

funding

funding

Ms TT Vreden, MA

Research Assistant

0.5

R Waaijman, MSc

Research Assistant

0.4

G v/d Wal, MD, PhD

Professor

Ms BG v/d Wal, MSc

Research Assistant

0.6

Ms MM v/d Wal, MSc

Research Assistant*

0.8

HJ Weevers, MSc

PhD Student

Ms MJ Westerman, MSc

PhD Student

1.0

Ms MF van Wier, MSc

Junior Researcher

1.0

Ms P van Wigcheren, MSc

Junior Researcher

0.6

Ms A Witteveen, MSc

Junior Researcher

0.4

Ms M van Zuidam, MA

Research Assistant

0.6

Total

0.5

0.5

1.0

4.85

10.65

47.9

*Counsellor

Most researchers have participated in the undergraduate curriculum tutorials. The following people have also contributed to the undergraduate medical curriculum and the Health Sciences curriculum: •

FJA Beumer, LLM (Inspectorate for Health Care)

•

Ms JH Choufoer, MD (Occupational Health and Safety Service, VU University Amsterdam/VU University Medical Center)

•

C Das, LLM, MD, PhD (Amsterdam Municipal Health Services)

•

B Elzerman, MD (ArboNed)

•

Prof RA Coutinho, MD, PhD (Amsterdam Municipal Health Services)

•

Ms M Johannes, MD (Amsterdam Municipal Health Services)

•

R Greeven, MD (Arbo-Unie)

•

Ms C v/d Hoeven, MD (Zaanstreek Waterland Municipal Health Services)

•

Prof JH Hubben, LLD (Faculty of Law, VU University Amsterdam)

•

Ms M Muris, MD (ArboNed)

•

A Klomp, MD (Zaanstreek Waterland Municipal Health Services)

•

P Kohne, MD (Haarlem Municipal Health Services)

•

Ms D Kuyvenhoven, MD (West-Friesland Municipal Health Services)

•

L v/d Leijden, MD (ArboNed)


Employees

16 •

Ms A Nielen, MD (Amsterdam Municipal Health Services)

•

Ms M Oosting, MD (Zaanstreek Waterland Municipal Health Services)

•

T Pal, MD, PhD (Netherlands Center for Occupational Diseases)

•

J Penders, MD (KLM Arbo Services)

•

UJL Reijnders, MD, PhD (Amsterdam Municipal Health Services)

•

Ms R Rip (IJmond and Kennemer Home Care)

•

Ms HJC Smink, LL M (Department of Medical Affairs, VU University Medical Center )

•

JE van Steenbergen, MD (Dutch Infections Disease Control)

•

A Straatman, MD (ArboNed)

•

P Thung, MD (Occupational Health and Safety Service, VU/VU University Medical Center)

•

MJ van Til, MD (Occupational Health and Safety Service, VU/VU University Medical Center)

•

M Verkuil, MD (Arbo Unie)

•

R Vissers, MD (Evean Youth Care)

•

A Voorbij, MD (ArboNed)

•

P de Wolf, MD ((Zaanstreek Waterland Municipal Health Services)

•

A van der Zeijden, MA (Dutch Council for the Chronically Ill and the Disabled)

•

JE van Steenbergen, MD (Dutch Infections Disease Control)

The following people left the Department during the period of reporting: G Asad, Ms J de Bie, Ms H Brandt, M Echteld, Ms MAM Dijkman, Ms C v/d Geest, Ms M Gerritsen, Ms G Gutschow, FAG Hout, Ms M Jansen-v/d Weide, Ms M Klinkenberg, Ms L van der Maas, Ms KB Monsjou, MT Muller, J Oudhoff, Ms AMC Plass, Ms KI Proper, Ms HRW Pasman, D Samoocha, Ms EMF van Sluijs, Ms M Spoelstra, JB Staal, Ms J v/d Steen, IA Steenstra, Ms M Uittenbosch, Ms C Wijnholts.


Resources

17 Resources

Resources


18 Education Undergraduate medical education Funding (€), scientific personnel (SP) and non-scientific personnel (NSP) per 31/12/03 and 31/12/04 2003

2004

Direct funding

Indirect funding

Direct funding

Indirect funding

Finance

73.474

-

103.679

-

SP

3.19

0.5

3.22

-

NSP

1.0

-

1.1

-

Health Sciences education Funding (€), scientific personnel (SP) and non-scientific personnel (NSP) per 31/12/03 and 31/12/04 2003

2004

Direct funding

Indirect funding

Direct funding

Indirect funding

Finance

8.660

-

-2.391

-

SP

0.30

0.20

0.81

-

NSP

0.02

-

0.09

-

Research Funding (€), scientific personnel (SP) and non-scientific personnel (NSP) per 31/12/03 and 31/12/04 2003 Direct funding

2004 Indirect

Direct funding

funding1

Indirect funding1

Finance

24.971

541.384

27.860

5.500.627

SP

13.112

36.99

13.993

34.99

NSP

1.4

8.05

1.7

11.64

1

Finance is including personnel

2

Including 0.98 fte for the academic network

3

Including 1.90 fte for the academic network


Resources

19 A pressing problem that remained in the past two years was housing. A temporary solution was found by renting office space near the campus for colleagues from other groups of the EMGO Institute. Nevertheless, many of our co-workers have their workplace far from the central offices of the Department. Unfortunately, because of problems in the financial situation of the VUmc, the Department has twice been confronted with spending cuts. The structural netto effect is a decrease of € 50.000 in our annual budget. Furthermore, the expected increase in academic workplaces had to be postponed.


Processes

20 Processes


Processes

21 Undergraduate medical education During the period of reporting the number of first-year students increased from 324 in 2002 to 350 in 2004 (10 extra students from Norway are not included). This growing number of students, following the increase from 245 to 324 that had already taken place in 2001 and 2002, has had a great impact on the capacity of tutors, especially in departments such as Public and Occupational Health, which have a relatively small education staff. In the current curriculum our Department participated in the first four years of education, mainly in the thematic courses on 'Man, Medicine, Society' and 'Health Care', and to a lesser extent in the courses on 'Growing Up' and ‘Aging’. We also contributed to ‘Experience training’ and to the problem-orientated ‘Clinical training’, and an elective profile ‘Child and health care’ (a combination of an elective course, a scientific research course and a elective clerkship on child and health care). The subject matter for Public and Occupational Health consists of texts in the various course books and the renewed textbook ‘Public’s Health and Health Care’ (‘Volksgezondheid en Gezondheidszorg’) edited by JP Mackenbach and PJ van der Maas, Elsevier, 2004). This textbook is used in all Dutch medical faculties. Several co-workers of our Department are (co-)author of different chapters. In the last two study years we provided a discipline-oriented clerkship, and also offered various elective clerkships. Furthermore we organized an inter-disciplinary training (‘’Stage Overstijgend Onderwijs”) with various themes (Figure 1).


Processes

22 Figure 1: Undergraduate medical curriculum at the VU University Medical Center 1st study year Course Man, Medicine, Society Clinical training / Experience training / Skills training 2nd study year

Clinical training / Experience training / Skills training 3rd study year Elective course Clinical training /

Experience training

/Skills training

4th study year Course Health

Course Aging

Care Clinical training /

Experience training

Course Growing

Scientific

Up

research training

/Skills training

5th study year

Interdisciplinary training 6th study year Public & Occupational

Elective

Senior

Health clerkship

clerkship

clerkship

Interdisciplinary training

The Department participated in the development of a new medical curriculum, which will start in September 2005. Context-learning (early patient contact) based on competences and student tasks in a Bachelor-Master structure is the main component of this curriculum. Prof. Gerrit van der Wal is Vice-Chair of the Faculty Curriculum Committee, and we are preparing a practical course for the third year (Chair: Marc Soethout) and two second year courses; ‘Adult, Work and Health’ (Chair:Prof. Willem van Mechelen) and ‘From Baby till Adult’ (Chair:Prof. Remy Hira Sing). A clerkship is planned for the fifth year, and in the sixth year there will be a 20-weeks final preparation clerkship.


Processes

23 Embedding The national requirements for medical training (Blueprint 2001) are the guidelines for the content of the medical curriculum. The curriculum consists of modules, and the Department participates in some of these modules. Together with the participating tutors, the Chair of an education module is responsible for the quality of the education.

Procedures At least once every year there is an education module (or course) meeting, in which the organization, the content and the results of the student evaluation are discussed. The Chair persons of the education modules meet three times a year. The Director of Education at the VU University Medical Center chairs these meetings. The educational responsibilities of the Department are formulated in a written education agreement.

Quality assurance Each module is evaluated and a report is written and discussed with the tutors and students involved. These evaluations are also discussed in the meetings of the Faculty Medical Education Committee. This Committee advises the Director of Education and the Board of Directors of the VU Medical Center about any necessary adaptations in the education program. The quality assurance policy for the examinations is the responsibility of the Examination Committee, which advises of the Director of Education and the Board of Directors. An external body, the Inspection Committee of the Association of Universities in the Netherlands, assesses the faculty quality assurance policy.

Course on 'Man, Medicine, Society' The disciplines of Medical Psychology (Chair), Metamedics, Psychiatry, General Practice, Public and Occupational Health, and Physiology participate in this course. The course consists of lectures, supplemented with tutorials and problem-oriented training. Our Department organizes seven lectures, focusing on daily practice in public and occupational health. ‘Social security’ and ‘Structure and functioning of the health care system’ are further explored in two 2-hour tutorials (a total of 30 groups of approximately 12 students with supervisors). The Department participates in 3 themes of problemoriented training; in addition to participation in six plenary meetings, it organizes two 15hour tutorials (2 groups with supervisors). The three themes are ‘Chronic illness’, ‘Pain’ and ‘Sexuality’.


Processes

24 Course on 'Aging' and course on 'Growing Up' Various disciplines also participate In these courses. Our Department organizes 2 lectures in the course on Aging: ‘Epidemiology of aging’ and ‘Pros and cons of aging’. In the course on 'Growing Up', we provide one lecture on ‘Chronically ill children’.

Course on 'Health Care (and Public’s Health)' In the course on 'Health Care (and Public’s Health)' the disciplines of General Practice, Metamedics and Public and Occupational Health (Chair) collaborate. The course consists of lectures, supplemented with tutorials. Our Department organizes 12 lectures and 12.5 hours of tutorials (24 different groups of approx. 12 students). In the tutorials, 4 public health themes are studied in more depth: ‘Errors in medicine and quality of care’, ‘Terminal and palliative care’, ‘Work and health’, and ‘Life-style and health’. The tutorials involve visits to practices, group meetings, presentations, and writing a paper. The following subjects are addressed in the lectures: ‘Public health and health care’, ‘Quality of care’, ‘Forensic medicine’, ‘Handling errors’, ‘Life-style and health’, ‘Prevention’, ‘Youth health care’, ‘Work and health’, ‘Health law’ and ‘Health economics’. The contents of the course and powerpoint presentations of the lectures were presented on the Internet (Blackboard). A special course of 3 tutorials, focusing on health care and public health in the Netherlands, was organized for non-EC medical doctors who followed the medical curriculum at a later point in time.

Clinical training Clinical problem-solving is taught during patient demonstrations and tutorials. In the tutorials a multidisciplinary case is discussed under the supervision of a clinician. The Department has made contributions in the form of issues related to youth health care and occupational health care in the 4th year.

Experience training The experience training provides a practical introduction to the profession of a physician. The goal of this training is to introduce the medical student to medical practice from various angles, focusing not only on the user of the care, but also on the care system itself. It is intended to encourage the students to reflect on their own reactions, functioning as future care-providers in the health care system. All 3rd year students, visit in groups of 10 to 12 persons. Make one 2-hour visit to at an Occupational Health and Safety Service (Arbo services), and one 2-hour visit to a Municipal Health Service (GGD).


Processes

25 In the final year all information for students was presented on the Internet (Blackboard), and for practical reasons the site visits were replaced by interactive tutorials at the faculty, where tutors from the field of public and occupational health discuss interactive casereports and demonstrate daily practice with short video-tapes.

Scientific research training The scientific research training has a duration of 10-12 weeks in the 4th year. Students participate in scientific research in one of the medical departments or research institutes. The research period ends with a written paper. Students can participate in research projects in our Department, or they can participate in a research project in one of the Public or Occupational Health Services, supervised by a senior researcher from the Department.

Clerkships The final two years of the undergraduate medical curriculum consist of clerkships in different departments of hospitals, general practices and Public or Occupational Health Services. The department organizes a 2-week Public and Occupational Health clerkship. An introduction day and a final day at the faculty structure the program. In the interim period, practical training is provided by a Municipal Health Service (GGD), an Occupational Health and Safety Service (ARBO service), the Institute for Employee Benefit Schemes (UWV) or a Home Care Organization (Parent and Child Care). On the introduction day professionals in the field inform students about the two main streams of Public and Occupational Health: Occupational Medicine and Community Medicine. Examples from daily practice are used as illustration. Simulated patients are used for the skill straining. During the practical training, the students gain insight into the work of the institution or service they have chosen, and the tasks of the public and occupational health physicians and other people who work there. They practice a number of pre-defined skills in public and occupational health, and they also have to find, in a structured way, a solution to a public health problem that was given to them on the introduction day at the faculty. During the final day at the faculty, the students exchange experiences, and give a structured presentation of ‘their’ public or occupational health problem, based on by the PREPAREmodel (Figure 2). The model was designed in our Department and further developed at a national level to deal with public and occupational health problems in a structured and evidence-based way. The preference of the students with regard to the location of practical training is taken into account in the final allocation of the clerkship. Unfortunately, however, in view of the


Processes

26 limited offer of clerkships made by services and organizations during a certain period, it is not always possible to honor these preferences. In recent years there has been a marked increase in the number of students who had a definite preference for their clerkship. At present, approximately two thirds of the students make use of the possibility of stating their preference beforehand. Figure 2: Methodology (PREPAREmodel) for public and occupational health problems

P

Steps

Remarks

Problem

What is the problem? - What is the case?

R

Relevance

What is the relevance? - What are the determinants?

E

Evidence

What is the evidence of intervention and prevention? - What is the source of information?

P

Preventive

Which preventive measurements can be taken, and why? - Primary / secondary / tertiary (individual and group)?

A

Advise

Which advice/information can be given? - Individual/ group/society?

R

Record

Which written record is necessary, and why? - Is there a duty to report?

E

Evaluation

Is evaluation necessary, and why? - Individual/group/society?

© MS/09/2004


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27 Elective clerkships Students can devote 6 weeks of their clerkships to electives. In the past two years 31 students completed an elective clerkship in Public and Occupational Health (see Chapter 9).

Elective profile The medical curriculum has 10 different elective profiles. A profile consists of a combination of a theoretical elective in the 3rd year, a period of scientific research training in the 4th year, and an elective clerkship in the final years. The Department participates in the elective profile Child and Youth Health.

Interdisciplinary training During the clerkships in the 5th and 6th years, interdisciplinary revision days are held at the faculty (‘Stage Overstijgend Onderwijs’). Each session consists of a 3-hour period, and there are now approximately 10 sessions scheduled, 7 of which are compulsory for all students. Our Department organizes and participates in 3 sessions, i.e. ‘Forensic medicine’, ‘Health law’ and ‘Occupational diseases’. Case-histories are discussed in a multidisciplinary way. We collaborate with several clinical departments and with the Forensic Department of the Municipal Health Services in Amsterdam, the Faculty of Law, and the Netherlands Center for Occupational Diseases.

Health Sciences education The faculty of Earth and Life Sciences organizes Health Sciences. The 4-5-year curriculum is based on the Bachelor-Master structure. The Department is one of the main participating disciplines, and is responsible for the co-organization of the curriculum. We participate in the Bachelor courses on ‘Health care’, ‘Prevention’ and ‘Policy research’ and we are currently developing a course on ‘Regulation and organization of health care’ for the Master course (Figure 3).

Processes


28 Figure 3: Health Sciences curriculum at the VU University 1st study year (Bachelor) Course Health Care 2nd study year (Bachelor) Course Prevention 3rd study year (Bachelor) Course Policy Research 4th/5th study year (Master) Course Regulation and organization of health care

Course on Health Care The course on ‘Health Care’ is given during the first year, in collaboration with the Department of Health Care and Culture and the Department of Medical History. Our Department is Chair of this course. The aims of the course are to offer first-year students an overview of the development of the health service systems (especially in the Netherlands) and how they are embedded in society, and in the development of the health status of the population over the last 150 years. In problem-oriented learning groups, special attention is paid to three themes: infectious diseases, development of the supply and demand of health services, and the perspective of the patient. In the final term there is an examination, and the students have to write a paper on one of the three themes.

Course on Prevention This course aims to introduce students to the theory and practice of disease prevention and health promotion. The theory is taught through lectures and tested in an examination. Practical knowledge on prevention is gained by visiting a specific prevention program (interviewing the program leader) and by writing a scientific paper, which contains a description and a critical evaluation of the program and an overview of the relevant scientific literature. Our Department is Chair of this course, which is organized together with the Department of Nutrition and Health of the Faculty of Earth and Life Sciences.


Processes

29 Course on Policy Research This course does prepare students for their Bachelor research apprenticeships in public health. The aims are to integrate the methodological knowledge that was gained in preceding courses and to apply this knowledge to practical problems that were encountered in prevention and health services. The course has three components: principles of policy research, health services, research and qualitative data-collection and analysis. The students have to take an exam and they also have to formulate a research protocol for a practical problem, which is feasible and also meets the methodological and theoretical standards. Our Department organizes this course.

Course on Regulation and Organization of Health Care The aim of this course is to offer students the tools (concepts and methods) to describe and analyse the organization, management and quality of health care systems and health care services at an operational level. The course is still being developed, but will be chaired by our Department.

Postgraduate medical education Our Department participates in the management and content of some courses organized by the Netherlands School of Public and Occupational Health (NSPOH), of which Professor Gerrit van der Wal is Vice-Dean. The postgraduate education includes both main streams of Public and Occupational Health.

Research Embedding The research in our Department is integrated in four research lines, all of which focus on Public Health and Health Care. These research lines are: 'Quality of care and prevention', 'Public health at the end of life', 'Work and health', and 'Physical activity and health'. A senior researcher from these four research lines participates in the two-weekly staff meetings, together with the three Professors, the Education Coordinator and members of the administrative staff. All research projects are embedded in the Institute for Research in Extramural Medicine (EMGO Institute) and all research projects fit into one the programs of the Institute. The EMGO Institute participates in the Netherlands School of Primary Care Research (CaRe), which was re-acknowledged in 2000 by the Royal Netherlands Academy of Arts and Sciences (KNAW) for a second period of five years.


Processes

30 Quality of Care and Prevention Quality of care and prevention concerns the extent to which (preventive) care contributes to good quality of life and the length of the life of a patient or client. It must be technically good care, cost-effective care, and patient-oriented care. Technically good care is care that, according to the current professional standards, is given to the right person at the right moment. This implies that physicians not only have to make the right choice of treatment for a patient, but they must also be able to provide the care in an expert and adequate manner. Cost-effective care implies that the results of the care in terms of health benefits must be in balance with the costs of the care. Patient-oriented care refers, among other things, to the interactions between the physician and the patient: the quality of the communication, the provision of adequate patient information, and the maintenance of a good relationship with the patient. According to this definition, research in the field of quality of care and prevention is just as comprehensive as research in the entire field of public health. It is therefore necessary to determine the focus of research within this broad concept. Quality of care research can focus on the invidual providers and receivers of the care, or on the organization of the care.A considerable body of the research that takes place in the Department of Social Medicine focusses on the first type of care, for instance research on care that is or is not provided (e.g. the Maximum Acceptable Waiting Times project) and on care that is or is not utilized (e.g. the Prenatal Screening project). The research line ‘Dealing with risks and decision-making’ focusses on the provision of information to care-users, the way in which patients and the general public understand this information and take it into consideration in decisions concerning their health, and the skills that are needed to form an opinion and to make a decision. One project that focusses on the organization of care is the evaluation of the Individual Health Care Professions (IHCP) Act. The aim of this evaluation was to investigate how the IHCP Act functions in daily practice, and to determine the extent to which the aims of the Act – protecting the general public against incompetence and carelessness in individual health care, and the promotion and assurance of quality in professional practice – are achieved. Certain aspects of youth health care are also investigated in this line of research, namely research on the appropriateness and effectiveness of youth health care prevention programmes. The research programme ‘Patient safety’, that started in 2004, will not only focus on the individual care-provider, but also on the organization of care. The health care sector is characterized by complex processes that are carried out for and by individuals. There is often a question of dependence, for instance, on technology, other care-providers, the organization, or the patients themselves. Moreover, medical errors can be made by the best doctors and in the best health care systems. This project also includes research on the


Processes

31 incidence of medical errors, or rather, ‘adverse events’ in the Netherlands, and the causes of ‘adverse events’. Interventions to improve the safety of patients are also being evaluated.

Public health at the end of life ‘Public health at the end of life’ concerns research on the incidence and the prevalence of health and illness in the population in the final phase of life, their determinants, and the measures that can have a positive influence on these determinants and health-related quality of life. This field of research includes palliative care, and the decisions involved may have the result of hastening death. End-of-life care demands a high level of expertise, competence and integrity. Not only, for instance, in the case of euthanasia and physicianassisted suicide, but also with regard to such aspects as forgoing life-prolonging treatment, the medical profession must formulate requirements for prudent practice and be open to evaluation. The public health research focuses on the epidemiological aspects of health and illness in the final phase of life and the development of good measurement instruments, outcome measures and indicators for responsible end-of-life care. Research is also being carried out to investigate ways in which to maintain or improve functional autonomy and the social support that patients receive. Finally, the research also investigates the various ways in which, and the conditions under which, end-of-life care can be organized.

Work and health Research in the field of work and health mainly concentrates on the etiology and prevention of work-related disorders of the musculoskeletal system. These disorders cause approximately one third of sickness absenteeism and work disability in the Netherlands. The etiological research studies the development of back, neck and upper extremity disorders in the occupational setting, and also work-related disorders of the musculoskeletal system in general practice. In prospective cohort studies, special attention is paid to exposure assessment and the risk of sickness absence due to musculoskeletal disorders. Research on the prevention of work-related disorders of the musculoskeletal system concerns various programs treating workers who are absent from work due to nonspecific low back pain. Several large Randomized Controlled Trials (RCTs) have focussed on this topic, all with the appropiate cost-effectiveness analysis. Within this research line many systematic reviews of the literature are being carried out, some within the framework of the Cochrane Collaboration. In this research line attention is also paid to female workers in two PhD projects. Gender differences in work-related exposures and in the risk of (sickness absence due to) musculoskeletal disorders are being studied, and the effectiveness of occupational health


Processes

32 care on return to work after childbirth is being investigated in an RCT. Finally, an RCT is being carried out to evaluate the effectiveness of the Dutch guidelines for the management by occupational physicians of workers with mental health problems. It is aimed to add more research on the prevention of psychological complaints to this line. In 2002, the Research Center Body@Work TNO VUmc, a collaboration between the VU University Medical Center and TNO, was established. One of the two main areas of interest of this Research Center is work and health. Hence, Body@Work TNO VUmc is funding six studies in which the relationship between work and musculoskeletal disorders is being investigated.

Physical activity and health Physical activity has a strong influence on health, both negatively and positively. Adequate physical activity is extremely beneficial for the health status, but a possible negative effect of sport and physical activity is that they increase the risk of (sports) injuries. Research in this field concentrates on the health consequences of various physical activity and training programs, for instance for the residents of long-term care facilities. Since it is a well-known fact that approximately 60% of the population in the Netherlands is insufficiently physically active, effective methods to stimulate a physically active life-style are also being investigated. This is taking place, in particular, in occupational health care, general practice, and rehabilitation centers. The second of the two main areas of interest of the Research Center Body@Work TNO-VU is physical activity and health, and the center is funding three studies in which physical activity is promoted. Overweight, for which physical inactivity is a strong risk factor, is becoming an increasingly urgent problem in public health care. In order to tackle this problem, a Center of Expertise on the prevention of overweight and obesity has been established within the EMGO Institute: the Knowledge Center Overweight. The Department of Public and Occupational Health is an important contributor, and the primary aim of the Center is to provide intermediary professionals with state-of-the-art knowledge concerning the prevention of overweight and obesity (see: www.overgewicht.org). Furthermore, several studies on the prevention or reduction of overweight and obesity have been initiated, focusing on working populations, adolescents, and pregnant women. In all these studies the promotion of physical activity plays an important role. From the public health perspective, the prevention of sport injuries is important. Research on the negative aspects of physical activity and sport, for instance, is directed towards the prevention of sports injuries among youth.


Processes

33 Procedures The project leaders of the research projects are senior investigators, who are responsible for the supervision of junior researchers and PhD students and the daily management of the research. A Professor has the final responsibility for the scientific content, the project management, and the dissertation of the junior researcher or PhD student. All projects can receive statistical and methodological support from a senior member of the Department of Clinical Epidemiology and Biostatistics at the EMGO Institute. Similarly, for all projects some assistance with the design and execution of the data-management is available, and the Financial Administrator at the EMGO Institute assists all project leaders with financial affairs.

Quality assurance The majority of the research projects are externally funded, and most funding organizations have a strict procedure for assessment of the relevance and quality of a research proposal. This usually entails a peer review by several (national and international) referees. Research that is of insufficient quality will have less chance of being funded. In addition to this external quality control, all research proposals must be submitted to the Scientific Committee of the EMGO Institute. Two senior researchers assess the proposals with regard to compliance with the EMGO research programs and the scientific quality and feasibility of the project. After funding has been obtained (internally or externally), but before the actual data-collecting takes place, a detailed protocol is formulated, including all patient information and questionnaires. This protocol is submitted to the VUmc Medical Ethics Committee, which assesses the ethical consequences of all research involving humans or animals. The quality of the data-gathering, data-storage and data-analyses is monitored by the Quality Committee of the EMGO Institute, by means of audits of ongoing projects. In order to improve the quality of both the research and the researchers, meetings are held every two weeks for all researchers in our Department. In more specialized meetings that are held regularly in each of the four research lines, methodological and practical issues are discussed, thus improving the research projects and broadening the horizons of the researchers involved. The researchers also attend meetings held within the EMGO Institute research programs. Most research projects will result in several papers and a dissertation. The papers are mainly submitted to international peer reviewed journals for publication. Some papers are also submitted to national peer-reviewed journals, partly in the form of a so-called ‘double-


Processes

34 publication’. The quality of these papers is therefore widely assessed. A Thesis Committee assesses the quality of a dissertation, in which four to six (Associate) Professors with expertise in a relevant line of research participate.

Collaboration with other research groups There is substantial collaboration with other research groups within the EMGO Institute (e.g. Nursing Home Medicine, General Practice), with other departments within the VU University Medical Center (e.g. Clinical Genetics, Gynaecology and Obstetrics) and with other faculties within the University (e.g. Clinical Psychology, Health Law, Earth and Life Sciences). There is a structural collaboration within the Research Center Body@Work TNOVUmc with TNO Quality of Life (formerly TNO Work and Health and TNO Prevention and Health). This collaboration is extended to include the Faculty of Human Movement Sciences of the Vrije Universiteit on an informal basis. There is external collaboration, both nationally (e.g. Institute for Public Health of the Erasmus Medical Center in Rotterdam) and internationally (e.g. the European research program on end-of-life decision-making).


Processes

35 Quality of care and prevention

SPOTLIGHT

Maximum acceptable waiting times for surgery The main reasons for this research were the long waiting lists for curative treatment in the Netherlands in the nineties. The alleged detrimental consequences of these waiting lists caused considerable national concern and commotion, and the government subsequently made much more funding available in order to reduce the waiting times to an acceptable level. This level was formulated in the so-called ‘Treek standard’, a ‘gentlemans agreement’, but not evidence based. It was not clear how serious the consequences of these waiting lists actually were, and it was therefore necessary to determine an acceptable waiting time. This was the main objective of the project, which focussed on surgery, one of the specialisms with the longest waiting lists (approximately 20% of the total). Two studies were carried out. The first investigated, among patients, the nature and severity of the consequences of waiting for treatment. Strangely enough, this had hardly ever been done. In view of their importance for waiting list policies, these preliminary results were presented to the Minister of Health in January 2003 in the presence of the national press. Based on this insight into the consequences of waiting, a second study was carried out to investigate the opinions of various parties with regard to the acceptability of these consequences. It became clear that the opinions of physicians and patients with regard to acceptable waiting times bore little resemblance to the ‘Treek standard’, which paid too little attention to the problems of the patients. Although it would seem to be logical that the waiting times should be attuned to the severity of the patient’s problems, this seldom or never actually happened in daily practice. Insight into the severity of the problems and, consequently, the maximum acceptable waiting times, are therefore of core importance in reducing waiting times, now and in the future. At an invitational conference in June 2004, the results were presented to representatives from the various care sectors patient and professional organizations, and health care insurances involved, in order to determine the implications for the current waiting list policy. This resulted in a number of concrete recommendations, including formulation, by the professional associations involved, of new standard waiting times for specific types of treatment. These recommendations were presented, together with the final report, to the Minister of Health, in September 2004 by the chairmen of these associations KNMG,OMS and NVvH. Minister Hoogervorst accepted the report with words of praise, “because … the report makes it clear what it means for a patient to have to wait”, and because of the “clear


Processes

36 and orderly recommendations” for reducing the waiting times. The research results and the policy recommendations were and will be published in national and international journals in order to inform the professional groups and scientific community.


Processes

37 Projects Quality of care and prevention During the course of 2003/2004 the following research projects were carried out (in chronological order of starting date): Title

Prevention of passive smoking among children

Period

01.95 – 12.03

Funding

Netherlands Organisation for Health Research and Development (ZonMw), TNO Quality of Life (TNO-PG)

Investigators

MR Crone1, SA Reijneveld1, SP Verloove-Vanhorick1, RA Hirasing

Objectives

To assess prevalence, health consequences and determinants of passive smoking in young children and the effect of a systematic education program.

Title

The effect of educational information about daily complaints on self care behavior and health care demands of Turkish and Dutch inhabitants of disadvantaged districts of The Hague: evaluation of an intervention

Period

08.98 – 05.03

Funding

Municipal Health Services The Hague, Netherlands Organisation for Health Research and Development (ZonMw)

Investigators

AMC Plass, DRM Timmermans, G van der Wal

Objectives

To evaluate the effect of providing information about minor ailments on selfcare and health care use of Turkish and Dutch patients.

Title

Maximum acceptable waiting times in elective surgery

Period

09.99 – 01.05

Funding

Ministry of Health, Welfare and Sport (VWS)

Investigators

J Oudhoff, DRM Timmermans, AB Bijnen, G van der Wal

Objectives

To determine maximal acceptable waiting times for the treatment of varicose veins, gallstones, mammary cancer and inguinal hernia, with generalisations to other common surgical treatments.

Title

Psychological well-being of pregnant women who are offered prenatal screening for congenital defects

Period

09.99 – 08.05

Funding

Netherlands Organisation for Health Research and Development (ZonWw)

Investigators

JH Kleinveld, M van den Berg, DRM Timmermans, J van Vugt7, L Ten Kate8, D de Smit9, JThM van Eijk3, G van der Wal

Objectives

To determine the effect of offering pregnant women prenatal screening on their psychological well-being in the short and the long term.


