Publications by authors named "A Bouma"

Background: Although the prescription of physical activity in clinical care has been advocated worldwide, in the Netherlands, "Exercise is Medicine" (E = M) is not yet routinely implemented in clinical care.

Methods: A set of implementation strategies was pilot implemented to test its feasibility for use in routine care by clinicians in 2 departments of a university medical center. An extensive learning process evaluation was performed, using structured mixed methods methodology, in accordance with the Reach, Effect, Adoption, Implementation, and Maintenance framework.

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Purpose: A lifestyle front office (LFO) in the hospital is a not yet existing, novel concept that can refer patients under treatment in the hospital to community-based lifestyle interventions (CBLI). The aim of this study was to identify implementation barriers and facilitators regarding the implementation of an LFO in the hospital from the perspective of CBLI-professionals and to develop evidence-based implementation strategies to reduce these identified barriers.

Methods: We conducted semi-structured interviews until data saturation, with 23 lifestyle professionals working in the community.

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Background: To better understand physical activity behavior and its health benefits in people living with health conditions, we studied people with and without 20 different self-reported health conditions with regard to (1) their physical activity levels, (2) factors correlated with these physical activity levels, and (3) the association between physical activity and all-cause mortality.

Methods: We used a subsample (n = 88,659) of the Lifelines cohort study from the Netherlands. For people living with and without 20 different self-reported health conditions, we studied the aforementioned factors in relation to physical activity.

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Membranes offer a scalable and cost-effective approach to ion separations for lithium recovery. In the case of salt-lake brines, however, the high feed salinity and low pH of the post-treated feed have an uncertain impact on nanofiltration's selectivity. Here, we adopt experimental and computational approaches to analyze the effect of pH and feed salinity and elucidate key selectivity mechanisms.

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Article Synopsis
  • A dedicated lifestyle front office (LFO) can enhance patient-centered lifestyle care by connecting healthcare with community-based initiatives, crucial for preventing noncommunicable diseases.
  • The LOFIT study will conduct two randomized controlled trials in the Netherlands focused on patients with (cardio)vascular and musculoskeletal disorders, comparing an intervention group receiving lifestyle coaching to a usual care control group.
  • The primary outcome will measure health risk and lifestyle factors through a composite score, while secondary outcomes will assess various health markers and patient behaviors.
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