Sandra Van Dulmen
Biographic Data
| ID | 1742459 |
|---|---|
| NAME | Sandra Van Dulmen |
| GIVEN NAMES | Sandra |
| FAMILY NAME | Van Dulmen |
| SIGNATURE | VAN DULMEN S |
| AFFILIATIONS | Netherlands Institute for Health Services Research |
| ORCID | 0000-0002-1651-7544 |
| VERIFIED | Yes |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 2 |
| WORKS AS AUTHOR | 18 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1996 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
How does guided group reflection work to support professional identity formation in postgraduate medical education
PURPOSE: In postgraduate medical education, guided group reflection is often applied to support professional identity formation. However, little is known about how guided group reflection is shaped and how it works. Our scoping review synthesizes existing evidence about various approaches for guided group reflection, their aims, components and potential working mechanisms. METHODS: We conducted a scoping review using JBI (Joanna Briggs Institute)…
Patient–Registered Nurse Communication
INTRODUCTION: Primary care is the first point of contact for patients in most Western healthcare systems, addressing acute, chronic and preventive health needs. Registered nurse-led first visits (new episode) consultations have shown promise in improving accessibility and meeting the growing demand for timely care. Understanding how patients evaluate their interactions with registered nurses is a crucial first step towards identifying communicati…
How General Practitioners Raise Psychosocial Concerns as a Potential Cause of Medically Unexplained Symptoms
A common explanation for medically unexplained symptoms (MUS) relates patients' psychosocial concerns to their physical ailments. The present study used conversation analysis to examine how general practitioners (GPs) ascribe psychosocial causes to patients' unexplained symptoms during medical consultations. Our data consisted of 36 recorded consultations from Dutch general practice. We found that GPs raise psychosocial concerns as a potential ca…
Communication about breast cancer genetic counseling with patients with limited health literacy or a migrant background
Access to breast cancer genetic counseling is suboptimal for patients with limited health literacy or a migrant background due to ineffective communication and lack of healthcare professionals' recommendation. This study examines the effect of a blended training program (Erfo4all) for healthcare professionals on their awareness, knowledge, and self-efficacy towards communication about genetic counseling with patients with limited health literacy …
The association between patients’ expectations and experiences of task‐, affect‐ and therapy‐oriented communication and their anxiety in medically unexplained symptoms consultations
BACKGROUND: It is unknown whether patients with medically unexplained symptoms (MUS) differ from patients with medically explained symptoms (MES) regarding their expectations and experiences on task-oriented communication (ie, communication in which the primary focus is on exchanging medical content), affect-oriented communication (ie, communication in which the primary focus is on the emotional aspects of the interaction) and therapy-oriented co…
The Use of Expectancy and Empathy When Communicating With Patients With Advanced Breast Cancer; an Observational Study of Clinician–Patient Consultations
Background: Information provision about prognosis, treatments, and side-effects is important in advanced cancer, yet also associated with impaired patient well-being. To counter potential detrimental effects, communication strategies based on placebo and nocebo effect mechanisms might be promising to apply in daily practice. This study aimed to provide more insight into how often and how oncologists use expectancy and empathy expressions in consu…
Referral to cancer genetic counseling
Participation rates in cancer genetic counseling differ among populations, as patients with a lower educational background and migrant patients seem to have poorer access to it. We conducted a study to determine the present-day educational level and migrant status of counselees referred to cancer genetic counseling. We assessed personal characteristics and demographics of 731 newly referred counselees. Descriptive statistics were used to describe…
Breast cancer genetic counseling among Dutch patients from Turkish and Moroccan descent
Lower participation rates in cancer genetic counseling are observed among different ethnic minorities. The goal of our study is to gain insight into determinants of Turkish and Moroccan patients' participation in breast cancer genetic counseling and DNA testing, from the point of view of healthcare professionals and patients. Questionnaire-based telephone interviews about awareness, perceptions, and reasons for (non-) participation in cancer gene…
Active Involvement of End Users When Developing Web-Based Mental Health Interventions
Thinking about user-centered design and carefully planning, the involvement of end users should become standard in the field of web-based (mental) health. When deciding on the level of user involvement, one should balance the need for input from users with the availability of resources such as time and funding
Participation of chronic patients in medical consultations
AIMS: Chronic patients are increasingly expected to participate actively in medical consultations. This study examined (i) patients' perceived efficacy and barriers to participation in consultations, (ii) patients' interest in communication support and (iii) correlates of perceived efficacy and barriers, with an emphasis on differences across providers' disciplines. METHODS: A representative panel of chronic patients (n = 1314) filled out the sho…
