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This article reflects on a keynote presentation made at the 32nd Council for Hospitality Management Education Research Conference hosted at NHL Stenden University of Applied Science in Leeuwarden, The Netherlands. The field of study prepares managers who will organise the delivery of food and/or drink and/or accommodation in a service setting. The core concern of the article is to critique biases of higher education provision. The vocational nature of programmes tends to prioritise job readiness at the expense of some theoretical dimensions of the study of hospitality. These biases are compounded by a tendency to limit the industrial context to luxury hotels and restaurants. Students' career perceptions are thereby constrained and limited. The study of hospitality should adopt a critical studies approach; several recent publications might indicate avenues for further research and programme content. [ABSTRACT FROM AUTHOR]

Introduction: There is growing acknowledgement of the benefits of incorporating a bio-psychosocial model of understanding pain within physical therapist practice1. Consequently this has led to an increasing interest in interventions such Pain neuroscience education (PNE). However, pain management strategies developed by clinicians in one culture may not necessarily be understood, appropriate, or effective in another culture2 Methods: This study is part of a broader research in the development of culturally sensitive pain neuroscience education for the Lebanese population. Therefore, the purpose of this paper is to first gain an in-depth understanding of the Lebanese physiotherapists' perceptions towards the management of chronic low back pain as well as the knowledge regarding PNE. A qualitative one-to-one semi-structured interviews with 10 practicing physical therapists were conducted. The transcribed text from the interviews was analyzed using inductive thematic analysis. Results: Several themes were generated, identified, and constructed by the researchers: (1) physiotherapists use of a biomechanical approach. (2) Poor knowledge about the bio-psychosocial approach or PNE. (3) Barrier and facilitation for the implementation of PNE. Discussion: The preliminary results showed a limited knowledge of the bio-psychosocial approach, or PNE, and that the Lebanese physical therapist use more a biomechanical approach in the treatment and assessment of people with chronic low back pain. Process evaluation: The results showed that training is needed for physiotherapists to deliver a broader model of care, and that future research should focus on developing a culturally sensitive PNE material. [ABSTRACT FROM AUTHOR]

Background: Patient reported outcomes and experience measures (PROM and PREM) provide an opportunity to prioritize patients' health goals in care decisions and quality improvement. In perinatal care, the use of PROM and PREM is scarce and limited to research and quality purposes. The International Consortium of Health Outcomes Measurement (ICHOM) published an outcome set for pregnancy and childbirth (PCB set), including PROM and PREM. In the Netherlands, the PCB set was implemented in a pilot project with the primary goal to integrate its PROM and PREM in clinical practice over the full course of pregnancy and postpartum care. To ensure continuity of care, the project was explicitly organized within integrated obstetric care networks (OCN): collaborating with all care professionals and organizations involved. Objectives: This study aimed to report first outcomes, experiences, and practice insights of implementing the PCB set in clinical practice of perinatal care. We assessed compliance to the PROM and PREM questionnaires, outcomes per domain, and clinical use of threshold values. Methods: Seven OCN across the Netherlands, each consisting of one or two hospitals and multiple community midwifery practices (2 - 18), implemented the PROM and PREM of the PCB set as part of clinical routine. This observational study included all women participating in the clinical project who gave informed consent for research purposes. The PROM and PREM were assessed with questionnaires at five timepoints: two during pregnancy and three postnatally until six months postpartum. Clinical threshold values (alerts) supported physicians interpretating the answers, indicating worrisome outcomes per domain. Data collection took place from February 2020 till September 2021. Questionnaires were assessed mostly digital - in one site on paper. Data analysis included missing (pattern) analysis, sum scores, alert rates, and sensitivity analysis. Results: In total 1923 questionnaires were collected across the five timepoints: 816 at T1 (first trimester), 793 at T2 (third trimester), 125 at T3 (maternity week), 170 at T4 (6 weeks postpartum) and 19 at T5 (6 months postpartum). Of these, 84% were filled out completely. Missing items per domain ranged from 0 to 13%, with highest missing rates for depression, pain with intercourse and experience with pain relief at birth. No notable missing patterns were found. Relatively high alert rates were found for urine incontinence (27%), pain with intercourse (25%), breastfeeding selfefficacy (23%) and mother-child binding (45%). Regarding PREM domains, most alerts were found for birth experience (23%), shared decision making (11%) and discussing pain relief antepartum (41%). Some domains showed very little clinical variation: mother role and satisfaction with care. Conclusions: The PCB set is a useful and acceptable tool to assess patient reported outcomes that need to be addressed over the whole course of pregnancy and childbirth. Our findings reveal a window of opportunity to improve and personalize perinatal care. Furthermore, based on our findings we could propose several recommendations about the methods and timeline of PROM and PREM measurement based. This study supports further implementation of the PCB set in clinical practice and the transformation towards patient centred value driven care. [ABSTRACT FROM AUTHOR]

