Lilian Lechner
Biographic Data
| ID | 3931716 |
|---|---|
| NAME | Lilian Lechner |
| GIVEN NAMES | Lilian |
| FAMILY NAME | Lechner |
| SIGNATURE | LECHNER L |
| AFFILIATIONS | Open University of the Netherlands |
| ORCID | 0000-0002-5160-7086 |
| VERIFIED | Yes |
| TOTAL WORKS | 40 |
| TOTAL CITATIONS | 38 |
| WORKS AS AUTHOR | 40 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1995 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Student mental wellbeing as an interconnected system
Student mental wellbeing has become a growing concern in higher education, with increasing numbers of students reporting stress and psychological difficulties. Although academic factors, social environmental factors, and coping styles are all considered relevant, less is known about how these factors are interconnected in relation to mental wellbeing within a broader system. This study applied a network approach to examine how these factors were …
Evaluating the effectiveness of an integral neighbourhood-oriented approach for healthy ageing
This article reports an effectiveness study of Neighbourhood Active & Connected, a novel neighbourhood-oriented approach to promote healthy ageing among older adults from lower socioeconomic positions (LSPs). This group faces significant health disparities and limited access to preventive care. The intervention aims to enhance physical activity, reduce loneliness, and improve social cohesion and health-related quality of life, while fostering dig…
Mapping system dynamics of academic, social, and online influences on student mental wellbeing
Students in higher education experience substantial pressure on their mental wellbeing, with underlying causes that are complex and interconnected, requiring a systems approach. This study applies a Causal Loop Diagram (CLD), structured around students’ proximal environments—academic, social, and online—to examine system dynamics and identify leverage points that influence mental wellbeing. A qualitative, participatory design was used to develop …
The intention to use E-mental health applications among people with non-Western migration backgrounds
Purpose Despite the opportunities and benefits of electronic mental health (EMH), migrants often lack (adequate) access to digital healthcare. To increase migrants’ access to EMH, this study aims to empirically examine the factors associated with the intention to use EMH among first- and second-generation migrants with a non-Western background, based on the unified theory of acceptance and use of technology (UTAUT) as well as relevant literature.…
The direct and indirect effects of social environmental factors on student mental wellbeing at different socio-ecological levels
A longitudinal, socio-ecological approach was used to study student mental wellbeing. • Meso-level factors show direct and indirect links with student mental wellbeing. • Community organizations consistently relate to wellbeing across the academic year. • Social support and network satisfaction mediate social environmental associations. • Social trust shapes how students perceive and engage with their social environment. Abstract Student mental w…
Differences in usage and engagement rates of an online physical activity intervention among subgroups of adults aged 50 years and older in a practical setting
Reach, use and effects of digital health interventions (DHIs) vary greatly among subpopulations, with lower usage rates and effects among groups with low socioeconomic status (SES) and chronic diseases. However, reaching these groups and improving their DHI use is crucial since they could benefit the most from improving their health and lifestyle. The aim of this study was to provide insight into usage and engagement rates of an online physical a…
Student mental wellbeing in relation to coping, social network satisfaction, and academic stressors during and after the Covid-19 pandemic
A socio-ecological approach of evidence on associations between social environmental factors and mental health outcomes of young adults
Long-Term Effects on Loneliness of a Computer-Tailored Intervention for Older Adults With Chronic Diseases
Objectives: This study explores the effects of the Active Plus intervention aiming to decrease loneliness among older adults (>65 years) with chronic diseases. Methods: A randomized controlled trial (RCT) was performed (N = 585; age: M = 74.5 years, SD = 6.4), assessing loneliness at baseline, 6 months and 12 months. Outcome measures in the multilevel linear regression analyses were total, social and emotional loneliness. Results: At 12 months, s…
Motivational factors for initiating and maintaining physical activity among adults aged over fifty targeted by a tailored intervention
Objective: To provide insight into the motivational working mechanisms (i.e. mediators) of an effective physical activity (PA) intervention for adults aged over fifty.Design: The mediation model (N = 822) was investigated in an RCT for the total intervention population, participants who were not norm-active at baseline (targeting PA initiation) and norm-active participants (targeting PA maintenance) separately.Main Outcome Measures: Potential med…
