People with substance use problems differ in the mechanisms triggering and maintaining substance use, therefore it is necessary to understand personalized mechanisms to discuss these during treatment and choose appropriate strategies to change the substance use behavior. In this project, we aim to use personalized ecological momentary assessment (EMA) and derived statistical models to help […]

For nearly 2.5 million people living in the Netherlands Dutch is not their native language. Among them are many people with whom healthcare providers cannot communicate (optimally) without language support. In this project, a guideline working group consisting of representatives of healthcare and social domain professionals, patients, clients and interpreters is developing a guideline module. […]

The goal of the FamICom project is to gain insight into how doctors communicate with parents of seriously ill children about decisions regarding withholding or withdrawing life-sustaining treatment. By exploring this communication, gaps can be identified and concrete improvements can be made to the process of communication and decision-making with family members of seriously ill […]

This PhD project focuses gathering evidence from healthcare professionals, migrant patients, and patients’ caregivers on the traditional and digital communication strategies used in language discordant consultations for ensuring an effective medical communication while mitigating language barriers. Using these evidence, the aim is to develop and evaluate a (digital) decision-aid for healthcare professionals and patients to […]

Among senior citizens (65+), falls are the leading cause of injuries. Medication is a major risk factor for falls. General Practitioners (GPs) struggle with fall-related medication management for older patients, as they lack tools to assess individualized risks. Furthermore, older patients themselves are not properly equipped to engage in the joint management of their medication. […]

With this project we aim to gain insight into the consequences of cancer patient’s (and their close relatives) online health seeking behavior. In specific, their search for online cancer information. We will study which patients use online health information (their personal, medical and psychological characteristics), how they search for information, when, with which purpose and […]

Over the years, incidence numbers of head and neck cancers, specifically oral cancer, have significantly increased in the Netherlands. Surgery is considered to be the primary treatment of choice followed by radiotherapy. The treatment decision depends on the one hand on the tumor and the recommendation of the treatment team, and on the other hand […]

For adults aged 65 years and older, falls are the leading cause of injury-related mortality and hospitalization. Two risk factors for injurious falls are 1) having experienced a previous fall, which stresses the need to prevent and reduce falls; and 2) the use of certain fall-risk-increasing-drugs (FRIDs). Physicians find FRID withdrawal in older adults often […]

This PhD project aims to develop and evaluate an online value clarification tool (OnVaCT) to clarify patients’ values around end-of-life decisions and support them in the decision to participate (or not) in early phase clinical trials. These trials are experimental treatments in which the safety, tolerance and mechanism of a new (not yet proven) compound […]

This project focuses on how online information should be presented to older cancer patients. In a randomised controlled trial, we investigate the effects of exposure to a website that is tailored to colorectal cancer patients’ mode preferences (offering choices between text only, text with illustrations, video or a combination of these modes) as compared to […]

Good information about a cancer treatment such as chemotherapy, has positive effects on health. Adequate patient education takes different aspects that influence positive health outcomes into consideration. Knowledge, perception of side effects, information and communication needs and the use of information sources play a role in effective patient education. This study is designed to assess […]

The PhD project focuses on communication about and with older (≥70 years) cancer patients. This project focuses on how web-based tools can facilitate (1) communication among healthcare providers to discuss optimal treatment plans for their patients and (2) how to increase the likelihood that health messages will be understood and processed by older cancer patients […]

Older persons with multiple chronic conditions (MCC) face many health-related decisions, for example regarding diagnostic procedures, medication use or invasive treatment. For professionals the care for older persons with MCC is challenging; they experience the limitations of single disease focused guidelines, that do not take into account the complexity of MCC and are sometimes contradictory. […]

Intercultural medical communication is known to be less effective and adequate than intracultural communication. One possible explanation is that the amount of patient participation during medical consultations is lower when doctors and patients have dissimilar ethnic and cultural backgrounds as compared to consultations in which doctors and patients share the same background. Though, it is […]

Turkish migrant patients with insufficient language proficiency in Dutch often take along family members (so-called informal interpreters) to the medical consultation in general practice. However, a recent review study on interpreter-mediated communication in general practice has indicated that there is a dearth of research on interpreter-mediated communication from the perspective of migrant patients themselves. Furthermore, […]

Elderly people with cancer are at increased risk of miscommunication with their caregivers. This risk is even more strongly present in the case of non-Western elderly patients with cancer, due to a combination of linguistic and socio-cultural factors. Both culture-related beliefs about illness, health and communication, as well as a relatively low ‘health literacy’, and […]