The Experts below are selected from a list of 3393 Experts worldwide ranked by ideXlab platform
Jozien M Bensing - One of the best experts on this subject based on the ideXlab platform.
-
who can afford to look to the future the relationship between socio economic status and Proactive Coping
2009Co-Authors: Carolijn Ouwehand, Denise T D De Ridder, Jozien M BensingAbstract:Background: The aim of this article was to examine, whether middle-aged and older adults spontaneously engage in Proactive Coping to prevent future problems associated with ageing and whether differences in Proactive Coping were associated with socio-economic status (SES). Methods: As part of the cross-sectional Second Dutch National Survey of General Practice (DNSGP–2, 2001), a representative sample of 3189 adults aged 50–70 years filled in a questionnaire measuring Proactive Coping. In addition, data were collected regarding the three main components of SES, namely educational level, income and occupational status, as well as participants’ health status. Results: We found that higher SES, especially with respect to income and education, was positively associated with Proactive Coping. This relationship was not moderated, but was partially mediated by physical health problems. Conclusion: People with higher income and higher educational level used more Proactive Coping strategies in their daily life to offset potential problems associated with ageing. Physical health status partially explained the SES-differences in Proactive Coping. It seems that people with lower SES undertake less future-oriented activities as a result of the fact that present health problems require attention and drain resources.
-
beyond good intentions the role of Proactive Coping in achieving sustained behavioural change in the context of diabetes management
2009Co-Authors: Bart Thoolen, Denise T D De Ridder, Jozien M Bensing, K J Gorter, G E H M RuttenAbstract:This study examines the effectiveness of a brief self-management intervention to support patients recently diagnosed with type-2 diabetes to achieve sustained improvements in their self-care behaviours. Based on Proactive Coping, the intervention emphasizes the crucial role of anticipation and planning in maintaining self-care behaviours. In a randomised controlled trial among recent screen-detected patients, participants who received the intervention were compared with usual-care controls, examining changes in proximal outcomes (intentions, self-efficacy and Proactive Coping), self-care behaviour (diet, physical activity and medication) and weight over time (0, 3 and 12 months). Subsequently, the contribution of Proactive Coping in predicting maintenance of behavioural change was analysed using stepwise hierarchical regression analyses, controlling for baseline self-care behaviour, patient characteristics, and intentions and self-efficacy as measured after the course. The intervention was effective in improving proximal outcomes and behaviour with regard to diet and physical activity, resulting in significant weight loss at 12 months. Furthermore, Proactive Coping was a better predictor of long-term self-management than either intentions or self-efficacy. Proactive Coping thus offers new insights into behavioural maintenance theory and can be used to develop effective self-management interventions.
-
individual differences in the use of Proactive Coping strategies by middle aged and older adults
2008Co-Authors: Carolijn Ouwehand, Denise T D De Ridder, Jozien M BensingAbstract:Abstract The concept of Proactive Coping refers to the process of screening one’s environment for future stressors and undertaking attempts to prevent them. As of yet, few empirical studies have been conducted in relation to this promising concept. The aim of the present study was to identify the personal characteristics that contribute to the engagement in Proactive Coping with potential changes in three important life domains, namely health, social relationships and personal finance. We collected data in a sample of adults aged 50–70 (N = 123) regarding Proactive Coping and five trait variables, namely future temporal orientation, goal orientation, dispositional optimism, self-efficacy, and aging anxiety. Results showed that future temporal orientation and, to a lesser extent, goal orientation were significantly associated with Proactive Coping. In addition, a higher educational level was also important for explaining individual differences in Proactive Coping, but not regarding all types of potential changes. It seems that the impact of trait factors on Proactive Coping partially depends on the type of future stressor that is encountered and the skills that are necessary to deal with it effectively.
-
a review of successful aging models proposing Proactive Coping as an important additional strategy
2007Co-Authors: Carolijn Ouwehand, Denise T D De Ridder, Jozien M BensingAbstract:Successful aging is an important concept, and one that has been the subject of much research. During the last 15 years, the emphasis of this research has shifted from formulating criteria for successful aging to describing the processes involved in successful aging. The main purpose of the present article is to review psychological models of successful aging. The model of Selective Optimization with Compensation (SOC-model) proves to be one of the leading models in this field. Although evidence about its value is accumulating, we argue that this model mainly focuses on how people react to losses and that Proactive Coping aimed at preventing potential threats to goals may also be a valuable strategy. We propose that Proactive Coping may be important for successful aging, since it results in a prolonged availability of resources for optimization and compensation processes and a delay in disengagement from important goals.
