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Research Interests: Health Communication, Health Promotion, Evidence Based Practice, Global Health, Health, and 15 moreHealth Policy, Adolescent, Humans, Child, Europe, Female, Depressive Disorder, Cost effectiveness, Aged, Adult, Communication and media Studies, Curriculum and Pedagogy, Cost of Illness, Disabled Persons, and Health services for the aged
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Preffi is a set of guidelines with items relevant to the effectiveness of health promotion projects, reflecting scientific and practical knowledge. Preffi is used to assess quality at various stages of an intervention, either to... more
Preffi is a set of guidelines with items relevant to the effectiveness of health promotion projects, reflecting scientific and practical knowledge. Preffi is used to assess quality at various stages of an intervention, either to critically evaluate one's own project or to comment on projects proposed by others. This article describes the Preffi model, its scoring method and the systematic, seven-step development process that led to its second version: Preffi 2.0. The draft version of Preffi 2.0 was tested for usefulness among 35 experienced Health Promotion specialists. They gave the instrument an average overall score of 7.7 on a scale of 10. The large majority of them evaluated it as valuable, complete, clear, well-organised and innovative. Users have commented that applying Preffi to a project yields a balanced and useful assessment, as well as a clear overview of points in the project that could be improved.
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The findings of many meta-studies into the effects of health promotion programmes indicate that there is still much room for improvement in the quality of these programmes. Insights gained from research are rarely applied in practice.... more
The findings of many meta-studies into the effects of health promotion programmes indicate that there is still much room for improvement in the quality of these programmes. Insights gained from research are rarely applied in practice. Practitioners and policymakers often find it hard to assess the value of the many and sometimes contradictory research findings, partly because the necessary contextual information is usually lacking. Practical considerations force them to respond to specific problems at short notice in the form of programmes that are as effective as possible. Hence, effective health promotion requires not only the dissemination of effective programmes but also insights into principles of effectiveness and the way professionals use these insights. It is against this background that the Netherlands Institute for Health Promotion and Disease Prevention (NIGZ) has developed and implemented the Preffi instrument. Preffi consists of a set of guidelines with items relevant to the effectiveness of health promotion and prevention projects, reflecting scientific and practical knowledge about effect predictors. This article describes the systematic, seven-step development process of the second version of the instrument, Preffi 2.0, a process in which scientists and practitioners were closely involved throughout. The article also describes the Preffi model and its scoring method. The draft version of Preffi 2.0 was tested for usefulness among 35 experienced practitioners from a range of health promotion institutes. They were asked to use the draft version to assess two project descriptions and to comment on their experiences using Preffi 2.0. They gave the instrument an average overall mark of 7.7 on a scale of 10, and the large majority of them evaluated the instrument as valuable, complete, clear, well-organised and innovative. The findings of this trial implementation were used to construct the definitive version of Preffi 2.0. To an experienced user, applying Preffi to assess a project takes less than an hour. Preffi is used as a diagnostic quality assurance instrument at various stages of a project, either to critically evaluate one's own project or to comment on projects proposed by others. Assessing other people's projects may be difficult if the necessary information is lacking or unclear. A supplementary discussion with the project manager is always required. Users have commented that applying Preffi to a project yields a balanced and useful assessment, as well as a clear overview of points in the project that could be improved.
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The last decade has shown a boom in international networks and projects in health promotion and prevention. The growth of international collaboration is considered to be of crucial importance for the future development of the field.... more
The last decade has shown a boom in international networks and projects in health promotion and prevention. The growth of international collaboration is considered to be of crucial importance for the future development of the field. Several arguments are discussed in support of a further expansion of collaboration across countries and regions. The author criticizes the current lack of effectiveness in international collaboration in health promotion and prevention and identifies main barriers to effective collaboration. To make significant progress in research, evidence-based programs and policies, and their implementation worldwide, the creation of a comprehensive system of functional and effective linkages is needed across the core task areas, across disciplines, across system levels, and across countries and cultures. The quality of prevention and health promotion research as well as its impact on the health of communities depends on the degree to which research institutes and other stakeholders are embedded in an effective network of interorganizational and international relationships capable of performing a broad range of essential and functionally related tasks. It is critical that the dynamics of effective international collaboration become a legitimate subject of prevention and health promotion science.
