Maria Jansen
Biographic Data
| ID | 3995681 |
|---|---|
| NAME | Maria Jansen |
| GIVEN NAMES | Maria |
| FAMILY NAME | Jansen |
| SIGNATURE | JANSEN M |
| AFFILIATIONS | Maastricht University |
| ORCID | 0000-0002-1843-139X |
| VERIFIED | Yes |
| TOTAL WORKS | 56 |
| TOTAL CITATIONS | 28 |
| AUTHOR COUNT | 56 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
Implementation support structure for the Dutch Health Promoting School program
Support structures are available to schools worldwide for the implementation of Health Promoting School (HPS) programs. To get more insight in these structures, this multiple case study aimed to map variation in levels of support within eight Public Health Service (PHS) regions in the Netherlands and associations with contextual factors. Designed together with a Community of Practice, the study included two rounds of semistructured group intervie…
Key contextual factors in implementing whole-school health promotion within Dutch schools
Purpose Contextual factors can influence the implementation of whole-school health promotion and compromise its impact among students. This study aimed to identify key (combinations of) contextual factors in the implementation of whole-school health promotion at Dutch primary, secondary and secondary vocational schools. Design/methodology/approach Forty-three schools with either a high or low degree of implementation were selected. Data were coll…
Cheating behaviour in online exams
To What Extent Do Young Adults Meet the Five Needs for Independence? A Latent Class Analysis
Young adults determined five needs which must be met to transition to adulthood: support, housing, study and work, income, and well-being. This study aimed to identify and describe subgroups of young adults and determine to what extent they meet the needs for independence, and to assess relations between subgroups and demographic characteristics. We conducted secondary data analysis of a population-based questionnaire, which included 2291 young a…
Does School Health Promotion Have Additional Value for Educational Performance? A Repeated Cross-Sectional Multilevel Study
Little information is available regarding the influence of the interplay between the school context and school health promotion on educational performance. Therefore, we examined whether the variation between primary and secondary schools regarding the educational performance of students could be explained by general school characteristics, school population characteristics, and school health promotion and to what extent these factors interact. W…
School Health Promotion, the Body Mass Index z-Score, and Psychosocial Health in Primary Schools of the Netherlands
Childhood overweight and psychosocial issues remain significant public health concerns. Schools worldwide implement health promotion programs to address these issues and to support the physical and psychosocial health of children. However, more insight is needed into the relation between these health-promoting programs and the Body Mass Index (BMI) z-score and psychosocial health of children, while taking into account how school factors might inf…
Quantifying reciprocal relationships between poverty and health
Income and financial wealth appear to have limited effects on the health of the overall population of The Netherlands. However, there are indications that these effects may be stronger for individuals who are closer to the poverty threshold. Since the estimated effects of physical capability on income and financial wealth are more substantial, a broad recommendation would be that including physical capability in efforts that are aimed at improvin…
Experiences of policy-advisors in capacity, opportunity and motivation for implementing local tobacco control
Municipalities and local public health departments may contribute to tobacco control by creating smoke-free areas and offering services to help people stop smoking. The national government of the Netherlands could support local governments by providing clearer guidelines on creating smoke-free spaces and on how to improve local smoking cessation support services
School health promotion and fruit and vegetable consumption in secondary schools
School population characteristics explained more variation between schools than Healthy School certification and general school characteristics, especially indicators of parental socioeconomic status. Nevertheless, Healthy School certification seemed to be slightly related to fruit and vegetable consumption, and might contribute to healthier dietary intake. We found small differences for some subgroups, but future research should focus on the imp…
Integrated health and social care for pregnant women and young families in a vulnerable situation in the Netherlands
Collaborative working across domains is found suboptimal in the study regions. • Shared vision towards integrated care is seen as desirable by professionals. • There is a need for implementation strategies to facilitate collaborative working. • Collaboration on case level to promote integrated care should be enhanced. • Main challenge lies in aligning all professionals working in different sectors. This qualitative study investigated the perspect…
Fidelity, adaptation and integration of whole-school health promotion within Dutch schools
Implementing comprehensive health promotion programs in the school setting can be challenging, as schools can be considered complex adaptive systems. As a first step towards understanding what works in improving implementation for which schools and under which conditions, this study aimed to examine the degree of implementation of health promoting school (HPS) programs, in terms of five dimensions of fidelity (adherence, dose, participant respons…
Measuring Implementation of Health Promoting School (HPS) Programs
BACKGROUND: Implementation of Health Promoting School (HPS) programs can be challenging due to the dynamic school context. Navigating between program fidelity and adaptation, as well as integrating the program, is essential for successful implementation, and consequently, for program effects. As part of an evaluation study in the Netherlands, this study aimed to develop a measurement instrument that differentiates schools according to fidelity, a…
