M. Bos-de Vos
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35 records found
1
Parents feel a responsibility to provide a healthy start for their young children, but struggle to realise this. Especially in disadvantaged neighbourhoods, parents face challenges such as financial strain, stress, and isolation. Facing these challenges can contribute to tensions between parents’ values, such as balancing family harmony with healthy food choices. Such value tensions may negatively affect the nutrition decisions parents make for their children. Nutrition interventions often fail to address these value tensions, which contributes to their relatively low uptake and impact. By understanding the tensions parents face between their values, the present research offers recommendations for future nutrition interventions to encourage healthy nutrition decisions in disadvantaged situations.
Methods
We conducted a qualitative interview study using semi-structured interviews with 20 parents of children aged zero to four years, living in disadvantaged neighbourhoods. Transcripts were analysed inductively to identify value tensions, stressors that trigger them, and protective factors that mitigate their impact.
Results
Six key value tensions parents experienced regarding nutrition were identified, which emerged in situations involving, for example, stress, low income, or limited social support. The three most common tensions included balancing the value of the dietary health of the child with the values of enjoyment of the child, convenience for the parent, and well-being of the parent. Our analyses showed that the value tensions were triggered by specific stressors, such as challenging child behaviour, unhealthy food provided by friends or family, and lack of me-time for the parent. The participants reported relief from stressors and the resulting value tensions by relying on protective factors such as social and material support, including informal household support and access to healthy, convenient foods.
Conclusions
This study provides insights into how value tensions, stressors, and protective factors influence parents’ nutrition decisions for their children. By addressing these value tensions, alongside other influences such as structural barriers, nutrition interventions may become more fitting and motivating for parents within their specific contexts. In addition to general recommendations on value-based intervention design, our findings offer specific guidance for developing tailored nutrition interventions for families in disadvantaged neighbourhoods. ...
Parents feel a responsibility to provide a healthy start for their young children, but struggle to realise this. Especially in disadvantaged neighbourhoods, parents face challenges such as financial strain, stress, and isolation. Facing these challenges can contribute to tensions between parents’ values, such as balancing family harmony with healthy food choices. Such value tensions may negatively affect the nutrition decisions parents make for their children. Nutrition interventions often fail to address these value tensions, which contributes to their relatively low uptake and impact. By understanding the tensions parents face between their values, the present research offers recommendations for future nutrition interventions to encourage healthy nutrition decisions in disadvantaged situations.
Methods
We conducted a qualitative interview study using semi-structured interviews with 20 parents of children aged zero to four years, living in disadvantaged neighbourhoods. Transcripts were analysed inductively to identify value tensions, stressors that trigger them, and protective factors that mitigate their impact.
Results
Six key value tensions parents experienced regarding nutrition were identified, which emerged in situations involving, for example, stress, low income, or limited social support. The three most common tensions included balancing the value of the dietary health of the child with the values of enjoyment of the child, convenience for the parent, and well-being of the parent. Our analyses showed that the value tensions were triggered by specific stressors, such as challenging child behaviour, unhealthy food provided by friends or family, and lack of me-time for the parent. The participants reported relief from stressors and the resulting value tensions by relying on protective factors such as social and material support, including informal household support and access to healthy, convenient foods.
Conclusions
This study provides insights into how value tensions, stressors, and protective factors influence parents’ nutrition decisions for their children. By addressing these value tensions, alongside other influences such as structural barriers, nutrition interventions may become more fitting and motivating for parents within their specific contexts. In addition to general recommendations on value-based intervention design, our findings offer specific guidance for developing tailored nutrition interventions for families in disadvantaged neighbourhoods.
The influence of caregivers’ value tensions on nutrition decisions for their families
A qualitative study in disadvantaged neighbourhoods
Anticipating joint value creation in an energy transition program
Is it worth the worth?
How Much Decision Power Should (A)I Have?
Investigating Patients' Preferences Towards AI Autonomy in Healthcare Decision Making
Despite the growing potential of artificial intelligence (AI) in improving clinical decision making, patients' perspectives on the use of AI for their care decision making are underexplored. In this paper, we investigate patients' preferences towards the autonomy of AI in assisting healthcare decision making. We conducted interviews and an online survey using an interactive narrative and speculative AI prototypes to elicit participants' preferred choices of using AI in a pregnancy care context. The analysis of the interviews and in-story responses reveals that patients' preferences for AI autonomy vary per person and context, and may change over time. This finding suggests the need for involving patients in defining and reassessing the appropriate level of AI assistance for healthcare decision making. Departing from these varied preferences for AI autonomy, we discuss implications for incorporating patient-centeredness in designing AI-powered healthcare decision making.
Anticipating joint value creation in a local energy transformation project
The inclusivity, flexibility, and creativity paradox
Christopher Alexander’s Pattern Language Theory (PLT) has been recognized as a valuable methodology to understand complex systems. It has been applied across domains through a variety of different approaches. This article reviews exist-ing approaches to PLT application and reflects upon the differences between them. We find that application generally differs across four components: artefact, activity, roles and tools, informed by practitioners’ diverging values and needs. We elaborate on how consciously navigating the dimensions that these components consist of can help to broaden the application of PLT in practice. We report on the development of a set of conceptual tools that aim to support this process. The resulting “activity kit” has been applied in a Dutch housing renovation project to support homeowners in communication and decision‐making to illustrate the applicability of our methodology. It can be concluded that the “activity kit” is a promising approach to broaden the use of PLT and contributes to the methodological repertoire of researchers and practitioners to address complexity in today’s societal challenges.