Processes

38 Title

Risk perception and decision making of pregnant women who are offered prenatal screening for congenital defects

Period

09.99 – 01.06

Funding

Netherlands Organisation for Health Research and Development (ZonMw)

Investigators

M van den Berg, JH Kleinveld, DRM Timmermans, J van Vugt7, L Ten Kate8, D de Smit9, JThM van Eijk3, G van der Wal

Objectives

To determine the effect of offering pregnant women prenatal screening on their risk perception and decision making.

Title

Nocturnal Enuresis

Period

01.00 – 11.03

Funding

Ferring Nederland b.v. and TNO Quality of Life.

Investigators

FJM van Leerdam, AJ van der Heijden10, RA Hirasing

Objectives

To describe the epidemiology of enuresis (in different subgroups) and the effect of alarm treatment (in different subgroups).

Title

Practice concerning reserved and other risky procedures in Dutch health care; impact of the Individual Health Care Professions Act

Period

08.00 – 01.04

Funding


Investigators

J de Bie, JM Cuperus-Bosma, JKM Gevers11, G van der Wal,

Objectives

To gain insight into the extent to which the regulation of 'reserved procedures' of the Individual Health Care Professions Act (BIG Act) serves its purposes of protecting patients against professional carelessness and incompetence and of fostering and monitoring high standards of professional practice.

Title

The Dutch disciplinary code of health care

Period

09.00 – 01.04

Funding


Investigators

FAG Hout, JM Cuperus-Bosma, JH Hubben12, G van der Wal

Objectives

To gain insight into the functioning of the disciplinary code of the Individual Health Care Professions Act (BIG Act) and into the extent to which this code serves its purposes of fostering and monitoring high standards of professional practice. And of protecting patients against professional carelessness and incompetence of the professionals that are covered by the disciplinary code.


Processes

39 Title

Factors influencing the choice of a medical career

Period

01.01 – 03.06

Funding

-

Investigators

MBM Soethout, ThJ ten Cate13, G van der Wal

Objectives

To obtain information about career preference of medical students in different stages of their study and recent qualified medical doctors and their final medical occupation, and to identify factors influencing the career choice of medical specialisation, with a special focus on public and occupational health. In this way a better coaching can take place during the medical undergraduate course resulting in a better connection to the postgraduate medical specialisation and the labour market.

Title

Public attitudes and expectations on genetic testing and human genetic information

Period

10.01 – 05.03

Funding

-

Investigators

L Henneman, DRM Timmermans, G van der Wal

Objectives

To evaluate the experiences, genetic knowledge, attitudes towards and expectations of future genetic developments, and attitudes towards the availability of human genetic information among Dutch people.

Title

Risk perception of disease and evaluation of the Meningococcen C vaccination campaign in 2002 by participant with different ethnic backgrounds

Period

08.02 – 05.03

Funding

-

Investigators

DRM Timmermans, L Henneman, RA Hirasing , G van der Wal

Objectives

To determine the risk perception of disease and evaluation of the Meningococcen C vaccination campaign in 2002 by participants with different ethnic backgrounds

Title

Moral considerations with respect to the decision for or against prenatal screening and the implications for the desirability of prenatal screening as community screening.

Period

10.02 – 10.06

Funding

-

Investigators

E Garcia, DRM Timmermans, E van Leeuwen14


Processes

40 Objectives

To determine the moral considerations of pregnant women when offered a prenatal screening test, to determine the requirements regarding education and counseling to facilitate the process of moral evaluation and to investigate the implications for health policy.

Title

Early detection and prevention of overweight

Period

12.03 - 01.06

Funding


Investigators

MLA de Kroon15, CM Renders, JP van Wouwe1, GA de Jonge16, RA Hirasing

Objectives

To determine the association between birth weight, growing pattern and overweight up to the age of young adults. In addition the association between birth weight, growing pattern and the development of type 2 diabetes, cardiovascular risk factors and asthma will be studied. Furthermore, the role of breast-feeding in these associations will be determined.

Title

Minimal Intervention Strategy for preventing overweight in children

Period

10.03-06.06

Funding

Public Health Fund (Fonds OGZ)

Investigators

MAM Dijkman23, K van de Laar, CM Renders, RA Hira Sing

Objectives

The development and evaluation of a minimal intervention strategy (MIS) for prevention of overweight in 5 year old children, aimed at parents and provided by workers within Youth Health Care.

Title

The Risky Self: understanding the relationships between self-image, genetic risk information and health related behaviour

Period

06.04 – 06.08

Funding

The Societal Component of Genomics Research (NWO)

Investigators

L Claassen, DRM Timmermans, TM Marteau43, L Henneman, G van der Wal

Objectives

To investigate how people think about a genetic risk (predisposition to disease or carriership) for a future disease and how this knowledge is affected by and in turn affects their self-image and health behaviour.

Title

Communicating breast cancer risks: a genetic counsellor's role in improving patient understanding to increase informed decision-making

Period

07.04 – 07.08

Funding

Dutch Cancer Society

Investigators

K Vermey, DRM Timmermans, LHenneman, F Menko44, G van der Wal


Processes

41 Objectives

To evaluate the effect of a consultation tailored at the perceptions of risk and the effect of different ways of risk communication provided during an additional consultation with a “genetic risk counsellor” on the patient’s risk perception, psychological well-being and decision making, among women with low and moderate cancer risk receiving standard counselling for breast cancer in a family cancer clinic.

Title

Patient safety in Dutch health care

Period

07.04 – 01.09

Funding

Ministry of Public Health/Order of medical specialists

Investigators

L Hoonhout, M Zegers21, I Christiaans, J Cuperus-Bosma, M de Bruyne, DRM Timmermans, C Wagner21, G van der Wal

Objectives

To investigate the numbers, characteristics, costs and causes of adverse events in Dutch hospitals and related health care, and to evaluate interventions aiming for preventing adverse events.


Processes

42 Health at the end of life

SPOTLIGHT

Evaluation of the euthanasia review procedure In the Netherlands, nationwide research on euthanasia and other medical end-of-life decisions was carried out in 1990/1991 and in 1995/1996. The objective of both of these research projects was to investigate the prevalence and the underlying circumstances of euthanasia and other medical end-of-life decisions in the Netherlands. The main objective of the latter project was also to investigate whether the existing euthanasia notification procedure met the requirements. The results of this second research project contributed to changes in the notification procedure. Since the end of 1998, notification takes place via review committees, which consist of a physician, an ethicist and a lawyer. In 1999 a bill was introduced in the Lower House (‘Act on the assessment of life-termination on request and assisted suicide’), in which further amendment of the notification procedure was recommended. In a memorandum from the Ministry of Justice and the Ministry of Public Health, Welfare and Sports (VWS), resulting from a debate on this recommendation, the need for re-evaluation of the notification procedure was emphasized. This finally resulted in a new research grant for our group and Rotterdam colleaques. The results of this research, carried out in 2001/2002, are described in a report that was presented to Minister Donner and Secretary of State Ross-van Dorp in May 2003. This resulted in extensive media coverage in the national newspapers, radio and television news, and current affairs programmes and also in medical journals such as Medisch Contact (some examples are enclosed). For instance, this report gave rise to a debate on the relationship between termal sedation and euthanasia (both within the medical profession and in political circles). The Ministers of Justice and VWS reacted to the results by issuing a government policy. Naturally, the results will also be disseminated via international journals, and articles have already been published in the Lancet and in the Annals of Internal Medicine.


Processes

43 Projects Health at the end of life Title

Starting or forgoing artificial administration of fluids and/or food in psychogeriatric nursing home patients

Period

12.97 – 09.03

Funding

Ministry of Health, Welfare and Sport (VWS)

Investigators

HRW Pasman, BD Onwuteaka-Philipsen, ME Ooms17, BAM The, MW Ribbe17, G van der Wal, PD Bezemer4

Objectives

To determine how often, in what way, in which patients and under what circumstances artificial administration of fluids and food (AAFF) is forgone. To determine how, and on the basis of what (medical) criteria it is decided to start or forgo AAFF. It is decided to start or forgo AAFF in psychogeriatric nursing home patients, and how the wishes or opinions of the patient and his or her relatives are taken into account in the decision-making. To determine the clinical course and quality of life/dying when a patient is artificially hydrated or fed, and when AAFF is forgone.

Title

Circumstances of and care for elderly people in the terminal months of life

Period

02.99 – 05.03

Funding

Program Center for Development of Palliative Care (COPZ), Ministry of Health, Welfare and Sport (VWS)

Investigators

M Klinkenberg, DL Willems, DJH Deeg18, BD Onwuteaka-Philipsen, CPM Knipscheer19, J Smit19, G van der Wal

Objectives

To determine which health problems and restrictions do elderly people encounter in the last months of life. What type of care do elderly people receive and what do they think of the quality of this care. What wishes concerning the end of life do elderly people express, and how do care-givers deal with these wishes.


Processes

44 Title

Support and consultation in euthanasia in the Netherlands: evaluation of an intervention

Period

12.99 – 12.03

Funding

Royal Dutch Medical Association (KNMG), Ministry of Health, Welfare and Sports (VWS)

Investigators

M van der Weide, BD Onwuteaka-Philipsen, G van der Wal

Objectives

To evaluate the intervention ‘Support and Consultation in Euthanasia in the Netherlands’ (SCEN) in which GPs can request information, advice and consultation in cases of euthanasia. These services will be provided by especially trained GPs. Research questions concern the implementation of the intervention successful and the effect of the quality of care.

Title

Wanted and unwanted effects of drugs used for the administration of euthanasia and physician-assisted suicide

Period

04.00 – 04.05

Funding

Royal Dutch Medical Association (KNMG)

Investigators

P van Wigcheren, BD Onwuteaka-Philipsen, G van der Wal

Objectives

To investigate the effects of euthanatics (time between administration and coma/death, complications) in relation to the type of administration of the drugs and patient characteristics. Furthermore, the occurrence of technical problems with the administration of the drugs will be registered.

Title

Evaluation of consultation facilities concerning palliative care

Period

05.00 – 08.03

Funding

Program Center for Development of Palliative Care (COPZ)

Investigators

A Kuin, L Deliens, G van der Wal

Objectives

To evaluate the effectiveness of different types of consultation facilities for professionals in extramural palliative care, both on process and on patient outcomes.

Title

Palliative care in general practice

Period

08.00 – 04.05

Funding

Program Center for Development of Palliative Care (COPZ)

Investigators

SD Borgsteede, L Deliens, DL Willems, AF Francke22, W Stalman2, JThM van Eijk3, G van der Wal


Processes

45 Objectives

To describe the extent and quality of the palliative care provided by general practitioners in the Netherlands, and to describe expectations and opinions of patients and their relatives concerning such care. As an additional aim, we want to describe and evaluate the ethical problems associated with investigating patients in palliative home care.

Title

Death certificates and the role of the medical examiner

Period

09.00 – 12.03

Investigators

C Das23, G van der Wal

Funding

Municipal Health Services Amsterdam

Objectives

To investigate the legal system of death certificates in the Netherlands, in Belgium, in Germany, in England and in the USA, to compare these systems, to point out the differences and to indicate the way in which the Dutch system could be improved.

Title

Implementation and evaluation of palliative care units in nursing homes

Period

09.00 – 03.03

Funding

Program Center for Development of Palliative Care (COPZ), Ministry of Health, Welfare and Sports (VWS)

Investigators

MA Echteld, L Deliens, ME Ooms17, PD Bezemer4, G van der Wal, MW Ribbe17

Objectives

To evaluate 10 palliative care units for terminally ill patients in nursing homes in two phases. The objectives of the first phase are to assess whether 14 specific requirements for the units are met, and to identify barriers and facilitators involved in implementing the units. In the second phase, changes in perceived quality of care, individual quality of life and perceived symptoms towards the end of life of patients who are admitted to the units are assessed.

Title

Prevalence and incidence of palliative terminal care for nursing home patients.

Period

09.00 – 07.04

Funding

Program Center for Development of Palliative Care (COPZ), Ministry of Health, Welfare and Sports (VWS)

Investigators

HSA Brand, ME Ooms17, L Deliens, PD Bezemer4, G van der Wal, MW Ribbe17

Objectives

To assess the incidence and prevalence of the need for palliative terminal care among patients in Dutch nursing homes. To assess care-needs, problems, and the nature and amount of care that is provided, as well as the spiritual, psychological, cognitive, emotional and physical problems of these patients.


Processes

46 Title

Response shift in Quality of Life in palliative treatment of small cell lung cancer patients

Period

09.00 – 09.04

Funding

Dutch Cancer Society (KWF)

Investigators

MJ Westerman, T Hak24, BAM The, HJM Groen25, G van der Wal

Objectives

To describe the changes in (actual) of Quality of Life (QoL) and the response shift in individual in small cell lung cancer (SCLC) patients, caused by the changes in the patients’ standards, values and concepts regarding QoL. And to interpret these against the background of the different stages of the illness trajectory that is characteristic for this group of patients. To establish a model for similar studies aimed at understanding changes in QoL and QoL scores in other group of patients.

Title

Medical end-of-life decisions: attitudes and practices in 6 European countries

Period

10.00 – 09.03

Funding

European Commission

Investigators

BD Onwuteaka-Philipsen, A van der Heide26, G van der Wal, PJ van der Maas26

Objectives

To establish the incidence and characteristics of end of life practices, attitudes among medical professionals and characteristics of the health care system and of other ethical and societal aspects that may relate to end-of life decisionmaking in 6 European countries (Belgium, Denmark, Italy, the Netherlands, Sweden, Switzerland).

Title

Evaluation of the practice, notification and review of euthanasia

Period

04.01 – 04.04

Funding

Ministry of Health, Welfare and Sports (VWS), Ministry of Justice

Investigators

JJ Georges, M Rurup, MT Muller, BD Onwuteaka-Philipsen, A van der Heide26, PJ van der Maas26, G van der Wal

Objectives

To evaluate whether the euthanasia review procedure meets its goals (disclosure, promoting adherence to the requirements for accepted practice and uniformity in notification and examination throughout the country). In order to answer this question it is necessary to look into the policies of Dutch physicians concerning end-of-life decisions, the experiences and attitudes of the physicians and the general public concerning end-of-life decisions. And the examination and notification of euthanasia and physician-assisted suicide, the actual procedures of the notification procedure and possible trends in all these issues over the last decade.


Processes

47 Title

Evaluation of buddy care for cancer patients in Amsterdam. A pilot study

Period

12.01 – 04.03

Funding

Kuria Foundation (Stichting Kuria), Amsterdam

Investigators

A Kuin, L Deliens, G van der Wal

Objectives

To investigate the additional value of buddy care for cancer patients, as perceived by the patient as well as by the buddy.

Title

The suffering of incurable cancer patients in general practice and the request for and performance of euthanasia or physician-assisted suicide

Period

01.02 – 04.06

Funding

Netherlands Organisation for Scientific Research (NWO)

Investigators

CDM Ruijs, BD Onwuteaka-Philipsen, AJFM Kerkhof27, G van der Wal

Objectives

Unbearable and hopeless suffering is one of the conditions under which euthanasia or physician-assisted suicide is allowed in the Netherlands. However, what makes this suffering unbearable and hopeless and to what extent can depression be an underlying cause.

Title

Suffering in terminal illness. Experience and attitudes of patients and their attending physicians

Period

04.01 – 02.05

Funding


Investigators

JJ Georges, BD Onwuteaka-Philipsen, A van der Heide26, PJ van der Maas26, G van der Wal

Objectives

To assess the symptoms and concerns of terminally ill cancer patients during the last months of life. The study focuses on the symptoms, treatment of symptoms and care in terminally ill cancer patients, the background of their requests pertaining to medical decisions at the end of life, the decisions and experiences of their attending physicians with concern to patients’ requests, the differences between patients who requested for euthanasia and patients who did not, and the experience and attitudes of physicians with regard to the care at the end of life and the suffering of terminally ill patients.

Title

Setting the stage for death. End of life preferences and wishes to die of older people

Period

04.01 – 12.04

Funding


Investigators

ML Rurup, BD Onwuteaka-Philipsen, A van der Heide26, PJ van der Maas26, G van der Wal


Processes

48 Objectives

This project focuses on two new issues in the euthanasia debate, that both concern self –determination, i.e. euthanasia in the absence of disease, and euthanasia based on an advance directive. Research questions are: how often do such requests occur, how often is euthanasia performed in such cases, what are the characteristics of these cases, and what are the attitudes of physicians and the general population towards these issues.


Processes

49 Work and health

SPOTLIGHT

Graded Activity for Low Back Pain in Occupational Health Care. A Randomized, Controlled Trial. A randomized, controlled trial was performed to determine the effectiveness of a behaviororiented graded activity program. The study took place in an occupational health services department of KLM, an airline company in the Netherlands. Airline workers, who were absent from work due to low back pain, were randomly assigned to either graded activity (n = 67) or usual care (n = 67). The graded activity intervention comprised a physical exercise program based on operant-conditioning behavioral principles, to stimulate a rapid return to work. It appeared that the median number of days of absence from work over 6 months of followup was 58 days in the graded activity group and 87 days in the usual care group. From randomization onward, graded activity was effective after 50 days of absence from work (hazard ratio: 1.9 [95% CI, 1.2 to 3.2]; P = 0.009). The graded activity group was also more effective in improving functional status and pain than the usual care group. These effects, however, were small and not statistically significant. It was concluded that graded activity was more effective than usual care in reducing absence from work due to low back pain.

Staal JB, Hlobil H, Twisk JWR, Smid T, Köke AJA, Van Mechelen W. Annals of Internal Medicine 2004;140:77-84.


Processes

50 Projects Work and health Title

Intended and unintended effects of the introduction of market incentives in social security and occupational health services (OHS)

Period

01.97 – 01.04

Funding

-

Investigators

HN Plomp

Objectives

To establish the intended and unintended effects of the introduction of market incentives in social security and occupational health services.

Title

The efficacy of a graded-activity program for workers who are disabled as a result of non-specific low back pain; a randomized clinical trial in an occupational setting

Period

01.98 – 04.03

Funding

Health Insurance Executive Board (ZFR)

Investigators

B Staal, H Hlobil, LM Bouter4, G van der Wal, B Koes28, T Smid4, W Devillé4, W van Mechelen

Objectives

To evaluate the effectiveness of a graded-activity program to achieve early functional rehabilitation of workers who are disabled as a result of non-specific low back pain, in order to prevent the complaints from becoming chronic.

Title

The Amsterdam Sherbrooke-model Evaluation Study (ASE-study): effective prevention of chronic low back pain by integration of ergonomic measures, social medical guidance and early return to work

Period

09.99 – 10.03

Funding

Netherlands Organization for Scientific Research (NOW), Netherlands Organisation for Health Research and Development (ZonMw)

Investigators

JR Anema, IA Steenstra, PM Bongers29, HCW de Vet4, W van Mechelen

Objectives

To implement and evaluate the effect of a multi-component prevention program in occupational health care that aims at early return to work for workers with low back pain.

Title

The (cost) effectiveness of back schools for chronic and recurrent low back pain

Period

01.00 – 01.04

Funding

Netherlands Organization for Scientific Research (NOW), Netherlands Organisation for Health Research and Development (ZonMw)

Investigators

M Heymans, BW Koes28, HCW de Vet4, PM Bongers29, W van Mechelen

Objectives

To answer the question about the effectivity of back schools with low and high intensity compared with usual care, in an occupational setting.


Processes

51 Title

The effectiveness of a worksite physical activity program on physical activity, fitness, musculoskeletal disorders and absenteeism from work

Period

01.00 – 05.03

Funding

Netherlands Organisation for Health Research and Development (ZonMw), Netherlands Olympic Committee / Netherlands Sports Federation (NOC*NSF)

Investigators

K Proper, AJ van der Beek, VH Hildebrandt29, W van Mechelen

Objectives

To asses in a randomised controlled trial 1) the effectiveness of a worksite physical activity program on physical activity, fitness, musculoskeletal disorders and work absenteeism, and 2) the cost-effectiveness of such a program.

Title

‘The Sherbrooke model’: effective prevention of chronic low back pain by participative ergonomy and graded activity, a study using the Sherbrooke model

Period

01.00 – 01.04

Funding

Netherlands Organization for Scientific Research (NWO), Netherlands Organisation for Health Research and Development (ZonMw)

Investigators

IA Steenstra, JR Anema, PM Bongers29, HCW de Vet4, W van Mechelen

Objectives

To implement and evaluate the effect of a multi component prevention program that aims at early return to work for workers with sub-acute low back pain.

Title

Epidemiological Study Air Disaster Amsterdam: long-term physical health effects in occupationally involved police officers, fire fighters, and accident and wreckage investigators compared to reference groups

Period

07.00 – 04.05

Funding

KLM Arbo services

Investigators

P Slottje4, N. Smidt4, AC Huizink4, JWR Twisk4, LM Bouter4, JA Bijlsma4, W van Mechelen, T Smid4

Objectives

To investigate long-term physical health effects and indicators of biochemical exposure in workers who were occupationally involved in an air disaster, in wich a cargo aircraft crashed in a densely populated suburb of Amsterdam in 1992. The main hypothesis is that occupational involvement and exposure to a variety of potentially toxic material during this stressful event, combined with public debate and extensive media-coverage, may have led to multiple chronic physical health complaints.

Title

Medical examination plane crash Bijlmermeer. Epidemiological study of the incidence of Post Traumatic Stress Disorder

Period

07.00 – 07.04

Funding

KLM Arbo Services


Processes

52 Investigators

A Witteveen30, AC Huizink, JWR Twisk4, I Bramsen30, HM van der Ploeg30, G van der Wal, LM Bouter4, W van Mechelen, T Smid4

Objectives

To examine the incidence of Post Traumatic Stress Disorder in police-officers, fire personnel, and KLM workers who were professionally involved or exposed to the results of a plane crash as compared with controls, as well as the incidence of chronic stress, chronic fatigue and stress-related psychological complaints.

Title

Work and health in general practice

Period

08.01 – 07.05

Funding

-

Investigators

HJA Weevers, AJ van der Beek, G van der Wal, JM Bensing22, W van Mechelen

Objectives

To gain insight into: 1) relations between occupational exposures and musculoskeletal disorders as diagnosed by the general practitioner, 2) the influence of occupational exposures on the activities of general practitioners regarding patients with musculoskeletal disorders, and 3) communication and co-operation between the general practitioner and occupational physician.

Title

Gender differences in the risk of prolonged sickness absence and work disability: the role of work, leisure time and health care

Period

09.01 – 08.05

Funding

Netherlands Organization for Scientific Research (NWO)

Investigators

WE Hooftman, AJ van der Beek, PM Bongers29, W van Mechelen

Objectives

To find out to which extent gender differences in the risk of prolonged sickness absence and disability for work can be explained by occupational exposures, interaction between demands at work and home, and occupational health care activities.

Title

The effects of the Dutch national guideline on the management of employees with mental health problems by occupational physicians: a randomized clinical trial

Period

01.02 – 12.07

Funding

Ministry of Internal Affairs (BZ), OHSS Commit Arbo

Investigators

DS Rebergen, DJ Bruinvels, AJ van der Beek, W van Mechelen

Objectives

To assess the effects of the guideline on sick leave and work disability of employees with mental health problems. In a randomized controlled trial, subjects in the intervention group will be treated according to the guideline. The control group will receive usual care.


Processes

53 Title

Prospective cohort study on risk factors for upper extremity disorders in VDU workers

Period

09.02 – 09.06

Funding

Body@Work Research Center Physical Activity, Work and Health, TNO-VU

Investigators

S IJmker, B Blatter29, AJ van der Beek, PM Bongers29, W van Mechelen

Objectives

To identify the risk factors for upper extremity disorders (neck, shoulder, arm or wrist) in VDU workers. Special attention is paid to the influence of duration of keyboard and mouse use, rest breaks, precision tasks and gender on the development of upper extremity disorders.

Title

Return to work after childbirth: risk factors for sick leave after maternity leave and the effectiveness of a minimal intervention six weeks postpartum.

Period

09.02 – 09.07

Funding


Investigators

SGM Stomp-van den Berg, MNM van Poppel, I Hendriksen29, DJ Bruinvels, W van Mechelen

Objectives

To assess which factors contribute to the development of postpartum complaints, such as pelvic pain and fatigue/stress, and to evaluate the effectiveness of a telephone intervention by the supervisor six weeks postpartum on sick leave and work disability postpartum.

Title

The effectiveness of lumbar supports for the treatment of low-back pain among home care workers

Period

09.02 – 05.05

Funding


Investigators

PDDM Roelofs28, SMA Bierma-Zeinstra28, MNM van Poppel, M de Ridder31, P Jellema2, BW Koes28, W van Mechelen

Objectives

To investigate 1) the effectiveness of lumbar supports for the treatment of lowback pain among home care workers, in terms of a reduction in the incidence and severity of low back pain episodes and sick leave due to low back pain, and 2) the cost-effectiveness of this intervention.

Title

Ergonomic optimisation of occupational hand-arm precision tasks

Period

01.03 – 01.08

Funding

-

Investigators

MMA Huysmans32, MJM Hoozemans32, MP de Looze29, AJ van der Beek, JH van Dieën32


Processes

54 Objectives

To test hypotheses as to the etiology of upper extremity disorders (UEDs) in occupational precision tasks, and to find general strategies for the ergonomic optimisation of precision tasks. This is studied in workplace and laboratory experiments, which aim at short-term mechanical, physiological, and psychophysical responses of variations in work tasks and situations potentially related to UEDs.

Title

The occurrence of work-related neck and upper limb disorders

Period

08.03 – 08.05

Funding

Body@Work Research Center Physical Activity, Work and Health, TNO VUmc

Investigators

SG van den Heuvel29, AJ van der Beek, PM Bongers29

Objectives

To identity the most important risk factors for neck and upper limb disorders. Special attention is paid to the work-related physical and psychosocial risk factors, personal characteristics and physical activity. In addition, the effects of an intervention aiming at the introduction of pauses among VDU workers is studied.

Title

The role of physical capacity in the development of low back and neck/shoulder disorders in a working population

Period

10.03 – 04.07

Funding

Body@Work Research Center Physical Activity, Work and Health, TNO Vumc

Investigators

H Hamberg-van Reenen, GAM Ariëns, BM Blatter, PM Bongers29, W van Mechelen

Objectives

To investigate the role of physical capacity in the relationship between workload and low back and neck/shoulder pain.

Title

Prognostic factors of chronic pain in a cohort of low back pain patients

Period

12.03 – 12.05

Funding


Investigators

M Heymans, HCW de Vet4, DL Knol4, I Steenstra, JR Anema, PM Bongers29, W van Mechelen

Objectives

To investigate the influence of ‘new’ prognostic factors (psychological variables and changes in pain intensity or function), along with all other relevant categories of prognostic factors, such as demographical, low back pain-related and work related factors (both physical and psychosocial), for the development of chronic low back pain among workers.


Processes

55 Title

Cost and benefits in occupational health research

Period

02.04 – 02.08

Funding

-

Investigators

K Uegaki4, M de Bruyne4, M van Tulder4, AJ van der Beek, W van Mechelen

Objectives

To develop valid methods needed to answer questions about the costeffectiveness of interventions in an occupational setting. These methods are studied in several randomised controlled trials being performed within the Department of Public and Occupational Health.

Title

Effectiveness of the RSI Quickscan in the prevention of upper extremity disorders

Period

04.04 – 04.08

Funding

External PhD-student, Occupational Health Service ArboUnie, Netherlands Organisation for Health Research and Development (ZonMw)

Investigators

E Speklé32, JM Hoozemans32, PM Bongers29, AJ van der Beek, JH van Dieën32

Objectives

To evaluate the effectiveness and cost-effectiveness of the so-called RSI Quickscan in the primary and secondary prevention of upper extremity disorders among workers.


Processes

56 Physical activity and health

SPOTLIGHT FoodSteps:

the effects of worksite environmental changes on physical activity and dietary habits of sedentary office workers. It is now widely believed that health promotion strategies should go beyond a individual approach, to achieve significant behavioural changes. Making environmental modifications may be an important addition to worksite health promotion (WHP) programs. FoodSteps is unique because it is not attempted before to use environmental changes to stimulate physical activity in combination with a healthy diet at the workplace. FoodSteps is a controlled study with two worksites, with a total of 700 participants. The intervention focuses on making the staircases more attractive and discouraging use of elevators (point of decision signs). Moreover, explicit information is given in the canteen on caloric value of food products, translated into a number of minutes needed to burn these calories. To measure the effects, the body composition of participants is determined, self-reported data on activity and diet are gathered, and for a subgroup, stair use is measured objectively by means of a unique detection device.


Processes

57 Projects Physical activity and health Title

Health-enhancing physical activity for elderly living in residential care facilities

Period

11.99 – 03.03

Funding


Investigators

MJM Chin A Paw, MNM van Poppel, JWR Twisk4, W van Mechelen

Objectives

To examine the effectiveness and cost-effectiveness of three different exercise protocols in elderly living in residential care facilities.

Title

Rehabilitation and Sports: the effect of a sports and a physical lifestyle stimulation program during and after regular rehabilitation treatment

Period

02.00 – 01.05

Funding

Netherlands Organisation for Health Research and Development (ZonMw), Dutch Association for Sports of the Disabled (NEBAS)

Investigators

HP van der Ploeg, KRM Streppel33, AJ van der Beek, LHV van der Woude32, WH van Harten33, W van Mechelen

Objectives

To determine the effects of a sport stimulation program and of an additional physical lifestyle stimulation program during and after regular rehabilitation treatment, on the degree of sports participation, daily physical activity and health status in a population of rehabilitating patients.

Title

The effect and cost-effectiveness of a preventive propriocepcis and balance board training program on the risk to sustain acute lateral ankle injury

Period

02.00 – 02.04

Funding

Netherlands Organisation for Health Research and Development (ZonMw), Netherlands Volleyball Association (NeVoBo), Top Volleyball Netherlands (TVN), Netherlands Olympic Committee and Netherlands Sports Federation (NOC*NSF)

Investigators

EALM Verhagen, AJ van der Beek, R Vesters34, HJPA du Bois35, R Bahr36, JWR Twisk4, LM Bouter4, W van Mechelen

Objectives

To investigate the (cost-)effectiveness of a preventive proprioceptive and balance board training program on the risk to sustain acute lateral ankle injury among volleyball players of the 2nd & 3rd national league. To identify factors determining compliance with this program as part of the regular training routine.

Title

The effect of a PACE intervention in general practice on determinants and levels of physical activity: a randomized controlled trial

Period

03.00 – 05.04


Processes

58 Funding

Netherlands Organisation for Health Research and Development (ZonMw), Dutch Heart Foundation (NHS), Netherlands Olympic Committee and Netherlands Sports Confederation (NOC*NSF)

Investigators

EMF van Sluijs, MNM van Poppel, MJM Chin A Paw, JWR Twisk4, W van Mechelen

Objectives

To evaluate the effectiveness of an individualized minimal intervention strategy, PACE, applied by general practitioners, aimed at the enhancement of daily physical activity.

