Publications by authors named "H B Van de Wiel"
Article Synopsis
- Physicians need to improve their skills in Lifestyle Medicine and embrace their role as Health Advocates, but many patients feel there's no need for lifestyle changes and often don’t discuss this with their doctors.
- A study involving 28 internists revealed that while they recognize the importance of health counseling and promotion (HC&P), they face mixed feelings about their responsibilities owing to various beliefs and systemic barriers.
- The study highlights how confidence in patient motivation and viewing HC&P as integral to treatment can reduce ambivalence among internists, leading to a proposed framework to enhance their Health Advocate competencies.
Objective: To investigate the construct validity of the Steep Ramp Test (SRT) by longitudinally comparing the correlation between maximum short exercise capacity of the SRT and direct measurements of peak oxygen consumption (Vopeak) during or shortly after treatment in patients with breast cancer and the potential effect of chemotherapy-induced symptom burden.
Design: Cross-sectional.
Setting: Multicenter.
Background: We developed an Internet-based physical activity (PA) support program (IPAS), which is embedded in a patient portal. We evaluated the effectiveness and costs of IPAS alone (online only) or IPAS combined with physiotherapist telephone counselling (blended care), compared to a control group.
Methods: Breast or prostate cancer survivors, 3-36 months after completing primary treatment, were randomized to 6-months access to online only, blended care, or a control group.
A bad-news conversation often evokes strong emotions in a patient and those close to her or him. These emotions may inhibit mental processing of additional information. During a bad-news conversation, you should therefore not only provide information, but also help your patient to cope with these emotions and provide support.
View Article and Find Full Text PDFPurpose: This study investigated the effect of the "Screening for Distress and Referral Need" (SDRN) process (completing a screening instrument; patient-caregiver discussion about the patient's responses, regardless of distress level, and possible referral to specialized care), implemented in Dutch oncology practice on patient-reported outcomes (PROs).
Methods: A non-randomized time-sequential study was conducted to compare two cohorts. Cohort 1 respondents (C1) were recruited before and cohort 2 respondents (C2) after SDRN implementation in nine Dutch hospitals.