-
beyond good intentions the development and evaluation of a Proactive self management course for patients recently diagnosed with type 2 diabetes
2007Co-Authors: Bart Thoolen, Denise T D De Ridder, Jozien M Bensing, K J Gorter, G E H M RuttenAbstract:This paper describes the development and first results of a brief self-management course for patients recently diagnosed with Type 2 diabetes. The intervention incorporates elements from Proactive Coping and self-regulation theory in a five-step plan to help newly diagnosed patients formulate and carry out intentions with regard to their self-management. The theoretical framework and course program are described, patient evaluations are summarized and proximal outcomes of the course will be analyzed, investigating whether the course is able to increase patients' Proactive skills, goal attainment and confidence in dealing with self-management issues. Participants included 180 patients, diagnosed 3-33 months previously during a population screening. Participants were randomized into an intervention (n = 78) or control group (n = 102). Course evaluations were very positive, regardless of patients' demographic or medical background and participants were particularly positive about the five-step plan and potential for peer interaction. Compared with the control group, course participants improved significantly in terms of Proactive Coping, goal achievement and self-efficacy. An intervention based on Proactive Coping appears to meet the needs of patients newly diagnosed with Type 2 diabetes, teaching them new Proactive skills, improving their goal achievement and increasing their self-efficacy in dealing with their self-management tasks.
Denise T D De Ridder - One of the best experts on this subject based on the ideXlab platform.
-
the role of pre treatment Proactive Coping skills in successful weight management
2014Co-Authors: Charlotte D W Vinkers, Marieke A Adriaanse, Floor M Kroese, Denise T D De RidderAbstract:Abstract Objectives Proactive Coping encompasses future-oriented self-regulatory skills that help people prepare for future difficulties before they occur, such as planning and monitoring. The aim of the present study was to examine the interplay between pre-treatment Proactive Coping skills and expected difficulties during weight loss in determining successful weight management. Method Obese and overweight Dutch adults (N = 119) who enrolled in a weight management intervention reported their level of Proactive Coping skills and expected difficulties at the start of intervention. Two months later, weight loss was assessed via self-report. Results The results show that the detrimental effects of a low level of Proactive Coping skills were compensated by the expectation that many difficulties would accompany the weight loss attempt. Also, pre-treatment Proactive Coping skills did not predict weight loss success above and beyond self-efficacy and socio-demographic factors (e.g., gender). Conclusion It is concluded that future-oriented self-regulatory skills and beliefs about impending difficulties at the start of intervention may have predictive value for subsequent success in weight management.
-
the effectiveness of a Proactive Coping intervention targeting self management in diabetes patients
2014Co-Authors: Floor M Kroese, Charlotte D W Vinkers, Marieke A Adriaanse, Rens Van De Schoot, Denise T D De RidderAbstract:Objective: The study’s aim was to investigate psychological, behavioral and medical long-term outcomes of an existing self-management intervention targeting the development of Proactive Coping skills (e.g. goal setting and identifying barriers) in type 2 diabetes patients. The study aimed to replicate prior research showing the intervention’s effectiveness, and to extend it by (a) adding booster sessions and (b) prolonging the period of follow-up measurement to capture long-term effects.Design/outcome measures: A total of 141 type 2 diabetes patients were included in the intervention. The intervention employed a 5-step approach to target Proactive Coping skills. Psychological (e.g. Proactive Coping and self-efficacy) and behavioural variables (e.g. self-care, diet and physical activity) were assessed at baseline (T1), after the initial phase of the intervention (T2), after the booster phase (T3) and at follow-up (T4), comprising a total period of 15 months. Medical variables were assessed at T1 and T4.Res...
-
who can afford to look to the future the relationship between socio economic status and Proactive Coping
2009Co-Authors: Carolijn Ouwehand, Denise T D De Ridder, Jozien M BensingAbstract:Background: The aim of this article was to examine, whether middle-aged and older adults spontaneously engage in Proactive Coping to prevent future problems associated with ageing and whether differences in Proactive Coping were associated with socio-economic status (SES). Methods: As part of the cross-sectional Second Dutch National Survey of General Practice (DNSGP–2, 2001), a representative sample of 3189 adults aged 50–70 years filled in a questionnaire measuring Proactive Coping. In addition, data were collected regarding the three main components of SES, namely educational level, income and occupational status, as well as participants’ health status. Results: We found that higher SES, especially with respect to income and education, was positively associated with Proactive Coping. This relationship was not moderated, but was partially mediated by physical health problems. Conclusion: People with higher income and higher educational level used more Proactive Coping strategies in their daily life to offset potential problems associated with ageing. Physical health status partially explained the SES-differences in Proactive Coping. It seems that people with lower SES undertake less future-oriented activities as a result of the fact that present health problems require attention and drain resources.