Setting goal and implementation intentions in consultations between practice nurses and patients with overweight or obesity in general practice
Objective Patients with overweight or obesity increasingly attend general practice, which is an ideal setting for weight-loss counselling. The present study is the first to investigate the quality of weight-loss counselling provided by practice nurses in general practice to patients with overweight or obesity, in order to identify points for improvement. Design An observational checklist was developed to assess goal and implementation intentions …
Counselee participation in follow-up breast cancer genetic counselling visits and associations with achievement of the preferred role, cognitive outcomes, risk perception alignment and perceived perso…
Motivational interviewing within the different stages of change
Who is being referred to cancer genetic counseling? Characteristics of counselees and their referral
Both physician and patient play a role in the referral process for cancer genetic counseling. Access to such counseling is not optimal because some eligible patients are not being reached by current referral practice. We aimed to identify factors associated with the initiator of referral. During a 7-month period, we recorded demographic characteristics like gender, personal and family history of cancer, ethnicity and eligibility for genetic testi…
Breast cancer genetic counselling referrals
General practitioners' responses to the initial presentation of medically unexplained symptoms
BACKGROUND: Physicians in primary and secondary care are frequently confronted with patients with medically unexplained symptoms (MUS). In order to solve their patients' problems and out of a fear of overlooking a serious disease, many physicians give their patients full physical examinations and interventions, thereby incorrectly confirming the somatic nature of their condition. Preventing somatization could be achieved by examining the patient'…
Has patients’ involvement in the decision‐making process changed over time
Objective To get insight into the changes over time of patients’ involvement in the decision‐making process, and into the factors contributing to patients’ involvement and general practitioners’ (GPs) communication related to the Medical Treatment Act (MTA) issues: information about treatment, other available treatments and side‐effects; informed decision making; asking consent for treatment. Background Societal developments have changed the doct…
Cognitive-Behavioral Group Therapy for Irritable Bowel Syndrome
Little is known about the effectiveness of cognitive behavioral treatment for patients with irritable bowel syndrome on a group basis. Previous studies have used only small samples, and studies with long term follow-up are lacking. The arm of the present study was to investigate: a) the effectiveness of a cognitive-behavioral group treatment compared with a waiting list control condition in alleviating abdominal complaints and b) the long term ef…
Cognitive-Behavioral Group Therapy for Irritable Bowel Syndrome
Little is known about the effectiveness of cognitive behavioral treatment for patients with irritable bowel syndrome on a group basis. Previous studies have used only small samples, and studies with long term follow-up are lacking. The arm of the present study was to investigate: a) the effectiveness of a cognitive-behavioral group treatment compared with a waiting list control condition in alleviating abdominal complaints and b) the long term ef…
Has patients’ involvement in the decision‐making process changed over time
Objective To get insight into the changes over time of patients’ involvement in the decision‐making process, and into the factors contributing to patients’ involvement and general practitioners’ (GPs) communication related to the Medical Treatment Act (MTA) issues: information about treatment, other available treatments and side‐effects; informed decision making; asking consent for treatment. Background Societal developments have changed the doct…
General practitioners' responses to the initial presentation of medically unexplained symptoms
BACKGROUND: Physicians in primary and secondary care are frequently confronted with patients with medically unexplained symptoms (MUS). In order to solve their patients' problems and out of a fear of overlooking a serious disease, many physicians give their patients full physical examinations and interventions, thereby incorrectly confirming the somatic nature of their condition. Preventing somatization could be achieved by examining the patient'…
Breast cancer genetic counselling referrals
Who is being referred to cancer genetic counseling? Characteristics of counselees and their referral
Both physician and patient play a role in the referral process for cancer genetic counseling. Access to such counseling is not optimal because some eligible patients are not being reached by current referral practice. We aimed to identify factors associated with the initiator of referral. During a 7-month period, we recorded demographic characteristics like gender, personal and family history of cancer, ethnicity and eligibility for genetic testi…
Motivational interviewing within the different stages of change
Counselee participation in follow-up breast cancer genetic counselling visits and associations with achievement of the preferred role, cognitive outcomes, risk perception alignment and perceived perso…
Participation of chronic patients in medical consultations
AIMS: Chronic patients are increasingly expected to participate actively in medical consultations. This study examined (i) patients' perceived efficacy and barriers to participation in consultations, (ii) patients' interest in communication support and (iii) correlates of perceived efficacy and barriers, with an emphasis on differences across providers' disciplines. METHODS: A representative panel of chronic patients (n = 1314) filled out the sho…