Title

More exercise for seniors: opportunities and challenges

Period

06.01 – 06.05

Funding

Netherlands Organisation for Health Research and Development (ZonMw), TNO Quality of Life

Investigators

M. Stiggelbout1, DY Popkema37, M de Greef37, M Hopman-Rock1, W van Mechelen

Objectives

To study the characteristics and preferences of participants in ten different organised exercise programmes for older adults in the Netherlands; to study the effects of exercise programs on functional independence and quality of life for elderly people; to study the effects of More Exercise for Seniors (MBvO) – gymnastics on the motor fitness of independent living elderly people of 65-80 years old.

Title

DO iT: a school-based intervention program to improve dietary and physical activity behavior in adolescents, in order to maintain energy balance

Period

08.02 – 8.06

Funding

Dutch Heart Foundation (NHS)

Investigators

AS Singh, MJM Chin A Paw, J Brug26, W van Mechelen

Objectives

To develop and evaluate a school-based weight gain prevention program that addresses environmental and behavioral components. Its effects will be evaluated on the basis of changes of body composition, dietary, and physical activity behaviors of adolescents.

Title

The effect of an individualized physical activity intervention on work-related complaints in the arm- and neck region in computer workers - a randomized controlled trial

Period

09.02 – 09.06

Funding


Investigators

C Bernaards, V Hildebrandt29, GAM Ariëns, W van Mechelen

Objectives

To investigate whether or not individualized advice on physical activity improves the process of recovery from work-related complaints in the arm- and neck region in computer workers.


Processes

59 Title

The Folate Activity Cognition Trail (FACT)

Period

09.02 – 09.06

Funding


Investigators

JGZ van Uffelen, M Hopman-Rock1, MJM Chin A Paw, W van Mechelen

Objectives

To examine the effect of physical activity and/or folic acid/vitamin B12 supplementation on cognitive functioning and psychosocial health of older persons with mild cognitive impairment.

Title

ALIFE@work: Amsterdam Lifestyle Intervention on Food and Exercise at Work. A randomized controlled trial on the preventive effects of a physical activity enhancing and healthy eating program among an overweight, physically inactive working population

Period

09.02 – 09.06

Funding

Dutch Heart Foundation (NHS), Netherlands Organisation for Health Research and Development (ZonMw), Body@Work Research Center Physical Activity, Work and Health, TNO-VU

Investigators

M van Wier, JC Dekkers, GAM Ariëns, I Hendriksen29, JWR Twisk4, T Smid4, NP Pronk37, W van Mechelen

Objectives

To evaluate, among an overweight, physically inactive working population, the effectiveness of a lifestyle intervention program on body weight, physical activity and eating habits. Secondary objectives of this study are: 1) to compare the efficacy of the use of two different communication technologies, i.e., telephone; and internet, and 2) to evaluate the cost-effectiveness of this lifestyle program.

Title

Cognitive, social and environmental determinants of behaviour regarding weight gain prevention: An Intervention Mapping approach

Period

09.02 – 08.06

Funding


Investigators

GJ de Bruijn39, S Kremers39, T Visscher40, W. van Mechelen, J Brug39

Objectives

To analyse existing databases of cross-sectional and longitudinal studies that include information on proximal, distal and/or ultimate determinants of obesity inducing behaviours; to gather and analyse new cross-sectional and longitudinal data; data must cover all categories of determinants for three risk groups for obesity (i.e. adolescents (12-18 year old), young adults (25-35), elderly (55-65).

Title

Life-style predictors of weight gain in prospective studies, implication for agespecific weight gain prevention trials

Period

09.02 – 08.06


Processes

60 Funding


Investigators

A. Nooijens40, S Kremers39, T Visscher40, W. van Mechelen, JC Seidell40

Objectives

To investigate in large, existing, prospective population-based databases, for the use in innovative body weight control intervention programs, determinants of weight gain that are modifiable, with a specific focus on age-categories that are at increased risk of increasing dietary intake and/or decreasing physical activity; i.e. adolescents (12-18 years), young adults (25-35 years), and recently retired persons (55-65 years).

Title

An intervention aimed at the prevention of excessive weight gain during pregnancy

Period

10.02 – 10.07

Funding


Investigators

GHCW Althuizen, MNM van Poppel, JMG van Raaij41, JC Seidell40, W van Mechelen

Objectives

To investigate 1) the dietary habits and the level of physical activity during the course of pregnancy of Dutch women and the determinants for these lifestyle factors, 2) the effects of an intervention consisting of personal advice on diet and physical activity on weight gain during pregnancy and bodyweight during the first year postpartum.

Title

Foodsteps: the effects of worksite environmental changes on physical activity and dietary habits of sedentary office workers

Period

12.02 – 01.06

Funding


Investigators

LH Engbers, MNM van Poppel, GAM Ariëns, W van Mechelen

Objectives

To evaluate in a controlled prospective intervention study the effect of modifications of the worksite building and canteen on body mass index, physical activity and dietary habits.

Title

Promotion of a physically active lifestyle among inactive adolescents and young adults by means of an activity monitor and an individually tailored advice using internet technology

Period

12.02 – 01.06

Funding


Investigators

S Slootmaker, MJM Chin A Paw, AJ Schuit42, JC Seidell40, W van Mechelen


Processes

61 Objectives

To assess the level of physical activity of adolescents (age 13-18) and young adults (age 25-35), both in the entire group and in subgroups according to educational level. Secondly, to conduct a feasibility and effect evaluation of supplying adolescents and young adults with activity monitors coupled to a tailored advice through the internet, on their level of physical activity, fitness and quality of life.

Title

The relationship between physical characteristics of residential districts and overweight, nutrition and physical activity

Period

03.04 – 06.06

Funding

Fonds OGZ

Investigators

FRJ den Hertog, MNM van Poppel, P van Wesemael45, W van Mechelen

Objectives

To assess the level of physical activity of adolescents (age 13-18) and young adults (age 25-35), both in the entire group and in subgroups according to educational level. Secondly, to conduct a feasibility and effect evaluation of supplying adolescents and young adults with activity monitors coupled to a tailored advice through the internet, on their level of physical activity, fitness and quality of life.

1

Child Health Division, TNO Quality of Life, Leiden,

11

Department of Social Medicine, Section of Health

The Netherlands

Law, AMC, University of Amsterdam, The

2

Netherlands

Department of General Practice, EMGO-institute,

VUMC, Amsterdam, The Netherlands

12

3

University, Amsterdam, The Netherlands

Department of Medical Sociology, University of

Section of Health Law, Faculty of Law, VU

Maastricht, Maastricht, The Netherlands

13

4

Center, Utrecht, The Netherlands

Department of Epidemiology and Biostatistics,

Department of Education, University Medical

EMGO Institute, VUMC, Amsterdam, The

14

Netherlands


5

15

Municipal Health Services, The Hague, The

Department of Philosophy and Medical Ethics, Municipal Health Services Zeeland, The

Netherlands

Netherlands

6

16

Peadiatrician, Oegstgeest, The Netherlands

MCA, Alkmaar, The Netherlands

17

Department of Nursing Home Medicine, EMGO

7

Institute, VUMC, Amsterdam, The Netherlands

Departments Surgery, VUmc, Amsterdam and Department of Gynecology and Obstetrics,


18

8

EMGO Institute, VUMC, Amsterdam, The

Department of Clinical Genetics, VUMC,

Longitudinal Aging Study Amsterdam (LASA),

Amsterdam, The Netherlands

Netherlands

9

19

HC Project Services, Baambrugge, The

Department of Sociology and Gerontology, VU

Netherlands

University Amsterdam, The Netherlands

10

20

Sophia Children Hospital / Erasmus MC

Rotterdam, The Netherlands

Department of Cardiology, VUMC, Amsterdam,

The Netherlands


Processes

62 21

Department of Radiotherapy, VUMC, Amsterdam,

34

Dutch Volleyball Association, Woerden, The

The Netherlands

Netherlands

22

35

Netherlands Institute for Health Services

Top Volleyball Association, Woerden, The

Research (NIVEL), Utrecht, The Netherlands

Netherlands

23

36

Municipal Health Services Amsterdam, The

Department of Sports Medicine,

Netherlands

Norwegian University of Physical Education and

24

Sports, Oslo, Norway

Rotterdam School of Management, Rotterdam,

The Netherlands

37

25

Groningen University, Groningen, The Netherlands

Department of Lung Diseases, Groningen

Department of Human Movement Sciences,

University, Groningen, The Netherlands

38

Center for Health Promotions, Minneapolis, USA

26

39

Department of Health Education and Promotion,

Department of Public Health, Erasmus MC,


Maastricht University, Maastricht, The Netherlands

27

40

Department of Clinical Psychology, VU University,

Department of Nutrition and Health, Faculty of

Amsterdam, The Netherlands

Earth and Life Sciences, VU University Amsterdam,

28

The Netherlands

Department of General Practice, Erasmus MC,


41

29

TNO Quality of Life, Hoofddorp, The Netherlands

Epidemiology, Wageningen University, Wageningen,

30

Department of Medical Psychology, EMGO

The Netherlands

Department of Human Nutrition and

Institute, VUMC, Amsterdam, The

42

Netherlands

Bilthoven, The Netherlands

31

43

Home Care Organization Rotterdam, The

Netherlands Environmental Agency (RIVM), King’s College London, Guy’s King’s ans St

Netherlands

Thomas School of Medicine, Psychology and

32

Genetics Research Group, London, UK

Department of Kinesiology, Faculty of Human

Movement Sciences, VU University, Amsterdam,

44

The Netherlands

medical center, Amsterdam, The Netherlands

33

45

Rehabilitation Center ‘Het Roessingh’ (Roessingh

Research and Development), Enschede, The Netherlands

Department of Clinical Genetics, VU University de Architekten Cie., Amsterdam, The

Netherlands


Processes

63 Academic workplaces In 2004 there was a temporary delay in the development of the Academic Youth Health Care (YHC) network. The main focus was on extending the basic support for the network. By the end of 2004 it became clear that two home care organizations (which are expected to merge in 2005) had decided to form an academic YHC organization within our academic network. The largest Municipal Health Service (MHS) in our area also indicated that it wished to form an academic YHC organization. Negotiations are continuing with two other MHSs and a home care organization, which are all in favour of plans to establish an academic YHC organization. In this respect we have extensive contacts with three regions in the direct vicinity of Amsterdam. In the field of research, a number of PhD projects were initiated in 2004, one of which will result in a dissertation in 2005. Moreover, a number of youth health physicians have been supervised in writing an article about their thesis, and various YHC organizations have been involved in research projects that have been initiated in the department. In the first half of 2005 a contract between our Department and the Occupational Health and Safety Service (OHS) of the VU University and VUmc will be signed. This contract will formalize the longstanding existing collaboration with respect to the education of medical students and occupational physicians, health care innovation, and participation in research in occupational medicine. This contract will also stimulate and intensify future collaboration, and a provisional plan has been made for the content and timing of such future collaboration. Currently, there is extensive collaboration with the KLM Arbo Services: a part-time Chair function, participation in the education of medical students and participation in several research projects. In addition, an occupational physician/PhD student from KLM Arbo Services is employed for 1 day a week in our Department. We are currently negotiating a formal and contractual relationship with KLM Arbo Services, and it is our intention to sign this contract in the second half of 2005.


Customer appreciation

64 Customer appreciation



65 Undergraduate medical education By means of written questionnaires and discussions with our students and their representatives we evaluate, on a regular basis, their wishes and appreciation of our teaching activities, in order to improve our education program.

Course on 'Man, Medicine, Society' Evaluation has shown that the tutorials on ‘Structure and functioning of the health care system’ and ‘Social security’ are much appreciated. Through case-histories and discussions the students become interested in these sometimes boring and difficult subjects. The lectures on Public and Occupational Health were renewed and evaluated as good, especially when patients were involved.

Course on 'Aging' and Course on 'Growing Up' The evaluations were positive, and indicate that no direct changes are necessary in these courses.

Course on 'Health Care (and the Public’s Health)’ The evaluation results show that most of the students were satisfied with this course and that interested students attended the lectures. However the average number of students was low (± 50), and many students are of the opinion that they do not need to attend the lectures for this course. A new edition of the textbook ‘Public’s Health and Health Care’ (‘Volksgezondheid en Gezondheidszorg’), edited by JP Mackenbach and PJ van der Maas, Elsevier, 2004) was used for the course. This book contains more pages and the content has been improved substantially. Thus, for several reasons the number of lectures was reduced. The thematic tutorials were greatly appreciated by the students, and especially the supervision and the writing of a paper. The students were mainly interested in the tutorials on ‘Terminal and palliative care’, and ‘Errors in medicine and quality of care’ (Table 1). Plans have been made to renew the course in 2005 by reducing the number of lectures again (but with more patient involvement) and increasing the number of tutorials.



66 Table 1: Results of the evaluation of the 2003 and 2004 Course on Health Care, expressed on a scale from 1-5 (i.e. low-high) 2003

2004

mean score VU University

Content of the course

3.61

3.51

3.63

Learning effect of the course

2.99

3.50

3.70

Opinion about the exam

3.34

2.83

3.27

Usefulness of the tutorial

3.55

3.10

-

Supervision of tutorials

4.13

4.08

-

Writing a paper

3.98

4.00

-

Experience training The evaluations made by students and tutors were satisfying. The students not only received information about the role of the institution or service within the health care system, but also more specific information about the work of Public and Occupational Health physicians within these institutions and services at an early stage in their medical career. Most students would prefer a personal visit to one of these services (instead of small group visits) and a more practical visit, but for logistic reasons this was not possible. Most visits involved considerable travelling time for the students and the growing number of students caused difficulties in planning for the institutions, so these practical visits were changed to tutorials at the faculty. Evaluation results of this renewed program are not yet available.

Clerkships The students were very positive about the structure and the organization, as well as the content of the clerkships. The introduction and supervision during the practical training were appreciated most. Practicing the skills and specific locations for seeing patients were evaluated less positively and need to be improved (Table 2). Clerkships in Youth Health Care and the Occupational Health Services of the Royal Marines, ABN-AMRO and KLM were the most popular among the medical students.



67 Table 2: Results of the evaluation of the clerkship in Public and Occupational Health by students in 2003 and 2004, expressed on scale from 1-5 (i.e. low-high) 2003

2004

Practical preparation

3.47

3.37

Theoretical preparation

3.36

3.24

Information about the clerkship

3.62

3.65

Practising skills

3.18

3.22

Introduction to clerkship location

4.22

4.23

Feedback at practice stage

3.78

3.86

Specific location for seeing patients

3.29

3.37

Documentation at practice stage

3.70

3.73

Introduction to Occupational Medicine at faculty

3.90

3.92

Introduction to Community Medicine at faculty

3.80

3.85

Final presentation at faculty

3.61

3.60

Elective clerkships Based on the reports and subsequent discussions, it can be concluded that the students and the clerkships providers were enthusiastic about the elective clerkships.

Interdisciplinary training The theme Forensic Medicine was greatly appreciated by the students, and was experienced as an omission in the undergraduate curriculum. The students were also very positive about the session on Health Law. Basic aspects of health law were missing in the medical curriculum, and students have requested that more attention is paid to this subject. The participating clinical physicians also emphasized the necessity of this knowledge for their profession. The subject of Occupational Diseases was more distant from the practical world of the students, so it was essential that it was closely attuned to their clinical experiences.

Health sciences education Course on Health care Evaluation of the first course on ‘Health care in the Netherlands” showed the need for a better presentation of the Problem-Oriented Teaching (PGO) component in the program and better instructions for the tutors. Although several improvements were implemented in the second course, the evaluation and the results remained very moderate. Due to the sharp



68 increase in the number of students, a stronger logistic and a sharper focus on the objectives are necessary.

Course on Prevention This course was evaluated positively, mainly because of the combination of theory and practice visits. For future courses the requirements for an acceptable paper have been sharpened.

Course on Policy research The first time that this course was given to 18 ‘pioneer students’, it was a success. The recruiting of tutors from the field of public health turned out to be fruitful, and emphasized the practical and theoretical relevance of the course.In 2005, 60 students are expected to participate in this course, so a more rigourious structuring will be the challenge.

Research Scientific awards are clear indicators of esteem, but it is not so easy to assess customer appreciation of research. There are various types of customers, such as funding bodies, peer reviewers and editors. However invitations to act as a peer reviewer for scientific journals and funding bodies, or to function as an expert member of committees that assess research proposals may be indicators of scientific appreciation. The same applies to requests for writing a chapter in a book, joining a research group within the EMGO Institute or participating in an international research consortium. Furthermore, the opinion of our partners who are involved in data-collection is also important. The number and the amount of the grants received for research proposals are important too, but the decisive indicators seem to be the quality and quantity of papers published in peer-reviewed scientific journals. We have not systematically measured the appreciation of our partners and customers with regard to our research efforts. Some indicators of scientific recognition will be described below. For more details we refer to Appendices 1 and 2. A number of awards were presented to researchers in our Department. In 2003 the Dutch Public Health Award (Volksgezondheidsprijs) was presented to Lidewij Henneman for her PhD thesis: ‘Preconceptional cystic fibrosis carrier screening: desirability and feasibility in the Netherlands’. Esther van Sluijs won the fifth prize of the Young Investigator Award for Oral Presentations at the European College of Sports Science Annual Meeting in 2004. Gerrit van der Wal received a membership of the Polish Academy of Medicine and the Albert



69 Schweitzer World Academy of Medicine, and an honorary membership of the International Forum of Biophilosophy. Recognition and appreciation shown by scientific journals has several different aspects. Gerrit van der Wal is Editor of the Dutch Journal of Medicine (NTVG), Remy Hira Sing is Chief Editor of the Dutch Journal of Youth Health Care (NTJG). Willem van Mechelen is Senior Editor of the Clinical Journal of Sports Medicine and a member of the Editorial Board of several journals on Sports Medicine, and Danielle Timmermans is Book Review Editor of the Journal of Behavioral Decision Making and a member of the Editorial Board of Decision Making and Risk, Decision & Policy. Most of our senior researchers are reviewers on a more or less regular basis for various journals, e.g. Lancet, JAMA, British Medical Journal, Palliative Medicine, Occupational and Environmental Medicine, Scandinavian Journal of Work, Environment & Health, and Social Science and Medicine. The appreciation shown by funding bodies is reflected by the fact that Willem van Mechelen and Gerrit van der Wal are members of different research funding committees, e.g the committees of the Netherlands Organization for Health Research and Development (ZonMw) programs Chronic Diseases, Evaluation Health Legislation, and Healthy Living. Furthermore, most of our senior researchers are frequently requested to review research proposals for the Netherlands Organization for Scientific Research (NWO), the Netherlands Organization for Health Research and Development (ZonMw) (for instance for the program Prevention), the Dutch Heart Foundation (NHS), the Dutch Cancer Foundation (KWF) and the USA National Science Foundation (Decision, Risk & Management in the Science Program). An important token of appreciation of the funding bodies for the quality of the research carried out by our Department is their willingness to provide financial support for our research projects. Both the number and the amount of the grants acquired were satisfactory, especially considering the fact that these are difficult times for obtaining grants. In 2004, funding that was obtained for a large research project on patient safety increased the amount of grants obtained in that year tremendously. The number of papers published in refereed journals is satisfactory, and some articles were published in leading general medical journals such as the New England Journal of Medicine, Lancet, Annals of Internal Medicine, British Medical Journal and Archives of Internal Medicine. A considerable number of articles were published in the upper quartile of journals in a specific field of expertise.


Employee satisfaction

70 Employee satisfaction



71 As in 2002, again in May 2004 we carried out an anonymous ‘quick scan’ of employee satisfaction (based on the INK-model). The results are shown in Table 3. Table 3: Results of a ‘quick scan’ of employee satisfaction, 2002 and 2004 (N=45 and N=43 respectively), expressed on a scale from 0-5 (i.e. low-high) Mean score (min-max)

Quick scan items

2002

2004

Work climate

4.2 (2-5)

4.1 (2-5)

Adequate opportunity to organize work and private life

4.2 (2-5)

4.1 (1-5)

Coaching supervision and support

4.1 (2-5)

3.7 (1-5)

Usefulness of the work

4.0 (2-5)

3.9 (2-5)

Feedback from colleagues

3.9 (2-5)

3.9 (1-5)

Stimulating workplace with opportunity for discussion

3.7 (2-5)

3.5 (0-5)

Learning from mistakes

3.7 (1-5)

3.6 (0-5)

Clear tasks, responsibilities and authorities

3.6 (0-5)

3.8 (1-5)

Clear what happens with information given to management

3.1 (1-5)

3.1 (1-5)

-

3.1 (0-5)

2.8 (0-4)

2.8 (0-5)

Ergonomics

-

2.8 (0-5)

Workload

-

2.5 (0-5)

Conditions own office Conditions of employment

Compared to 2002, the scores in 2004 are slightly lower, mainly due to a more negative evaluation by some few co-workers. However, in general the results are satisfying. Most employees highly appreciate the work climate, the opportunity to organize work and private life, the usefulness of the work, and the feedback from colleagues. They are least satisfied with the workload, the ergonomics and the conditions of employment. With regard to the latter, as a Department we can do little, apart from providing certain facilities, e.g. congress participation. However, more attention must be paid to the workload, and most of the ergonomical problems can be reduced. The recent changes that have been made in the two-weekly meetings will hopefully contribute to a working climate that is (even) more stimulating. Although there seems to be general satisfaction, the fact that certain individuals were obviously not satisfied should not be ignored. Therefore, everyone is invited to discuss any possible unsatisfactory issues, preferably the junior researchers as well as their direct supervisors. Finally, we created an opportunity for the senior researchers in the Department to participate in a two-day management development course on ‘Leadership’. This was very



72 popular, so there will be a follow-up to increase individual academic leadership competence.


Societal recognition

73 Societal recognition



74 The societal recognition of our work has not been systematically measured. In 2002 the Royal Netherlands Academy of Arts and Sciences’ Council for Medical Sciences published a report on ‘The societal impact of applied health research: towards a quality assessment system’. This report presented a general outline of methodology to evaluate societal impact. Based on this methodology, we evaluated the societal recognition of our work and we give some examples here at different levels of society. Research has considerable societal impact when (national or local) policies are based on its results. An example of the impact of our research on national policy is the report on the euthanasia review procedure that was offered to the Ministers of Health and Justice in 2003. This resulted in a government policy issued by these Ministers. Also important for policy-making were the two reports on the effects of the air crash in the Bijlmermeer. A rather rough indicator of societal recognition is the number of articles published in national professional journals and other (non-scientific) publications. In this respect we have been quite successful, for example with regard to the number and content of our publications in the Dutch Journal of Medicine (NTVG) (e.g. on overweight and obesity among children and adolescents, preconceptional screening for cystic fibrosis, disciplinary proceedings, and end of life decisionmaking). We have also (co-)authored textbooks (e.g. on public health and health care, youth health care in practice, and medical decisions at the end of life). Another indicator of societal impact is reflected in collaboration with health care professionals and their organizations. We collaborate with many organizations (e.g. see projects under Processes), and issue reports that are relevant for health care. Two examples in this respect are: the report on waiting for elective general surgery, and the report on palliative care in general practice. Also very important for society is the Knowledge Center Overweight, which aims to advise health care professionals on how to treat and prevent overweight and obesity (see www.overgewicht.org). We are frequently invited to give lectures for a non-scientific audience (e.g. physiotherapists, municipal health care workers), and we also contribute regularly to the education of health care professionals, based on research output (e.g. post-graduate education of general practitioners, occupational physicians). Many of our staff are members of advisory committees, working groups, etc. within various types of organizations i.e. the Dutch Association for Employment and Occupational



75 Medicine (NVAB), the Social Medicine Council (CSG), the Netherlands School of Public and Occupational Health (NSPOH), the Health Council, and the Research and Health Advisory Council (RGO). Recognition from the general public can be achieved by media coverage, and although we are rather reluctant in this respect, we did agree to give several interviews, e.g. Frank van Leerdam on bedwetting, Remy Hira Sing on children and overweight, and Gerrit van der Wal on the euthanasia review procedures and Willem van Mechelen on low back pain. For more details see Appendix 2.


Final results

76 Final Results

Final results


77 Finances The VU University Medical Center has had to face some financial difficulties in the past two years. Average cuts of 4% and 6%, respectively, in the core budget were deemed necessary. However, the direct consequences for the Department were limited, although we also have to cope with some core budget cuts. Our reserve capital was further reduced by the need to extend the contracts of certain junior researchers so that they could finish their PhD research. In 2003 external funding was acquired for eight research projects, with a total grant of € 541.384., and in 2004 a total grant of € 5.500.627. was aquired for twelve research projects. A major part of these grants was received used for a research program on patient safety, a national study in collaboration with the Netherlands Institute for Health Services Research (NIVEL).

Undergraduate medical education Course on 'Health Care (and Public’s Health)' The examination results were satisfying (Table 4). Table 4: Examination results for the course on ‘Health Care (and Public’s Health’) 2003

2004

First

Second

Third

First

Second

Third

chance

chance

chance

chance

chance

chance

Participants

198

41

23

261

45

-

Success %

78

95

74

92

60

-


Final results

78 Scientific research training In the past two years 9 medical students participated in research projects at the Department (Table 5). Table 5: Scientific research projects carried out by students 2003-2004 •

Ms L Huisman: The healthy food and activities club, a good or a bad idea?

•

Ms DA Eekman: The healthy food and activities club, a good or a bad idea?

•

Ms MJ Sander: Quality of neck skinfold measurement

•

Ms SK Stortenbeeker: Problems, refusals and opinions concerning risky procedures in general practice and psychiatry

•

Ms MAB van der Jagt: Problems and refusals of risky and reserved procedures in general practice and psychiatry

•

Ms JE Splinter: Mummy, my bed’s wet again!

•

Ms J Louwers: Determinants of obesity in immigrant children

•

GJ Agema: Publication of disciplinary proceedings

•

Ms S Hogervorst: Birth weight and VO2max in female twins

Elective clerkships In the past two years 31 medical students participated in an elective clerkship of 2 to 3 weeks. Sports medicine was the most popular subject (Table 6). Five students combined an elective clerkship with a senior elective clerkship of 10 weeks. Table 6: Elective clerkships Public and Occupational Health in 2003-2004 Elective clerkship

Number of students

Sports Medicine

10

Youth Health Medicine

5

Forensic Medicine

5

Occupational Health Medicine

4

Social Insurance Medicine

3

Primary Health Care Africa

2

Public Health Medicine

2


Final results

79 Health Sciences education Course on Health care Students considered that the course was highly relevant, but the objectives were not clear enough; only 46% (N=54) passed the exam at the first attempt. The next course will focus more on the objectives and will be better structured.

Course on Prevention The course was evaluated as positive and relevant, and 82% of the students passed the exam at the first attempt.

Course on Policy Research The course required active student participation, and was considered to be relevant and useful as preparation for the Bachelor research apprenticeship. All 18 students passed the exam.

Scientific research training The number of students Health Sciences participating in our research doubled in the past two years, to 10 in 2004. Table 7: Scientific research projects carried out by students 2003-2004 •

Ms JCM Heine - The effect of a PACE intervention by general practitioners on patients’ stage of change in physical activity: investigation of effect modification

•

Ms S Yaseen - Development of the design of study materials for physical education in the first grade of preliminary intermediate vocational education

•

I van Dinter – Prevention of excessive weight gain during pregnancy

•

Ms T Kramers – Prevention of excessive weight gain during pregnancy

•

J Visscher – Prenatal screening: experiences of women with a false-positive test result

•

C Mulder – Boxy Mass Index versus skinfold thickness: analysis of the correlation between Body Mass Index and skinfold thickness for overweight and obesity screening in adolescents

•

J Munter – The preparation and storage of baby food: an investigation in Amsterdam

Final results


80 Research During the period of reporting, 16 theses were completed, 95 scientific articles were published in (S)SCI-international refereed journals, 13 in non-(S)SCI-journals, and 42 in national refereed journals. The average impact factor was 2.3. The average percentile score was 3.4 (on a scale from 1-5). The proportion of (S)SCI-publications1 in the upper quartile was 50%. Further details are given in Table 8. Table 8: Number of peer-reviewed publications and bibliometric scores in 2001/2002 and 2003/2004 (percentages) Score1 International refereed

2001/2002

2003/2004

5

16 (22)

22 (23)

4

27 (35)

26 (27)

3

23 (30)

26 (27)

2

8 (10)

15 (16)

1

2 (3)

6 (6)

2

76 (100)

96 (100)

National refereed

38

42

Total

116

138

Subtotal

1

Based on the order of Impact Factors within the Field (from both SCI and SCSCI) in which the journal at issue

has the highest relative position. This assessment is based on the latest edition of the journal Citation Reports (Social) Science Edition (ranks) of the Institute of Scientific Information available in the year at issue. 2

Furthermore there were 2 (2001/2) and 13 (2003/4) international non-(S)SCI-publications respectively, of

which 4 were in Online journals.

The theses, international (S)SCI and non-(S)SCI publications and publications in national refereed journals are listed below. Other publications, reports, etc. can be found in Appendix 1.