-
beyond good intentions the role of Proactive Coping in achieving sustained behavioural change in the context of diabetes management
2009Co-Authors: Bart Thoolen, Denise T D De Ridder, Jozien M Bensing, K J Gorter, G E H M RuttenAbstract:This study examines the effectiveness of a brief self-management intervention to support patients recently diagnosed with type-2 diabetes to achieve sustained improvements in their self-care behaviours. Based on Proactive Coping, the intervention emphasizes the crucial role of anticipation and planning in maintaining self-care behaviours. In a randomised controlled trial among recent screen-detected patients, participants who received the intervention were compared with usual-care controls, examining changes in proximal outcomes (intentions, self-efficacy and Proactive Coping), self-care behaviour (diet, physical activity and medication) and weight over time (0, 3 and 12 months). Subsequently, the contribution of Proactive Coping in predicting maintenance of behavioural change was analysed using stepwise hierarchical regression analyses, controlling for baseline self-care behaviour, patient characteristics, and intentions and self-efficacy as measured after the course. The intervention was effective in improving proximal outcomes and behaviour with regard to diet and physical activity, resulting in significant weight loss at 12 months. Furthermore, Proactive Coping was a better predictor of long-term self-management than either intentions or self-efficacy. Proactive Coping thus offers new insights into behavioural maintenance theory and can be used to develop effective self-management interventions.
-
individual differences in the use of Proactive Coping strategies by middle aged and older adults
2008Co-Authors: Carolijn Ouwehand, Denise T D De Ridder, Jozien M BensingAbstract:Abstract The concept of Proactive Coping refers to the process of screening one’s environment for future stressors and undertaking attempts to prevent them. As of yet, few empirical studies have been conducted in relation to this promising concept. The aim of the present study was to identify the personal characteristics that contribute to the engagement in Proactive Coping with potential changes in three important life domains, namely health, social relationships and personal finance. We collected data in a sample of adults aged 50–70 (N = 123) regarding Proactive Coping and five trait variables, namely future temporal orientation, goal orientation, dispositional optimism, self-efficacy, and aging anxiety. Results showed that future temporal orientation and, to a lesser extent, goal orientation were significantly associated with Proactive Coping. In addition, a higher educational level was also important for explaining individual differences in Proactive Coping, but not regarding all types of potential changes. It seems that the impact of trait factors on Proactive Coping partially depends on the type of future stressor that is encountered and the skills that are necessary to deal with it effectively.
Caroline M Van Heugten - One of the best experts on this subject based on the ideXlab platform.
-
associations of Proactive Coping and self efficacy with psychosocial outcomes in individuals after stroke
2015Co-Authors: Nienke S Tielemans, Johanna M A Vissermeily, Vera P M Schepers, Marcel W M Post, Caroline M Van HeugtenAbstract:Abstract Objective To examine the associations of Proactive Coping and self-efficacy with psychosocial outcomes in individuals after stroke. Design Cross-sectional study. Regression analyses were performed. Setting Outpatient settings of hospitals and rehabilitation centers. Participants Individuals after stroke (N=112; mean age ± SD, 57.1±8.9y; mean time ± SD since stroke, 18.9±28.5mo). Interventions Not applicable. Main Outcome Measures Proactive Coping was measured using the Utrecht Proactive Coping Competence scale (UPCC), and self-efficacy was measured using the General Self-Efficacy Scale (GSES). Psychosocial outcomes were measured as (1) participation with the use of the restriction and satisfaction subscales of the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation); (2) emotional problems with the use of the Hospital Anxiety and Depression Scale (HADS); (3) life satisfaction with the use of 2 questions (2LS); and (4) health-related quality of life (HRQOL) with the use of the Short Stroke-Specific Quality of Life scale (SS-QOL-12). Results Higher UPCC scores were associated with lower HADS scores (β=−.55, P P =.001), 2LS (β=.34, P P P P P =.002). GSES scores did not influence the association between UPCC scores and any of the psychosocial outcomes (all P >.0025). Conclusions Proactive Coping and self-efficacy have different associations with each of the psychosocial outcomes. Therefore, outcome-specific models appear to be necessary to describe these associations.