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Introduction:Children of parents with mental health concerns are at-risk for social-emotional problems. In this study, we assessed whether children with a mild intellectual disability and parents with mental health concerns are... more
Introduction:Children of parents with mental health concerns are at-risk for social-emotional problems. In this study, we assessed whether children with a mild intellectual disability and parents with mental health concerns are particularly at-risk.Method:Strengths and Difficulties Questionnaire (SDQ) reports of children with a mild intellectual disability (N = 55) and their parents with mental health concerns (N = 45) were compared to two comparison groups. The first group included children with average intelligence (N = 13) and their parents with mental health concerns (N = 56), the second group included children with mild intellectual disability (N = 44) and their parents (N = 36).Results:Children with a mild intellectual disability and a parent with mental health concerns show higher total SDQ problem scores and more internalizing and externalizing problems as compared to children in the two other groups.Discussion:Children having mild intellectual disability and parents with mental health concerns are particularly at risk for developing social-emotional problems.
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Research Interests: Philosophy and Humanities
Background: Children of Parents with a Mental Illness (COPMI) are at increased risk of developing costly behavioral disorders. A major risk factor is low parenting quality, which can be improved with preventive basic care management... more
Background: Children of Parents with a Mental Illness (COPMI) are at increased risk of developing costly behavioral disorders. A major risk factor is low parenting quality, which can be improved with preventive basic care management (PBCM). The aim of this study was to assess the cost-effectiveness of PBCM from an inter-sectoral (broad) and health care (narrow) perspective. Methods: Data was used from the SOOPP study, an RCT in which families received PBCM (intervention condition) or consult groups (control condition). Costs were compared with a parenting quality outcome measure (HOME T-score) at 18-month follow-up. Sensitivity analyses included calculating incremental cost-effectiveness ratios based on complete cases and excluding outliers. Findings: Results show a change in cost-effectiveness of PBCM when changing perspective. However, from both perspectives PBCM is both more effective and costlier than consult groups. The results of the sensitivity analyses support these findings...
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Research Interests: Program Evaluation, Health Promotion, Assessment, Mental Health, Mental Health Promotion, and 10 moreMedicine, Quality Assurance, Humans, Program Development, Croatia, Psychological Intervention, Public health systems and services research, Curriculum and Pedagogy, Principle of prevention, and quality assurance in health care
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Prevention science in Croatia is still in its roots: prevention programs are mostly conducted by local practitioners and are rarely theory based ; their outcomes are not evaluated, but in the same time, they get remarkable financial... more
Prevention science in Croatia is still in its roots: prevention programs are mostly conducted by local practitioners and are rarely theory based ; their outcomes are not evaluated, but in the same time, they get remarkable financial support from local and state agencies. Following this reasons, an action research project which could benefit the prevention policy development in Croatia and become a model for prevention effectiveness in broader local community is being conducted. The project “Implementing PREFFI instrument in Croatia: Developing standards of effectiveness in Prevention” was developed in collaboration of University of Zagreb, University of Nijmegen and the Region of Istria. Project is an outcome of long term cooperation of professor Clemens Hosman, University of Nijmegen, University of Maastricht, and professor Josipa Basic, University of Zagreb, Faculty of Education and Rehabilitation Sciences. The main goals of the project are improvement of prevention practices in the Region of Istria and creation of science based criteria for assessing preventive programs quality. The core of the project is Dutch Preffi 2.0 – health promotion effect management instrument which focuses on assessing programs quality and efficiency through the 39 quality criteria. Preffi 2.0 instrument which was developed by Molleman and associates in Netherlands was translated to Croatian and adapted. In addition, Preffi 2.0 is also being used in other European countries like Hungary, Spain, Finland and Portugal. In Croatian terms, Preffi 2.0 will be piloted on prevention programs in the Region of Istria. Thirty prevention programs which will be financed during 2011 through a public tender of a Department of Health and Social Care, Region of Istria, Croatia, will be included in the above mentioned action research. Programs will be divided into two groups, experimental and control, tied by matched pairs and assessed with the Preffi 2.0 instrument following pretest-posttest method. After the first assessment of programs with the Preffi 2.0 instrument, the experimental group i.e. program leaders are going to be exposed to Preffi intervention. Preffi intervention contains information on important characteristics of effective programs. During Preffi intervention, program practitioners will be encouraged to incorporate the guidelines of effectiveness into their prevention programs. Several questions will be answered: will Preffi usage increase program effectiveness, are prevention programs included in this study effective in general and what are the characteristics of the implementation process. The results will contribute to advocacy of prevention in Croatia, development of standards for program financing and promotion of prevention effectiveness.
