Early identification of the palliative phase in patients with COPD and heart failure remains difficult, often delaying needed care. Since most patients are cared for at home, timely recognition in primary care is crucial. However, screening tools are rarely used, and identification relies on professional …

Objective To determine the association between physical activity (PA; duration and intensity) and patient and clinical outcomes at various measurement occasions post dysvascular major lower limb amputation (LLA). Methods In this multicenter longitudinal observational study, the PA levels of adults who …

This study aimed to develop a measurement instrument of frailty experiences, the Frailty Experiences Scale, in community-dwelling older adults and test its psychometric properties. The process involved three steps: expert sessions (n = 10) to assess face and content validity; think-aloud interviews (n = 5) …

The transition from adolescence to adulthood is a critical phase for young people living with perinatal HIV, who must navigate typical developmental milestones while managing a chronic illness and facing (fear of) societal stigma. This qualitative study explored the lived experiences of Dutch young adults …

Purpose Treatment for locally advanced cervical cancer (LACC), and especially brachytherapy, can be physically and psychologically demanding for patients. The IMPRaCC study (Impact of primary Radiotherapy on the psychosocial well-being of patients with LACC) aimed to investigate risk factors, peak moments …

During and in the aftermath of the COVID-19 crisis older people presented significantly reduced practice of physical activity and social contact and were exposed to several psychological stress factors that negatively affected physical and mental health. To change this for the better, the Erasmus+ project …

This paper presents a conceptual model for creating digital educational games that aim to reduce mathematics anxiety (MA) and promote positive emotional engagement in mathematics education. No empirical data were collected or analyzed; the proposed model is based on a synthesis of theory and empirical …

The fashion industry is among the most polluting sectors worldwide. Each year, more than 92 million tons of textile waste are generated globally, while the number of wears per garment continues to decline. In the Netherlands, on average a person owns approximately 173 clothing items, purchases about …

BACKGROUND: Following a severe burn injury, individuals embark on a lifelong process of managing and integrating the physical, psychological, and social consequences, including functional limitations, fatigue, altered body image, and psychological trauma. To aid in this process, healthcare professionals …

Self-Determination Theory (SDT) has been widely applied in sports coaching research, encompassing both basic psychological need (BPN)–supportive (bright side) and BPN–thwarting (dark side) coaching behaviours. This paper focuses on the bright side by systematically reviewing and meta-analysing SDT-based …