Two sides of the same coin? Absolute income and perceived income inadequacy as social determinants of health
Absolute income and perceived income inadequacy reflect conceptually different aspects of income and are independently associated with health outcomes. Perceived income inadequacy may be accounted for in health inequality studies, alongside measures of absolute income. In policy-making, targeting perceived income inadequacy might have potential to reduce health inequalities
Effects of major urban redesign on sedentary behavior, physical activity, active transport and health-related quality of life in adults
This research was retrospectively registered at the Netherlands Trial Register (NL8108)
School health promotion and the consumption of water and sugar-sweetened beverages in secondary schools
The low percentages of explained variation indicate that school-level characteristics in general (including Healthy School certification) do not matter substantially for the daily consumption of water and sugar-sweetened beverages. Future research should examine whether school health promotion can contribute to healthier lifestyles, and if so, under which level of implementation and school conditions
I have discovered how to have faith in my students’
Although the curriculum ideally serves the interests of its recipients, student perspectives have been marginalised in curriculum negotiation. Our objective is to better meet the needs and wishes of vocational education students by including them in planning, acting/observing and reflecting on the citizenship education curriculum. In this participatory action research project students were made responsible for designing, developing and delivering…
As Steady as a Rock! Gaining Insight in Recruitment and Retention Among Primary School Children With Behavioural Problems in Sport Mix Club
The number of children dealing with behavioural problems is increasing. A major challenge in many health-supportive programmes is the recruitment and retention of these children. In the current study, Sport Mix Club (SMC), an approach to enhance socioemotional disorders of 4- to 12-year-old children through sport classes in municipality Vaals, the Netherlands, is used as an illustration. Where many studies faced difficulties getting and keeping c…
The broker role in societal activation of long-term welfare recipients
Socioeconomic status and health are strongly related to the ability of a person to participate in society. Acting upon activation and employment possibilities is difficult for several groups. One group described as especially hard to activate is long-term welfare recipients. In the current study, the role of an activation broker was studied as a supplementary practice to regular support practices. A qualitative research design using an analysis o…
Qualitative modelling of social determinants of health using group model building
Building a model with GMB helps grasp the complex situation of a wicked problem, for which it is unlikely that its interrelationships result in a fully intuitive understanding with linear mechanisms. Using this approach, effects of SDoH can be made visible and the body of evidence expanded. Importantly, it elicits stakeholders' perspectives on a complex reality and offers a non-arbitrary way of formulating the model structure. This qualitative mo…
Collaborative governance at the start of an integrated community approach
NTR6543 , registration date; 25 July 2017
Visualizing changes in physical activity behavioral patterns after redesigning urban infrastructure
The aim of this study was to explore effects of a major urban reconstruction on physical activity (PA) behavior by comparing PA intensity hotspots before and after the tunneling of a highway with a new infrastructure prioritized for walking and cycling. In total, 126 individuals participated before and after the tunneling. GPS loggers and accelerometers were used to assess location and PA levels. A geographic information system (GIS) was used to …
Combining Accelerometry and GPS to Assess Neighborhood-Based Physical Activity
This study explored associations between perceived neighborhood walkability and neighborhood-based physical activity (NB-PA) and assessed possible moderation effects of the amount of time spent in the home neighborhood and individual characteristics (i.e., educational level and health-related problems). In 2016 to 2017, 509 Dutch adults, living in the South Limburg area, were included. Context-specific PA levels were measured using the Actigraph …
Longitudinal Associations of Substance Use Risk Profiles with the Use of Alternative Tobacco Products and Conventional Smoking among Adolescents
Although personality is associated with the onset of substance use (i.e., conventional smoking, alcohol use, and cannabis use) during adolescence, it is unclear whether personality traits are also associated with the onset of use of alternative tobacco products (ATPs), i.e., electronic cigarettes, shisha-pens, and water pipes. This study examines whether personality traits are associated with the onset of use of both conventional cigarettes and A…
Is Loneliness an Undervalued Pathway between Socio-Economic Disadvantage and Health
Loneliness is a growing public health issue. It is more common in disadvantaged groups and has been associated with a range of poor health outcomes. Loneliness may also form an independent pathway between socio-economic disadvantage and poor health. Therefore, the aim of this study was to explore the contribution of loneliness to socio-economic health inequalities. These contributions were studied in a Dutch national sample ( n = 445,748 adults (…
Do parenting practices moderate the association between the physical neighbourhood environment and changes in children’s time spent at various physical activity levels? An exploratory longitudinal stu…