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ABSTRACT
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The file attached to this record is the author's final peer reviewed version.Children whose parents have mental illnesses are among the most vulnerable in our communities. There is however, much that can be done to prevent or mitigate... more
The file attached to this record is the author's final peer reviewed version.Children whose parents have mental illnesses are among the most vulnerable in our communities. There is however, much that can be done to prevent or mitigate the impact of a parent’s illness on children. Notwithstanding the availability of several evidence-based interventions, efforts to support these children have been limited by a lack of adequate support structures. Major service reorientation is required to better meet the needs of these children and their families. This editorial provides recommendations for practice, organisational and systems change
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Background A high parenting self-efficacy (PSE) has been associated with positive parenting and positive child development. However, there is limited and inconsistent information on factors associated with PSE. Objective To investigate... more
Background A high parenting self-efficacy (PSE) has been associated with positive parenting and positive child development. However, there is limited and inconsistent information on factors associated with PSE. Objective To investigate factors associated with PSE in parents of children aged 0–7 years old, and to explore whether the associations were different between mothers and fathers. Methods We performed a cross-sectional analysis of the baseline data from a prospective cohort study: the CIKEO study. A total of 1012 parents (mean age = 33.8, SD = 5.0) completed self-reported measure of PSE and 18 potential factors associated with PSE. Results Multivariable models revealed that lower parenting stress, fewer child behavior problems, better eating behavior, better parental and child general health, a smaller number of children living in the household, higher perceived level of social support and having a migration background were associated with higher levels of PSE (p < 0.05). ...
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This review of meta-analyses of outcome studies of adults receiving Computer-Based Health Education (CBHE) has two goals. The first is to provide an overview of the efficacy of CBHE interventions, and the second is to identify moderators... more
This review of meta-analyses of outcome studies of adults receiving Computer-Based Health Education (CBHE) has two goals. The first is to provide an overview of the efficacy of CBHE interventions, and the second is to identify moderators of these effects. A systematic literature search resulted in 15 meta-analyses of 278 controlled outcome studies. The meta-analyses were analysed with regard to reported (overall) effect sizes, heterogeneity and interaction effects. The results indicate a positive relationship between CBHE interventions and improvements in health-related outcomes, with small overall effect sizes compared to non-computer-based interventions. The sustainability of the effects was observed for up to six months. Outcome moderators (31 variables) were studied in 12 meta-analyses and were clustered into three categories: intervention features (20 variables), participant characteristics (five variables) and study features (six variables). No relationship with effectiveness ...
Research Interests: Psychology, Health Psychology, Computer Science, Health Sciences, Health Promotion, and 13 moreHealth Economics, Computer Engineering, Mental Health, Occupational Health & Safety, Public Health Policy, Health, Public Health, Health Policy, School effectiveness and school improvement, Health Care Management, Health and Social Care, Psychological Intervention, and Meta Analysis
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Research Interests: Sociology and Psychology
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AimMedia use may strengthen parents’ capacities to deal with parenting issues. This study examined which factors are associated with media use for parenting information.DesignCross‐sectional data of 658 parents of children aged 0–8 years,... more
AimMedia use may strengthen parents’ capacities to deal with parenting issues. This study examined which factors are associated with media use for parenting information.DesignCross‐sectional data of 658 parents of children aged 0–8 years, gathered in the CIKEO cohort study in the Netherlands, were analysed.MethodsMultivariable logistic regression models were used to examine which factors were associated with media use for parenting information.ResultsThe mean age of the participants was 33.8 years (SD = 5.0); 94.7% were mothers; 77.4% used media for parenting information. Parents with more questions or concerns (OR: 1.40, 95% CI: 1.23, 1.59), and parents who received parenting information from their social contacts (OR: 5.57, 95% CI: 3.22, 9.61), had higher odds of media use for parenting information. Older parents (OR: 0.95, 95% CI: 0.91, 1.00), and parents of older children (OR: 0.84, 95% CI: 0.74, 0.95), had lower odds of media use for parenting information.
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Research Interests: Program Evaluation, Biostatistics, Collaboration, Evaluation, Health, and 15 moreStakeholder participation, Medicine, Youth, Children, Psychological Intervention, Promotion, Impact, Socioeconomic Status, Implementation, Prevalence, Public health systems and services research, Interventions, Community Based, Childhood Overweight, and Socioeconomic inequalities
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