Anke Lenferink
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Patterns of symptom deterioration can support multimorbidity management in COPD: Perspectives of patients and healthcare professionals Open
Introduction Comorbidities significantly complicate COPD management. Remote monitoring could aid real-time disease and symptom management, assisting both patients with multimorbidity and healthcare professionals (HCPs). This study aimed to…
Consensus-based development and practice testing of a generic quality indicator set for parenteral medication administration at home: a RAND appropriateness method study Open
Objectives Due to nursing shortages, an ageing population and increasing care demand, there is a growing interest in parenteral medication administration at home (PMAaH), comprising the administration of parenteral medication in the home s…
The interplay between symptom deterioration of chronic obstructive pulmonary disease and chronic heart failure Open
On group level, CHF deterioration predicts an increase in next day's COPD symptom score, as well as vice versa. Individual-level associations reinforce the group-level results for COPD provoking CHF symptoms, but not for CHF provoking COPD…
ERS Congress 2024: highlights from the Allied Respiratory Professionals Assembly Open
This article summarises highlights from #ERSCongress including 1) the rapidly advancing use of digital health and AI, 2) keys to effective self-management, and 3) an update on the ongoing debate on race and ethnicity in pulmonary function …
Personalizing Self-Management Interventions in COPD – Looking Beyond One-Size-Fits-All Open
Anke Lenferink,1,2 Marjolein GJ Brusse-Keizer,1,3 Job van der Palen,3,4 Tanja W Effing5,6 1Health Technology and Services Research, Faculty of Behavioural, Management and Social Sciences, Technical Medical Centre, University of Twente, Ens…
Stretching Boundaries: Nurses’ Perceptions on Job Demands and Resources in Hospital Float Pools Open
Background: Float pools are increasingly used in healthcare to enhance staffing flexibility and efficiency. However, the impact of floating on nurses remains underexplored. Challenges may include adjusting to different ward routines and li…
Experiences of nurses working in novel virtual care centres in the Netherlands: a qualitative study Open
Background Virtual care centres (VCCs) are novel wards of hospitals and facilitate the provision of remote monitoring and home-based patient care. Whereas since the COVID-19 pandemic VCCs have rapidly emerged, there is no standardised fram…
Lack of Evidence Regarding Markers Identifying Acute Heart Failure in Patients with COPD: An AI-Supported Systematic Review Open
CRD42022283952.
Exploring Patterns of COPD Exacerbations and Comorbid Flare-Ups Open
Patients with COPD and common comorbidities show a variety of patterns of AECOPDs and comorbid flare-ups. Some patients, however, show repetitive patterns that could potentially be used to improve personalized disease management, if recogn…
Facilitators and Barriers of Adherence to Multi-Disease Exacerbation Action Plans in COPD Patients – A Qualitative Study Open
Whereas exacerbation action plans to self-manage Chronic Obstructive Pulmonary Disease (COPD) significantly improve health outcomes, patients’ adherence to those action plans is often poor. This study aimed to identify facilitators and bar…
Artificial intelligence in systematic reviews: promising when appropriately used Open
Background Systematic reviews provide a structured overview of the available evidence in medical-scientific research. However, due to the increasing medical-scientific research output, it is a time-consuming task to conduct systematic revi…
Evaluation of Exacerbation and Symptom-Free Time in Patients with COPD Open
In clinical practice, clinicians mainly focus on Chronic Obstructive Pulmonary Disease (COPD) exacerbations and symptoms, while patients may prefer to evaluate periods free of COPD exacerbations and deteriorated symptoms. The latter would …
Self-management interventions for people with chronic obstructive pulmonary disease Open
Background Self‐management interventions help people with chronic obstructive pulmonary disease (COPD) to acquire and practise the skills they need to carry out disease‐specific medical regimens, guide changes in health behaviour and provi…
The Effect of Telehealth on Hospital Services Use: Systematic Review and Meta-analysis Open
Background Telehealth interventions, that is, health care provided over a distance using information and communication technology, are suggested as a solution to rising health care costs by reducing hospital service use. However, the exten…
Adherence to an eHealth Self-Management Intervention for Patients with Both COPD and Heart Failure: Results of a Pilot Study Open
Whereas adherence to completing daily diaries was high, advised actions were inadequately followed-up, particularly the action "call the case manager". Inhaled medication adherence was high, but inhalations were poorly performed. Future re…
An Embodied Conversational Agent in an eHealth Self-management Intervention for Chronic Obstructive Pulmonary Disease and Chronic Heart Failure: Exploratory Study in a Real-life Setting Open
Background Embodied conversational agents (ECAs) have the potential to stimulate actual use of eHealth apps. An ECA’s design influences the user’s perception during short interactions, but daily life evaluations of ECAs in health care are …
Does immediate smart feedback on therapy adherence and inhalation technique improve asthma control in children with uncontrolled asthma? A study protocol of the IMAGINE I study Open
Background Many asthmatic children suffer from uncontrolled asthma with frequent exacerbations, despite an optimal treatment plan using inhalation medication. Studies have shown that therapy adherence and inhalation technique are often sub…
An Embodied Conversational Agent in an eHealth Self-management Intervention for Chronic Obstructive Pulmonary Disease and Chronic Heart Failure: Exploratory Study in a Real-life Setting (Preprint) Open
BACKGROUND Embodied conversational agents (ECAs) have the potential to stimulate actual use of eHealth apps. An ECA’s design influences the user’s perception during short interactions, but daily life evaluations of ECAs in health care are …
It is time to further expand research in tailoring self-management of COPD exacerbations! Open
Tailoring self-treatment by adding exacerbation phenotyping could be explored. Evidence on phenotyping effects, an accurate tool to identify eosinophilic exacerbations, and a validated cut-off point are needed before eosinophils can be use…
View article: Exacerbation action plans for patients with COPD and comorbidities: a randomised controlled trial
Exacerbation action plans for patients with COPD and comorbidities: a randomised controlled trial Open
This international randomised controlled trial evaluated whether COPD patients with comorbidities, trained in using patient-tailored multidisease exacerbation action plans, had fewer COPD exacerbation days than usual care (UC). COPD patien…
The role of social support in improving chronic obstructive pulmonary disease self-management Open
KEYWORDS: Chronic obstructive; pulmonary diseaseself-caresocial supportdisease managementsocial relationships
Improving physical activity, sedentary behaviour and sleep in COPD: perspectives of people with COPD and experts via a Delphi approach Open
Background Little is known about how to achieve enduring improvements in physical activity (PA), sedentary behaviour (SB) and sleep for people with chronic obstructive pulmonary disease (COPD). This study aimed to: (1) identify what people…
Peer Review #3 of "Improving physical activity, sedentary behaviour and sleep in COPD: perspectives of people with COPD and experts via a Delphi approach (v0.2)" Open
Background:Little is known about how to achieve enduring improvements in physical activity (PA), sedentary behaviour (SB) and sleep for people with chronic obstructive pulmonary disease (COPD).This study aimed to: 1) identify what people w…
Self-management exacerbation action plans in patients with COPD and common comorbidities: the COPE-III study Open
Chronic Obstructive Pulmonary Disease (COPD) is a chronic progressive lung disease with distressing exacerbations - acute deteriorations in respiratory health - that contribute to impaired quality of life and increased hospitalisations, mo…
Self-management interventions including action plans for exacerbations versus usual care in patients with chronic obstructive pulmonary disease Open
Self-management interventions that include a COPD exacerbation action plan are associated with improvements in HRQoL, as measured with the SGRQ, and lower probability of respiratory-related hospital admissions. No excess all-cause mortalit…