Final results

81 Publications Quality of care and prevention

Dissertations Poppelaars FAM. Implementation of CF carrier screening. Vrije Universiteit Amsterdam. Promotors: prof.dr. LP ten Kate, prof.dr. G van der Wal; co-promotor: dr. L Henneman. (Cat.A) Crone MR. The prevention of involuntary smoking by children. Vrije Universiteit Amsterdam. Promoters: prof.dr. SP Verloove-Vanhorick, prof.dr. RA Hira Sing; co-promotor: dr. SA Reijneveld. (Cat.B)

International (refereed journals) Baars MJH, Henneman L, Kate LP ten. Preconceptional cystic fibrosis carrier screening: opinions of general practitioners, gynecologists and pediatricians in The Netherlands. Genetic Testing 2004;8:431-436. Bie J de, Cuperus Bosma JM, Gevers JKM, Wal G van der. Reserved procedures in Dutch hospitals: knowledge, experiences and views of physicians and nurses. Health Policy 2004;68:373-84. Crone MR, Reijneveld SA, Willemsen MC, Hira Sing RA. Parental education on passive smoking in infancy does work. European Journal of Public Health 2003;13:269-74. Crone MR, Reijneveld SA, Willemsen MC, Leerdam FJM van, Spruijt RD, Hira Sing RA. Prevention of smoking in adolescents with lower education: a school based intervention study. Journal of Epidemiology and Community Health 2003;57:675-80. Dijk S van, Otten W, van Asperen CJ, Timmermans DR, Tibben A, Zoeteweij MW, Silberg S, Breuning MH, Kievit J. Feeling at risk: how women interpret their familial breast cancer risk. American Journal of Medical Genetics 2004;131:42-9. Dijk S van, Otten W, Zoeteweij MW, Timmermans DRM, Asperen CJ van, Breuning MH, Tollenaar RAEM, Kievit J. Genetic counselling and the intention to undergo prophylactic mastectomy: effects of a breast cancer risk assessment. British Journal of Cancer 2003; 88:1675-1681. Gent C van, Dols JJCM, Rover CM de, Hira Sing RA, Vet HCW de. The Weight of Schoolbags and the Occurence of Neck, Shoulder, and Back Pain in Young Adolescents. Spine 2003;28:916-21. Henneman L, Bramsen I, Kempen L van, Acker MB van, Pals G, Horst HE van der, Adèr HJ, Ploeg HM van der, Kate LP ten. Offering preconceptional cystic fibrosis carrier


Final results

82 screening in the absence of established preconceptional care services. Community Genetics 2003;6:5-13. Henneman L, Timmermans DRM, Wal G van der. Public experiences, knowledge and expectations about medical genetics and the use of genetic information. Community Genetics 2004;7:33-43. Leerdam FJM van, Blankespoor MN, Heijden AJ van der, Hirasing RA. Alarmtreatment is successful in children with day- and night-time wetting. Scandinavian Journal of Urology and Nephrology 2004;38:211-5. Middelkoop BJ, Wal G van der. Culture-specific diabetes care for Surinam South Asians with a low socio-economic position: who benefits? Patient Education and Counseling 2004;53:353-58. Nieuwhof MGH, Cate ThJ ten, Oosterveld P, Soethout MBM. Measuring strength of motivation for medical School. Medical Education Online 2004:9;16. http://www.med.-elonline.org. Oudhoff JP, Timmermans DRM, Bijnen AB, Wal G van der. Waiting for elective general surgery: physical, psychological and social consequences. Australian & New Zealand Journal of Surgery 2004;74:361–67. Poppelaars FAM, Adèr HJ, Cornel MC, Henneman L, Hermens RPMG, Wal G van der, Kate LP ten. Attitudes of potential providers towards preconceptional cystic fibrosis carrier screening. Journal of Genetic Counseling 2004;13:31-44. Poppelaars FAM, Henneman L, Adèr HJ, Cornel MC, Hermens RPMG, Wal G van der, Kate LP ten. How should preconceptional cystic fibrosis carrier screening be provided? Opinions of potential providers and the target population. Community Genetics 2003;6:157-65. Poppelaars FAM, Henneman L, Adèr HJ, Cornel MC, Hermens RPMG, Wal G van der, Kate LP ten. Preconceptional cystic fibrosis carrier screening: attitudes and intentions of the target population. Genetic Testing 2004;8:80-9. Poppelaars FAM, Wal G van der, Braspenning JCC, Cornel MC, Henneman L, Langendam MW, Kate LP ten. Possibilities and barriers in the implementation of a preconceptional screening programme for cystic fibrosis carriers: a focus group study. Public Health 2003;117:396-403. Reijneveld SA, Wal MF van den, Brugman E, Hira Sing RA, Verloove-Vanhorick SP. Infant crying and infant abuse. Lancet 2004;364:1340-2. Renders CM, Valk GD, Sonnaville JJ de, Twisk J, Kriegsman DM, Heine RJ, Eijk JThM van, Wal G van der. Quality of care for patients with Type 2 diabetes mellitus – a long-term comparison of two quality improvement programmes in the Netherlands. Diabetic Medicine 2003;20:846-52.


Final results

83 Soethout MBM, Cate ThJ ten, Wal G van der. Factors associated with the nature, timing and stability of the specialty career choices of recently graduated doctors in European countries, a literature review. Medical Education Online, 2004:9;24. http://www.med.-elonline.org.

Steenkiste B van, Weijden T van der, Timmermans D, Vaes J, Stoffers HEJH, Grol R. Patients' ideas, fears and expectations of their coronary risk: barriers for primary prevention. Patient Education and Counseling 2004;55:301-7. Stiggelbout AM, Molewijk AC, Otten W, Timmermans DRM, Kievit J. Ideals of patient autonomy in clinical decision-making: a study on the development of a scale to assess patients' and physicians' views. Journal of Medical Ethics 2004;30:268-74. Timmermans D, Molewijk B, Stiggelbout A, Kievit J. Different formats for communicating surgical risks to patients and the effect on choice of treatment. Patient Education and Counseling 2004;54:255-63. Valk GD, Renders CM, Kriegsman DMW, Newton KM, Twisk JWR, Eijk JThM van, Wal G van der, Wagner EH. Quality of care for patients with type 2 diabetes mellitus in the Netherlands and the U.S.A comparison of two quality improvement programs. Health Service Research 2004;39:709-25. Wal MF van der, Wit CA de, Hira Sing RA. Psychosocial health among young victims and offenders of direct and indirect bullying. Pediatrics 2003;111:1312-7.

National (refereed journals) Boomsma L, Renders CM. Overgewicht bij kinderen: Dickie Dick als ‘rol’model ? Huisarts en Wetenschap 2003;46:282-3. Bulk-Bunschoten AMW, Leengoed PCM van, Pasker-de Jong PCM, Groot CJ de. Echte en vermeende obstipatie als reden tot voedingsverandering in de eerste vier levensmaanden. Tijdschrift voor Jeugdgezondheidszorg 2004;1:14-7. Bulk-Bunschoten AMW, Renders CM, Leerdam FJM van, Hira Sing RA. Signaleringsprotocol Overgewicht in de Jeugdgezondheidszorg. Tijdschrift Jeugdgezondheidszorg 2004;36:86-8. Cuperus-Bosma JM, Erven Dorens-Hudig RJF van, Soethout MBM, Wendte JF, Dijk FJH van, Mechelen W van, Klazinga NS, Wal G van der. Een nieuw medisch opleidingscontinuüm: de ontwikkeling van een schakeljaar vanuit sociaal-geneeskundig perspectief. Tijdschrift voor Gezondheidswetenschappen 2004;82:186-91. Fleuren MAH, ong ORW de, Verlaan ML, Leerdam FJM van, Filedt Kok-Weimar TL, Radder JJ. Belemmerende en bevorderende factoren bij de invoering van standaarden in de jeugdgezondheidszorg. Tijdschrift voor Gezondheidswetenschappen 2004;82:42-9.


Final results

84 Henneman L, Poppelaars FAM, Kate LP ten. Wenselijkheid en haalbaarheid van preconceptionele screening op dragerschap voor cystische fibrose. Nederlands Tijdschrift voor Geneeskunde. 2004;148:618-22. Hira Sing RA, Leerdam FJM van, Sukhai RN, Capelle JW van, Froeling FMJA, Vijverberg MAW. Uitwerking richtsnoer "Enuresis nocturna" voor kinderen met hardnekkige klachten. Nederlands Tijdschrift voor Geneeskunde 2004;148:17-21. Hout FAG, Cuperus-Bosma JM, Peuter OR de, Hubben JH, Wal G van der. Tuchtrechtspraak niet verbeterd sinds de invoering van de Wet op de Beroepen in de Individuele Gezondheidszorg (Wet BIG). Nederlands Tijdschrift voor Geneeskunde 2004;148:135-9. Kate LP ten, Henneman L, Poppelaars FAM. Screening op dragerschap voor cystic fibrosis in Nederland. De stand van zaken. Tijdschrift voor Gezondheidswetenschappen 2003;81:397-402. Middelkoop BJC, Wal G van der. De oorzaken van de hoge prevalentie van diabetes mellitus type 2 onder Hindostanen. Tijdschrift voor Gezondheidswetenschappen 2004;82:142-52. Reijneveld, SA, Wal MF van der, Brugman E, Hira Sing RA, Verloove-Vanhorick, SP. Prevalentie van gedragingen van ouders om het huilen van zuigelingen te verminderen die kunnen leiden tot mishandeling. Nederlands Tijdschrift voor Geneeskunde 2004;148;222730. Renders CM, Delemarre-van de Waal HA, Dekker JM, Hira Sing RA. Insulineresistentie en diabetes mellitus Type 2 bij kinderen met overgewicht. Nederlands Tijdschrift voor Geneeskunde 2003;147:2060-3. Renders CM, Henneman L, Timmermans DRM, Hira Sing RA. Televisiekijken en enkele eetgewoonten bij Amsterdamse 6-14-jarigen; een transversaal onderzoek. Nederlands Tijdschrift voor Geneeskunde 2004;148:2072-6. Renders CM, Seidell JC, Mechelen W van, Hira Sing RA. Overgewicht en obesitas bij kinderen en adolescenten en preventieve maatregelen. Nederlands Tijdschrift voor Geneeskunde 2004;148:2066-70. Verloove-Vanhorick SP, Verkerk PH, Leerdam FJM van, Reijneveld SA, Hira Sing RA. Jeugdgezondheidszorg: veel preventie voor weinig geld. Nederlands Tijdschrift voor Geneeskunde 2003;147:895-8. Wal ME van der, Wit CAM de, Diepenmaat ACM, Hira Sing RA. Probleemgedrag van kinderen van 9-12 jaar in Amsterdam. Tijdschrift voor Gezondheidswetenschappen 2004;82:21-6.


Final results

85 Wouwe JP van, Mattiazzo GF, Mokadem N el, Reeser HM, Hira Sing RA. De incidentie en de eerste symptomen van diabetes mellitus type I bij 0-14 jarigen in Nederland. 1996-1999. Nederlands Tijdschrift voor Geneeskunde 2004;148:1824-9.

Public Health at the end of life Dissertations Pasman HRW. Forgoing artifical nutrition and hydration in nursing home patients with dementia. Decision-making, clinical course and quality of dying. Vrije Universiteit Amsterdam. Promotors: prof. dr. G van der Wal, prof. dr. MW Ribbe; co-promotors: dr. BD Onwuteaka-Philipsen, dr. BAM The. (Cat.A) Klinkenberg M. The last phase of life of older people: health, preferences and care. Vrije Universiteit Amsterdam. Promotors: prof. dr. G van der Wal, prof.dr. CPM Knipscheer; copromotors: prof.dr. DL Willems, prof.dr. DJH Deeg. (Cat.A) Das C. Overlijdensverklaringen en artsen: wet en praktijk. Vrije Universiteit Amsterdam. Promotor: prof.dr. G van der Wal. (Cat.A)

International (refereed journals) Bilsen J, Stichele R Vander, Mortier F, Deliens L. The involvement of nurses in euthanasia in Flanders, Belgium. Journal of Advanced Nursing 2004;47:583-91. Bilsen J, Stichele R Vander, Bernheim J, Mortier F, Deliens L. End-of-life decisions in general practice in Flanders, Belgium. Family Practice 2004;21:282-9. Deliens L, Bernheim J, Wal G van der. Similitudes et differences entre les lois Belge et Néerlandaise relatives à l’euthanasie. Revue Medicale de Liege 2003;58:485-92. Deliens L, Ganzini L, Stichele R Vander. The use of drugs to hasten death. Pharmacoepidemiology and Drug Safety 2004;13:113-15. Echteld MA, Deliens L, Ooms ME, Ribbe MW, Wal G van der. Palliative care units in nursing homes in the Netherlands: Changes in patients’ functional status and symptoms. Journal of Pain and Symptom Management 2004;28:233-43. Groenewoud JH, Heide A van der, Tholen AJ, Schudel WJ, Hengeveld MW, OnwuteakaPhilipsen BD, Maas PJ van der, Wal G van der. Psychiatric consultation with regard to requests for euthanasia or physician-assisted suicide. General Hospital Psychiatry 2004;26:323-30. Hak T, Willems D, Wal G van der, Visser F. A qualitative validation of the Minnesota Living with Heart Failure Questionnaire. Quality of Life Research 2004;13:417-26.


Final results

86 Heide A van der, Delden JJM van, Wal G van der. Doctor-assisted dying: what difference does legislation make? Lancet 2004;364:24-25. Heide A van der, Deliens L, Faisst K, Nilstun T, Norup M, Paci E, Wal G van der, Maas P van der. On behalf of the EURELD Consortium. End-of-life decision-making in six European Countries: descriptive study. Lancet 2003;362:345-50.* Jansen-van der Weide MC, Onwuteaka-Philipsen BD, Wal G van der. Implementation of the project ‘Support and consultation for general practitioners concerning euthanasia in the Netherlands’. Health Policy 2004;69:365-73. Jonker C, Gerritsen DL, Bosboom PR, Steen JT van der. A model for quality of life measures in patients with dementia: Lawton’s next step. Dementia and Geriatric Cognitive Disorders 2004;18:159-64. Klinkenberg M, Smit JH, Deeg DJH, Willems DL, Onwuteaka-Philipsen B, Wal G van der. Proxy reporting in after-death interviews: the use of proxy respondents in retrospective assessment of chronic diseases and symptom burden in the terminal phase of life. Palliative Medicine 2003;17:191-201. Klinkenberg M, Willems DL, Onwuteaka-Philipsen BD, Deeg DJH, Wal G van der. Preferences in end-of-life care of older persons: after-death interviews with proxy respondents. Social Science and Medicine 2004;59:2467-77. Klinkenberg M, Willems DL, Wal G van der, Deeg DJ. Symptom burden in the last week of life. Journal of Pain and Symptom Management 2004; 27:5-13. Kuin A, Courtens AM, Deliens L, Vernooij-Dassen MJFJ, van Zuylen L, Linden B van der, Wal G van der. Palliative Care Consultation in the Netherlands: a Nationwide Evaluation Study. Journal of Pain and Symptom Management 2004;27:53-60. Mehr DR, Steen JT van der, Kruse RL, Ooms ME, Rantz M, Ribbe MW. Lower respiratory infections in nursing home residents with dementia: a tale of two countries. Gerontologist 2003;43:85-93. Mortier F, Bilsen J, Stichele R Vander, Bernheim J, Deliens L. Attitudes, ociodemographic characteristics, and actual end-of-life decisions of physicians in Flanders, Belgium. Medical Decision Making 2003;23:502-10. Onwuteaka-Philipsen BD, Heide A van der, Koper D, Keij-Deerenberg I, Rietjens JA, Rurup ML, Vrakking AM, Georges JJ, Muller MT, Wal G van der, Maas PJ van der. Euthanasia and other end-of-life decisions in the Netherlands in 1990, 1995, and 2001. Lancet 2003;362:395-9. Pasman HR, The AM, Onwuteaka-Philipsen BD, Wal G van der, Ribbe MW. Feeding nursing home patients with severe dementia: a qualitative study. Journal of Advanced Nursing 2003;42:304-11.


Final results

87 Pasman HRW, Onwuteaka-Philipsen BD, Ooms ME, Wigcheren PT van, Wal G van der, Ribbe MW. Forgoing artificial nutrition and hydration in nursing home patients with dementia: patients, decision making, and participants. Alzheimer Disorders and Associated Diseases 2004;18:154-62. Pasman HRW, The BAM, Onwuteaka-Philipsen BD, Ribbe MW, Wal G van der. Participants in the decision making on artificial nutrition and hydration to demented nursing home patients: a qualitative study. Journal of Aging Studies 2004;18:321-35. Provoost V, Deliens L, Cools F, Deconinck PG, Ramet J, Mortier F, Vandenplas Y. A classification of End-of-life decisions in neonates and infants. Acta Paediatrica 2004;93:301–5. Rietjens JAC, Heide A van der, Vrakking AM, Onwuteaka-Philipsen BD, Maas PJ van der, Wal G van der. Physician Reports of Terminal Sedation without Hydration or Nutrition for Patients Nearing Death in The Netherlands. Annals of Internal Medicine 2004;141:178-85. Steen JT van der, Kruse RL, Ooms ME, Ribbe MW, Wal G van der, Heintz LL, Mehr DR. Treatment of nursing home residents with dementia and lower respiratory tract infection in the United States and the Netherlands: an ocean apart. Journal of the American Geriatrics Society 2004;52:691-699. Steen JT van der, Ooms ME, Ader HJ, Ribbe MW, Wal G van der. Medical treatment of acute illnesses in end-stage dementia. Archives of Internal Medicine 2003;163:497-8. Steen JT van der, Ribbe MW, Mehr DR, Wal G van der. Do findings of high mortality from pneumonia in the elderly make it the old man's friend? Archives of Internal Medicine 2004;164:224-5. Stichele R vander, Bilsen J, Bernheim J, Mortier F, Deliens L. Drugs used in euthanasia cases in Flanders, Belgium. Pharmacoepidemiology and Drug Safety 2004;13:89-95 The BAM, Hak A, Koeter GH, Wal G van der. Radiographic images and the emergence of optimism about recovery in patients with small cell lungcancer: an ethnographic study. Lung Cancer 2003;41:113-20. Wal G van der. From the Netherlands. Palliative Medicine 2003;17:110. Willems DL, Hak A, Visser F, Wal G van der. Thoughts of patients with advanced heart failure on dying. Palliative Medicine 2004;18:564-72. *This paper was also published in the Swedish Lakartidningen 2003;100:2434-9 and the Danish Ugeskrift for laeger 2004;166:156-159.

Letter to the editor


Final results

88 Deliens L, Bernheim J. Palliative care and euthanasia in countries with a euthanasia law. Palliative Medicine 2003;17:393-94. Deliens L, Wal G van der. The euthanasia law in Belgium and the Netherlands. Lancet 2003;362:1239-40. Heide A van der, Deliens L, Faisst K. End-of-life decisions and conflicts of interest. Authors’ reply. Lancet 2003;362:1419-20. Rietjens JAC, Heide A van der, Wal G van der. Terminal Sedation in the Netherlands. Annals of Internal Medicine 2004;141:966-7. Slotman BJ, Wal G van der, Kregar S, Langesdijk HA, Willems DL. Patients’ appreciation of single fraction radiotherapy for painful bone metastases. Palliative Medicine 2004;18:72-3.

National (refereed journals) Das C, Wal G van der. Het beroepsgeheim en de forensische geneeskunde. Nederlands Tijdschrift voor Geneeskunde 2003;147:2076-9. Das C, Wal G van der. Natuurlijke en niet-natuurlijke dood: beoordeling en beleid door de gemeentelijk lijkschouwer. Tijdschrift voor Gezondheidswetenschappen 2004;82:175-9. Deliens L, Wal.G van der De euthanasiewet van België en Nederland. Tijdschrift voor Geneeskunde 2004;60:223-31. Deliens L, Wal G van der. Overeenkomsten en verschillen tussen de euthanasiewetten van België en Nederland. Nederlands Tijdschrift voor Geneeskunde 2003;147:169-74. Deschepper R, Estrada T, Stichele R Vander, Kelen G van der, Deliens L. Motieven van terminaal zieke patiënten om een verzoek naar euthanasie te overwegen. Huisarts Nu 2004;33:291-4. Echteld MA, Deliens L, Ooms ME, Bokhoven R van, Ribbe MW, Wal G van der. Bevorderende en belemmerende factoren bij de implementatie en instandhouding van units voor kortdurende terminale zorg. Tijdschrift voor Gerontologie en Geriatrie 2004;35:21-7 Heide A van der, Deliens L, Faisst K, Nilstun T, Norup M, Paci E, Wal G van der, Maas P van der. Namens het EURELD consortium. Medische besluiten rond het levenseinde in 6 Europese landen: België, Denemarken, Italië, Nederland, Zweden en Zwitserland. Nederlands Tijdschrift voor Geneeskunde 2003;147:1800-7. Heide A van der, Deliens L, Faisst K, Nilstun T, Norup M, Paci E, Wal G van der, Maas P van der. Namens het EURELD Consortium. Medische besluitvorming rond het levenseinde in zes Europese landen: een beschrijvend onderzoek. Tijdschrift voor Geneeskunde 2004;60:235-45.


Final results

89 Jansen-van der Weide MC, Onwuteaka-Philipsen BD, Cohen HS, Kenter EGH, Wal G van der. Informatie en advies via SCEN: gestelde vragen en de kwaliteit van de gegeven antwoorden. Tijdschrift voor Gezondheidswetenschappen 2004;82:169-74. Keyser E de, Magits M, Deliens L. Euthanasie: een medische handeling of niet? Huisarts Nu 2004;33: 409-10. Onwuteaka-Philipsen BD, Heide A van der, Koper D, Keij-Deerenberg I, Rietjens JAC, Rurup ML, Vrakking AM, Georges J, Muller MT, Wal G van der, Maas PJ van der. Euthanasie en andere medische beslissingen rond het levenseinde in Nederland in 1990, 1995 en 2001. Nederlands Tijdschrift voor Geneeskunde 2003;147:1808-14. Steen JT van der, Adèr HJ, Assendelft HM van, Kooistra M, Passier PECA, Ooms ME. Retrospectieve afname van de Nederlandse versie van de Discomfort Scale - Dementia of Alzheimer Type (DS-DAT): is inschatten achteraf voldoende valide en betrouwbaar? Tijdschrift voor Gerontologie en Geriatrie 2003;34:254-9. Steen JT van der, Ooms ME, Frijters DHM, Ribbe MW, Wal G van der. Incidentie van pneumonie bij Nederlandse verpleeghuisbewoners met dementie. Infectieziekten Bulletin 2003;14:126-32. The BAM, Pasman HRW, Onwuteaka-Philipsen BD, Ribbe MW, Wal G van der. Afzien van kunstmatige toediening van voeding en vocht bij psychogeriatrische patiënten in het verpleeghuis; een kwalitatief onderzoek door participerende observatie. Nederlands Tijdschrift voor Geneeskunde 2003;147:705-8. Veldink JH, Wokke JHJ, Wal G van der, Jong EN de, Berg LH van den. Euthanasie en hulp bij zelfdoding bij patienten met amyotrofische laterale sclerose in Nederland. Nederlands Tijdschrift voor Geneeskunde 2004;148:525-30.

Work and Health Anema JR. Low back pain, workplace intervention & return-to-work. Vrije Universiteit Amsterdam. Promotors: prof.dr. W van Mechelen, prof.dr.ir. PM Bongers, prof dr.ir. HCW de Vet. (cat.A) Heymans MW. The cost-effectiveness of back schools in occupational care, the BOC study. Vrije Universiteit Amsterdam. Promotors: prof.dr. W van Mechelen, prof.dr. BW Koes; copromotors: prof.dr.ir. HCW de Vet, prof.dr.ir. P.M. Bongers. (Cat.A) Proper KI. The effectiveness of a worksite physical activity counseling.Vrije Universiteit Amsterdam. Promotor: prof. dr. W van Mechelen;co-promotors: dr. AJ van der Beek, dr. VH Hildebrandt. (Cat.B) Staal JB. Low back pain, graded activity and return to work. Vrije Universiteit Amsterdam. Promotors: prof.dr. W. van Mechelen and prof.dr.ir. T. Smid. (Cat.A)


Final results

90 Steenstra IA . Back pain management in Dutch occupational health care. Vrije Universiteit Amsterdam. Promotors: prof.dr. W van Mechelen, prof.dr.ir. PM Bongers, prof.dr.ir. HCW de Vet. (Cat.A)

International (refereed journals) Anema JR, Cuelenaere B, Beek AJ van der, Knol DL, Vet HC de, Mechelen W van. The effectiveness of ergonomic interventions on return-to-work after low back pain; a prospective two year cohort study in six countries on low back pain patients sicklisted for 3-4 months. Occupational and Environmental Medicine 2004;61:289-94. Anema JR, Steenstra IA, Urlings IJM, Bongers PM, Vroome EMM de, Mechelen W van. Participatory ergonomics as a return-to-work intervention; A future challenge? American Journal of Industrial Medicine 2003;44:273-81. Beek AJ van der. Work and non-work-related stress increase the risk of arm symptoms. [Invited commentary]. Australian Journal of Physiotherapy 2003;49:71. Heinrich J, Blatter BM, Bongers PM. A comparison of methods for the assessment of postural load and duration of computer use. Occupational Environmental Medicine 2004;61:1027-31. Heuvel SG van den, Ariëns GAM, Boshuizen HC, Hoogendoorn WE, Bongers PM. Prognostic factors related to recurrent low-back pain and sickness absence. Scandinavian Journal of Work Environment and Health 2004;30:459-67. Heuvel SG van den, Looze MP de, Hildebrandt VH, Thé KH. Effects of software programs stimulating regular breaks and exercises on work-related neck and upper-limb disorders. Scandinavian Journal Work Environment and Health 2003;29:106-16. Heymans M, Tulder MW van, Esmail R, Bombardier C, Koes B. Back schools for nonspecific low-back pain. Cochrane Database of Systematic Reviews 2004;18:CD000261. Review. Heymans MW, Vet HCW de, Bongers PM, Koes BW, Mechelen W van. Back Schools in Occupational Health Care: Design of a Randomised Controlled Trial and Cost-effectiveness Study. Journal of Manipulative and Physiological Therapeutics 2004;27:457-65. Hooftman WE, Poppel MNM van, Beek AJ van der, Bongers PM, Mechelen W van. A systematic review on gender differences in relations between work-related physical and psychosocial risk factors and musculoskeletal complaints. Scandinavian Journal of Work Environment and Health 2004;30:261-78. Hoogendoorn WE, Bongers PM, Vet HCW de, Twisk JWR, Mechelen W van, Bouter LM. Generalised estimating equations and low back pain. Occupational and Environmental Medicine 2003;60:378-82.


Final results

91 Hoozemans MJM, Kuijer PPFM, Kingma I, Dieën JH van, Vries WHK de, Woude LHV van der, Veeger HEJ, Beek AJ van der, Frings-Dresen MHW. Mechanical loading of the low back and shoulders during pushing and pulling activities. Ergonomics 2004;47:1-18. IJmker S, Gerrits EHJ, Reneman MF. Upper lifting performance of healthy young adults in functional capacity evaluations: a comparison of two 3protocols. Journal of Occupational Rehabilitation 2003;13;297-305. Kingma I, Kuijer PPFM, Hoozemans MJM, Dieën JH van, Beek AJ van der, Frings-Dresen MHW. Effect of design of two-wheeled containers on mechanical loading. International Journal of Industrial Ergonomics 2003;31:73-86. Kuijer PPFM, Hoozemans MJM, Kingma I, Dieën JH van, Vries WHK de, Veeger HEJ, Beek AJ van der, Visser B, Frings-Dresen MHW. Effect of a redesigned two-wheeled container on mechanical loading of low back and shoulders. Ergonomics 2003;46:543-60. Kuijer PPFM, Vries WHK de, Beek AJ van der, Dieën JH van, Visser B, Frings-Dresen MHW. Effect of job rotation on work demands, workload, and recovery of refuse truck drivers and collectors. Human Factors 2004;46:437-48. Lange AH de, Taris T, Kompier MAJ, Houtman ILD, Bongers PM. “The very best of the Millennium”: Longitudinal research and the Demand-Control-(Support) model. Journal Occupational Health Psychology 2003;8:282-305. Lange AH de, Taris TW, Kompier MAJ, Houtman ILD, Bongers PM. On the relationships between work characteristics and psychological well-being: Examining normal, reversed and reciprocal relationships in a 4-wavestudy. Work and Stress 2004;18:149-66. Mathiassen SE, Burdorf A, Beek AJ van der, Hansson GÅ. Efficient one-day sampling of mechanical job exposure data – a study based on upper trapezius activity in cleaners and office workers. American Industrial Hygiene Association Journal 2003;64:196-211. Poppel MNM van, Hooftman WE, Koes BW. An update of a systematic review of controlled clinical trials on the prevention of back pain at the workplace. Occupational Medicine 2004;54:345-52. Proper KI, Beek AJ van der, Hildebrandt VH, Twisk JW, Mechelen W van. Short term effect of feedback on fitness and health measurements on self reported appraisal of the stage of change. British Journal of Sports Medicine 2003;37:529-34. Proper KI, Beek AJ van der, Hildebrandt VH, Twisk JW, Mechelen W van. Worksite health promotion using individual counselling and the effectiveness on sick leave; results of a randomised controlled trial. Occupational and Environmental Medicine 2004;61:275-9. Proper KI, Bruyne MC de, Hildebrandt VH, Beek AJ van der, Meerding JW, Mechelen W van. Costs, Benefits and effectiveness of worksite physical activity counseling from the


Final results

92 employer's perspective. Scandinavian Journal of Work Environment and Health 2004;30:3646. Proper KI, Hildebrandt VH, Beek AJ van der, Twisk JW, Mechelen W van. Effect of individual counseling on physical activity fitness and health: a randomized controlled trial in a workplace setting. American Journal of Preventive Medicine 2003;24:218-26. Proper KI, Koning M, Beek AJ van der, Hildebrandt VH, Bosscher RJ, Mechelen W van. The effectiveness of worksite physical activity programs on physical activity, physical fitness, and health. Clinical Journal of Sport Medicine 2003;13:106-17. Roer N van der, Tulder MW van, Barendse JM, Mechelen W van, Franken WK, Ooms AC, Vet HC de. Cost-effectiveness of an intensive group training protocol compared to physiotherapy guideline care for sub-acute and chronic low back pain: design of a randomised controlled trial with an economic evaluation. BioMed Central Musculoskeletal Disorders 2004;23:5:45. http://www.biomedcentral.com/1471-2474/5/45. Sluiter JK, Beek AJ van der, Frings-Dresen MHW. Medical staff in emergency situations: severity of patient status predicts stress hormone reactivity and recovery. Occupational and Environmental Medicine 2003;60:373-4. Staal JB, Hlobil H, Tulder MW van, Waddell G, Burton AK, Koes BW, Mechelen W van. Occupational health guidelines for the management of low back pain: an international comparison. Occupational and Environmental Medicine 2003;60:618-26. Staal JB, Hlobil H, Twisk JW, Smid T, Koke AJ, Mechelen W van. Graded activity for low back pain in occupational health care: a randomized, controlled trial. Annals of Internal Medicine 2004;140:77-84. Steenstra IA, Anema JR, Bongers PM, Vet HC de, Mechelen W van. Cost effectiveness of a multi-stage return to work program for workers on sick leave due to low back pain, design of a population based controlled trial. BioMed Central Musculoskeletal Disorders 2003;4:26. http://www.biomedcentral.com/1471-2474/4/26.

Letters to the editor Sluiter JK, Frings-Dresen MHW, Beek AJ van der. Wide or quite awake is not the problem. [Authors’ reply] . Occupational and Environmental Medicine 2003;60:375.

National (refereed journals) Anema JR, Amstel RJ. De verzuimbegeleiding bij rugklachten of psychische klachten en het oordeel van de patiënt. Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde 2004; 12:195-203


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93 Blatter BM, Heuvel SG van den, Vroome EMM de, Bongers PM. Behandeling en sociaalmedische begeleiding bij verzuim door klachten van arm, nek of schouder (RSI). Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde 2004:12;293-9. Bongers PM. Maak werk van RSI. Tijdschrift voor Ergonomie 2004;29:10-16. Heuvel SG van den, Boshuizen HC, Hildebrandt VH, Blatter, BM, Ariëns GAM, Bongers PM. Sporten, type werk, arbeidsverzuim en welbevinden: resultaten van een 3-jarige followup studie. Tijdschrift voor Gezondheidswetenschappen 2003;81:257-264. Kerklaan P, Smid T, Mechelen W van, Houwaart E. ‘De stempel van de arbeid’. II. De totstandkoming van de risque professionnel verzekering van beroepsziekten op grond van de Ongevallenwet (1909-1921). Tijdschrift voor Gezondheidswetenschappen 2003;81:4106. Kerklaan P, Smid T, Mechelen W van, Houwaart E. ‘De stempel van de arbeid’. III Uitbreiding van de risque professionnel verzekering van beroepsziekten op grond van de Ongevallenwet (1929-1967). Tijdschrift voor Gezondheidswetenschappen 2003;81:416-24. Kerklaan P, Smid T, Mechelen W van, Houwaart E. ‘De stempel van de arbeid’. IV Nabeschouwing van de risque professionnel verzekering van beroepsziekten op grond van de Ongevallenwet (1901-1967). Tijdschrift voor Gezondheidswetenschappen 2003;81:42532 Luijsterburg PAJ, Bongers PM, Vroome EMM de. Minder lichamelijke belasting door opgehoogd metselen. Tijdschrift voor Bedrijfs- en Verzekeringsgeneeskunde 2003;11:26672. Poppel MNM van. De primaire preventie van lage rugklachten op de werkplek: wat werkt? Stimulus 2003;22:316-24.