The Effect of Active Plus, a Computer-Tailored Physical Activity Intervention, on the Physical Activity of Older Adults with Chronic Illness(es)—A Cluster Randomized Controlled Trial
eHealth interventions aimed at improving physical activity (PA) can reach large populations with few resources and demands on the population as opposed to centre-based interventions. Active Plus is a proven effective computer-tailored PA intervention for the older adult population focusing on PA in daily life. This manuscript describes the effects of the Active Plus intervention ( N = 260) on PA of older adults with chronic illnesses (OACI), comp…
The effect of Active Plus, a computer-tailored physical activity intervention, on cognitive functioning of elderly people with chronic illness(es) – study protocol for a randomized controlled trial
Nederlands Trial Register NL6005 ; Date of Registration 21-03-2017
Evaluation of a Computer-Tailored Healthy Ageing Intervention to Promote Physical Activity among Single Older Adults with a Chronic Disease
This study explores the effectiveness of the Active Plus65 intervention designed to stimulate physical activity among single older adults with a chronic physical impairment. A quasi-experimental pre-test post-test study was performed. The intervention group ( n = 411; mean age = 76.75; SD = 7.75) was assessed at baseline, three months, and six months. Data of comparable older adults who completed the original Active Plus intervention served as re…
Habit strength and between-meal snacking in daily life
Objective Recent research emphasizes the importance of habit in explaining patterns of energy intake and choices of consumption. However, the nature of the association between habit strength and snacking has not been explored for all types of between-meal snacks. Design Multilevel linear techniques were used to: (i) examine the association between habit strength and moment-to-moment energy intake (kilocalories) from snacks in daily life; and (ii)…
Implementation of web-based interventions by Dutch occupational health centers
The aim of this qualitative study was to identify barriers and facilitators to the adoption and particularly the implementation of a web-based computer-tailored obesity prevention intervention by occupational health centers. Participants were directors of Dutch occupational health centers who had adopted and implemented the intervention for the corresponding efficacy study (n = 8) as well as non-adopters (n = 12). Individual semi-structured inter…
Effectiveness of a Video-Versus Text-Based Computer-Tailored Intervention for Obesity Prevention after One Year
Computer-tailored programs may help to prevent overweight and obesity, which are worldwide public health problems. This study investigated (1) the 12-month effectiveness of a video- and text-based computer-tailored intervention on energy intake, physical activity, and body mass index (BMI), and (2) the role of educational level in intervention effects. A randomized controlled trial in The Netherlands was conducted, in which adults were allocated …
Back-of-pack information in substitutive food choices
Stigma experiences among substance users with HIV
Two conditions that are highly stigmatized are substance use and HIV. In this qualitative study, we investigated, through thematic analyses of verbatim transcripts, 15 substance users’ experiences with receiving their diagnosis, making disclosure decisions, and receiving and dealing with stigmatizing reactions. Motivations to disclose included being in poor health, having visible symptoms, others seeing HIV medication, poor medication access with…
Similarities and differences in underlying beliefs of socio-cognitive factors related to diet and physical activity in lower-educated Dutch, Turkish, and Moroccan adults in the Netherlands
The same cognitive beliefs were discussed in all three ethnic groups. The importance of cultural and religious factors appeared to be the most significant difference between the Turkish/Moroccan groups and the Dutch groups. Accordingly, interventions for all three ethnic groups should focus on socio-cognitive beliefs, whereas interventions for Turkish and Moroccan populations can additionally take religious and cultural rules into account
Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoring
Dutch Trial Registry NTR4506 , registration date: 1(st) may 2014
Eating in moderation and the essential role of awareness
Exploring individual cognitions, self-regulation skills, and environmental-level factors as mediating variables of two versions of a Web-based computer-tailored nutrition education intervention aimed …
Motivational interviewing in a web-based physical activity intervention
The purpose of this study was to identify which question/reflection format leads to the most favorable results in terms of effect on autonomous motivation and appreciation for the intervention in a web-based computer-tailored physical activity (PA) intervention, based on principles from self-determination theory (SDT) and motivational interviewing (MI). For this purpose, a randomized trial was conducted among 465 Dutch adults, comparing three web…