Introduction: Characterizing somatosensory profiles or phenotypes in subgroups of patients may provide indirect insights into underlying pathophysiological mechanisms. The most common method for quantifying somatosensory function is quantitative sensory testing (QST). This paper describes a protocol for determining these somatosensory profiles in a breast cancer population. Methods: A standardized QST protocol is implemented including nine static and dynamic QST methods (mechanical detection-pain thresholds, pressure pain thresholds, thermal detection-pain thresholds for heat and cold, temporal summation and conditioned pain modulation) performed in the surgical area and more distant regions. After the QST assessment, distribution of the data is checked and data is transformed if necessary (raw or log-transformed data).1,2 Subsequently, QST data is z-transformed using the mean and standard deviation of a 15332500, 2022, S2, Downloaded from https://onlinelibrary.wiley.com/doi/10.1111/papr.13128 by EBSCO SUBSCRIPTION SERVICES - Journal Digital Lic, Wiley Online Library on [19/10/2022]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commonscontrol group as reference data. The algebraic sign of the resulting z score is adjusted appropriately for clarity of data presentation (increased-decreased sensitivity to the tested stimuli). Results: The z-scores acquired with this protocol can inform at a glance whether there is a loss or gain in somatosensory function. Findings can be visualized using a scatter or bar chart. Discussion: Although this protocol was used to determine somatosensory profiles in a breast cancer population, the methodology for determining these profiles can be applied to data from other populations as well. Process evaluation: To correctly interpret QST results, data from a reference population that matches in QST method and test site is required. The proactive development of normative databases for specific QST protocols will improve the efficiency of QST data processing in the future. [ABSTRACT FROM AUTHOR]

Introduction: The Fear-Avoidance Components Scale (FACS) has been developed within the framework of the most current fear-avoidance model.1 This study aimed to translate the FACS into Dutch, and to investigate its measurement properties in patients with chronic musculoskeletal pain. Methods: The original English FACS was translated in Dutch through forward-backward translation. The FACS-D's measurement properties were evaluated in 224 persons with chronic musculoskeletal pain. Internal consistency, test-retest reliability and measurement error were assessed with the Cronbach's alpha coefficient (a), intraclass correlation coefficient (ICC), standard error of measurement (SEM) and smallest detectable change (SDC). Construct validity (including structural validity and hypothesis testing) was assessed through inter-item correlation analyses, exploratory factor analysis and by examining relationships between the FACS-D and other patient-reported instruments. Results: Internal consistency and test-retest reliability were high (a = 0.92; ICC = 0.92), and the SEM was 5.6 points. Regarding structural validity, low inter-item correlations were found for item 12. A two-factor model was found to best fit the data: one factor covered pain-related cognitions and emotions, the second factor covered items regarding avoidance behaviour. Five out of seven of the a priori-formulated hypotheses were confirmed. Discussion: The FACS-D has good reliability and validity, and can be used to evaluate fear-avoidance in persons with chronic musculoskeletal pain. It's a two-dimensional scale that assesses two clinically relevant constructs of fear-avoidance behaviour. One factor covers pain-related cognitions and emotions, while the other factor covers avoidance behaviour. Process evaluation: Notwithstanding the sound methodology, the paper's content is considered of low priority by editors. [ABSTRACT FROM AUTHOR]