Setting goal and implementation intentions in consultations between practice nurses and patients with overweight or obesity in general practice
Objective Patients with overweight or obesity increasingly attend general practice, which is an ideal setting for weight-loss counselling. The present study is the first to investigate the quality of weight-loss counselling provided by practice nurses in general practice to patients with overweight or obesity, in order to identify points for improvement. Design An observational checklist was developed to assess goal and implementation intentions …
Referral to cancer genetic counseling
Participation rates in cancer genetic counseling differ among populations, as patients with a lower educational background and migrant patients seem to have poorer access to it. We conducted a study to determine the present-day educational level and migrant status of counselees referred to cancer genetic counseling. We assessed personal characteristics and demographics of 731 newly referred counselees. Descriptive statistics were used to describe…
Breast cancer genetic counseling among Dutch patients from Turkish and Moroccan descent
Lower participation rates in cancer genetic counseling are observed among different ethnic minorities. The goal of our study is to gain insight into determinants of Turkish and Moroccan patients' participation in breast cancer genetic counseling and DNA testing, from the point of view of healthcare professionals and patients. Questionnaire-based telephone interviews about awareness, perceptions, and reasons for (non-) participation in cancer gene…
Active Involvement of End Users When Developing Web-Based Mental Health Interventions
Thinking about user-centered design and carefully planning, the involvement of end users should become standard in the field of web-based (mental) health. When deciding on the level of user involvement, one should balance the need for input from users with the availability of resources such as time and funding
The association between patients’ expectations and experiences of task‐, affect‐ and therapy‐oriented communication and their anxiety in medically unexplained symptoms consultations
BACKGROUND: It is unknown whether patients with medically unexplained symptoms (MUS) differ from patients with medically explained symptoms (MES) regarding their expectations and experiences on task-oriented communication (ie, communication in which the primary focus is on exchanging medical content), affect-oriented communication (ie, communication in which the primary focus is on the emotional aspects of the interaction) and therapy-oriented co…
The Use of Expectancy and Empathy When Communicating With Patients With Advanced Breast Cancer; an Observational Study of Clinician–Patient Consultations
Background: Information provision about prognosis, treatments, and side-effects is important in advanced cancer, yet also associated with impaired patient well-being. To counter potential detrimental effects, communication strategies based on placebo and nocebo effect mechanisms might be promising to apply in daily practice. This study aimed to provide more insight into how often and how oncologists use expectancy and empathy expressions in consu…
Communication about breast cancer genetic counseling with patients with limited health literacy or a migrant background
Access to breast cancer genetic counseling is suboptimal for patients with limited health literacy or a migrant background due to ineffective communication and lack of healthcare professionals' recommendation. This study examines the effect of a blended training program (Erfo4all) for healthcare professionals on their awareness, knowledge, and self-efficacy towards communication about genetic counseling with patients with limited health literacy …
How General Practitioners Raise Psychosocial Concerns as a Potential Cause of Medically Unexplained Symptoms
A common explanation for medically unexplained symptoms (MUS) relates patients' psychosocial concerns to their physical ailments. The present study used conversation analysis to examine how general practitioners (GPs) ascribe psychosocial causes to patients' unexplained symptoms during medical consultations. Our data consisted of 36 recorded consultations from Dutch general practice. We found that GPs raise psychosocial concerns as a potential ca…
How does guided group reflection work to support professional identity formation in postgraduate medical education
PURPOSE: In postgraduate medical education, guided group reflection is often applied to support professional identity formation. However, little is known about how guided group reflection is shaped and how it works. Our scoping review synthesizes existing evidence about various approaches for guided group reflection, their aims, components and potential working mechanisms. METHODS: We conducted a scoping review using JBI (Joanna Briggs Institute)…
Patient–Registered Nurse Communication
INTRODUCTION: Primary care is the first point of contact for patients in most Western healthcare systems, addressing acute, chronic and preventive health needs. Registered nurse-led first visits (new episode) consultations have shown promise in improving accessibility and meeting the growing demand for timely care. Understanding how patients evaluate their interactions with registered nurses is a crucial first step towards identifying communicati…
Medicine (18 works) · Family medicine (14 works) · Psychology (14 works) · Cancer (7 works) · Internal Medicine (7 works) · Nursing (7 works) · BRCA gene mutations in cancer (6 works) · Clinical Psychology (6 works) · Psychiatry (6 works) · Breast cancer (5 works)