Final results

94 Physical Activity and Health Dissertations Bakker I. Affectors of th eadult lumbar bone: genetics, body composition, and lifestyle. Vrije Universiteit Amsterdam. Promotors: prof.dr. HCG Kemper, prof.dr. W van Mechelen; co-promotor: dr. JWR Twisk. (Cat.A) Bernaards CM. Smoking and health from adolescence into adulthood. Results from the Amsterdam Growth and Health Longitudinal Study. Vrije Universiteit Amsterdam. Promotors: prof.dr. HCG Kemper, W van Mechelen; co-promotors: dr. JWR Twisk, dr. J Snel (Cat.A) Ferreira de Sousa MI. Fitness and Fatness as Determinants of Pre-clinical Atherosclerosis and Aterial Stiffness in Young Adults. Vrije Universiteit Amsterdam. Promotors: prof.dr. HCG Kemper, prof.dr. W van Mechelen, prof.dr. CDA Stehouwer; co-promotor: dr. JWR Twisk. (Cat.A) Sluijs EMF van. Effectiveness of physical activity promotion: the case of general practice. Vrije Universiteit Amsterdam. Promotor: prof.dr. W van Mechelen; co-promotor: dr. MNM van Poppel. (Cat.A) Velde SJ te. Birth weight and adulth health. Vrije Universiteit Amsterdam. Promotors: prof. dr. HCG Kemper, prof.dr. W van Mechelen; co-promotor: dr. JWR Twisk. (Cat.A) Verhagen EALM. Ankle sprains in volleyball: players off balance? Vrije Universiteit Amsterdam. Promotors: prof. dr. W van Mechelen, prof. dr. LM Bouter; co-promotor: dr. AJ van der Beek. (Cat.A)

International (refereed journals) Bakker I, Twisk JW, Mechelen W van, Kemper HC. Fat-free body mass is the most important body composition determinant of 10-yr longitudinal development of lumbar bone in adult men and women. Journal of Clinical Endocrinology and Metabolism 2003;88:2607-13. Bakker I, Twisk JW, Mechelen W van, Mensink GB, Kemper HC. Computerization of a dietary history interview in a running cohort; evaluation within the Amsterdam Growth and Health Longitudinal Study. European Journal of Clinical Nutrition 2003;57:394-404. Bekedam MA, Beek-Harmsen BJ van, Boonstra A, Mechelen W van, Visser FC, Laarse WJ van der. Maximum rate of oxygen consumption related to succinate dehydrogenase activity in skeletal muscle fibres of chronic heart failure patients and controls. Clinical Physiology and Functional Imaging 2003;23:337-43.


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95 Beltman JG, Haan A de, Haan H, Gerrits HL, Mechelen W van, Sargeant AJ. Metabolically assessed muscle fibre recruitment in brief isometric contractions at different intensities. European Journal of Applied Physiology 2004;92:485-92. Beltman JG, Sargeant AJ, Haan H, Mechelen W van, Haan A de. Changes in PCr/Cr ratio in single characterized muscle fibre fragments after only a few maximal voluntary contractions in humans. Acta Physiologica Scandinavica 2004;180:187-93. Beltman JG, Sargeant AJ, Mechelen W van, Haan A de. Voluntary activation level and muscle fiber recruitment of human quadriceps during lengthening contractions. Journal of Applied Physiology Journal of Applied Physiology 2004;97:619-26. Bernaards CM, Twisk JWR, Mechelen W van, Snel J, Kemper HC. A longitudinal study on smoking in relationship to fitness and heart rate response. Medicine & Science in Sports and Exercise 2003;35:793-800. Bernaards CM, Twisk JW, Snel J, Mechelen W van, Lips P, Kemper HC. Smoking and quantitative ultrasound parameters in the calcaneus in 36-year-old men and women. Osteoporosis International 2004;1:735-41. Bernaards CM, Twisk JWR, Mechelen W van, Snel J, Kemper HC. Comparison between self-report and a dipstick method (NicCheck 1) to assess nicotine intake. European Addiction Research 2004;10:163-7. Bot SDM, Verhagen EALM, Mechelen W van. The effect of ankle bracing and taping on functional performance: a review of the literature. International Sport Medical Journal 2003;4 http://www.esportmed.com. Chin A Paw MJM, Groot CPGM de, Schoterman HC, Gend SV van, EG Schouten, M Schroll, Staveren WA van. Inactivity and weight loss: effective criteria to identify frailty. Journal of Nutrition Health & Aging 2003;7:55-60. Chin A Paw MJM, Poppel MNM van, Twisk JWR, Mechelen W van. Effects of resistance and all-round, functional training on quality of life, vitality and depression of older adults living in long-term care facilities: a 'randomized' controlled trial. BioMed Central Geriatrics 2004;2:4-5. Dekker J, Rijken M, Poppel M van, Bruin A de. The possession of technical aids among persons with a somatic chronic disease. Disability and Rehabilitation 2003;25:393-8. Dhonukshe-Rutten RA, Lips M, Jong N de, Chin A Paw MJM, Hiddink GJ, Dusseldorp M van, Groot LC de, Staveren WA van. Vitamin B-12 status is associated with bone mineral content and bone mineral density in frail elderly women but not in men. Journal of Nutrition 2003;133:801-7. Ferreira I, Snijder MB, Twisk JWR, Mechelen W van, Kemper HC, Seidell JC, Stehouwer CDA. Central fat mass versus peripheral fat and lean mass: opposite (adverse versus


Final results

96 favorable) associations with arterial stiffness? The Amsterdam Growth and Health Longitudinal Study. Journal of Clinical Endocrinology and Metabolism 2004;89:2632-9. Ferreira I, Twisk JW, Stehouwer CD, Mechelen W van, Kemper HC. Longitudinal changes in VO2max: associations with carotid IMT and arterial stiffness. Medicine and Science in Sports and Exercise 2003;35:1670-8. Koppes LLJ, Twisk JWR, Snel J, Mechelen W van, Kemper HC. Comparison of short questionnaires on alcohol drinking behavior in a nonclinical population of 36-year-old men and women. Substance Use and Misuse 2004;39:1041-60. Ploeg HP van der, Beek van der AJ, Woude LHV van der, Mechelen W van. Physical activity for people with a disability: A conceptual model. Sports Medicine 2004;34:639-49. Ruiter CJ de, Elzinga MJ, Verdijk PW, Mechelen W van, Haan A de. Voluntary drivedependent changes in vastus lateralis motor unit firing rates during a sustained isometric contraction at 50% of maximum knee extension force. Pflügers Archiv European Journal of Physiology 2004;447:436-44. Sluijs EMF van, Poppel MNM van, Mechelen W van. Stage-based life style interventions in primary care: are they effective? American Journal Preventive Medicine 2004;26:330-43. Sluijs EMF van, Poppel MNM van, Stalman WAB, Mechelen W van. Feasibility and acceptability of a physical activity promotion program in general practice. Family Practice 2004;21:429-36. Stiggelbout M, Popkema DY, Hopman-Rock M, Greef M de, Mechelen W van. Once a week is not enough: effects of a widely implemented group based exercise programme for older adults; a randomised controlled trial. Journal of Epidemiol Community Health 2004;58:8388. Velde SJ te, Ferreira I, Twisk JWR, Stehouwer CDA, Mechelen W van, Kemper HC. Birth weight and arterial stiffness and blood pressure in adulthood-Results from the Amsterdam Growth and Health Longitudinal Study. International Journal of Epidemiology 2004;33:15461. Velde SJ te, Twisk JWR, Mechelen W van, Kemper HC. Birth weight and musculoskeletal health in 36-year-old men and women: Results from the Amsterdam Growth and Health Longitudinal Study. Osteoporosis International 2003;15:382-8. Velde SJ te, Twisk JW, Mechelen W van, Kemper HC. Birth weight, adult body composition, and subcutaneous fat distribution. Obesity Research 2003;11:202-8. Verhagen EALM, Beek AJ van der, Bouter LM, Bahr R, Mechelen W van. A one season prospective cohort study of volleyball injuries. British Journal of Sports Medicine 2004;38:477-81.


Final results

97 Verhagen EALM, Beek AJ van der, Twisk JWR, Bouter LM, Bahr R, Mechelen W van. The effect of a proprioceptive balance board training program for the prevention of ankle sprains. American Journal Sports Medicine 2004;32:1385-93.

National (refereed journals) Mackenbach JP, Klazinga NS, Wal G van der. Preventie vraagt ambitieuzere aanpak. Reactie op de kabinetsnota ‘Langer gezond leven 2004-2007; ook een kwestie van gezond gedrag’. Nederlands Tijdschrift voor Geneeskunde 2004;148:704-7. Poppel MNM van, Chin A Paw MJM, Mechelen W van. Reproduceerbaarheid en validiteit van de Nederlandse versie van de International Physical Activity Questionnaire (IPAQ). Tijdschrift voor Gezondheidswetenschapppen 2004;82:457-62. Renders CM, Seidell, JC, Mechelen W van, Hirasing, RA. Overgewicht en obesitas bij kinderen en adolescenten en preventieve maatregelen. Nederlands Tijdschrift voor Geneeskunde 2004;148;2066-70.


Final results

98 Appendix 1: Further publications Quality of care and prevention Other publications (non-refereed) Blankespoor MN, Leerdam FJM van. Zindelijkheid en luiergebruik. Tijdschrift Jeugdgezondheidszorg 2003;35:16. Borgsteede SD. Gun terminale patiënt zijn medicijnen. Trouw, Podium: 2004,16. Dekkers C, Henneman L, Limburg W, Poppel MNM van. Verslag van het Nederlands Public Health Congres 2003. Tijdschrift voor Gezondheidswetenschappen 2003;81:373. Einhorn R, Dijkstra NS, Koster K, Ong RSG, Groeneveld Y, Eekhof JAH, Leerdam FJM van. Onderzoek naar de transmurale samenwerking van nulde-, eerste- en tweedelijnsgezondheidszorg in de regio Leiden. Modern Medecine 2004;28:349-53. Henneman L. Wetenschappelijke dag Community genetics. Tijdschrift voor Gezondheidswetenschappen 2003;81:57-8. Hira Sing RA, Renders CM, Wouwe JP van. Preventie van overgewicht en obesitas. Lacta Magazine 2004;1:4-7. Hira Sing RA. Redactioneel. Tijdschrift Jeugdgezondheidszorg 2003;35:63. Hira Sing RA. Voorwoord. In: Mulder Z. en Vijverberg M. Bedplassen daar wil je van af! Havelte 2003. Leerdam FJM van, Ploeg CPB van der. Vroegtijdige opsporing van gehoorstoornissen door de jeugdgezondheidszorg. Opbrengst en belang van screening. Bijblijven 2004;20:22-32. Leerdam FJM van. Redactioneel. Tijdschrift Jeugdgezondheidszorg 2004;36:21. Oudhoff JP, Timmermans DRM, Wal G van der. Wachten met klachten. Medisch Contact 2004;59:1426-8. Reijnders UJL, Baasbank MC van, Wal G van der. Van de trap gevallen. Medisch contact 2004;59:1678-79. Reijneveld SA, Hira Sing RA. Huildagboek bij zuigelingen; een nuttig hulpmiddel om onderscheid te maken tussen normaal en excessief huilgedrag. Ingezonden brief. Nederlands Tijdschrift voor Geneeskunde 2004;148:754-5. Renders CM. Waist circumference as a predictor of cardiovascular and metabolic risk factors in obese girls. Insulineresistentie 2003;2:58. Timmermans DRM. Risico’s in Balans. Communicatie en perceptie van risico’s bij prenatale screening. Tijdschrift voor Verloskunde 2004;29:25-8. Wouwe JP van, Hirasing RA, Renders CM, Bruil J. Preventie van overgewicht en obesitas. Lacta Magazine 2004;1:4-7. Wouwe JP, Renders CM, Bruil J, Hira Sing RA. Overgewicht bij kinderen. Bijblijven 2004;20:35-43.

Books and proceedings Bulk-Bunschoten AMW, Renders CM, Leerdam FJM van, Hirasing RA. Signaleringsprotocol overgewicht in de jeugdgezondheidszorg. In: Bonnet-Breusers AJM, Hira Sing RA, Hoppenbrouwers K, Rensen HBH, WagenaarFischer M (red.) Praktijkboek voor Jeugdgezondheidszorg. Elsevier Gezondheidszorg, Maarssen, pp. III 1.2-1-III 1.2-15, 2004, ISBN 0-352-2612-7. Gouwerok M, Hira Sing RA. Kinderen en zindelijkheid. Een stappenplan voor ouders van peuters en kleuters. Kosmos Z&K Uitgevers BV, Utrecht, 2004, ISBN 90-215-4417-2.


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99 Henneman L, Welkenhuysen M. Genetic Carrier Testing. In: Nature Encyclopedia of the Human Genome. Cooper DN (ed.). Nature Publishing Group (publ.), London, vol. 2, pp. 731-34, 2003, ISBN 0-333-80386-8. Hirasing RA. Richtsnoer enuresis nocturna. Praktische richtlijn voor het begeleiden van kinderen die in bed plassen. Van Zuiden Communications BV 2004, Alphen aan de Rijn. ISBN 90-8523-015-2. Kerstjens JM, Bulk-Bunschoten AMW (red.). Synergie bij de begeleiding van prematuren. In: Friso Kindervoeding, 2004, ISBN 90-5291-087-1. Kerstjens JM, Bulk-Bunschoten AMW (red.). Zorg op het consultatiebureau. In: Praktijkboek nazorg voor prematuren. Datawyse, Maastricht, ISBN 90-5291-087-1. Klazinga NS, Post D, Wal G van der. Gezondheidszorgbeleid. In: Mackenbach JP, Maas PJ van der (eds.), Volksgezondheid en gezondheidszorg, Elsevier gezondheidszorg, Maarssen, pp.237-55, 2004, ISBN 90-3522702-6. Leerdam van FJM, Dik P, Hira Sing RA. Enuresis nocturna in de praktijk van de huisarts. In: Bosch JHLR, Prins A. (red.). Enuresis Nocturna in de praktijk van de huisarts. Urologie. Reeks Praktische Huisartsgeneeskunde. Bohn Stafleu Van Loghum, Houten, pp. 233-43, 2004, ISBN 3-8055-7652-8. Post D, Wal G van der, Klazinga NS. Patiënt, arts engezondheidszorg. In: Mackenbach JP, Maas PJ van der (eds.), Volksgezondheid en gezondheidszorg, Elsevier gezondheidszorg, Maarssen, pp. 177-92, 2004, ISBN 90352-2702-6. Reijneveld SA, Verloove-Vanhorick SP, Hira Sing RA. Jeugdgezondheidszorg. In: Mackenbach JP, Maas PJ van der, (red.) Volksgezondheid en Gezondheidszorg. Elsevier Gezondheidszorg, Maarssen, pp. 149-60, 2004, ISBN 90- 352-2702-6. Renders CM, Seidell JC, Mechelen W van, Hira Sing RA. Overgewicht bij kinderen en adolescenten. Elsevier Gezondheidszorg, Maarssen, 2003, ISBN 90-352-2608. Schuller AA, Burgmeijer RJF, Dijkstra NS, Juttmann R, Leerdam FJM van, Raat H, Verloove-Vanhorick SP, Hirasing RA. De Jeugdgezondheidszorg. Activiteiten onderbouwd. TNO Preventie en Gezondheid 2004, ISBN 90352-2682-8. Timmermans DRM. Being at risk: the communication and perception of genetic risks. In: Hendrickx L, Jager W, Steg L (red). Human Decision Making and Environmental Perception. Understanding and assisting human decision making in real-life settings. pp 17-47, 2003. ISBN 90-367-1899-6. Timmermans DRM. Risico’s in balans. Communicatie en perceptie van risico’s bij prenatale screening. In: Breuning MH, Buitendijk SE, Oepkes D (red). Preconceptieadvies en prenatale screening. Boerhaave Commissie voor Postacademisch onderwijs LUMC, pp 63-73, 2004, ISBN 90-6767-548-2. Verloove-Vanhorick SP, Verkerk PH, Leerdam FJM van, Reijneveld SA, Hira Sing RA. Jeugdgezondheidszorg: veel preventie voor weinig geld. In: Bonnet-Breusers AJM, Hira Sing RA, Hoppenbrouwers K, Rensen HBH, Wagenaar-Fischer M ( red.) Praktijkboek voor Jeugdgezondheidszorg Deel 1 Actuele ontwikkelingen. Elsevier gezondheidszorg, Maarssen, pp. I 1.9-1-I 1.9-8 + D1 + D2, 2004, ISBN 90-352-2628-2. Wal G van der, Klazinga NS. Post D. Bouw en werking van de gezondheidszorg. In: Mackenbach JP, Maas PJ van der (eds.), Volksgezondheid en gezondheidszorg, Elsevier gezondheidszorg, Maarssen, pp. 193-235, 2004, ISBN 90-352-2702-6.

Reports Albadi S, Leerdam FJM van, Filedt Kok-Weimar TL. Bedplassen bij kinderen in 3 Asielzoekercentra. Leiden: TNO Preventie en Gezondheid, 2004.


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100 Boer J de, Rozijn MCJ, Soethout MBM, Wal G van der, Zoeten M de. Opleiding maatschappij en gezondheid, Knelpunten, behoeften en oplossingsrichtingen. Utrecht, juli 2004. Bulk-Bunschoten AMW, Renders CM, Leerdam FJM van, Hira Sing RA. Signalering Overgewicht in de Jeugdgezondheidszorg, in opdracht van VWS. Amsterdam: VU medisch centrum, 2004. Henneman L, Poppelaars FAM. Preconceptionele screening op dragerschap voor cystic fibrosis in Nederland stand van zaken, maart 2003. Huisdrukkerij, VU medisch centrum, 2003. Horstink B, Leerdam FJM van, Filedt Kok-Weimar TL. Protocollering binnen de JGZ: testesonderzoek. Leiden: TNO Preventie en Gezondheid, 2004. Huizink AC, Slottje P, Witteveen AB, Bramsen I, Twisk JWR, Bijlsma JA, Brunsting DA, Mechelen W van, Bouter LM, Ploeg HM van der, Smid T. De gezondheid van hulpverleners en hangarmedewerkers ruim 8 jaar na de Vliegramp Bijlmermeer. Eerste deelrapport van het Medisch Onderzoek Vliegramp Bijlmermeer Epidemiologie (MOVB-E). Amsterdam: Instituut voor Extramuraal Geneeskundig Onderzoek (EMGO Instituut), VU medisch centrum, 2003. Pagina's 1-209. Oudhoff JP, Timmermans DRM, Knol DL, Wal G van der. Aanvaardbare wachtlijsten en voorrangszorg. Een onderzoek naar de meningen van patiënten, chirurgen, bedrijfsartsen, en huisartsen over aanvaardbare wachttijden voor spatader-, liesbreuk-, en galsteenoperaties, en over de aanvaardbaarheid van wachtlijsten en voorrangszorg in het algemeen. Amsterdam, mei 2004. Oudhoff JP, Timmermans DRM, Wal G van der. Maximaal aanvaardbare wachttijden in de chirurgie. Eindrapportage. Amsterdam, mei 2004. Oudhoff JP, Timmermans DRM, Wal G van der. Wachtlijsten en postoperatief herstel: een onderzoek naar het postoperatief herstel van patienten die op een wachtlijst hebben gestaan voor een spatader-, liesbreuk-, of galsteenoperatie. Amsterdam, 2003. Smidt N, Slottje P, Witteveen AB, Huizink AC, Twisk JWR, Bijlsma JA, Mechelen W van, Bouter LM, Ploeg HM van der, Smid T. De gezondheid van hulpverleners en hangarmedewerkers ruim 8 jaar na de Vliegramp Bijlmermeer. Tweede deelrapport van het Medisch Onderzoek Vliegramp Bijlmermeer - Epidemiologie (MOVB-E). Amsterdam: Instituut voor Extramuraal Geneeskundig Onderzoek (EMGO Instituut), VU medisch centrum, 2004. Pagina's 1-233. Soethout MBM. De werkplaats van afgestudeerde artsen VUmc Amsterdam cohort 99-02 en de mening over de initiele opleiding. Amsterdam, VU medisch centrum, september 2003. Wigcheren PT van, Soethout MBM, Stalman W, Cate ThJ ten. Voorkeuren van studenten geneeskunde en alumni voor het beroep van huisarts. Amsterdam, VU medisch centrum, april 2004. Wilde J de, Leerdam FJM van, Wagenaar-Fischer M, Velzen-Mol H van, Fleuren M, Jong R de, Verkerk P. Methodiek Ontwikkeling van JGZ-Standaarden. Leiden: Concept-TNO-rapport, 2004.

Abstracts published in journals Baars MJH, Henneman L, Cornel MC, Kate LP ten. Opinions on genetic testing and self-reported skills among general practitioners, gynaecologists and pediatricians. European Journal of Human Genetics 2004;12:338. Berg M van den, Timmermans DRM, Kleinveld JH, Eijk JJTHM van, Smit DS de, Ten Kate LP, Vugt JMG van, Wal G van der. Why do pregnant women decide for or against prenatal screening? European Journal of Human Genetics 2004;12:338. Berg M van den, Timmermans DRM, Kleinveld JH, Wal G van der. Risicoperceptie van zwangere vrouwen die prenatale screening krijgen aangeboden. Tijdschrift voor Gezondheidswetenschappen 2003;81:8 middenkatern.


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101 Bie J de, Cuperus-Bosma JM, Gevers JKM, Wal G van der. Voorbehouden handelingen in Nederlandse ziekenhuizen: kennis, ervaringen en opvattingen van gynaecologen, internisten en verpleegkundigen. Tijdschrift voor Gezondheidswetenschappen 2003;81:8 middenkatern. Crone MR, Reijneveld SA, Willemsen MC, Hira Sing RA. Parental education on passive smoking in infancy does work. European Journal of Public Health, 2003;13:269-74. Hout FAG, Cuperus-Bosma JM, Peuter OR de, Hubben JH, Wal G van der. Tuchtrechtspraak voor en na de Wet BIG. Tijdschrift voor Gezondheidswetenschappen 2003;81:8 middenkatern. Kanten MN van, Renders CM, Hira Sing RA. Reden van niet-deelname aan de Meningokokken Cvaccinatiecampagne in Amsterdam. Tijdschrift voor Kindergeneeskunde 2003, Supplement 1:35. Kleinveld JH, Berg M van den, Timmermans DRM, Eijk JJTHM van, Smit DS de, Ten Kate LP, Vugt JMG van, Wal G van der. Does offering prenatal screening influence the psychological well-being of pregnant women? European Journal of Human Genetics 2004; 12:338. Lakeman P, Cornel MC, Henneman L, Adèr H, Kate LP ten. Validatie van een beslismodel voor deelname aan preconceptionele dragerschapscreening voor cystic fibrosis en/of hemoglobinopathieën. Tijdschrift voor Gezondheidswetenschappen 2004;82:A27. Lakeman P, Cornel MC, Henneman L, Adèr HJ, Kate LP ten. Validation of a decisional instrument for preconceptional screening for carriers of haemoglobinopathies and/or cystic fibrosis. European Journal of Human Genetics 2004;12:338. Oudhoff JP, Timmermans DRM, Wal G van der. Wachten op een operatie: de ervaren klachten en problemen van spatader-, liesbreuk-, en galsteenpatiënten op de wachtlijst voor een operatie. Tijdschrift voor Gezondheidswetenschappen 2003;81: middenkatern. Renders CM, Hira Sing RA. Hoe lang wordt er tv gekeken in een Nederlandse populatie kinderen en welke factoren hangen ermee samen ? Tijdschrift voor Kindergeneeskunde 2003; Supplement I:29. Slottje P, Huizink AC, Witteveen AB, Twisk JWR, Bijlsma JA, Bramsen I, Mechelen W van, Smid T. Long-term physical symptoms without laboratory abnormalities in workers occupationally involved in an air disaster. Epidemiological Study Air Disaster Amsterdam. Epidemiology 2003;14:S113. Slottje P, Smidt N, Twisk JWR, Huizink AC, Witteveen AB, Bijlsma JA, Mechelen W van, Smid T. Patterns of long-term physical symptoms after disaster work. Epidemiological study air disaster Amsterdam. Epidemiology 2004;15;S122-3. Timmermans DRM. Genetica, risicoinformatie en besluitvorming. Tijdschrift voor Gezondheidswetenschappen 2003;81:middenkatern. Timmermans DRM, Henneman L, Hirasing R, Wal G van der. Risicoperceptie van ziekte en waardering van de Meningokokken C vaccinatie campagne in 2002 door deelnemers van verschillende etnische achtergrond. Tijdschrift voor Gezondheidswetenschappen 2003;81:middenkatern. Timmermans DRM, Henneman L, Hirasing RA, Wal G van der. Perceptie van risico’s van vaccinatie door ouders: waargenomen kwetsbaarheid en controle. Tijdschrift voor Gezondheidswetenschappen 2004;82:A20.

Public health at the end of life Other publications Deliens L, Wal G van der. Verbetering van Palliatieve Zorg in Nederland vereist bevolkingsonderzoek. Nieuwsbrief COPZ Amsterdam, 2003;11:1


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102 Deliens L, Wal G van der. Verbetering van Palliatieve Zorg in Nederland vereist bevolkingsonderzoek. Nieuwsbrief COPZ Amsterdam, 2003;11:2. Deliens L. Palliatieve Zorg onderzoek in Nederland. Nieuwsbrief COPZ Amsterdam, maart 2003;9:2 Kuin A, Courtens AM, Deliens L, Vernooij-Dassen MJFJ, van Zuylen L, van der Linden B, Wal G van der. Consultatieteams Palliatieve Zorg in Nederland: een nationaal evaluatieonderzoek. Nederlands Tijdschrift voor Palliatieve Zorg 2004;5:4-10. Kuin A, Deliens L, Wal G van der. Is evaluatie van palliatieve zorg consultatie aan huisartsen vanuit patiëntenperspectief haalbaar? Een pilotstudie bij de Helpsesk palliatieve zorg Amsterdam/Diemen. Nederlands Tijdschrift voor Palliatieve Zorg 2003;3:17-21. Pasman HRW, Onwuteaka-Philipsen BD, The BAM, Wal G van der, Ribbe MW. Eten en drinken geven aan demente patiënten die eten en drinken afweren. Waar liggen de grenzen? Tijdschrift voor Verpleeghuisgeneeskunde Congresuitgave 2003;27:10-3. Rond MEJ de, Wijlick EHJ, Onwuteaka-Philipsen BD. Consultatie bij levensbeëindiging. Specialisten en verpleeghuisartsen ontdekken SCEN. Medisch Contact 2004;59:1999-2001. Steen JT van der, Ooms ME, Muller MT, Wal G van der, Ribbe MW. Wel of niet curatief behandelen van een pneumonie bij psychogeriatrische patiënten: een ‘handreiking’ voor verpleeghuisartsen. Tijdschrift voor Verpleeghuisgeneeskunde 2003;27:6-8. Steen JT van der, Ribbe MW, Ooms ME, Wal G van der. Pneumonie: wel of niet behandelen? Modern Medicine 2003;27:391-97. Wal G van der. Kenniscentra palliatieve zorg: Pennywise and Poundfoulish. Nederlands Tijdschrift voor Palliatieve Zorg 2003;4:46.

Books and Proceedings Bilsen J, Mortier F, Broeckaert B, Kelen G van der, Bernheim J, Deliens L. Handelwijzen van artsen rond het levenseinde van patiënten. Een sterfgevallenonderzoek in België, Denemarken, Italië, Nederland, Zweden en Zwitserland. In: Gezondheidsindicatoren 2001-2002. Brussel: Ministerie van de Vlaamse Gemeenschap, Administratie Gezondheidszorg, 2004. ISBN 90-5681-050-2. Delden JJM van, Spreeuwenberg C, Wal G van der. Beslissingen rond het levenseinde. In: Handboek Palliatieve zorg. Maarssen: Elsevier Gezondheidszorg 2002. ISBN 90-352-2413-2. Deliens L, Bokhoven RFM van, Wal G van der. Palliatieve zorg en medische beslissingen rond het levenseinde. In: Legemaate J, Dillmann RJM, eds. Levensbeëindigend handelen door een arts op verzoek van de patiënt. Houten: Bohn Stafleu Van Loghum, 2003 :180-90. ISBN 90-313-4004-9. Deschepper R, Stichele R vander, Mortier F, Deliens L. Zorgzaam thuis sterven – Een zorgleidraad voor huisartsen, Gent: Academia Press (i.s.m. DWTC/Diensten van de Eerste Minister), 2003, X + 239 pp. ISBN 90382-0559-7. Steen JT van der, Ooms ME, Mehr DR, Wal G van der, Ribbe MW. Curative or palliative treatment of nursing home-acquired pneumonia in residents with severe dementia. In: Vellas B, Winblad B, Grundman M, Fitten LJ, Feldman H, Giacobini E, Kurz A, eds. Research and Practice in Alzheimer’s Disease. Vol. 8. Severe Dementia. Paris: Serdi Publisher, 2003: 189-99. ISBN 2-914377-65-7. Wal G van der, Heide A van der, Onwuteaka-Philipsen BD, Maas PJ van der. Medische besluitvorming aan het einde van het leven. De praktijk en de toetsingsprocedure euthanasie. Utrecht: de Tijdstroom 2003. ISBN 905898-054-5.


Final results

103 Wal G van der. Euthanasie en hulp bij zelfdoding door huisartsen: 1990 tot 2002. In: Ontwikkelingen in de Geneeskunde. Hanedoes SA (Red). Rotterdam Erasmus MC, 2003: 20-2. ISBN 90-5525-032-5. Wal G van der. Medische besluitvorming aan het einde van het leven – De praktijk en de toetsingsprocedure euthanasie. In: De goede Dood. Nijmegen P.A.O.G.- Heyendael, 2003: 6-19. ISBN 90-373-0662-4. Wal G van der. Medizinische Entscheidungen zur Lebensverkürzung: Fakten und Konzepte. In: Klinische Sterbehilfe und Menschenwürde. Schumpelick V (Hrsg.). Freiburg: Herder, 2003: 205-16. ISBN 3-451-20443-6.