-
Proactive Coping poststroke psychometric properties of the utrecht Proactive Coping competence scale
2014Co-Authors: Nienke S Tielemans, Johanna M A Vissermeily, Vera P M Schepers, Marcel W M Post, Caroline M Van HeugtenAbstract:Abstract Objective To examine psychometric properties of the Utrecht Proactive Coping Competence scale (UPCC) and explore relations of Proactive Coping with health-related quality of life (HRQOL) and characteristics of patients with stroke. Design Cross-sectional study. Reliability and convergent validity, and associations with HRQOL and characteristics of patients with stroke were examined. Setting Inpatient and outpatient settings of hospitals and rehabilitation centers in The Netherlands. Participants Patients with stroke (N=55; mean age, 58.7±12.8y; mean months since stroke, 25.0± 38.5). Interventions Not applicable. Main Outcome Measures UPCC, Utrecht Coping List (UCL), and the short Stroke Specific Quality of Life scale (SS-QOL-12). Results The UPCC showed excellent reliability (Cronbach's α=.95) without floor/ceiling effects or skewed score distribution. Convergent validity was shown by moderate positive relations with the UCL subscale active problem solving ( r =.38) and moderate negative relations with the UCL subscales passive reactions ( r =−.50), avoidance ( r =−.40), and expression of emotions ( r =−.42). Correlations between the UPCC and HRQOL domains were moderate to strong ( r =.48–.61) and stronger than those between UCL subscales and HRQOL domains. The only characteristic of patients with stroke associated with Proactive Coping was time after stroke ( r =−.52). Conclusions The UPCC appears reliable and valid for patients with stroke. Moreover, we found positive associations between Proactive Coping and HRQOL. Future research is recommended to confirm our results and to explore ways to enhance Proactive Coping in patients with stroke.
Nienke S Tielemans - One of the best experts on this subject based on the ideXlab platform.
-
associations of Proactive Coping and self efficacy with psychosocial outcomes in individuals after stroke
2015Co-Authors: Nienke S Tielemans, Johanna M A Vissermeily, Vera P M Schepers, Marcel W M Post, Caroline M Van HeugtenAbstract:Abstract Objective To examine the associations of Proactive Coping and self-efficacy with psychosocial outcomes in individuals after stroke. Design Cross-sectional study. Regression analyses were performed. Setting Outpatient settings of hospitals and rehabilitation centers. Participants Individuals after stroke (N=112; mean age ± SD, 57.1±8.9y; mean time ± SD since stroke, 18.9±28.5mo). Interventions Not applicable. Main Outcome Measures Proactive Coping was measured using the Utrecht Proactive Coping Competence scale (UPCC), and self-efficacy was measured using the General Self-Efficacy Scale (GSES). Psychosocial outcomes were measured as (1) participation with the use of the restriction and satisfaction subscales of the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation); (2) emotional problems with the use of the Hospital Anxiety and Depression Scale (HADS); (3) life satisfaction with the use of 2 questions (2LS); and (4) health-related quality of life (HRQOL) with the use of the Short Stroke-Specific Quality of Life scale (SS-QOL-12). Results Higher UPCC scores were associated with lower HADS scores (β=−.55, P P =.001), 2LS (β=.34, P P P P P =.002). GSES scores did not influence the association between UPCC scores and any of the psychosocial outcomes (all P >.0025). Conclusions Proactive Coping and self-efficacy have different associations with each of the psychosocial outcomes. Therefore, outcome-specific models appear to be necessary to describe these associations.
-
Proactive Coping poststroke psychometric properties of the utrecht Proactive Coping competence scale
2014Co-Authors: Nienke S Tielemans, Johanna M A Vissermeily, Vera P M Schepers, Marcel W M Post, Caroline M Van HeugtenAbstract:Abstract Objective To examine psychometric properties of the Utrecht Proactive Coping Competence scale (UPCC) and explore relations of Proactive Coping with health-related quality of life (HRQOL) and characteristics of patients with stroke. Design Cross-sectional study. Reliability and convergent validity, and associations with HRQOL and characteristics of patients with stroke were examined. Setting Inpatient and outpatient settings of hospitals and rehabilitation centers in The Netherlands. Participants Patients with stroke (N=55; mean age, 58.7±12.8y; mean months since stroke, 25.0± 38.5). Interventions Not applicable. Main Outcome Measures UPCC, Utrecht Coping List (UCL), and the short Stroke Specific Quality of Life scale (SS-QOL-12). Results The UPCC showed excellent reliability (Cronbach's α=.95) without floor/ceiling effects or skewed score distribution. Convergent validity was shown by moderate positive relations with the UCL subscale active problem solving ( r =.38) and moderate negative relations with the UCL subscales passive reactions ( r =−.50), avoidance ( r =−.40), and expression of emotions ( r =−.42). Correlations between the UPCC and HRQOL domains were moderate to strong ( r =.48–.61) and stronger than those between UCL subscales and HRQOL domains. The only characteristic of patients with stroke associated with Proactive Coping was time after stroke ( r =−.52). Conclusions The UPCC appears reliable and valid for patients with stroke. Moreover, we found positive associations between Proactive Coping and HRQOL. Future research is recommended to confirm our results and to explore ways to enhance Proactive Coping in patients with stroke.