Introduction: Psychosocial factors predict recovery in patients with spinal pain. Several of these factors are modifiable. However, physiotherapists indicate that they do not feel sufficiently equipped to address these factors. We developed an eHealth intervention to support physiotherapists in managing psychosocial factors in patients with spinal pain. This paper describes the protocol for a pragmatic randomised clinical trial which evaluates the effectiveness of this eHealth intervention blended with physiotherapy compared to physiotherapy alone. Methods: Participants with non-specific low back pain and/or neck pain for at least six weeks who also experience psychosocial symptoms will be recruited in a pragmatic multi-centre cluster randomised clinical trial. The experimental intervention consists of physiotherapy blended with six online modules of pain education and behavioural activation. The control intervention consists of usual care physiotherapy. The primary outcomes are disability and perceived effect. Outcomes will be assessed at baseline, and at 2, 6 and 12 months after baseline. The results will be analysed using linear mixed models. Results: At this moment, 357 patients were assessed for eligibility and 140 patients are included. Our hypothesis is that the blended intervention is more effective than usual physiotherapy at 12 month follow-up. Process evaluation: Inclusion of participants has proven challenging, we have extended the inclusion phase with 1.5 years and recruited more physiotherapy practices. [ABSTRACT FROM AUTHOR]

The article provides information on the experience of individuals with urostomy, highlighting the physical, psychological, and social impact of urostomy creation. The qualitative literature review reveals main themes: daily life, body image, sexuality, and information/education/support.

Background: Very little attention has been given to the social accountability of conferences, either in action or in scholarship, in particular, of scientific conferences. Concerns that have been raised include: (1) Local communities and regions suffer from ecological pressure caused by conferences, (2) There is limited value to the local community, (3) International conferences take place at locations irrelevant to the topics discussed; hence there is no connection with locals, and (4) It has been the observation of the authors that <10% of participants may come from the region where the conference is organized, which makes it challenging to make a "positive societal impact" locally. We conducted a natural experiment investigating the interactions between academia, conference organizers, and community leaders. Methods: We utilized a case study approach to report on the outcomes of two 2022 annual international conferences that seek to improve community health. We used a mixed-methods approach of surveys and interviews. Thematic analysis was conducted to identify the key themes. Results: We obtained 358 responses from all six World Health Organization regions. Results from both conferences were split into two categories: the why and the how. A strong consensus among participants is that bi-directional learning between conference organizers and local communities leads to shared understanding and mutual goals. The data emphasize that including communities in academic conferences helps us progress forward from intentions toward demonstrating accountability and reporting impact. Discussion: A diversity of perspectives is needed to advance socially accountable health system transformation. Five best practices from conference participants are laid out as a framework to assist in the change: (1) Build trust, (2) provide funding for community member participation, (3) appreciation of local community knowledge, (4) involve the local community in the planning stages, and (5) make the local community part of the conference and learning. [ABSTRACT FROM AUTHOR]

The article focuses on the 18 European Association of Preventive Cardiology (EAPC) World Congress in Rotterdam, which marks the return to an in-person event after years of virtual congresses. It mentions the congress aims to promote equity and diversity in palliative care, addressing health inequities and exploring the role of diversity in improving access and outcomes.

Background: Low-value care that wastes resources and harms patients is prevalent in health systems everywhere. Methods: As part of an invited keynote presentation at the Pain in Motion IV conference held in Maastricht, Holland, in May 2022, we reviewed evidence for low-value care in musculoskeletal conditions and discussed possible solutions. Results: Drivers of low-value care are diverse and affect patients, clinicians, and health systems everywhere. We show that low-value care for back pian, neck pain, and osteoarthritis is prevalent in all professional groups involved in caring for people who seek care for these conditions. Implementation efforts that aim to reverse low-value care seem to work better if designed using established conceptual and theoretical frameworks. Conclusion: Low-value care is prevalent in the care of people with musculoskeletal conditions. Reducing low-value care requires behaviour change among patients and clinicians as well as in health systems. There is evidence that behaviour change can be facilitated through good conceptual and theoretical frameworks but not convincing evidence that it changes patient outcomes. [ABSTRACT FROM AUTHOR]