Reports Borgsteede S, Deliens L, Wal G van der. Palliatieve zorg in de huisartsenpraktijd. COPZ eindrapport, maart 2004. Brandt H, Deliens L, Ooms ME, van der Steen JT, Wal G van der, MW Ribbe. Incidentie van Palliatieve zorg in de terminale fase bij patiënten opgenomen in verpleeghuizen. COPZ eindrapport, december 2003. Deliens L, Wal G van der. Behoeftenonderzoek naar een helpdesk voor terminaal zieke patiënten en naasten. COPZ eindrapport, maart 2004. Echteld MA, Deliens L, Ooms ME, MW Ribbe, Wal G van der. Evaluatie van de units voor kortdurende terminale zorg in verpleeghuizen. COPZ eindrapport, april 2003. Kuin A, Deliens L, Rhebergen A, van Tol, C, Wal G van der. Professioneel en betrokken. Psychosociale behoeften en zorg in de laatste levensfase, met bijzondere aandacht voor de rol van de maatschappelijk werker. VU medisch centrum, Afdeling Sociale Geneeskunde, EMGO Instituut, oktober 2004. Kuin A, Deliens L, Wal G van der. Evaluatie van consultatieteams palliatieve zorg binnen het COPZ Amsterdam. COPZ eindrapport, september 2003. Kuin A, Deliens L, Wal G van der. Het voelt aan alsof je weer een beetje een normaal mens bent. Een evaluatiestudie van het project Buddyzorg voor mensen met een ongeneeslijke of levensbedreigende ziekte, Stichting Kuria, Amsterdam, november 2003. Steen JT van der, Ribbe MW, Wal G van der, Frijters DHM, Ooms ME, Mehr DR, Kruse RL, Sherman AK, Madsen RW. Pneumonia in demented nursing home patients in the Netherlands and in the US: optimal treatment strategy and long-term prognosis. Rapport ZonMw project nr. 13650006. Amsterdam: EMGO-instituut VU medisch centrum, 2004.

Abstracts published in journals Bilsen J, Norup M, Deliens L, Miccinesi G, Löfmark R, Bosshard G, Heide A van der, on behalf of the EURELD Consortium. Potentially life-shortening drugs used for alleviation of pain and symptoms in end-of-life care. Palliative Medicine 2004;18:391. Block L van den, Deliens L, Bernheim J, Distelmans W. Do we need conceptual frameworks in evaluating Palliative Care Services? Palliative Medicine 2004;18:339. Borgsteede SD, Deliens L, Francke AL, Stalman WAB, Willems DL, Eijk JThM van, and Wal G van der. Who to include in palliative care research? Consequences of different population definitions in palliative care epidemiology (abstract). European Journal of Palliative Care 2003,6. Borgsteede SD, Riedstra C, Deliens L, Francke AL, Stalman WAB, Willems DL, Eijk JThM van, and Wal G van der. Communication on euthanasia in general practice: experiences of patients and their physicians. European Journal of Palliative Care, 2003,42. Borgsteede SD, Deliens L, Francke AL, Stalman WAB, Willems DL, Eijk JThM van, Wal G van der. Selection bias in patients’ recruitment for palliatieve care research. Palliative Medicine 2004;18:342.


Final results

104 Borgsteede SD, Deliens L, Francke AL, Stalman WAB, Willems DL, Eijk JThM van, Wal G van der. Are palliative care patients defined by approach or outcome? Methodological implications of a qualitative study for epidemiological research. European Journal of Palliative Care 2004;18:342-3. Bosshard G, Faisst K on behalf of the EURELD consortium. Non-treatment decisions in 6 European Countries: differences and similarities. European Journal of Public Health 2003;13:33. Brandt HE, Deliens L, Ooms ME, van der Steen J, Wal G van der, Ribbe MW. Symptoms and Characteristics of Terminally Ill Nursing Home Patients. A Nation-Wide Observational Study in The Netherlands. Palliative Medicine 2004;18:377. Gendt C de, Noortgate N van den, Lambert M, Deliens L. DNR-policy in hospitals and on acute geriatric units in Flanders, Belgium. Palliative Medicine 2004;18:368-9. Deliens L, Heide A van der. Education in palliative care and experiences of end-of-life decisions. Palliative Medicine 2004;18:391. Deliens L, Heide A van der. Palliative Care and end-of-life decisions in six European Countries (EURELD study), Palliative Medicine 2004;18:391. Deschepper R, Stichele R Vander, Bernheim JL, Mortier F, Deliens L. Guidelines on end-of-life care and communication: Do they include the patients' point of view? Palliative Medicine 2004;18:340-341. Echteld MA, Deliens L, Ooms ME, MW Ribbe, Wal G van der. Measuring response shift and changes in individual quality of life in patients admitted to palliative care units in The Netherlands. Palliative Medicine 2004;18:333. Echteld MA, Deliens L, Ooms ME, Wal G van der, MW Ribbe. Using proxies for measuring functional status and symptoms of patients admitted to palliative care units in The Netherlands. Palliative Medicine 2004;18:333. Georges JJ, Onwuteaka-Philipsen BD, Heide A van der, Wal G van der, Maas PJ van der. Vredig overlijden, een prospectief onderzoek naar terminale kankerpatiënten. Nederlands Tijdschrift voor Palliative Zorg 2004;4:96. Georges JJ, Onwuteaka-Philipsen BD, Wal G van der, Heide A van der, Maas PJ van der. A prospective study on dying peacefully. Theoretical and methodological implications. Palliative Medicine 2004;18:350. Heide A van der, Deliens L. End-of-life decision making in 6 European Countries. European Journal of Public Health 2003;13:32-33. Jansen-van der Weide MC, Onwuteaka-Philipsen BD, Wal G van der. Requests for euthanasia and the availability and use of palliative alternatives. Palliative Medicine 2004;18:324. Kelen G van der, Deschepper R, Stichele R Vander, Deliens L. Communication about euthanasia between patients and caregivers: a qualitative approach of both perspectives. Palliative Medicine 2004;18:337. Kuin A, L Deliens, A Courtens, Zuylen van L, M Vernooij-Dassen, Linden B van der, Wal G van der. Methodological aspects of a nationwide evaluation study on Palliative Care Consultation teams. Palliative Medicine 2004;18:336. Miccinesi G, Heide A van der, Paci E, Deliens L, Nilstun T, Faisst K, Norup M, Wal G van der. On behalf of the EURELD Consortium. Terminal sedation and end of life decisions. Palliative Medicine 2004;18:391. Muller MT, Rurup ML, Georges JJ, Heide A van der, Onwuteaka-Philipsen BD. How representative is a sample of relatives of deceased people recruited through physicians? Palliative Medicine 2004;18:336. Nilstrum T, Lofmark R, Deliens L on behalf of the EURELD consortium. Intentions and practices in end-of-life decision making in 6 European Countries. European Journal of Public Health 2003;13:33. Norup M, Deliens L et al. on behalf of the EURELD consortium. Making medical decisions at the end of life. European Journal of Public Health 2003;13:32.


Final results

105 Onwuteaka-Philipsen BD, Fisher S, Deliens L, Norup M, Paci E, Nilstun T, Maas PJ van der, Wal G van der. End-of-life decision-making in 6 European countries: determinants of intended behaviour. Palliative Medicine 2004;18:391. Paci E, Deliens L et al. on behalf of the EURELD consortium. Information and End-of-life decisions: a comparison within Europe. European Journal of Public Health 2003;13:32. Pasman HRW, Onwuteaka-Philipsen BD, Gerritsen DL, Ribbe MW, Wal G van der. Measuring discomfort in severely demented patients: Psychometric properties of the Discomfort Scale Dementia of Alzheimer’s Type (DSDAT). Palliative Medicine 2004;18:332. Rietjens J, Heide A van der, Onwuteaka-Philipsen BD, Maas PJ van der, Wal G van der. Attitudes of Dutch physicians an d the general public towards end-of-life decisions. Palliative Medicine 2004;18:358. Rurup ML, Muller MT, Onwuteaka-Philipsen BD, Heide A van der, Wal G van der. Palliative care for people who suffer from the consequences of old age and have developed a wish to die. Palliative Medicine 2004;18:356. Steen J van der, Ooms M, Wal G van der, Mehr D, Ribbe M, Kruse R. Treatment strategy and risk of functional decline and mortality after nursing-home acquired lower respiratory tract infection. The Gerontologist 2004;44:127-8. Steen JT van der, Ribbe MW, Mehr DR, Kruse RL, Wal G van der. Problems and solutions in evaluating effect of treatment approach in patients with dementia using a cross-cultural, observational design. Palliative Medicine 2004;18:340. Steen JT van der, Wal G van der, Mehr DR, Ooms ME, Ribbe MW. Dimensions of end-of-life decision making in withholding antibiotics in pneumonia patients with dementia. The Gerontologist 2003;43:452. Szafara KL, Mehr DR, Kruse RL, Steen JT van der, Ooms ME, Ribbe MW, Wal G van der. Non-antibiotic treated nursing home-acquired lower respiratory infection: an international comparison of treatments and outcomes. The Gerontologist 2003;43:491. Wigcheren PT van, Onwuteaka-Philipsen BD, Pasman HRW, Ribbe MW, Wal G van der. Do psychogeriatric nursing home patients suffer from artificial nutrition or hydration. Palliative Medicine 2004;18:361-2.

Work and Health Other Publications Bongers P. Maak werk van RSI. Inaugurele rede, VU Amsterdam. Hildebrandt VH. The Dutch Musculoskeletal Questionnaire (DMB). In: Handbook of Human Factors and Ergonomics Methods. Ed Stanton N et al. CRC Press, Florida, 2004. Hildebrandt VH, Proper KI. Bewegingsstimulering bij werknemers: luxe of noodzaak. Stimulus 2004,23:109-23. Proper KI, Hildebrandt VH. De kosten en baten van bedrijfsbewegings-programma’s. Tijdschrift voor toegepaste arbowetenschap 2004;17:8-13.

Books and proceedings Beek AJ van der. Werkaanpassingen vanwege klachten aan het bewegingsapparaat. In: Van Mechelen W, Twisk JWR, eds. Beweegredenen onderzocht; liber amicorum voor Han Kemper. Maarssen: Elsevier Gezondheidszorg, 2004:14-22. ISBN 90-3522-682-8.


Final results

106 Burg JCM van der, Beek AJ van der, Schellevis FG. Arbocuratieve samenwerking anno 2001: het perspectief van de huisarts. Utrecht: NIVEL, 2003. ISBN 90-6905-583-X. Mechelen W van, Dijk FJH van, Ariëns GAM. Bedrijfsgezondheidszorg. In: Mackenbach JP, Maas PJ van der, eds. Volksgezondheid en gezondheidszorg. Maarssen: Elsevier gezondheidszorg, 2004:16173. ISBN 90-3522702-6. Plomp HN. Bouwen aan vertouwen: verantwoord omgaan met dilemma’s. In Weel ANH, Kelder MJ, Nauta Noks AP, Praktijkdilemma’s voor bedrijfs- en verzekeringsartsen. Bohn Stafleu van Loghum, Houten 2004. ISBN 903134-450-8. Somai T, Beek AJ van der, Schellevis FG. Arbocuratieve samenwerking anno 2003: het perspectief van de huisarts. Utrecht: NIVEL, 2004. ISBN 90-6905-655-0. Spreeuwenberg C, Bakker DJ, Dillmann RJM, Blijham GH, Teunissen S, Zylicz Z. Handboek palliatieve zorg. Maarssen: Elsevier Gezondheidszorg, 2002. ISBN 90-352-2413-2.

Reports Anema JR, Amstel RJ, Venema A, Vroome EJ, Putten DJ, Nauta AP, Overzier P, Verbeek JH. Een stap vooruit op een lange weg. Samenwerking tussen huis- en bedrijfsartsen in 10 regio’s. TNO rapport 14372, Hoofddorp, 2003. Anema JR, Amstel RJ. Begeleiding van werknemers met rug- en psychische klachten vanuit zowel het perspectief van de patiënt als de bedrijfsarts. TNO rapport 14411, Hoofddorp, 2003. Blatter BM, Bongers PM, Dieën JH van, Kempen PM van, Kraker H de, Miedema H, Reijneveld CN, Vet HCW de. RSI-maatregelen: preventie, behandeling en reïntegratie. Den Haag: Ministerie van Sociale Zaken en Werkgelegenheid, 2004. Huizink AC, Slottje P, Witteveen AB, Bramsen I, Twisk JWR, Bijlsma JA, Brunsting DA, Mechelen van W, Bouter LM, Ploeg van der HM, Smid T. De gezondheid van hulpverleners en hangarmedewerkers ruim 8 jaar na de Vliegramp Bijlmermeer. Instituut voor Extramuraal Geneeskundig Onderzoek, VU medisch centrum, Amsterdam, februari 2003. Kremer AM, Anema JR. Kwantificering van hersteltijden. Een gezamenlijk referentiekader voor bedrijfsarts en specialist. CVZ/TNO-rapport 018.10275.01.01, Hoofddorp, 2004. Smidt N, Slottje P, Witteveen AB, Huizink AC, Twisk JWR, Bijlsma JA, Mechelen W van, Bouter LM, Ploeg HM van der, Smid T. De gezondheids van hulpverleners en hangarmedewerkers ruim 8 jaar na de Vliegramp Bijlmermeer. Tweede deelrapport van het Medisch Onderzoek Vliegramp Bijlmermeer – Epidemiologie (MOVB-E). Instituut voor Extramuraal Geneeskundig Onderzoek, VU medisch centrum, Amsterdam, december 2004.

Abstracts published in journals Anema JR, Amstel RJ, Venema A, Verbeek JH, Nauta AP, Schellevis FG, Beek AJ van der, Putten DJ van. Samenwerking tussen huis- en bedrijfsartsen in 10 regio’s: effecten op het proces van samenwerken, gedragsverandering van artsen en de tevredenheid bij hun patiënten. Tijdschrift voor Gezondheidswetenschappen 2003;81:S9. Beek AJ van der, Mathiassen SE, Burdorf A. The use of production data in the assessment of exposure to manual lifting. Tijdschrift voor toegepaste Arbowetenschap 2004;17:S82-3. Beek AJ van der, Proper KI, Hildebrandt VH, Twisk JWR, Mechelen W van. The effectiveness on physical activity of a stage of change based program at the worksite. Medicine & Science in Sports & Exercise 2003;35:S375.


Final results

107 IJmker S, Blatter BM, Beek AJ van der, Bonger PM, Mechelen W van. De PROMO study: prospective research on musculoskeletal disorders in office workers. Tijdschrift voor Gezondheidswetenschappen 2003;81:S34. Proper KI, Hildebrandt VH, Beek AJ van der, Twisk JWR, Mechelen W van. Het effect van een individueel gericht bedrijfsbewegingsprogramma op ziekteverzuim: resultaten van een gerandomiseerd, gecontroleerd onderzoek. Tijdschrift voor Gezondheidswetenschappen 2003;81:S9-10

Physical Activity and Health Other Publications Chin A Paw, M. Commentary to: Home-based physical therapy may reduce functional decline among moderately frail elderly adults. Evidence-based Healthcare 2003;7:13 Dekkers C, Poppel M van. Lichaamsbeweging en Volksgezondheid (redactioneel). Tijdschrift voor Gezondheidswetenschapppen 2003; 81:66-8. Uffelen JGZ van. Het effect van lichamelijke activiteit en extra vitaminen op het cognitief functioneren en de psychosociale gezondheid van ouderen met geheugenklachten. Cesar Magazine, 2003;14-15. Velde SJ te, Twisk JWR, Mechelen W van, Kemper HC. Fetal Orgins of Musculoskeletal and Cardiovascular Health at Adulthood. Medicine and Sport Science 2004;47:64-77. Verhagen EALM, Beek AJ van der, Twisk JWR, Bouter LM, Bahr R, Mechelen W van. Minder enkelblessures bij volleyballers door proprioceptieve oefentoltraining. Richting Sportgericht 2004;5/6:4-8.

Books and Proceedings Bakker I, Kemper HC, Twisk JWR, Mechelen W van. Genetic and Environmental Factors in Relation to Adult Lumbar Bone Health. Medicine and Sport Science 2004;47:101. ISBN 3-8055-7652-8. Ferreira I, Twisk JWR, Mechelen W van, Stehouwer CDA, Kemper HC. Fitness and Fatness in Adolescence and Adulthood as Determinants of Large Artery Properties at Age 36. Medicine and Sport Science 2004;47:78-100. ISBN 3-8055-7652-8. Kemper HC, Koppes LLJ, De Vente W, Post GB, Mechelen W van, Twisk JWR. Effects of Health Information in Youth Adult Biologigal and Lifestyle Risk Factors for Chronic Diseases. Medicine and Sport Science 2004;47:167182. ISBN 3-8055-7652-8. Kemper HC, Snel J, Mechelen W van. General Introduction (Birth of the AGAHLS). Medicine and Sport Science 2004;47:5-20. ISBN 3-8055-7652-8. Kemper HCG, Koppes LLJ, Vente W de, Post GB, Mechelen W van, Twisk J. Effects of health information in youth on adult biological and lifestyle risk factors for chronic diseases. In: Kemper HCG, editor. Amsterdam Growth and Health Longitudinal Study. Karger, Basel, pp. 167-82, 2004, ISBN 3-8055-7652-8. Kemper HCG, Koppes LLJ. Energy balance in relation to body composition from adolescence to adulthood. In: Kemper HCG, editor. Amsterdam Growth and Health Longitudinal Study. Karger, Basel, pp. 144-52, 2004, ISBN 3-8055-7652-8. Kemper HCG, Koppes LLJ. Is physical activity important for aerobic power in young males and females? In: Kemper HCG, editor. Amsterdam Growth and Health Longitudinal Study. Karger, Basel, pp. 153-66, 2004, ISBN 3-8055-7652-8. Koppes LLJ, Kemper HCG. Review of AGAHLS and other observational longitudinal studies on lifestyle and health from adolescence into adulthood. In: Kemper HCG, editor. Amsterdam Growth and Health Longitudinal Study. Karger, Basel, pp. 21-9, 2004, ISBN 3-8055-7652-8.


Final results

108 Koppes LLJ, Snel J, Kemper HCG. Personality, a determinant of lifestyle. In: Kemper HCG, editor. Amsterdam Growth and Health Longitudinal Study. Karger, Basel, pp. 132-43, 2004, ISBN 3-8055-7652-8. Koppes LLJ, Twisk JWR, Kemper HCG. Longitudinal trends, stability and error of biological and lifestyle characteristics. In: Kemper HCG, editor. Amsterdam Growth and Health Longitudinal Study. Karger, Basel, pp. 44-63, 2004, ISBN 3-8055-7652-8. Koppes LLJ. Veertigjarige zoektocht naar de relatie tussen activiteit en fitheid. In: Mechelen W van, Twisk JWR, editors. Liber amicorum voor Han Kemper: Beweegredenen onderzocht. Maarssen: Elsevier gezondheidszorg, pp. 89-93, 2004, ISBN 90 352 2682 8. Mechelen W van, Twisk JWR (eds.). Beweegredenen onderzocht. Liber Amicorum voor Han Kemper. Elsevier Gezondheidszorg (uitg.), Maarssen, 2004, ISBN 90-352-2682-8. Mechelen W van. Over lichaamsbeweging en ‘vet, fit en gezond’. In: Beweegredenen onderzocht. Liber Amicorum voor Han Kemper. Mechelen W van, Twisk JWR (eds.). Elsevier Gezondheidszorg (uitg.), Maarssen, 2004; 119-126, ISBN 90-352-2682-8. Sluijs EMF van, Verhagen EALM, Poppel MNM van, Beek AJ van der, Mechelen W van. Risks of Physical Activity In: Perspectives on Health and Exercise. C Riddoch, J McKenna (eds.), Palgrave Macmillan, Hampshire UK, pp. 109-127, 2003, ISBN 0-333-78700-5. Snel J, Koppes LLJ, Kemper HCG. Smoking, alcohol and coffee consumption and cardiovascular risk indicators. In: Kemper HCG, editor. Amsterdam Growth and Health Longitudinal Study. Karger, Basel, pp. 123-31, 2004, ISBN 3-8055-7652-8. Velde SJ te. Geboortegewicht en gezondheid op volwassen leeftijd. In: Mechelen W van, Twisk JWR, eds. Liber amicorum voor Han Kemper: Beweegredenen onderzocht. Maarssen: Elsevier gezondheidszorg, 2004:165-8. ISBN 90-352-2682-8. Velde SJ te, Twisk JWR, Mechelen W van, Kemper HC. Fetal Orgins of Musculoskeletal and Cardiovascular Health at Adulthood. Medicine and Sport Science 2004;47:64-77. ISBN 3-8055-7652-8. Verhagen EALM, Beek AJ van der, Mechelen W van. Effectiviteit van preventieve maatregelen voor lateraal enkelletsel. In: Trendrapport Bewegen en Gezondheid 2002/2003 VH Hildebrandt, WTM Ooijendijk, M Stiggelbout en M Hopman-Rock (eds.) TNO Arbeid, TNO PG, pp. 203-218, 2004. ISBN 90-5986-105-1. Verhagen EALM, Tulder MW van, Beek AJ van der, Bouter L, Mechelen W van. Evaluatie van een oefentolprogramma voor de preventie van acute laterale enkelletsels. In: Hildebrandt VH, Ooijendijk WTM, Stiggelbout M, Hopman-Rock M, eds. Trendrapport Bewegen en Gezondheid 2002/2003. Hoofddorp/Leiden: TNO Arbeid/TNO PG, 2004:203-18. ISBN 90-5986-105-1.

Reports Sluijs EM van, Verhagen EALM, Poppel MN van, Beek AJ van der, Mechelen W van. DOH/CMO. Risks from physical activity. In: HOH/CMO (eds.) At least five times a week; evidence on the impact of physical activity and its impact on health. London, UK, 2004; 73-78.

Abstracts published in journals Chin A Paw MJM, van Poppel MNM, Twisk J, van Mechelen W. Implementation of difference exercise protocols in long-term care facilities: effectiveness on physical function Medicine & Science in Sports & Exercise 2003;35:S169.


Final results

109 Chin A Paw MJM, Visscher TLS, Singh AS. Lichamelijke activiteit en overgewicht. Tijdschrift voor Gezondheidswetenschappen 2003;81:24 Hutten M, Mechelen W van. Een studie naar de effecten van het stimuleren van een lichamelijke actieve leefstijl voor revalidatie patiënten. Tijdschrift voor Gezondheidswetenschappen 2003;81:39. Koppes LLJ, Twisk JWR, Mechelen W van, Kemper HCG. Habitual physical activity and aerobic fitness are positively related with subjective health. Medicine and Science in Sports and Exercise 2003;35:S67. Koppes LLJ, Twisk JWR, Mechelen W van, Kemper HCG. Relaties tussen leefstijl en risico-indicatoren voor harten vaatziekten: Het Amsterdams Groei en GezondheidsOnderzoek. Tijdschrift voor Gezondheidswetenschappen 2003;8:35. Ploeg HP van der, Streppel KRM, Beek AJ van der, Woude LHV van der, Vollenbroek-Hutten M, Mechelen W van. Een studie naar de effecten van het stimuleren van een lichamelijke actieve leefstijl voor revalidatie patiënten. Tijdschrift voor Gezondheidswetenschappen 2003;81:S39. Ploeg HP van der, Streppel KRM, Beek AJ van der, Woude LHV van der, Vollenbroek-Hutten M, Mechelen W van. Stages of change regarding physical activity in rehabilitation patients. Medicine & Science in Sports and Exercise 2003;35:S375. Ploeg HP van der, Streppel KRM, Beek AJ van der, Woude LHV van der, Vollenbroek-Hutten M, Mechelen W van. Physical activity promotion in rehabilitating patients: an intervention study. International Journal of Behavioral Medicine 2004;11:S189. Singh AS, Chin A Paw MJM, Kremers SP, Brug J, Mechelen W van, Development of a school-based intervention to improve diet and physical activity in adolescents, in order to maintain energy balance. International Journal of Obesity and related metabolic disorders, 2003;27:S143. Singh AS, Chin A Paw MJM, Kremers SP, Brug J, van Mechelen W, Development of a school-based intervention to improve diet and physical activity in adolescents, in order to maintain energy balance. International Journal of Behavioural Medicine: ISSN 1070-5503, 2004;11:247. Sluijs EMF van, Poppel MNM van, Mechelen W van. Het effect van leefstijlinterventies gebaseerd op het stagesof-change model in de huisartspraktijk: een systematische literatuurstudie. Tijdschrift voor Gezondheidswetenschappen 2003;81:12. Sluijs EMF van, Poppel MNM van, Mechelen W van. The effect of a PACE intervention in Dutch general practice on determinants of physical activity. International Journal of Behavioral Medicine 2004;11:147. Sluijs EMF van, Poppel MNM van, Mechelen W van. The effect of physical activity measurements on subjects’ physical activity. International Journal of Behavioral Medicine 2004;11:148. Sluijs EMF van, Poppel MNM van, Mechelen W van. The effect of stage-based lifestyle interventions in primary care. Medicine & Science in Sports & Exercise 2003;35:S375. Stiggelbout M, Popkema DY, Hopman-Rock M, Greef M de, Mechelen W van, the effcts of a widely implemented exercise program for older adults on health related quality of life and funcctional status. London, Canada 6th World Conference an Aging and Physical Activity, August 7-10, 2004. Abstract in the Journal of the Aging and Physical Activity 2004;12:260-261. Stiggelbout M, Popkema DY, Hopman-Rock M, Greef M de, Mechelen W van. Eén keer in de week is niet genoeg: effecten van Meer bewegen voor Ouderen (MbvO-gym) op kwaliteit van leven en zelfredzaamheid: een gerandomiseerde gecontroleerde studie. Tijdschrift voor Sociale Gezondheidswetenschappen 2004;82:25-6. Streppel KRM, Ploeg HP van der. Rehabilitation and sports: effect of sports and daily physical activity promotion. Rehabilitation and sports: effect of sports and daily physical activity promotion. Quality of Life Research 2003;12:807.


Final results

110 Uffelen JGZ van, Chin A Paw MJM, Hopman-Rock M, Mechelen W van. The effects of physical activity and vitamin B supplementation on cognitive functioning and psychosocial health of older persons with mild cognitive impairment. Journal of Nutrition, Health and Aging, 2004; 483. Wier, MF van. Aspecten van voeding bij het ontstaan van overgewicht. Tijdschrift voor Gezondheidswetenschappen, 2003;81 (Middenkatern):24.


Final results

111 Appendix 2: Scientific and societal activities Congresses and Lectures Ellen Althuizen •

New Life(style): een interventieprogramma ter preventie van buitensporige gewichtstoename tijdens de zwangerschap, Symposium zwangeren en voeding: poster presentatie, Rotterdam, 12 mei, 2004.

•

Risk factors for excessive weight gain during pregnancy, International Congres on Behavioral Medicine: poster presentatie, Mainz, August 25-28, 2004.

Han Anema •

Participatory Ergonomics as a Return-to-Work Intervention; A future challenge? Implementation of a participatory ergonomics program for the disability management of workers sick listed due to low back pain, voordracht ICOH 2003, Iguassu Falls, Brazil, February, 2003.

•

Samenwerking tussen huis- en bedrijfsartsen in 10 regios: effecten op het proces van samenwerken, gedragsverandering van artsen en de tevredenheid bij hun patiënten, voordracht, Public Health Congres, Amsterdam, april, 2003.

•

Effective management of work-related health pro-blems in primary care. Development of guidelines and evaluation of a quality assessment instrument, voordracht, ICOH-workshop Human Resources Management in Occupational Health Services, Gent, November, 2003.

•

The impact of the benefit system on return-to-work in six countries, international Summer Course on Work disability prevention, centre, voordracht, Université de Sherbrooke, Montreal, Canada, June 22, 2004.

•

Adaptation, implementation and evaluation of an occupational rehabilitation program for LBP in the Netherlands, voordracht, international Summer Course on Work disability prevention, Université de Sherbrooke, Montreal, Canada, June 24, 2004.

•

Participatory Ergonomics for workers on sickleave due to low back pain: results of a randomised controlled trial, voordracht, 5th Int. Scientific Conference on Prevention of Work-related Musculosketal Disorders, Zurich, July 12-14, 2004.

•

Randomized trials for RTW-interventions including a workplace component, (mede) organisator, minisymposium at the 5th Int. Scient. Conf. on Prevention of Workrelated Musculosketal Disorders, Zurich, July 13, 2004.

•

Clinical and/or workplace intervention for sub acute occupational low back pain? a randomized controlled trial, voordracht, 7th Low Back Forum for Primary Care, Edmonton, Canada, October 8-9, 2004.

•

Clinical and/or workplace intervention for sub acute occupational low back pain? a randomized controlled trial, the Linköping workshop on Intervention for return-to-work and work place health promotion for sustainable work ability, October 15, 2004.

•

Reïntegratie van ruglijders in Nederland, voordracht, congress Prevention of Low back pain at the workplace: New Evidence, Brussels, Belgium, December 2, 2004.

•

Korter verzuim bij rug klachten. nieuwe inzichten, organisator Amsterdam, VU Medisch Centrum, 9 december 2004.


Final results

112 Geertje Ariëns •

Werkhervatting na ziekteverzuim door lage rugklachten, De Fysieke Dag, organisatie en voorzitter, Amsterdam, 11 juni, 2004.

•

State of the art on the effects of physical activity programmes at the worksite, oral presentation, Premus 2004, Fifth International Scientific Conference on Prevention of Work-related Musculoskeletal Disorders, Zurich, Zwitserland, 11-15 juli, 2004.

Allard van der Beek •

Effectiviteit van bedrijfsbewegingsprogramma’s: wetenschappelijke significantie vs praktische relevantie, voordracht op uitnodiging, Centrum Gezondheidsbevordering op de Werkplek, NIGZ, Papendal, 22 januari, 2003.

•

Assessment of mechanical exposure in ergonomic intervention studies, voordracht op uitnodiging, Preconference course, 27th International Congress on Occupational Health ‘ICOH 2003’, Iguassu Falls, Brazil, February 22, 2003.

•

Ergonomic improvements to reduce the workload of refuse collectors, voordracht op uitnodiging, Preconference course, 27th International Congress on Occupational Health ‘ICOH 2003’, Iguassu Falls, Brazil, February 22, 2003.

•

Ergonomic intervention research in the Netherlands, voordracht op uitnodiging, 27th International Congress on Occupational Health ‘ICOH 2003’, Iguassu Falls, Brazil, February 24, 2003.

•

Model arbeidsbelasting, voordracht op uitnodiging, Pdbo Ergonomie bij Arbeid, Amsterdam, 14 maart, 2003.

•

Grenzen aan bewegen, startcongres Vereniging voor Bewegingswetenschappen Nederland (VvBN), medeorganisator, Amsterdam, 4 maart, 2003.

•

The effectiveness of a stage-of-change based program at the worksite on physical activity and fitness: a randomized controlled trial, posterpresentatie, 51th Annual Meeting of the American College of Sports Medicine, May 31, 2003.

•

Werk maken van ziekteverzuim door lage rugklachten, voordracht op uitnodiging, Symposium ‘Rugpijn’, Faculteit der Bewegingswetenschappen, Vrije Universiteit, Amsterdam, 6 juni, 2003.

•

Psychosociale belasting in het wegvervoer, voordracht op uitnodiging, NSPOH, Utrecht, 18 juni, 2003.

•

Terugkeer naar werk na ziekteverzuim door lage rugklachten: evidence-based occupational medicine?, voordracht op uitnodiging, Werken aan RSI, rugklachten en bewegen!, Body@Work, Amsterdam, 11 september, 2003.

•

Methods for assessment of physical work exposures in musculoskeletal epidemiology, voordracht op uitnodiging, Sixth International Seminar on Work Related Musculoskeletal Disorders: Current Research Trends, NIVA, Turku, Finland, November 5, 2003.

•

Ergonomic intervention research in the Netherlands, voordracht op uitnodiging, Sixth International Seminar on Work Related Musculoskeletal Disorders: Current Research Trends, NIVA, Turku, Finland, November 7, 2003.