Profiling physical activity motivation based on self-determination theory
The results of this study provide additional support for the importance of autonomous motivation in the context of physical activity behavior. The three derived clusters may be relevant in the context of physical activity interventions as individuals within the different clusters might benefit most from different intervention approaches. In addition, this study shows that cluster analysis is a useful method for differentiating between motivationa…
Long-term efficacy of a Web-based computer-tailored nutrition education intervention for adults including cognitive and environmental feedback
Netherlands Trial Registry NTR3396
Psychosocial Determinants of Fruit and Vegetable Consumption
Dutch Cyberbullying Victims’ Experiences, Perceptions, Attitudes and Motivations Related to (Coping with) Cyberbullying
Because of the negative effects of cyberbullying; and because of its unique characteristics; interventions to stop cyberbullying are needed. For this purpose, more insightful information is needed about cyberbullying victims’ (i.e., the target group) experiences, perceptions, attitudes and motivations related to (coping with) cyberbullying. Five schools with 66 low-educated Dutch adolescents between 12 and 15 (53% female) participated in 10 focus…
Social psychological correlates of paying attention to cancer symptoms and seeking medical help
Are clusters of dietary patterns and cluster membership stable over time? Results of a longitudinal cluster analysis study
The Development of a Self-Report Questionnaire on Coping with Cyberbullying
The negative effects and the continuation of cyberbullying seem to depend on the coping strategies the victims use. To assess their coping strategies, self-report questionnaires (SRQs) are used. However, these SRQs are often subject to several shortcomings: the (single and topological) categorizations used in SRQs do not always adequately differentiate among various coping responses, in addition the strategies of general SRQs fail to accurately m…
Eating in moderation and the essential role of awareness. A Dutch longitudinal study identifying psychosocial predictors
Psychosocial Determinants of Fruit and Vegetable Consumption
Social psychological correlates of paying attention to cancer symptoms and seeking medical help
Factors related to misperception of physical activity in The Netherlands and implications for health promotion programmes
With respect to health risk behaviours, many people are unaware of their own risk behaviour and regard their behaviour as more healthy than it really is. This article studied differences between people with and without misperception of their physical activity with respect to several reference points: the social comparison style of people (upward, equal and downward); the body self-image with regard to their weight [body mass index (BMI) and self-…
The Active plus protocol
Dutch Trial Register NTR 920
Systematic development of a text-driven and a video-driven web-based computer-tailored obesity prevention intervention
NTR3501
Correlates of the Intention to Implement a Tailored Physical Activity Intervention
The public health impact of health behaviour interventions is highly dependent on large-scale implementation. Intermediaries-intervention providers-determine to a large extent whether an intervention reaches the target population, and hence its impact on public health. A cross-sectional study was performed to identify the correlates of intermediaries' intention to implement a computer-tailored physical activity intervention. According to theory, …
Long-term health outcomes and cost-effectiveness of a computer-tailored physical activity intervention among people aged over fifty
The current study was registered at the Dutch Trial Register (NTR2297; April 26th 2010)
Online Pestkoppenstoppen
NTR3613, 14-09-2012
I Move
NTR4129
Planned development and evaluation protocol of two versions of a web-based computer-tailored nutrition education intervention aimed at adults, including cognitive and environmental feedback
Dutch Trial Registry NTR3396
Predicting fruit consumption
Both habit and previous behavior are important as predictors of future behavior, and as educational objectives for behavior change programs. Our results revealed less stability for the constructs over time than expected. Habit strength was to a large extent mediated by previous behavior and our results do not strongly suggest a need for the inclusion of both constructs. Future research needs to assess the conditions that determine direct influenc…
Are clusters of dietary patterns and cluster membership stable over time? Results of a longitudinal cluster analysis study
Motivational interviewing in a web-based physical activity intervention
The purpose of this study was to identify which question/reflection format leads to the most favorable results in terms of effect on autonomous motivation and appreciation for the intervention in a web-based computer-tailored physical activity (PA) intervention, based on principles from self-determination theory (SDT) and motivational interviewing (MI). For this purpose, a randomized trial was conducted among 465 Dutch adults, comparing three web…