Carolijn Ouwehand - One of the best experts on this subject based on the ideXlab platform.
-
who can afford to look to the future the relationship between socio economic status and Proactive Coping
2009Co-Authors: Carolijn Ouwehand, Denise T D De Ridder, Jozien M BensingAbstract:Background: The aim of this article was to examine, whether middle-aged and older adults spontaneously engage in Proactive Coping to prevent future problems associated with ageing and whether differences in Proactive Coping were associated with socio-economic status (SES). Methods: As part of the cross-sectional Second Dutch National Survey of General Practice (DNSGP–2, 2001), a representative sample of 3189 adults aged 50–70 years filled in a questionnaire measuring Proactive Coping. In addition, data were collected regarding the three main components of SES, namely educational level, income and occupational status, as well as participants’ health status. Results: We found that higher SES, especially with respect to income and education, was positively associated with Proactive Coping. This relationship was not moderated, but was partially mediated by physical health problems. Conclusion: People with higher income and higher educational level used more Proactive Coping strategies in their daily life to offset potential problems associated with ageing. Physical health status partially explained the SES-differences in Proactive Coping. It seems that people with lower SES undertake less future-oriented activities as a result of the fact that present health problems require attention and drain resources.
-
individual differences in the use of Proactive Coping strategies by middle aged and older adults
2008Co-Authors: Carolijn Ouwehand, Denise T D De Ridder, Jozien M BensingAbstract:Abstract The concept of Proactive Coping refers to the process of screening one’s environment for future stressors and undertaking attempts to prevent them. As of yet, few empirical studies have been conducted in relation to this promising concept. The aim of the present study was to identify the personal characteristics that contribute to the engagement in Proactive Coping with potential changes in three important life domains, namely health, social relationships and personal finance. We collected data in a sample of adults aged 50–70 (N = 123) regarding Proactive Coping and five trait variables, namely future temporal orientation, goal orientation, dispositional optimism, self-efficacy, and aging anxiety. Results showed that future temporal orientation and, to a lesser extent, goal orientation were significantly associated with Proactive Coping. In addition, a higher educational level was also important for explaining individual differences in Proactive Coping, but not regarding all types of potential changes. It seems that the impact of trait factors on Proactive Coping partially depends on the type of future stressor that is encountered and the skills that are necessary to deal with it effectively.
-
a review of successful aging models proposing Proactive Coping as an important additional strategy
2007Co-Authors: Carolijn Ouwehand, Denise T D De Ridder, Jozien M BensingAbstract:Successful aging is an important concept, and one that has been the subject of much research. During the last 15 years, the emphasis of this research has shifted from formulating criteria for successful aging to describing the processes involved in successful aging. The main purpose of the present article is to review psychological models of successful aging. The model of Selective Optimization with Compensation (SOC-model) proves to be one of the leading models in this field. Although evidence about its value is accumulating, we argue that this model mainly focuses on how people react to losses and that Proactive Coping aimed at preventing potential threats to goals may also be a valuable strategy. We propose that Proactive Coping may be important for successful aging, since it results in a prolonged availability of resources for optimization and compensation processes and a delay in disengagement from important goals.
-
situational aspects are more important in shaping Proactive Coping behaviour than individual characteristics a vignette study among adults preparing for ageing
2006Co-Authors: Carolijn Ouwehand, Denise T D De Ridder, Jozien M BensingAbstract:It seems likely that Proactive Coping is an important mechanism for dealing successfully with threats to personal goals, yet little empirical research has been conducted in relation to this concept. The aim of the present study is to examine to what extent Proactive Coping is influenced by situation-specific features as well as by personal characteristics. Three vignettes, each representing a potential decline in an important resource (health, social relationships and finance), were presented to 123 adults between 50 and 70 years old. Multilevel analyses show that Proactive Coping is highly variable within persons and that three situational factors (type of stressor, appraised threat and appraised control) affected the employment of Proactive Coping strategies. Future temporal orientation was identified as a significant, positive predictor of Proactive Coping, but none of the other personal factors were found to be relevant.