Besides the main effects of walkability and logistic support, there were indications that several parenting practices moderate the association between the physical environment and changes in children's time in various PA levels. The current findings are exploratory, and need to be confirmed in further research
Photovoicing the neighbourhood
Ageing-in-place is considered important for the health of older adults. In this paper, inspired by a constructivist approach to ageing-in-place, we unravel professionals' and older adults' constructions of ageing-in-place. Their perspectives are studied in relation to a policy that aims to develop so-called 'lifecycle-robust neighbourhoods' in the southern part of the Netherlands. We conducted a photovoice study in which 18 older adults (70-85 ye…
Conflicting notions of citizenship in old age
Neighborhood Environment Is Associated with Overweight and Obesity, Particularly in Older Residents
We explored whether overweight and obesity were associated with the physical and social environment at neighborhood level. Data from Maastricht municipality survey (The Netherlands) were used (n = 9771 adults). Multinomial regression models were computed (outcome being normal weight, overweight, or obese). We found inconsistent associations between neighborhood social and physical environment characteristics and overweight and obesity in the tota…
How does an ageing policy translate into professional practices? An analysis of kitchen table conversations in the Netherlands
In the context of the transformation of welfare states into participatory societies, care and welfare professionals are assigned new roles. In the Netherlands, they are tasked with activating and empowering older adults, as well as negotiating customised care. For this purpose, policymakers introduced the kitchen table conversation as a social technology to assess needs and abilities in an informal setting, at home or in public places. The notion…
Meanings of ‘lifecycle robust neighbourhoods’
In Western welfare states, notions of age-friendly communities and ageing-in-place are increasingly important in new health policies. In the Netherlands, care reforms are modifying the former welfare state to be more participatory; local governments are seeking collaborative solutions. Municipalities and housing, care and welfare organisations in the southern part of the country developed the concept of ‘lifecycle robust neighbourhoods’, envision…
Explaining Children’s Life Outcomes
The goal of the present paper is to introduce a dynamic life cycle model that explains the reproduction of wealth and health over generations by introducing knowledge from cognitive neuroscience into the existing knowledge from the socioeconomic literature. The socioeconomic literature successfully identified the major role of socioeconomic status of parents, both as a direct and indirect effect, in the shaping and intergenerational reproduction …
A randomized controlled trial of combined exercise and psycho-education for low-SES women
The additional value of anticipated regret and psychopathology in explaining intended condom use among drug users
In this study we examine determinants of intended condom use with casual and steady sex partners among drug users. Our aim was to find out whether anticipated regret and psychopathology represent additional factors in explaining condom use behaviour, on top of the constructs defined in traditional psychosocial models of behaviour. A questionnaire measuring intentions, attitude, beliefs, personal norm, subjective norm, descriptive norm, self-effic…
Development of a collaborative model to improve school health promotion in the Netherlands
In recent decades, school health promotion programs have been developing into whole-school health approaches. This has been accompanied by a greater understanding among health promoters of the core-business of schools, namely education, and how health promotion objectives can be integrated into this task. Evidence of the positive impact of school health promotion on health risk behavior of students is increasing. This article focuses on the proce…
Exploring recruitment, willingness to participate, and retention of low-SES women in stress and depression prevention
Low-SES women can be recruited and retained in public health interventions through tailored strategies. The integration of mental health screening within primary care might help to embed preventive interventions in low-SES communities
Lifestyle Triple P
Current Controlled Trials NTR 2555 MEC AZM/UM: NL 31988.068.10 / MEC 10-3-052
A randomized controlled trial of combined exercise and psycho-education for low-SES women
Defining subgroups of low socioeconomic status women at risk for depressive symptoms
BACKGROUND: Most disadvantaged women are exposed to risk factors for depression, but not all necessarily have an identical risk for this mental health problem. A better prediction of which low socioeconomic status (SES) women are most at risk for depressive symptoms can help target preventive interventions at high-risk subgroups most in need of support. AIMS: Exploring which demographic, socioeconomic and psychological risk factors are associated…
Towards community-based integrated care
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 2.913 (2021 JCR, received in June 2022)The IJIC 20th Anniversary Issue was published in 2021
LucKi Birth Cohort Study
The LucKi Birth Cohort Study provides a framework in which children are followed from birth into adulthood. Embedding LucKi in CYHC simplifies implementation, leads to low maintenance costs and high participation rates, and facilitates direct implementation of study results into CYHC practice. Furthermore, LucKi provides opportunities to initiate new (experimental) studies and/or to establish biobanking in (part of) the cohort, and contributes re…
Active Living
Current Controlled Trials ISRCTN25497687 (registration date 21/10/2015), METC 12-4-077, Project number 200130003
Neighborhood Environment Is Associated with Overweight and Obesity, Particularly in Older Residents