Profiling physical activity motivation based on self-determination theory
The results of this study provide additional support for the importance of autonomous motivation in the context of physical activity behavior. The three derived clusters may be relevant in the context of physical activity interventions as individuals within the different clusters might benefit most from different intervention approaches. In addition, this study shows that cluster analysis is a useful method for differentiating between motivationa…
Long-term efficacy of a Web-based computer-tailored nutrition education intervention for adults including cognitive and environmental feedback
Netherlands Trial Registry NTR3396
Dutch Cyberbullying Victims’ Experiences, Perceptions, Attitudes and Motivations Related to (Coping with) Cyberbullying
Because of the negative effects of cyberbullying; and because of its unique characteristics; interventions to stop cyberbullying are needed. For this purpose, more insightful information is needed about cyberbullying victims’ (i.e., the target group) experiences, perceptions, attitudes and motivations related to (coping with) cyberbullying. Five schools with 66 low-educated Dutch adolescents between 12 and 15 (53% female) participated in 10 focus…
The Development of a Self-Report Questionnaire on Coping with Cyberbullying
The negative effects and the continuation of cyberbullying seem to depend on the coping strategies the victims use. To assess their coping strategies, self-report questionnaires (SRQs) are used. However, these SRQs are often subject to several shortcomings: the (single and topological) categorizations used in SRQs do not always adequately differentiate among various coping responses, in addition the strategies of general SRQs fail to accurately m…
Eating in moderation and the essential role of awareness. A Dutch longitudinal study identifying psychosocial predictors
Stigma experiences among substance users with HIV
Two conditions that are highly stigmatized are substance use and HIV. In this qualitative study, we investigated, through thematic analyses of verbatim transcripts, 15 substance users’ experiences with receiving their diagnosis, making disclosure decisions, and receiving and dealing with stigmatizing reactions. Motivations to disclose included being in poor health, having visible symptoms, others seeing HIV medication, poor medication access with…
Similarities and differences in underlying beliefs of socio-cognitive factors related to diet and physical activity in lower-educated Dutch, Turkish, and Moroccan adults in the Netherlands
The same cognitive beliefs were discussed in all three ethnic groups. The importance of cultural and religious factors appeared to be the most significant difference between the Turkish/Moroccan groups and the Dutch groups. Accordingly, interventions for all three ethnic groups should focus on socio-cognitive beliefs, whereas interventions for Turkish and Moroccan populations can additionally take religious and cultural rules into account
Development of a computer-tailored nutrition and physical activity intervention for lower-educated women of Dutch, Turkish and Moroccan origin using content matching and ethnic identity tailoring
Dutch Trial Registry NTR4506 , registration date: 1(st) may 2014
Eating in moderation and the essential role of awareness
Exploring individual cognitions, self-regulation skills, and environmental-level factors as mediating variables of two versions of a Web-based computer-tailored nutrition education intervention aimed …
Implementation of web-based interventions by Dutch occupational health centers
The aim of this qualitative study was to identify barriers and facilitators to the adoption and particularly the implementation of a web-based computer-tailored obesity prevention intervention by occupational health centers. Participants were directors of Dutch occupational health centers who had adopted and implemented the intervention for the corresponding efficacy study (n = 8) as well as non-adopters (n = 12). Individual semi-structured inter…
Effectiveness of a Video-Versus Text-Based Computer-Tailored Intervention for Obesity Prevention after One Year
Computer-tailored programs may help to prevent overweight and obesity, which are worldwide public health problems. This study investigated (1) the 12-month effectiveness of a video- and text-based computer-tailored intervention on energy intake, physical activity, and body mass index (BMI), and (2) the role of educational level in intervention effects. A randomized controlled trial in The Netherlands was conducted, in which adults were allocated …
Medicine (28 works) · Psychology (28 works) · Behavioral Health and Interventions (20 works) · Social Psychology (18 works) · Intervention (counseling (15 works) · Public health (15 works) · Psychological intervention (14 works) · Physical Activity and Health (13 works) · Psychiatry (13 works) · Social Psychology (12 works)