Interleukin-17C increases the expression of psoriasis-associated genes by an I B -dependent m... P. Ommen, L. Iversen and C. Johansen I Aarhus University Hospital, Aarhus, Denmark i Interleukin (IL)-17C is attracting attention as a potential target for the treatment of psoriasis, as it has been demonstrated to have disease-driving features. Real-world data from a cohort of patients with moderate-to-severe psoriasis in Newfoundland and Labrador from 2001-2017 (Gulliver and Gulliver), which included 459 patients with 913 biologics or phosphodiesterase-4 inhibitor exposures observed that 40% of patients remained on their first biologic, with 57% of these patients achieving and maintaining PASI-100, indicating no relapse or progression to a more severe plaque psoriasis or progression to a more severe psoriasis phenotype. P09 Defining value for patients with psoriasis: development of a patient-driven outcome set for c... N. Hilhorst, SP 1,2 sp E. Deprez, SP 1,2 sp N. Van Geel, SP 1,2 sp D. Balak, SP 2 sp I. Hoorens SP 1,2 sp and J. Lambert SP 1,2 sp I SP 1 sp Dermatology Research Unit and SP 2 sp Department of Dermatology, Ghent University Hospital, Ghent, Belgium i To date, there is no outcome set, a consensus-driven minimum set of outcomes, available for psoriasis from a patients' perspective. A total of 198 paediatric patients and 1989 adult patients with psoriasis, with exposure to secukinumab, and 41 paediatric patients and 323 adult patients with psoriasis, with exposure to etanercept, were analysed. There was a trend towards a longer drug survival in biologics-naïve patients (log-rank test I P i = 0-046) Sixteen patients (47-1%) discontinued guselkumab owing to ineffectiveness, 12 patients (35-3%) owing to side-effects and one patient (2-9%) owing to a combination of both reasons. [Extracted from the article]

Introduction: Although a positive correlation between patients' expectations and outcome after surgery appears evident, evidence is rather conflicting. This can be attributed to the lack of uniform, validated, and reliable methods to assess patients' expectations. A valid and reliable questionnaire to assess patients' expectations of lumbar spine surgery is not yet available in Dutch. Methods: The forward-backward translation method will be applied to the original Hospital for Special Surgery Lumbar Spine Surgery Expectations Survey [1]. The translations will be revised by an expert committee, including translators, methodologist, spinal surgery experts and psychology experts. The pre-final Dutch survey will be piloted in a sample (n = 50) of patients scheduled for lumbar surgery. Based on these results, the expert committee will improve the survey. The final survey will then be administered in a sample (n = 300) of patients twice before their spinal surgery. Based on the acquired data, validity (i.e. content, construct, and discriminative validity) and reliability (i.e. internal consistency and test-retest reliability) will determined. Results: Not applicable. Discussion: A Dutch validated survey for assessment of expectations of lumbar surgery patients may assist clinicians in determining the quality of spinal surgical care and any discrepancies that might exist between clinician and patient. Researchers will benefit as well, as uniform and valid surveys are essential to unravel the relation between pre-surgical patients' expectations and satisfaction following spinal surgery. Process evaluation: The study is currently in the backward-translation stage. Finding translators with the appropriate requirements according to the WHO guidelines proves to be challenging. [ABSTRACT FROM AUTHOR]

Introduction: Numerous scientific studies have established the necessity of a biopsychosocial (BPS) approach in the treatment of chronic pain, however, the implementation into clinical practice falls short. The aim of this study is to investigate the effectiveness of a BPS pain educational program for primary healthcare providers (PHCP) on changes in knowledge and attitude, and the guideline adherence. Methods: Within an implementation project of the Belgian Federal Government, a BPS pain educational program was developed based on recent scientific research, and barriers and facilitators formulated by an expert panel. 300 PHCP from various disciplines followed the course which contains two e-learning sessions and two one-day face-to-face trainings. Changes in knowledge and attitudes regarding chronic pain were measured using the KNowledge and Attitudes of Pain (KNAP). Guideline adherence was measured with two clinical case vignettes. Participants were measured pre-course, post-course and at a 6-month follow-up. The satisfaction of participants regarding the training and implementation into practice was measured during the course and at the follow-up. Results: A shift towards the biopsychosocial perspective that is in line with clinical guidelines is expected after completing the chronic pain course. Discussion: The pain course developed in the present study might increase the biopsychosocial perspective and guideline adherence of PHCP. Process evaluation: The selection of adequate evaluation tools to assess multidisciplinary groups was challenging. Furthermore, it remains to be established whether the improvements observed in knowledge and attitude questionnaires and the guideline adherence based on clinical vignettes reflect actual change in clinical practice. [ABSTRACT FROM AUTHOR]

