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 …

Although first-time parents have a great need for effective support in the first challenging years of child upbringing, there is little research on volunteer-led parenting support programs in the context of the transition to parenthood. Therefore, this qualitative study examined the perceived value and …

As the global population continues to age, maintaining the physical performance and independence of older adults has become a critical public health concern. Population ageing describes a simultaneous increase in the number of older adults and the growth of the oldest- old demographic, which poses substantial …

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 …

Background and Aim. In the Dutch healthcare sector, staff shortages coinciding with an increased care demand due to an aging population, have become a pressing issue. In many hospitals, staff work part-time, workloads and absenteeism are growing, and staff are leaving. The Dutch facility management (FM) …

Background and aim. To improve the indoor environmental quality (IEQ) in schools, the Dutch government issued a program of requirements (PoR) “Fresh Schools”. This study aims to determine the effect of adopting class A (high IEQ) or B (moderate IEQ) of this PoR on students’ comfort and performance. Requirements …