This thesis provides a report on research aimed at enhancing treatment of patients with bipolar disorder. We describe various aspects of treatment of bipolar disorder. The central study reported in this thesis is an effect study of a multicomponent intervention, Collaborative Care. Chapter 1 describes …

A substantial proportion of chronic disease patients do not respond to self-management interventions, which suggests that one size interventions do not fit all, demanding more tailored interventions. To compose more individualized strategies, we aim to increase our understanding of characteristics associated …

Abstract Background: Integrated disease management with self-management for Chronic Obstructive Pulmonary Disease (COPD) is effective to improve clinical outcomes. eHealth can improve patients’ involvement to be able to accept and maintain a healthier lifestyle. Eventhough there is mixed evidence of …

In the Netherlands an innovative programme for early detection of chronic obstructive pulmonary disease (COPD) in primary care among patients aged 40–70 years has been evaluated in both an effect study and a pilot implementation study. Health-care providers identified four obstacles for successful implementation …

Background: Changes in reimbursement have been compelling for Dutch primary care practices to apply a disease management approach for patients with chronic obstructive pulmonary disease (COPD). This approach includes individual patient consultations with a practice nurse, who coaches patients in COPD …

Achtergrond: Fysiotherapie is een belangrijk onderdeel van de multidisciplinaire behandeling van patiënten met COPD. De fysiotherapeutische behandeling kan zich richten op de kortademigheid, het verminderde activiteitenniveau, de verminderde perifere spierkracht en de verminderde inspanningscapaciteit. …

Aanleiding: Er bestaan tegenstrijdige visies over de interventie omtrent training intensiteit om de kwaliteit van leven te verbeteren en fysieke activiteit te trainen van COPD patiënten met GOLD III/IV. Het hoofddoel van deze review is te analyseren of intervaltraining hetzelfde effect bereikt als duurtraining. …

OBJECTIVE: Ever since Engel's Biopsychosocial Model (1977) emotions, thoughts, beliefs and behaviors are accepted as important factors of health. The Brief Illness Perception Questionnaire (Brief IPQ) assesses these beliefs. Aim of this study was to cross-culturally adapt the Brief IPQ into the Brief …

Patients with chronic obstructive pulmonary disease (COPD) are often limited in their daily physical activity. However, the level, type and intensity of daily physical activity are not known, nor there is a clear insight in the contributing factors. The aim of this review is to describe daily physical …

Doelstelling: Fysiotherapie speelt een belangrijke rol in de evaluatie en behandeling van kortademigheid, verminderde inspanningscapaciteit en een verminderd activiteitenniveau in het dagelijks leven. Er zijn verschillende trainingsvormen. Het doel van dit artikel is om door middel van een literatuurstudie …