•

De rol van observeren in ergonomisch veldonderzoek naar fysieke werkbelasting, voordracht op uitnodiging, Pdbo Ergonomie bij Arbeid, Amsterdam, 28 november, 2003.

•

Psychosociale belasting in het wegvervoer, voordracht op uitnodiging, NSPOH, Utrecht, 16 december, 2003.

•

Model arbeidsbelasting, voordracht op uitnodiging, Pdbo Ergonomie bij Arbeid, Amsterdam, 5 maart, 2004.


Final results

113 •

De Fysieke Dag, congres Vereniging voor Bewegingswetenschappen Nederland (VvBN), mede-organisator, Amsterdam, 11 juni, 2004.

•

The use of production data in the assessment of exposure to manual lifting, voordracht, International Conference on Exposure Assessment in a Changing Environment, X2004, Utrecht, June 18, 2004.

•

Comments on the presented RCTs studying return-to-work interventions that include a workplace component, voordracht op uitnodiging, Fifth International Scientific Conference on Prevention of Musculoskeletal Disorders ‘PREMUS 2004’, Zurich, Switzerland, July 13, 2004.

•

Gender differences in the risk of work-related musculoskeletal disorders, organisator mini-symposium, Fifth International Scientific Conference on Prevention of Musculoskeletal Disorders ‘PREMUS 2004’, Zurich, Switzerland, July 14, 2004.

•

Gender differences in self-reported physical and psychosocial exposures in jobs with female and male workers, voordracht op uitnodiging, Fifth International Scientific Conference on Prevention of Musculoskeletal Disorders ‘PREMUS 2004’, Zurich, Switzerland, July 14, 2004.

•

Voorbeelden van onderzoek naar de effectiviteit van bedrijfsgezondheidszorg interventies, voordracht op uitnodiging, NSPOH, Bilthoven, 7 oktober, 2004.

•

Psychosociale belasting in het wegvervoer, voordracht op uitnodiging, NSPOH, Utrecht, 2 november, 2004.

•

Onderzoek- en meetinstrumenten, voordracht op uitnodiging, NSPOH, Amsterdam, 5 november, 2004.

•

De rol van observeren in ergonomisch veldonderzoek naar fysieke werkbelasting, voordracht op uitnodiging, Pdbo Ergonomie bij Arbeid, Amsterdam, 19 november, 2004.

•

Werk maken van ziekteverzuim door lage rugklachten: evidence-based bedrijfsgezondheidszorg?, voordracht op uitnodiging, Symposium VUmc ArboNed ‘The BOC Study’, 25 november, 2004.

•

De bedrijfsgezondheidszorg maakt werk van ziekteverzuim door lage rugklachten, voordracht op uitnodiging, Congres evidence-based handelen bij lage rugpijn: epidemiologie, preventie, diagnostiek, behandeling en richtlijen, Ede, 2 december, 2004.

Mathijs van den Berg •

Decision making of pregnant women who are offered prenatal screening: does perceived risk and expected utility matter?, oral presentation, Scientific meeting of the Netherlands Forum for Medical Decision Making (LFMB), Nijmegen, 4 april, 2003.

•

Risicoperceptie van zwangere vrouwen die prenatale screening krijgen aangeboden, oral presentation, Netherlands Public Health Congress, Amsterdam, april, 2003.

•

Decision making of pregnant women who are offered prenatal screening: does perceived risk and expected utility matter, oral presentation, Research Conference on Subjective Probability, Utility and Decision Making, Zurich, August 25-27, 2003.

•

Decision making of pregnant women who are offered prenatal screening: which factors predict test uptake?, poster presentation, Netherlands Association of Community Genetics (NACG), Utrecht, 21 november, 2003.

•

Communicatie en perceptie van risico’s bij prenatale screening, voordracht op uitnodiging, Symposium Stichting Prenatale Screening Noord-West Nederland, Onze Lieve Vrouwe Gasthuis, Amsterdam, 28 april, 2004.Why do pregnant women decide for or against prenatal screening?, oral presentation, Biennial meeting European Society for Medical Decision Making, Rotterdam, 6-8 juni, 2004.

•

Why do pregnant women decide for or against prenatal screening?, oral presentation, European Meeting of Psychosocial Aspect of Genetics (EMPAG), Munich, Germany, 12-15 juni 2004.


Final results

114 Claire Bernaards •

Sekseverschillen in de relatie tussen roken en gezondheid. Resultaten van het Amsterdams Groei en Gezondheidsonderzoek (AGGO), voordracht 28e WEON Symposium, Rotterdam, 19 en 20 Juni 2003.

•

Een gerandomiseerd gecontroleerd onderzoek naar de effectiviteit van individuele bewegingsadvisering op het herstel van RSI klachten bij beeldschermwerkers – beschrijving van de onderzoeksopzet, posterpresentatie, 28e WEON Symposium, Rotterdam, 19 en 20 Juni 2003.

•

Kan inspannende lichamelijke activiteit psychische klachten voorkómen in een relatief gezonde werkende populatie?, voordracht, 29e WEON Symposium, Leiden, juni 2004.

•

Stimulating physical activity and improving work style in VDU workers with upper extremity disorders, voordracht, Body@Work meeting, Amsterdam, June 16, 2004.

•

The effect of improving physical activity on the recovery from work-related upper extremity disorders. Korte voordracht, Fifth International Scientific Conference on Prevention of Workrelated Musculoskeletal Disorders (PREMUS), Zürich Zwitserland, 11-15 Juli, 2004.

Jolanda de Bie •

Voorbehouden handelingen in Nederlandse ziekenhuizen: kennis, ervaringen en opvattingen van gynaecologen, internisten en verpleegkundigen, voordracht, Nederlandse Public Health Congres, Amsterdam, 24 april, 2003.

Birgit Blatter •

Symptoms Surveys. NIVA Course Work related musculskeletal disorders: current research trends, oral presentation, Nantaali Finland, 2-11 november, 2003.

•

Prevalence of neck, shoulder and arm symptoms in Europe, oral presentation, Fifth International Scientific Conference on Prevention of Work-related Musculoskeletal disorders (Premus), Zürich, Zwitserland, 11-15 juli, 2004.

•

Physical risk factors for neck and upper limb disorders in industrial and office workers: results from the SMASH study, oral presentation, EPICOH, Melbourne, October, 2004.

•

RSI-maatregelen: preventie, behandeling en reintegratie, oral presentation, Invitational conference Prioritering van RSI-onderzoek, Rotterdam, 10 september, 2004.

Paulien Bongers •

Maak werk van RSI. Oratie, 11 september, 2003.

•

Epidemiology of musculoskeletal disorders and psychosocial factors, lecture, NIVA Course Work related musculoskeletal disorders: current research trends Nantaali Finland, 2-11 november, 2003.

•

Arbeidsanamnese en de schatting van blootstelling, lecture, Nascholingscursus NSPOH, 9 december, 2003.

•

RSI: de stand van de wetenschap, lecture, Arm,- Nek- Schouder Congres II. Ede, 6 oktober, 2004.

•

“KANS”, Workshop, symposium Vumc – ArboNed, Amsterdam, 25 november, 2004.

Sander Borgsteede •

Palliative care in general practice in the Netherlands: consequences of different population definitions in palliative care epidemiology, poster, Dutch General Practice on Stage: Results of the Dutch National Survey of General Practice, Amsterdam, June 2004.


Final results

115 •

Symptoms and medication in the last 48 hours: results of the Second Dutch National Survey of General Practice, oral presentation, International Congress on Palliative Care: Romanian-Dutch Project on Palliative Care (PACARO), Bucarest, Romania, October, 2004.

•

Palliative Care in the general practice: results of the Second Dutch National Survey of General Practice, oral presentation, WONCA 17th World Conference of Family Doctors, Orlando, USA, October, 2004.

Anneke Bulk-Bunschoten •

Adviezen rond voeding/zindelijkheidstraining ontlasting, lezing en workshop, congres Obstipatie bij zuigelingen, Triavium Nijmegen, 13 december, 2003.

•

Symposium Zindelijkheidstraining, zindelijkheid of te weinig tijd?, lezing, Triavium Nijmegen, 12 februari, 2004.

•

Melkvoeding in de eerste vier levensmaanden bij autochtone en allochtone zuigelingen, posterpresentatie, Nederlands Congres Volksgezondheid, Rotterdam, 22 april, 2004.

•

Congres Babydiagnostiek van nul tot drie, panellid en lezing, ontwikkelingsonderzoek op het consultatiebureau, Utrecht, 12 juni, 2004.

•

Consequenties samenwerking voor huisartsen en consultatiebureauartsen, bijscholing Samenwerking Amsterdam Thuiszorg en Amsterdam GGGD, lezing, Amsterdam, 14 september, 2004.

•

Signalering overgewicht voor Thuiszorg IJmond, lezing en workshop, Beverwijk, 5 oktober, 2004, Thuiszorg Kennemerland, Haarlem, 7 oktober 2004, Thuiszorg Amant en GGD Eemland gezamenlijk, Amersfoort, 4 november, 2004.

•

Pluis of niet pluis, over het opsporen van taalachterstanden bij jonge kinderen, lezing, symposium NSDSK (Nederlandse Stichting voor het Dove en Slechthorende Kind), Alkmaar, 15 oktober, 2004.

•

Hoe eerder hoe beter?, workshop, Jaarcongres Platform Jeugdgezondheidszorg, Nieuwe Buitensociëteit Zwolle, 13 december, 2004.

Marijke Chin A Paw •

Promotion of a physically active lifestyle among adolescents, vortrag für die Abteilung Epidemiologie und Gesundheitsberichterstattung, Robert Koch Institut, Berlijn, 13 december, 2004.

•

Vallen: Meer dan alleen (niet) opstaan, voordracht op uitnodiging, Regionale scholing voor verpleeghuisartsen Zeeland/West Noord-Brabant, Renesse, 9 november, 2004.

•

Promotion of a physically active lifestyle among adolescents through the Internet, invited speaker, EUConference Young Peoples Lifestyles and Sedentariness, Essen, Germany, June 4-5, 2004.

•

Effectiveness of physical activity programs for frail older people, invited speaker, Pre-Olympic Congress, Thessaloniki, Greece, August 6-11, 2004.

•

Healthy Living across the Lifespan, chairman, Pre-Olympic Congress, Thessaloniki, Greece, August 6-11, 2004.

•

Health & Fitness-Old Generation/Young Generation, chairman, Pre-Olympic Congress, Thessaloniki, Greece, August 6-11, 2004.

•

Measuring Physical Activity, invited speaker, Nutritional and Lifestyle Epidemiology, Fifth advanced course, Wageningen, the Netherlands, June 2 - 7, 2003.

•

Implementation of different exercise protocols in long-term care facilities: effectiveness on physical function, poster presentation, ACSM, San Francisco, USA, May 28-31, 2003.

•

Lichamelijke activiteit en Overgewicht, invited speaker, Public Health Congres, Amsterdam, 24 april, 2003.


Final results

116 Caroline Dekkers •

ALIFE@Work: Amsterdam Lifestyle Intervention on Food and Exercise, posterpresentatie, Jubileum Wetenschapsdag Nederlandse Hartstichting, Leiden, 15 april, 2004.

Luc Deliens •

De toekomst van het palliatieve zorg onderzoek in Nederland, voordracht op uitnodiging, Palliatieve zorg in de regio Amsterdam, Vijf jaar COPZ-Amsterdam, COPZ-Amsterdam i.s.m. VU medisch centrum, Amsterdam, 25 maart, 2003.

•

Palliative care consultation in the Netherlands, voorzitter, 8th Congress of the European Association for Palliative Care, Den Haag, The Netherlands, April 2-5, 2003.

•

Medische beslissingen rond het levenseinde in Vlaanderen en vijf andere Europese landen, voordracht op uitnodiging, Symposium Palliatieve zorg en beslissingen rond het levenseinde, Federatie Palliatieve Zorg Vlaanderen, Ronse, België, 6 September, 2003.

•

End-of-life decision making in 6 European Countries, voorzitter, Annual Meeting of the European Association of Public Health, Rome, Italy, November 20-22, 2003.

•

Medische beslissingen rond het levenseinde in Europa, voordracht op uitnodiging, congres “Menswaardig Sterven”, LEIF-artsen i.s.m. Zorg rond het Levenseinde, Brussel, 6 december, 2003.

•

Palliative Care and end-of-life decisions in six European Countries (EURELD study), Workshop, voorzitter, 3rd Research Forum of the European Association for Palliative Care, Stresa, Italy, June 3-6, 2004.

•

Zorgleidraad, voordracht op uitnodiging, LEIFartsen forum, Wemmel, België, 18 September, 2004.

•

Palliative care in the last 48 hours of life, voorzitter op uitnodiging, International Palliative Care Conference, Bucarest, Roemenië, September 29 – October 2, 2004.

Luuk Engbers •

Foodsteps: the effects of worksite environmental changes on physical activity and dietary habits of sedentary office workers, poster presentation, International Congres Behavioral Medicine, Mainz, August 25-28, 2004.

•

FoodSteps, The effects of worksite environmental modifications on physical activity and dietary habits of sedentary office workers, invited speaker, Amsterdam-Cambridge-Gent meeting. Amsterdam, 10 november, 2004.

Jean Jacques Georges •

Vredig overlijden, een prospectief onderzoek naar terminale kankerpatiënten, voordracht, Onderzoeksforum Palliatieve Zorg, Wisselwerking tussen onderzoek en Praktijk, Wilrijk (Antwerpen), België, maart 20, 2004.

•

A prospective study on dying peacefully. Theoretical and methodological implications, invited speaker, 3th Research Forum of the European Association for Palliative Care, Methodology for Palliative Care Research, Stresa, Italy, June 4 - 6, 2004.

•

Symptoms near to death and the dying process, invited speaker, International Congress on Palliative Care, Experiences and Perspectives, Bucharest, Romania, September 29 - October 2, 2004.

Heleen Hamberg


Final results

117 •

The role of physical capacity in the development of low back and neck/shoulder disorders in a working population, poster presentation, PREMUS 2004: Fifth international Scientific Conference an Prevention of Workrelated Musculosceletal Disorders, Zûrich, Switzerland, July 11-15, 2004.

Lidewij Henneman •

Najaarssymposium Community Genetics, organisator, Nederlandse Associatie voor Community Genetics, Utrecht Medisch Centrum, Utrecht, 21 november, 2003.

•

Wat weet en denkt Nederland over de medische genetica? Resultaten van een publieksenquete, voordracht, NACG Najaarssymposium Community Genetics, Utrecht Medisch Centrum, Utrecht, 21 november, 2003.

•

Preconceptionele genetische screening in Nederland, voordracht op uitnodiging, Nationale Dialoog Genetica, Preconceptiezorg voor ouders van straks, Bilderberg project, Scheveningen, 25 november, 2003.

•

Nederlands Public Health Congres, organisator, 24 april, 2003.

•

Wat weet en denkt Nederland over de medische genetica?, voordracht, Nederlands Public Health Congres, Meervaart, Amsterdam, 24 april, 2003.

•

Genetische screening in het algemeen en cystic fibrosis dragerschapscreening in het bijzonder, voordracht op uitnodiging, Landelijke analistendag genetica, AZG, Groningen, 23 april, 2004.

•

Implementatieaspecten rond cystic fibrosis dragerschapscreening, voordracht op uitnodiging, MAG-CMSB openingsymposium, Leiden Universitair Medisch Centrum, Leiden, 9 maart, 2004.

•

Invitational Werkconferentie Public Health en Genetica, organisator, NSPOH, Amsterdam, 12 mei, 2004.

•

Neonatale screening: uitbreiding gewenst?, organisator, Nederlandse Associatie voor Community Genetics, VU medisch centrum, 7 oktober, 2004.

•

Najaarssymposium Community Genetics, organisator, Nederlandse Associatie voor Community Genetics, VU medisch centrum, 2 december, 2004.

Swenneke van den Heuvel •

De rol van perfectionisme bij de ontwikkeling van RSI-klachten, voordracht, Body@Work bijeenkomst 12 februari, 2004.

•

The effect of physical activity in leisure time on neck and upper limb symptoms and sickness absence, lecture, International Congress of Behavioral Medicine Mainz, August 25-28, 2004.

Martijn Heymans •

The cost-effectiveness of back schools in occupational care, lecture, Fifth International Scientific Conference on Prevention of Workrelated Musculoskeletal Disorders, Zurich, Switserland, July 11-15, 2004.

•

Back schools for non-specific low back pain: an updated systematic review within the framework of the Cochrane Collaboration, poster presentation, Fifth International Scientific Conference on Prevention of Workrelated Musculoskeletal Disorders, Zurich, Switserland, July 11-15, 2004.

•

The effectiveness of back schools in an occupational setting, a pragmatic randomized controlled trial, lecture, Low Back Pain Forum, Edmonton, Canada, October 7-9, 2004.

•

Back schools for non-specific low back pain: an updated systematic review within the framework of the Cochrane Collaboration, poster presentation, Low Back Pain Forum, Edmonton, Canada, October 7-9, 2004.

•

Korte termijn effecten van een laag en hoog intensieve rugschool in de bedrijfsgezondheidszorg, voordracht, Fysieke Dag, VUmc, Amsterdam, 11 juni 2004.


Final results

118 Vincent Hildebrandt •

Bewegingsstimulering bij werknemers: luxe of noodzaak? voordracht, symposium Body@Work 11 september 2003.

Wendela Hooftman-Schimmel •

Gender differences in the relations between work-related physical and psychosocial risk factors and musculoskeletal disorders: a systematic review of the literature, lecture, Fysieke dag 2004, VUmc, Amsterdam, 11 juni, 2004.

•

Gender differences in the relations between work-related physical and psychosocial risk factors and musculoskeletal disorders: a systematic review, lecture, Fifth International Scientific Conference on Prevention of Work-related Musculoskeletal Disorders. Zurich, Zwitserland, July 11-15, 2004.

Erik Hout •

Tuchtrechtspraak voor en na de Wet BIG, voordracht, Nederlandse Public Health Congres, Amsterdam, 24 april, 2003.

Anja Huizink •

Long-term physical and psychological symptoms in workers occupationally involved in an air disaster. Epidemiological Study Air Disaster Amsterdam (ESADA), lecture, 17th World Congress on Psychosomatic Medicine, Waikoloa, Hawaii, USA, August 23-28, 2003.

Stefan IJmker •

The PROMO study: Prospective Research On Musculoskeletal disorders in Office workers, posterpresentatie, 28e WEON-symposium, Rotterdam, 19 en 20 juni, 2003.

•

Behavioral aspects of developing or sustaining musculoskeletal disorders, lecture, Fifteenth Triennial Congress of the International Ergonomics Association, Seoul, Korea, August 24 - 29, 2003.

•

The PROMO study: Prospective Research On Musculoskeletal disorders in Office workers, poster presentation, Fifteenth Triennial Congress of the International Ergonomics Association, Seoul, Korea, August 24 - 29, 2003.

•

Data collection using software, e-mail and internet in the PROMO study among office workers, lecture, Fifth International Scientific Conference on Prevention of Workrelated Musculoskeletal Disorders (PREMUS 2004.), Zurich, Switzerland, July 11–15, 2004.

Anke Kleinveld •

Does offering prenatal screening influence the psychological well-being of pregnant women?, lecture, European Human Genetics Conference, Munchen, Duitsland, June 12-15, 2004.

•

Wat vinden zwangere vrouwen van het aanbieden van prenatale screening? voordracht, Netherlands School of Primary Care Research, Amsterdam, 13 juni, 2003.

•

Beïnvloedt het aanbieden van prenatale screening de hechting aan het ongeboren kind? voordracht, Nederlandse Associatie voor Community Genetics (NACG), Utrecht, 21 november, 2003.

Lando Koppes


Final results

119 •

Alcoholconsumptie, voordracht op uitnodiging, Gezelschap senioren VU, Amsterdam, 1 april, 2003.

•

Relaties tussen leefstijl en risico-indicatoren voor harten vaatziekten; het Amsterdams Groei en GezondheidsOnderzoek, posterpresentatie, NPH congres, Amsterdam, 24 april, 2003.

•

Alcohol and Diabetes; meta-analysis of published data, invited lecture, ILSI Europe, Alcohol task force, Brussels, Belgium, April 25, 2003.

•

Habitual physical activity and aerobic fitness are positively related with subjective health, poster presentation, 50th annual meeting of the American college of sports medicine, San Francisco, May 28, 2003.

•

Relaties tussen leefstijl en risico-indicatoren voor harten vaatziekten: Het Amsterdams Groei en GezondheidsOnderzoek, posterpresentatie, WEON, Rotterdam, 19 juni, 2003.

•

Alcohol smeert de persoonlijkheid?, voordracht op uitnodiging, TNO Voeding, RAI, Amsterdam, 7 januari 2004.

•

From physical education to epidemiology, invited lecture, School for Biokinetics, Recreation and Sport Science, Potchefstroom University, Potchefstroom, South Africa, January 20, 2004.

•

Het Amsterdams Groei en GezondheidsOnderzoek, voordracht op uitnodiging, Opleiding Gezondheidswetenschappen VU, Amsterdam, 9 september, 2004.

•

Tracking van lichamelijke activiteit, voeding en lichaamsgewicht, voordracht op uitnodiging, NASO, 24 september, 2004.

Katja van der Laar •

PROMIS: Preventie van overgewicht een minimale interventie strategie bij 5-jarige kinderen binnen de JGZ, voordracht en posterpresentatie, Congres 100 jaar Schoolarts, AJN, Arnhem, 18-19 juli, 2004.

Frank van Leerdam •

Zindelijkheid of te weinig tijd?, dagvoorzitter Symposium Zindelijkheidstraining, Nijmegen, 12 februari, 2004.

•

Zindelijkheid of te weinig tijd?, Problemen met de ontwikkeling van de zindelijkheid voor urine, voordracht op uitnodiging, Symposium Zindelijkheidstraining, Nijmegen, 12 februari, 2004.

•

Academisering JGZ, Voordracht op uitnodiging, bijeenkomst Vereniging Artsen Jeugdgezondheidszorg Nederland, afdeling Noord-Holland, Zaandam, 31 maart, 2004.

•

Behandel- en begeleidingsmethoden bij kinderen die in bed plassen, onderwijsmodule (1 dag) op uitnodiging voor opleiding tot sociaal verpleegkundige, Hogeschool Leiden, Leiden, 10 mei, 2004.

•

Behandel- en begeleidingsmethoden bij kinderen die in bed plassen, onderwijsmodule (1 dag) op uitnodiging voor opleiding tot sociaal verpleegkundige, Hogeschool Leiden, Leiden, 11 mei, 2004.

•

Niet-ingedaald testes, phimosis, zindelijkheid, enuresis diurna en enuresis nocturna, onderwijs module op uitnodiging voor scholing artsen Jeugdgezondheidszorg, TNO PG, Leiden, 31 juni, 2004.

•

Niet-ingedaald testes, phimosis, zindelijkheid, enuresis diurna en enuresis nocturna, onderwijs module op uitnodiging voor scholing artsen Jeugdgezondheidszorg, TNO PG, Leiden, 16 november, 2004.

Willem van Mechelen •

Nascholingscursus huisartsen regio’s Amsterdam en Noord-Holland-Noord, voordracht op uitnodiging, Nauders, Oostenrijk, 10-11 maart, 2003.

•

Grenzen aan Bewegen, VvBN symposium, dagvoorzitter, Amsterdam, 4 april, 2003.


Final results

120 •

Werken aan RSI, Rugklachten en bewegen!, symposium voorafgaand aan de oratie van prof.dr.ir. P.M. Bongers, mede organisator en dagvoorzitter, Amsterdam, 11 september, 2003.

•

KNAU loopsportdag, Koninklijke Nederlandse Atletiek Unie, spreker op uitnodiging, 4 oktober 2003.

•

Het Tweede Nationale Rugcongres, lid van de congrescommissie, Rotterdam, 9 oktober, 2003.

•

Health impacts of transport on children, The Hague Workshop, The PEP, invited participant, the Hague, October 16-17, 2003.

•

Cursus Ergonomie Nederlandse Hartstichting, voordracht op uitnodiging, Bilthoven, 5 november, 2003.

•

Oud gesport, oud gezond?, GALM symposium, lezing op uitnodiging, Groningen 7 november, 2003.

•

Health Promotion in Settings The value of Participatory Evaluation, Invited Experts Conference, New Health Promotion, Rotterdam, 12 november, 2003.

•

Physical Activity and obesity in children, ALSPAC seminar, invited speaker , Bristol, 21st-22nd November 2003.

•

Bewegungsmangel bei Kindern Fakt oder Fiktion, Konferenz des Club of Cologne, Vorträge und Diskussion, Köln, Dezember 4, 2003.

•

Senior Associate Editorial Board Meeting, Clinical Journal of Sports Medicine, Banff, Alberta, Canada, December 5-7, 2003.

•

Low back pain in occupational care. Symposium ter gelegenheid van de promotie van drs. Bart Staal, dagvoorzitter en organisator, Amsterdam, 18 december, 2003.

•

Tijdcontingent werken: hype of nieuwe standaard? Nascholing NSPOH/Kring Utrecht, spreker, KNMG, Utrecht, 15 januari, 2004.

•

Train your brain, practice your skills, 2nd Groningen Sports Medicine Symposium 2004, keynote speaker, Instituut Weckenbach Groningen, 30th of January, 2004.

•

Flash, elke dag in actie, working conference, voordracht op uitnodiging, Doorwerth, 10 maart, 2004.

•

NZO Researchdag, Nederlandse Zuivel Organisatie (NZO), voordracht op uitnodiging, Wageningen, 11 maart, 2004.

•

Medec 2004: L’activité physique de l’enfant: un enjeu de santé publique, invited lecture, Paris, 18 mars, 2004.

•

H.J. Doctor Lezing, Kring voor Bedrijfsgezondheidszorg Amsterdam e.o., voordracht op uitnodiging, Amsterdam, 23 maart, 2004.

•

Internationaal symposium Leefstijl en Gezondheid ter gelegenheid van het afscheid van prof.dr. H.C.G. Kemper, VU medisch centrum, lid van de organisatie commissie en dagvoorzitter, Amsterdam, 26 maart, 2004.

•

Preventie door de bedrijfsarts, Wat doen de NVAB en in het bijzonder de werkgroep ‘life style, bijeenkomst, spreker/discussieleider, Utrecht, 22 april, 2004.

•

Kwaliteitsbeleid voor bedrijfsartsen, symposium voor het afscheid van Marielle T.J. A-Tjak, voordracht op uitnodiging, KNMG, Utrecht, 28 april, 2004.

•

Offciële opening Bedrijfsgezondheidscentrum “de Frissel”’, Politie Fryslân en Ardyn, voordracht op uitnodiging, Joure, 19 mei, 2004.

•

EU-Conference ‘Young People’s Lifestyles and Sedentariness, Universität Paderborn und Willibald Gebhardt Institut, Essen, Germany, invited speaker, 4-5 juni, 2004.

•

Enkelblessures, van preventie tot behandeling, seminar voorafgaande aan de promotie van drs. Evert Verhagen, dagvoorzitter, Amsterdam, 24 juni, 2004.


Final results

121 •

European College of Sports Sciences annual meeting, invited speaker, Clermont-Ferrand, France, 4 July, 2004.

•

Staff meeting University of Queensland, School of Population Health, invited lecture, Melbourne, 16 August, 2004.

•

Staff meeting Australian Catholic University, Department of Sport Sciences, invited lecture, Melbourne, 19 August, 2004.

•

Staff meeting Monash University, Department of Epidemiology, invited lecture, Melbourne, 25 August, 2004.

•

The World of Physiotherapy: 4th Annual Physiotherapy Student Conference, the University of Melbourne, keynote lecture, Melbourne, 2 September, 2004.

•

‘Worksite physical activity and healthy eating programs, Nutrition Society of Australia, invited speaker, Melbourne, 7 September, 2004.

•

Lecture Evening: ‘Management of low back in occupational health care’, School of Physiotherapy, University of Melbourne, invited lecture, Melbourne, September 8, 2004.

•

Obesitas, sport en bewegen, congres Sport en Technologie, voordracht op uitnodiging, Eindhoven, 11 oktober, 2004.

•

De arbeidsgeneeskundige gaat de eerstelijn en het ziekenhuis in!?, studiedag, referent op uitnodiging, Julius Centrum voor Patiëntgebonden Onderzoek, UMC, Utrecht, 2 november, 2004.

•

Amsterdam- Cambridge-Gent meeting, dagvoorzitter, VUmc, Amsterdam, 10 november, 2004

•

Train de Trainer, voordracht op uitnodiging, Pfizer Sales Conference, Amsterdam, 16 november, 2004.

•

Symposium VUmc- AboNed voorafgaande aan de promotie van drs. Martijn. Heymans, dagvoorzitter en spreker, Amsterdam, 25 november, 2004.

•

Chronisch zieken in beweging, dagvoorzitter, seminar Body@Work TNO VUmc, Amsterdam, 6 december, 2004.

•

Korter verzuim bij rugklachten - nieuwe inzichten, dagvoorzitter en spreker, seminar Body@Work TNO VUmc voorafgaande aan de promotie van drs. Han Anema en drs. Ivan Steenstra, Amsterdam, 9 december, 2004

•

Vorderingen en praktijk, voordracht op uitnodiging, Boerhaave cursus, Leiden, 16 en 17 december, 2004.

Bregje Onwuteaka-Philipsen •

Predictors of end-of-life decisions in 6 European countries and Australia, oral presentation, 3rd Research Forum of the European Association of Palliative Care (EAPC), Stresa, June 4-6, 2004.

Juriaan Oudhoff •

Wachten op een operatie: de ervaren klachten en problemen van spatader-, liesbreuk-, en galsteenpatienten op de wachtlijst voor een operatie, posterpresentatie, Nederlands Public Health Congres 2003, Amsterdam, 24 april, 2003.

•

Patients’ and doctors’ preferences for maximal acceptable waiting times. A conjoint analysis approach, poster presentation, European Society for Medical Decision Making, Rotterdam, June 7, 2004.

•

Patients’ and doctors’ preferences for maximal acceptable waiting times, voordracht, CaRe onderzoekschooldag, Utrecht, 18 juni, 2004.

•

Maximaal aanvaardbare wachttijden in de chirurgie, voordracht, Invitational conference Maximaal Aanvaardbare Wachttijden, KNMG, Utrecht, 21 juni, 2004.


Final results

122 Hidde van der Ploeg •

Een studie naar de effecten van het stimuleren van een lichamelijke actieve leefstijl voor revalidatie patiënten, poster, Nederlands Public Health Congres, Amsterdam, 24 april, 2003.

•

Stages of change regarding physical activity in rehabilitation patients, poster, American College of Sports Medicine 50th Annual Meeting, San Francisco, US, May 28 - 31, 2003.

•

Revalidatie & Sport: Een lichamelijk actieve leefstijl voor revalidatie patiënten, voordracht, Startconferentie Flash, Velp, 20 november, 2003.

•

Physical activity promotion in rehabilitating patients: an intervention study, voordracht, Eighth International Congress of Behavioral Medicine, Mainz, Germany, August 25-28, 2004.