We explored whether overweight and obesity were associated with the physical and social environment at neighborhood level. Data from Maastricht municipality survey (The Netherlands) were used (n = 9771 adults). Multinomial regression models were computed (outcome being normal weight, overweight, or obese). We found inconsistent associations between neighborhood social and physical environment characteristics and overweight and obesity in the tota…
Conflicting notions of citizenship in old age
The Healthy Primary School of the Future
The study protocol was registered in the database ClinicalTrials.gov on 14-06-2016 with the reference number NCT02800616
Explaining Children’s Life Outcomes
The goal of the present paper is to introduce a dynamic life cycle model that explains the reproduction of wealth and health over generations by introducing knowledge from cognitive neuroscience into the existing knowledge from the socioeconomic literature. The socioeconomic literature successfully identified the major role of socioeconomic status of parents, both as a direct and indirect effect, in the shaping and intergenerational reproduction …
Photovoicing the neighbourhood
Ageing-in-place is considered important for the health of older adults. In this paper, inspired by a constructivist approach to ageing-in-place, we unravel professionals' and older adults' constructions of ageing-in-place. Their perspectives are studied in relation to a policy that aims to develop so-called 'lifecycle-robust neighbourhoods' in the southern part of the Netherlands. We conducted a photovoice study in which 18 older adults (70-85 ye…
Impact of an Outdoor Smoking Ban at Secondary Schools on Cigarettes, E-Cigarettes and Water Pipe Use among Adolescents
The effectiveness of outdoor smoking bans on smoking behavior among adolescents remains inconclusive. This study evaluates the long-term impact of outdoor school ground smoking bans among adolescents at secondary schools on the use of conventional cigarettes, e-cigarettes (with/without nicotine) and water pipes. Outdoor smoking bans at 19 Dutch secondary schools were evaluated using a quasi-experimental design. Data on 7733 adolescents were obtai…
The Healthy Primary School of the Future
Background: Schools can play an important role in promoting children's health behaviours. A Dutch initiative, 'The Healthy Primary School of the Future', aims to integrate health and well-being into the school system. We use a contextual action-oriented research approach (CARA) to study the implementation process. Properties of CARA are its focus on contextual differences and the use of monitoring and feedback to support and evaluate the process …
Study protocol of the quasi-experimental evaluation of “Keigaaf”
Dutch Trial Register NTR6716 (registration date 27/06/2017, retrospectively registered), METC163027, NL58554.068.16, Fonds NutsOhra project number 101.253
The integration and training of the concept of Positive Health among health and social care professionals in an integrated community approach’ – defining the facilitators and barriers
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field of integrated care on a continuous basis.IJIC has an Impact Factor of 5.120 (2020 JCR, received in June 2021)
How does an ageing policy translate into professional practices? An analysis of kitchen table conversations in the Netherlands
In the context of the transformation of welfare states into participatory societies, care and welfare professionals are assigned new roles. In the Netherlands, they are tasked with activating and empowering older adults, as well as negotiating customised care. For this purpose, policymakers introduced the kitchen table conversation as a social technology to assess needs and abilities in an informal setting, at home or in public places. The notion…
Meanings of ‘lifecycle robust neighbourhoods’
In Western welfare states, notions of age-friendly communities and ageing-in-place are increasingly important in new health policies. In the Netherlands, care reforms are modifying the former welfare state to be more participatory; local governments are seeking collaborative solutions. Municipalities and housing, care and welfare organisations in the southern part of the country developed the concept of ‘lifecycle robust neighbourhoods’, envision…
Co-producing active lifestyles as whole-system-approach
Population health interventions tend to lack links to the emerging discourse on interactive knowledge production and exchange. This situation may limit both a better understanding of mechanisms that impact health lifestyles and the development of strategies for population level change. This paper introduces an integrated approach based on structure-agency theory in the context of 'social practice'. It investigates the mechanisms of co-production …
The Moderating Role of the School Context on the Effects of the Healthy Primary School of the Future
Background : The current study investigated the moderating role of the school context on the effects of a Dutch health promoting school initiative on children's health and health behaviors. Methods : The study used a mixed-methods design. The school context ( n = 4) was assessed by the characteristics of the school population, teacher's health-promoting (HP) practices, implementers' perceived barriers, school's HP elements, and dominating organiz…
Positive Health beyond boundaries in community care
NTR 6543 , registration date; 25 July 2017
Assessing the role of criminality in neighbourhood safety feelings and self-reported health
Public health policies targeting safety as a social determinant of health should consider prioritizing areas of violent crime and nuisance to improve general feelings of safety. Further research is needed to understand which factors aside from criminality are driving residents' feelings of safety
Process evaluation of the Healthy Primary School of the Future
The study was retrospectively registered in the ClinicalTrials.gov database on 14 June 2016 (NCT02800616)
Medicine (48 works) · Psychology (36 works) · Public health (28 works) · Nursing (23 works) · Environmental health (22 works) · Political science (21 works) · Sociology (20 works) · Gerontology (19 works) · School Health and Nursing Education (16 works) · Biostatistics (14 works)