Introduction: Low back pain (LBP) is characterized with enormous costs originating from e.g. work absenteeism1. This study examined the effectiveness of a multidisciplinary intervention, with or without additional workplace intervention (WPI), in improving pain, functionality and return to work in employed (sub)acute LBP sufferers. Methods: A comprehensive search in six electronic databases was performed. The risk of bias (RoB) was assessed using the Cochrane RoB 2-tool and the ROBIS-tool. A level of evidence (LoE) and conclusion was determined according to the Dutch EBRO checklist. Results: Twelve studies were included (one A1, seven A2, four B LoE studies). A multidisciplinary intervention has beneficial effects on pain intensity and functionality compared to usual care. Contradictory results exist when compared with another intervention or an additional WPI. Regarding work-related outcomes conflicting results were found when a multidisciplinary intervention was compared to usual care, and no superior effects were found in comparison to other types of interventions. Adding a WPI to usual care might result in earlier work resumption. Discussion: A multidisciplinary intervention has favorable effects compared with usual care on pain and functionality. An additional WPI on top of usual care might be beneficial for RTW. Process evaluation: Most important limitations: 3 articles with coherent samples, the lack of articles containing an additional WPI and difficulty to compare results due to heterogeneity. [ABSTRACT FROM AUTHOR]

Introduction: Prayer is the most common therapy used in alternative medicine1. The objective of this study was to explore the effect of prayers on endogenous pain modulation, pain intensity, and sensitivity in healthy religious participants. Methods: Two hundred and eight healthy religious participants were enrolled in this study and randomly distributed into two groups, a prayer group (n = 156) and a poem reading or control group (n = 52). Participants from the prayer group were allocated to either an active prayer group (n = 94) receiving an active type of praying or to a passive prayer group (n = 62) receiving a passive type of praying. Pain assessments were performed prior to and following the prayer or poem reading interventions and included pressure pain threshold assessment, conditioned pain modulation, and a numerical pain rating scale for perceived pain intensity. Results: A significant group-by-time interaction for PPT (p = 0.014) indicated post-intervention increases in PPT in the prayer group but not in the poem reading control group. Also, a significant group-by-time interaction for PPT (p = 0.005) indicated that these effects were greater in the active prayer group than in the passive prayer group. Participants experienced a decrease in CPM efficacy (p = 0.030) and an increase in pain intensity (p < 0.001) following the interventions, independent of their group allocation. Discussion: The results showed that prayer, irrespective to type, can positively affect pain sensitivity and intensity, but does not influence endogenous pain inhibition. Process evaluation: Future research should focus on understanding the mechanism behind "prayer induced analgesia". [ABSTRACT FROM AUTHOR]

Our goal was to study the influence of COVID-19 measures and coinciding changes in activities on the prevalence of severe injuries treated at the Emergency Departments (EDs) in The Netherlands. We performed a retrospective observational study with data from the Dutch Injury Surveillance System (DISS) and compared prevalences of ED-visits during lockdown period (March 16 - May 10 2020) with prevalences in the same period in 2019. We also compared a period from May 11 to July 5 2020, in which the measures were relaxed, with the same period in 2019. To exclude a possible effect of avoiding hospitals and EDs duet o COVID-19, we included only treatments for severe injuries. The prevalence of ED-visits due to severe injuries was 27% lower during lockdown than during the same period in 2019 (6755 vs. 4902, p < 0,05). This decrease was seen among all types of injuries and all age categories, but was largest within sports injuries and among 10-19 year old persons (-55%). Opposite to those decreases we saw increases in specific types of injuries such as doing home maintenace work (+31%), and skeelering or skating. (+233%). Among 0-11 year olds, the prevalence of injuries due to trampoline use increased by 68%. During the relaxation period regarding COVID-19 measures, the prevalence of severe injuries increased by 19% compared to lockdown, but was still 11% lower than compared with the same period in 2019. We concluded that changes in activities due to COVID-19 measures during lockdown have led to changes in the number of severe injuries treated at the ED. Variations in prevalence primarily seem to relate to variations in sports and traffic participation, and stay in and around the home. [ABSTRACT FROM AUTHOR]