Mireille van Poppel •

A PACE intervention in Dutch General Practice: feasibility and short-term results, voordracht, XIth European Cognress of Sport Psychology, Copenhagen, Denmark, July 22-27, 2003.

•

Amsterdam- Cambridge-Gent meeting, VUmc, organisator, Amsterdam, 10 november, 2004

Karin Proper •

The effectiveness of the PACE program in occupational health care, oral presentation, 8th International Congress of Behavioral Medicine, Mainz, August, 2004.

•

Effectiveness of worksite physical activity – a review, lecture, NIVA course, Ergonomic Intervention Research for Musculoskeletal Health, Hotel Smygehus, Malmö, Sweden, 22 maart, 2004.

David Rebergen •

Variation within and between study populations improves external validity of performance indicators, poster presentation, International Summit on Quality Indicators, RAI Amsterdam, October 18-19, 2004.

•

Is an employee with mental health problems better off with guidance by an occupational physician or a psychologist? poster presentation, International Congres Behavioral Medicine, Mainz, August 25-28, 2004.

•

Adherence to guideline on mental health problems by Dutch occupational physicians lags behind its high acceptance, poster presentation, International Congres Behavioral Medicine, Mainz, August 25-28, 2004

•

Het effect van de NVAB-richtlijn ‘Handelen van de bedrijfsarts bij werknemers met psychische klachten’, posterpresentatie, Nederlands Congres Volksgezondheid 2003, Rotterdam, Nederland, 14 april, 2003.

Carry Renders •

Prevalentie, signalering en preventie van overgewicht en obesitas bij kinderen, voordracht op uitnodiging, voorjaarsconferentie GGD Nederland, Nieuwegein, 27 maart, 2003.

•

Preventie van overgewicht en obesitas bij kinderen in Nederland en Amsterdam, voordracht op uitnoding, voor de gemeente Amsterdam ter ondersteuning van implementatie van het JUMP-IN project 10 juni, 2003.

•

Overgewicht bij volwassenen en kinderen in Nederland, voordracht op uitnodiging, conferentie in Bodegraven over de aanpak van overgewicht en obesitas in de regio, 26 juni, 2003.

•

Which interventions are efficient to improve the management of type 2 diabetes in primary care?, invited speaker, International Diabetes Congress, Paris, 24th –29th of August, 2003

•

Overgewicht en tv-kijken, voordracht op uitnodiging, congres Kindergeneeskunde, 5-6 november, 2003.


Final results

123 •

Preventie van overgewicht en obesitas bij jeugdigen in brede zin, voordracht op uitnodiging, Nederlandse Diabetesdagen, 28-29 november, 2003.

•

Overgewicht bij kinderen, voordracht VU-podium, Hogeschool Windesheim, 13 april, 2004.

•

Bijeenkomst van de G30 op 31 augustus te Utrecht, over overbruggingsplan en wat het KCO voor de G30 kan betekenen, voordracht, congres voor praktijkondersteuners Ede, 16 november 2004.

•

Workshop Jaarcongres Platform Jeugdgezondheidszorg “Hoe eerder hoe beter?”, over het Signaleringsprotocol, voordracht, Nieuwe Buitensociëteit Zwolle,13 december, 2004.

Mette Rurup •

Palliative care for people who suffer from the consequences of old age and have developed a wish to die, lecture, 3rd Research Forum of the European Association of Palliative Care (EAPC), Stresa, June 4-6, 2004.

Amika Singh •

Development of a school-based intervention to improve diet and physical activity in adolescents, in order to maintain energy balance, poster presentation, Prevention of Obesity - the global approach, Stockholm, Zweden, May 26–28, 2003.

•

Development of a school-based intervention to improve diet and physical activity in adolescents, in order to maintain energy balance, poster presentation, 12th European Congres on Obesity, Helsinki (Finland), May 29-June 1, 2003.

•

NHS-NRG interventies: preventie van gewichtstoename bij scholieren, jongvolwassenen en pas gepensioneerden, voordracht binnen het symposium Preventie van Gewichtsstijging: Nederlands Research Programma Gewichtsbeheersing (NHS-NRG), Nederlands Congres Volksgezondheid, Rotterdam, 14-15 april, 2004.

•

Development of a school-based intervention to improve diet and physical activity in adolescents, in order to maintain energy balance, poster presentation, 3rd Annual Meeting of the International Society of Behavioral Nutrition And Physical Activity, Washington, June, 2004.

•

Mass media, internet and pc: Curse or Blessing for our Youth?, invited speaker, EU-conference: Young people’s lifestyles and sedentariness, Essen (Germany), June 4-5, 2004.

•

Development of a school-based intervention to improve diet and physical activity in adolescents, in order to maintain energy balance, poster presentation, ICBM - International Congress of Behavioral Medicine, Mainz (Germany), August, 25-28, 2004.

Paulien Slottje •

De gezondheid van hulpverleners en hangarmedewerkers ruim 8 jaar na de Vliegramp Bijlmermeer. Eerste resultaten van het Medisch Onderzoek Vliegramp Bijlmermeer-Epidemiologie (MOVB-E), voordracht, 28e jaarlijkse WEON, Rotterdam, 19-21 Juni, 2003.

•

Long-term physical symptoms without laboratory abnormalities in workers occupationally involved in an air disaster. Epidemiological Study Air Disaster Amsterdam, lecture, Fifteenth Annual Conference of the International Society of Epidemiology (ISEE), Perth, Western Australia, September 24-26, 2003.

•

Patterns Of Long-term Physical Symptoms After Disaster Work, lecture, Sixteenth Annual Conference of the International Society of Epidemiology (ISEE), New York City, Unites States of America, August 1-4, 2004.

•

Esther van Sluijs


Final results

124 •

Het effect van leefstijlinterventies gebaseerd op de fase van gedragsverandering in de huisartspraktijk, een literatuurstudie, voordracht, Nederlands Public Health Congres 2003, Amsterdam, 24 april, 2003.

•

Het stimuleren van lichamelijke activiteit in de huisartspraktijk: is dit haalbaar en uitvoerbaar?, voordracht, NHG-wetenschapsdag, Arnhem, 16 mei, 2003.

•

The effect of stage-based lifestyle interventions in primary care, poster presentation, ACSM Annual Meeting, San Fransisco, USA, May 28-31, 2003.

•

The effect of a PACE-intervention in general practice on patients’ level of physical activity, invitational presentation, ECSS Annual Meeting, Salzburg, Austria, July 9-12, 2003.

•

The effect of stage-based lifestyle interventions in primary care, poster presentation, ISBNPA 2003, Meeting, Quebec, Canada, July 17-20, 2003.

•

Physical activity promotion in general practice: the Dutch PACE-project, invitational oral presentation in Dutch, GALM symposium, Groningen, Netherlands, November 7, 2003.

•

Positive changes in determinants of physical activity as a result of a tailored, general practice-based physical activity intervention, poster presentation, 40th Anniversary of Dutch Heart Foundation, Leiden, April 15, 2004.

•

The effect of physical activity measurements on subjects’ physical activity behaviour, oral presentation, ECSS Annual Meeting, Clermont-Ferrand, France, July 3-6, 2004.

•

Physical activity measurements effect subjects’ physical activity behaviour, poster presentation, Eighth International Congress of Behavioural Medicine, Mainz, Germany, August 25-28, 2004.

•

Positive changes in determinants of physical activity as a result of a tailored, general practice-based physical activity intervention, poster presentation, Eighth International Congress of Behavioural Medicine, Mainz, Germany, August 25-28, 2004.

Marc Soethout •

Beroepsbeeld en waardering beroepsaspecten 1e jaars geneeskunde studenten, voordracht, NVMO congres, Egmond aan Zee, 20-21 november, 2003.

•

Biography of medical students and preferences for medical specialties in the Netherlands, oral presentation, AMEE conference, Edinburgh, September 5-8, 2004.

•

Preference of medical students for a career in general practice, oral presentation, Ottawa conference Barcelona, July 6-8, 2004.

Jenny van der Steen •

Predictoren voor overlijden na een pneumonie bij psychogeriatrische verpleeghuispatienten, voordracht op uitnodiging, Commissie nascholing van de Vereniging van verpleeghuiszorg Zuid Holland Noord, verpleeghuis Overrhyn, Leiden, 12 juni, 2003.

•

Dimensions of end-of-life decision making in withholding antibiotics in pneumonia patients with dementia, posterpresentation, 56th Annual Scientific Meeting of the Gerontological Society of America, San Diego, USA, November 23, 2003.

•

“Nursing home care in the Netherlands,” Grand Rounds.Grand Rounds, invitational presentation, (together with Margaret R. Helton), Department of Family Medicine, University of North Carolina at Chapel Hill, US, October 25, 2004.

•

“Nursing home care in the Netherlands,” Geriatric Lecture, Geriatric Lecture, invitational presentation, (together with Margaret R. Helton), University of North Carolina Hospital, Chapel Hill, US, October 27, 2004.


Final results

125 Ivan Steenstra •

Prognostic factors for duration of sick leave in patients sick listed with acute low back pain, a systematic review of the literature, workshop presentation, 7th Low Back Forum for Primary Care, Edmonton, Canada, October, 2004.

•

Graded activity for workers on sick leave due to low back pain, results of a trial, oral presentation, 5th Int. Scientific Conference on Prevention of Work-related Musculosketal Disorders, Premus, Zurich, July, 2004;.

•

Interventieprogramma's bij verzuim; levert meer doen ook meer op?, workshop presentatie, 2e Nationale rugcongres, 9 oktober, 2003.

Suzanne Stomp- van den Berg •

Werkhervatting na de bevalling: Effectiviteit van een eerste contact van de leidinggevende met een werkneemster tijdens haar zwangerschapsverlof op ziekteverzuim en WAO-instroom postpartum, poster presentatie, Nederlands Public Health Congres - V&W/NVAG congres, Amsterdam, 24 april, 2003.

Danielle Timmermans •

Symposium Genetica en Public Health: informatie, communicatie en educatie, organisator, Netherlands Public Health Congress, Amsterdam, April, 2003.

•

Introductie: Genetica, risicoinformatie en besluitvorming, oral presentation, Symposium Genetica en Public Health: informatie, communicatie en educatie, Netherlands Public Health Congress, Amsterdam, April, 2003.

•

Informed consent and the offer of prenatal screening, invitational presentation, CaRe onderzoeksschooldag, Amsterdam, 13 juni, 2003.

•

Being at risk: the communication and perception of genetic risks, invitational presentation, Research Conference on Subjective Probability, Utility and Decision Making, Zurich, August 25-27, 2003.

•

Different formats for communicating surgical risks to patients and the effect on choice of treatment, oral presentation, ISMDM Swansea, UK, September 14-15, 2003.

•

Communicatie en perceptie van risico’s bij prenatale screening, voordracht op uitnodiging, Symposium Stichting Prenatale Screening Noord-West Nederland, Onze Lieve Vrouwe Gasthuis, Amsterdam, 10 februari, 2004.

•

Being at risk, communicatie en perceptie van genetische risico’s, voordracht op uitnodiging, MAG-CMSB Leiden, 9 maart, 2004.

•

Communicatie en perceptie van risico’s, voordracht op uitnodiging, Medische Psychologie, AMC, Amsterdam, 20 maart, 2004.

•

Communicatie en perceptie van risico’s, voordracht op uitnodiging, Lucas Ziekenhuis, Afdeling Gynaecologie, Amsterdam, 21 maart, 2004.

•

Perceptie van risico’s van vaccinatie door ouders: waargenomen kwetsbaarheid en controle, voordracht, Nederlands Congres Volksgezondheid, Rotterdam, 14-15 april, 2004.

•

Being at risk: communication and perception of genetic risks, oral presentation, Symposium Psychosocal and ethical issues in genetics, Conference Psychology and Health, Kerkrade, 10-12 mei, 2004.

•

Perceived vulnerability, perceived control and parents' appraisal of the risks of vaccination, oral presentation, Biennial meeting European Society for Medical Decision Making, oral presentation, Rotterdam, 6-8 juni, 2004.


Final results

126 •

Psychology of decision making, course given at the Biennial meeting European Society for Medical Decision Making, Rotterdam, 6-8 juni, 2004.

•

Maximaal aanvaardbare wachttijden in de chirurgie. Presentation (together with Juriaan Oudhoff), Invitational conference KNMG, Utrecht, 21 juni, 2004.

•

Risico’s in balans. Communicatie en perceptie van risico’s bij prenatale screening, voordracht op uitnodiging, Boerhaave cursus Prenatale Diagnostiek, Leiden, 24 juni, 2004.

Jannique van Uffelen •

Project FACT: The effect of physical activity and vitamin supplementation on cognitive functioning and psychosocial health of older persons with mild cognitive impairment, poster presentation, Third Conference on Hyperhomocysteinemia, Saarbruecken, Germany, April 11-12, 2003.

•

The effects of physical activity and vitamin B supplementation on cognitive functioning and psychosocial health of older persons with mild cognitive impairment, posterpresentatie, Fourth European Congress on Nutrition and Health in the Elderly, Toulouse, France, November 4-5, 2004.

Evert Verhagen •

Oefentoltraining: preventie of behandeling?, voordracht op uitnodiging, Jaarcongres Koninklijk Nederlands Genootschap voor Fysiotherapie. Den Haag, 5-7 November, 2004.

•

Strategien in der Sportunfallverhütung, invited speaker, Dreiländerkongress, Sport – mit Sicherheit mehr Spass, Magglingen Switzerland. September 20-22, 2004.

•

The effect of a proprioceptive balance board training program for the prevention of ankle sprains; a prospective controlled trial’, invited speaker, 3rd Annual Groningen Sports Symposium. UMC, Groningen, 31 januari, 2004.

•

The effect of a proprioceptive balance board training program for the prevention of ankle sprains; a prospective controlled trial, invited speaker, Annual congress European College of Sports Sciences, Salzburg, Austria, July 9-12, 2003.

Gerrit van der Wal •

Genetica en Public Health in 2005, voorzitter symposium, Amsterdam, 30 januari, 2003.

•

Palliatieve zorg: waar staat de verpleegkundige?, voorzitter en inleiding gelijknamig symposium, Amsterdam, 18 februari, 2003.

•

State of the art: de geintegreerde benadering van onderzoek, onderwijs en zorginnovatie, voordracht op uitnodiging, symposium Nieuwe ontwikkelingen in de palliatieve zorg, IKA, Amsterdam, 25 maart, 2003.

•

End of life decisionmaking in the Netherlands and five other European countries, invited lecture, international symposium Art of healing of the pain and suffering, Warsaw, Poland, May 15-16, 2003.

•

End of life decisions, invited lecture, European Society for Medical Oncology Summer Educational Conference, Edinburgh, Scotland, June 21, 2003.

•

The ethics of Decision-making about the End of Life, expert meeting International Forum for Biophilosophy, Rome, Italy, September 21, 2003

•

Choices of ending life, medical practice in the Netherlands and Europe, invited lecture, international congress Decisions of ending life, Intensive care and Euthanasia in Europe: real social-cultural confrontations, Rome, Italy, September 22, 2003.


Final results

127 •

Onderzoek en beleid in de palliatieve zorg, voordracht op uitnodiging, symposium Keuzen aan het sterfbed, Amsterdam, 3 oktober, 2003.

•

Besluitvorming aan het einde van het leven, feiten en trends, voordracht op uitnodiging, symposium Kan ik mijn dood aan u toevertrouwen, Haarlem, 7 oktober 2003.

•

Euthanasie en hulp bij zelfdoding door huisartsen: 1990 tot 2002, voordracht op uitnodiging, cursus Ontwikkelingen in de geneeskunde, Rotterdam, 30 oktober, 2003.

•

Verbeteringen in onderwijs in palliatieve zorg, voordracht op uitnodiging, invitational conference Palliatieve zorg: uw advies voor de toekomst, Utrecht, 16 januari, 2004.

•

Dilemma’s en uitdagingen voor artsen M&G, forumdiscussie, congres Sociale Geneeskunde in de 21e eeuw, Utrecht, 23 januari, 2004.

•

Physician assisted death: the Dutch experience, invited lecture, IX Congresso Societa Italiana di Psicopatologia, Roma, Italia, February 26, 2004.

•

L’esperienza Olandese sull’euthanasia, invited lecture and round table discussion Diritto alla morte, Diritto alla vita, IX Congresso Societa Italiana di Psicopatologia, Roma, Italia, February 27, 2004.

•

Het transmurale landschap, voordracht op uitnodiging, symposium Verplegen zonder grenzen, Amsterdam, 11 mei, 2004.

•

Experiences with research into end of life decisionmaking, invited lecture, meeting Commissione Regionale di Bioetica Toscana, Sienna, Italia, May 14, 2004.

•

Il significanto di Eureld nel contesto europeo, la situazione olandese e il caso della sedazione terminale, invited lecture, conference Rispetto per il morire, Firenze, Italia, May 15, 2004.

•

Stervensbegeleiding en de rol van zorgverleners en behandelaars, openingsvoordracht en voorzitter, congres Zorgen rondom het levenseinde, Ede, 8 juni, 2004.

•

The practice of euthanasia in the Netherlands, invited lecture, expertmeeting European Group on Ethics in Science and Technologies to the European Commission, Den Haag, 17 november, 2004.

•

Professioneel en betrokken, psychosociale behoeften en zorg in de laatste levensfase, voordracht op uitnodiging, conferentie Agora, Utrecht, 8 december, 2004.

Marjan Westerman •

Using a then-test approach and Seiqol-DW to measure response shift, poster presentation, Conference of the European Health Psychology Society, Kos, Greece, September 24-27, 2003

•

Using Seiqol-DW to measure response shift, oral presentation, Annual Conference of rhe International Society for Quality of Life Research, Prague, Czech-Republic, November 12-15, 2003.

•

Measuring Response Shift in Quality of Life in palliative treatment of small-cell lung cancer patients, poster presentation, 3th Research forum European Association for Palliative Care, Stresa, Italy, June 3-6, 2004.

•

Eliciting cues in palliative treatment of small-cell lung cancer patients, oral presentation 3th Research forum European Association for Palliative Care, Stresa, Italy, June 3-6, 2004.

•

Response Shift in Quality of Life treatment of small-lung cancer patients, oral presentation, Annual Conference of the International Society for Quality of Life Research, Hong Kong, China, October 16-19, 2004.

•

Marieke van Wier

•

Aspecten van voeding bij het ontstaan van overgewicht, voordracht, Nederlands Public Health Congres, Amsterdam, 24 april, 2003.


Final results

128 •

ALIFE@Work: Amsterdam Lifestyle Intervention on Food and Exercise at Work, poster presentation, Third Annual Conference of the International Society of Behavioral Nutrition and Physical Activity, Washington, United States, June 10–13, 2004.

•

Behavior Change in the ALIFE@Work project, oral presentation, Body@Work meeting, Amsterdam, June 16, 2004.

Functions and activities Han Anema •

Member of the ‘Return-to-Work Outcomes working group’ established by Liberty Mutual Research Institute, in Hopkinton, Massachusetts, USA.

•

Member of the international working group 'Intervention for return-to-work and workplace health promotion for sustainable work ability' initiated by Saltsa and National Centre for Work and Rehabilitation in Sweden.

•

Advisor, CIHR-grant application in Canada 'Building a multinational evidence-based model for early management of work disability for musculoskeletal disorders in North American and European countries'.

•

Reviewer voor Occ Environ Med and for Family Practice.

•

Lid van de NVAB-werkgroep ‘Bedrijfsartsen in de Kliniek’ (BAK).

•

Lid van de stuurgroep van het 'Programma ter versterking van de kennis- en onderzoeksinfrastructuur van arbodiensten' (KIS).

•

Lid van de adviescommissie, geïnitieerd door de NVAB en CVZ voor projecten ter bevordering van de arbocuratieve samenwerking.

Geertje Ariëns •

Wetenschappelijk secretaris van de commissie Onderzoek Arbeids- en Bedrijfsgeneeskunde van de Raad voor Gezondheidsonderzoek (RGO).

Allard van der Beek •

Bestuurslid Vereniging voor Bewegingswetenschappen Nederland (VvBN).

•

Referent tijdschriften: Tijdschrift voor Sociale Gezondheidszorg, Scandinavian Journal of Work, Environment & Health, Occupational and Environmental Medicine, Journal of Occupational and Environmental Medicine, Pain, Ergonomics, International Journal of Industrial Ergonomics, Applied Ergonomics, en International Journal of Behavioral Medicine.

•

Lid International Advisory Board of Scandinavian Journal of Work, Environment & Health.

•

Lid Editorial Board of European Journal of Applied Physiology.

•

Lid Scientific Committee of the 2nd International Conference Exposure Assessment ‘X2004’.

•

Lid Advisory Board of the 5th International Scientific Conference ‘PREMUS 2004’.

•

Lid Supervisory Board (treasurer) of the 16th Congress of the International Ergonomics Association ‘IEA 2006’.

•

Lid Regional Program Committee of the 16th Congress of the International Ergonomics Association ‘IEA 2006’.

•

Lid Scientific Committee ‘Musculoskeletal Disorders’, International Commission on Occupational Health (ICOH).


Final results

129 •

Lid Scientific Committee ‘Epidemiology’, International Commission on Occupational Health (ICOH).

•

Lid COST B13 Working Group on Prevention of Low Back Pain, European Union.

•

Lid oppositie van Mogens Theisen Pedersen bij verdediging van PhD thesis entitled ‘Exercise and workrelated musculoskeletal disorders in neck, shoulders and low back’, Copenhagen, November 26, 2003.

•

Voorzitter van de Raad van Advies van het Lectoraat & Kenniskring Arbeid en Gezondheid, Hogeschool van Arnhem en Nijmegen.

•

Lid consensusgroep ‘Arbeidsgerelateerdheid lage rugklachten’, Nederlands Kenniscentrum Arbeid en Klachten Bewegingsapparaat.

•

Lid expertgroep ‘Aandoeningen van het houding- en bewegingsapparaat’, Nederlands Centrum voor Beroepsziekten.

Birgit Blatter •

Lid adviesraad RSI patiënten vereniging.

Paulien Bongers •

Editor Applied Ergonomics (2003).

•

Lid International advisory board Scandinavian Journal Work Environment and Health.

•

Lid adviesraad Tijdschrift voor Gezondheidswetenschappen.

•

Adviseur richtlijn commissie voor de NVAB richtlijn klachten nek, arm, schouder.

•

Adviseur richtlijn voor de richtlijn Fysiotherapie voor klachten, arm, nek, schouder.

•

Lid International advisory committee for the organisation of the 5th International Scientific Conference on Prevention of Work-Related Musculoskeletal Disorders.

Anneke Bulk-Bunschoten •

Lid van Van Wiechencommissie (ontwikkelingsonderzoek in de JGZ).

•

Lid Oranjewoudcommissie AJN.

•

Lid symposiumcommissie Integrale JGZ/AJN.

•

Redactielid Lacta Magazine.

•

Als stafarts Amsterdam Thuiszorg: implementatie standaard JGZ, scholing vaccinatie en scholing voedingsovergevoeligheid.

•

Medewerking gegeven aan vergelijking tussen opsporing en vroegbehandeling in zes westerse landen t.b.v. UCLA, University California. Developmental Assessment and Services for Language Delay.


Final results

130 Marijke Chin A Paw •

Referent: Journal of Aging and Physical Activity, British Journal of Sports Medicine, Journal of Science and Medicine in Sport, Canadian Medical Association Journal, International Journal of Behavioral Medicine.

•

Lid Editorial board van The Journal of Science and medicine in sport.

Luc Deliens •

Lid Strategische Beleidsgroep VUmc Expertisecentrum Palliatieve Zorg.

•

Voorzitter Werkgroep Onderzoek VUmc Expertisecentrum Palliatieve Zorg.

•

Lid Adviesraad Palliatieve Zorg, Integraal Kankercentrum Amsterdam.

•

Adviseur LEIF-artsen opleiding, Wemmel, België.

•

Voorzitter Onderzoeksgroep Zorg rond het Levenseinde, Vrije Universiteit Brussel, België.

•

Referent voor: Palliative Medicine, Journal American Geriatric Society, (Belgisch) Tijdschrift voor Geneeskunde.

Liddewij Henneman •

Secretaris Nederlandse Associatie voor Community Genetics.

•

lid landelijke werkgroep Preconceptie Consultatie (PCC).

•

lid commissie Maatschappelijke Aspecten van Genomics Onderzoek van het Centre for Medical Systems Biology (MAG-CMSB).

•

Referent: Tijdschrift voor Gezondheidswetenschappen, Journal of Clinical Epidemiology.

Vincent Hildebrandt •

Member of Commission on Health and Nature of the Dutch Health Council.

Remy Hira Sing •

Hoofdredacteur Tijdschrift Jeugdgezondheidszorg.

•

Redacteur Praktijkboek Jeugdgezondheidszorg.

•

Voorzitter Kenniscentrum Bedplassen.

•

Voorzitter Kenniscentrum Overgewicht.

•

Reviewer voor Nederlands Tijdschrift voor Geneeskunde, Diabetes Medicine, European Journal of Public Health.

•

Voorzitter Stichting Tamarinde.

•

Lid college Jeugd van de Landelijke Vereniging Thuiszorg.

•

Lid Projectgroep Jeugd van GGD-Nederland.

•

Lid Commissie Eerstelijnsgezondheidszorg van de Gezondheidsraad.

•

Voorzitter Wetenschappelijke Commissie van de Vereniging Artsen Jeugdgezondheidszorg Nederland.

•

Bestuurslid Nederlands SignaleringsCentrum Kindergeneeskunde.

•

Lid Jeugdgezondheidszorg Adviesraad Standaarden (JAS).

•

Lid visitatiecommissie Sociale Pediatrie NVK.

•

Gezondheidsraadcommissie ten behoeve van: Primary Health Care, Astma, allergie en omgevingsfactoren

•

Voorzitter van het Kenniscentrum Overgewicht.

Lando Koppes


Final results

131 •

Bestuurslid Stichting Gezondheid in Beweging.

•

Referent: Journal of Physical Activity & Health.

Frank van Leerdam •

Secretaris KennisCentrum Bedplassen.

•

Redacteur Tijdschrift Jeugdgezondheidszorg.

•

Lid Klankbordgroep Eenheid van Taal, Platform Jeugdgezondheidszorg.

•

Lid Expertmeeting visieontwikkeling Jeugdgezondheidszorg, Platform Jeugdgezondheidszorg.

•

Extern referent voor de NHG-Standaard slechthorendheid, 1e herziening.

•

Lid consensusprocedure “Definitie en operationalisatie van chronische ziekten bij kinderen” Emma Kinderziekenhuis AMC in opdracht ministerie van Sociale Zaken en Werkgelegenheid.

Willem van Mechelen •

Member of the 'Lifestyle'-committee of the Dutch Association of Occupational Physicians.

•

Member of the scientic committee of BOA/STECR.

•

Member of the scientific advisory board of ArboNed B.V..

•

Chairman Dutch Association of Human Movement Sciences.

•

Member of the following ZonMw committees: Commissie VIDI, Subcommissie DoelmatigheidOnderzoekEffecten en Kosten , Programmacommissie Sociaal-Medische Begeleiding, Commissie Gezond Leven, Werkgroep Onderzoek Gezond Leven, Commissie Onderzoeksprogramma Chronisch Zieken Deelprogramma Epidemiologie, Commissie Onderzoeksprogramma Chronisch Zieken - Deelprogramma Arbeidsgebonden Problematiek.

Mireille van Poppel •

Lid van de redactieraad 'Arts & Arbeid'.

•

Referent JAMA, British Journal of Sports Medicine, Occupational and Environmental Medicine, Scandinavian Journal of Work, Environment & Health, BioMed Central, Tijdschrift voor Gezondheidswetenschappen.

•

Referent van wetenschappelijke subsidie-aanvragen voor diverse programma's van ZonMw en voor the Workplace Safety & Insurance Board Research Advisory Council, Canada.

•

Lid van het lokale organisatiecomité Nederlands Public Health Congres 2003.

•

Lid van de Editorial Board van Journal of Science and Medicine in Sport.

Amika Singh •

Docent bij de Socrates Master’s Intensive Course in Clermont Ferrand, 6-12 mei, 2003. Lecture: Intervention Strategies Enhancing Physical Activity in Children and Adolescents.

•

Docent bij de Socrates Master’s Intensive Course in Lissabon, 3-13 mei, 2004.

•

Lecture: Intervention Strategies Enhancing Physical Activity in Children and Adolescents.

Tjabe Smid •

Lid van de Gezondheidsraad.

•

Voorzitter Raad van Advies Nederlandse Vereniging voor Arbeidshygiëne.

Marc Soethout •

Secretaris IOSG.


Final results

132 •

Lid onderwijscommissie KAMG.

•

Lid onderwijscommissie NVAG.

•

Lid begeleidingscommissie AMG-opleiding.

•

Lid projectgroep herformulering opleidingseisen CSG.

•

Lid projectgroep modernisering CSG.

Ivan Steenstra •

Secretaris Interessegroep Arbeid Vereniging voor Bewegingswetenschappen Nederland.

•

Referent Occupational and Environmental Medicine.

Carry Renders •

Coördinator Kenniscentrum Overgewicht.

•

Lid Platform Kenniscentrum Overgewicht.

Danielle Timmermans •

Lid van Gezondheidsraadscommissie “Voorzorg en volksgezondheid” (2004 ….)

•

Lid van International Consensus on Standards for Developing and Evaluating Patient Decision Aids (with

•

researchers from the UK, Australia, Canada, USA, The Netherlands, Belgium).

•

President “European Association for Decision Making” 2003-2005.

•

Associate Editor Risk Decision Policy.

•

Medeorganisator bijeenkomst Landelijk Forum Medische Besliskunde.

•

Betrokken bij Congres European Society Medical Decision Making, juni 2004, Rotterdam.

•

Medeoprichter Landelijke Werkgroep Risicocommunicatie (LWR).

Evert Verhagen •

Lid ‘commissie wintersport & gezondheid’ van de Nederlandse Skivereniging.

•

Lid ‘Platform sportblessures’ van Stichting Consument & Veiligheid.

Gerrit van der Wal •

Lid programmacommissie chronisch zieken NWO, en vice-voorzitter programmacommissie Evaluatie wet- en regelgeving ZonMw.

•

Lid Raad van Toezicht Zaans Medisch Centrum Zaandam.

•

Programmaleider COPZ – Amsterdam en voorzitter van onderzoek – en onderwijsgroep van de gezamenlijke COPZ-en.

•

Redactuur Nederlands Tijdschrift voor Geneeskunde.

•

Referent Nederlands Tijdschrift voor Geneeskunde, Quality and Safety in Health Care, Medical Journal of Australia, Patient Education and Counseling, Palliative Medicine, British Medical Journal.

•

Vice-decaan, lid Raad van Advies, voorzitter begeleidingscommissie opleiding Forensische Geneeskunde NSPOH.

•

Vice-voorzitter College voor Sociale Geneeskunde.

•

Voorzitter Interfacultair (hoogleraren) Overleg Sociale Geneeskunde (IOSG).

•

Voorzitter van enkele begeleidingscommissies van NWO/ZON-projecten.

•

Voorzitter kamer Sociale Geneeskunde Capaciteitsorgaan.


Final results

133

Colophon Inge van der Leden, Mireille van Poppel, Marc Soethout, Gerrit van der Wal

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