This paper unpacks how actors navigate the multiple organizational, interorganizational and industry contexts that are associated with system transformation programs for addressing wicked, societal problems. Because system transformation programs can only succeed when changes are implemented by multiple organizations, an increased understanding of integrating programs in multiple contexts is needed. We draw on a qualitative field study of an interorganizational program designed to help transform the Dutch healthcare system. We identified three practices of context navigation that actors used to integrate the program into multiple parent organizations and address emerging incongruencies among contexts. These are aligning contexts, prioritizing contexts, and adding contexts. Over time, these navigating practices promoted progress towards program objectives via multiple parallel collaborative paths. Our findings shed new light on the role of breakdowns and decoupled collaborative paths in programs oriented at contributing to system transformation.
Prenatal nutrition is a key predictor of early-life development. However, despite mass campaigns to stimulate healthy nutrition during pregnancy, the diet of Dutch pregnant women is often suboptimal. Innovative technologies offer an opportunity to develop tailored tools, which resulted in the release of various apps on healthy nutrition during pregnancy. As midwives act as primary contact for Dutch pregnant women, the goal was to explore the experiences and perspectives of midwives on (1) nutritional counselling during pregnancy, and (2) nutritional mHealth apps to support midwifery care. Analyses of eleven in-depth interviews indicated that nutritional counselling involved the referral to websites, a brochure, and an app developed by the Dutch Nutrition Centre. Midwives were aware of the existence of other nutritional mHealth apps but felt uncertain about their trustworthiness. Nevertheless, midwives were open towards the implementation of new tools providing that these are trustworthy, accessible, user-friendly, personalised, scientifically sound, and contain easy-digestible information. Midwives stressed the need for guidelines for professionals on the implementation of new tools. Involving midwives early-on in the development of future nutritional mHealth apps may facilitate better alignment with the needs and preferences of end-users and professionals, and thus increase the likelihood of successful implementation in midwifery practice.
Short and long-term innovations on dietary behavior assessment and coaching
Present efforts and vision of the pride and prejudice consortium
Overweight, obesity and cardiometabolic diseases are major global health concerns. Lifestyle factors, including diet, have been acknowledged to play a key role in the solution of these health risks. However, as shown by numerous studies, and in clinical practice, it is extremely challenging to quantify dietary behaviors as well as influencing them via dietary interventions. As shown by the limited success of ‘one-size-fits-all’ nutritional campaigns catered to an entire population or subpopulation, the need for more personalized coaching approaches is evident. New technology-based innovations provide opportunities to further improve the accuracy of dietary assessment and develop approaches to coach individuals towards healthier dietary behaviors. Pride & Prejudice (P&P) is a unique multi-disciplinary consortium consisting of researchers in life, nutrition, ICT, design, behavioral and social sciences from all four Dutch Universities of Technology. P&P focuses on the development and integration of innovative technological techniques such as artificial intelligence (AI), machine learning, conversational agents, behavior change theory and personalized coaching to improve current practices and establish lasting dietary behavior change.
Sommige mensen kijken naar wat er gecreëerd wordt in een project, anderen juist naar wat mensen in deze projecten motiveert. Industrieel Ontwerpen, TU Delft onderzoeker Marina Bos-de Vos stelt dat het om allebei gaat: de interne waarden die jou en je partners motiveren, en de externe waarden die je samen realiseert. Het is jouw rol als ontwerper om al deze waarden in beeld te krijgen, met elkaar te verbinden en daarmee een succesvol project te realiseren.
Deze korte animatie is bedoeld voor gebruik in onderwijs, maar is ook geschikt om het gesprek te starten over waarden in complexe projecten. [...] ...
Sommige mensen kijken naar wat er gecreëerd wordt in een project, anderen juist naar wat mensen in deze projecten motiveert. Industrieel Ontwerpen, TU Delft onderzoeker Marina Bos-de Vos stelt dat het om allebei gaat: de interne waarden die jou en je partners motiveren, en de externe waarden die je samen realiseert. Het is jouw rol als ontwerper om al deze waarden in beeld te krijgen, met elkaar te verbinden en daarmee een succesvol project te realiseren.
Deze korte animatie is bedoeld voor gebruik in onderwijs, maar is ook geschikt om het gesprek te starten over waarden in complexe projecten. [...]
Collaboration in open innovation health initiatives
Working towards a sustainable healthcare system
Some people look at what is being created in a project, others look at what drives people in a projects. Industrial Design Engineering, TU Delft researcher Marina Bos-de Vos argues it should be about both. It’s about internal values that drive you, and the external values you create. As designer, it is your role to grasp and connect all these values to make it a success.
This short movie is intended to be used in education, but can also be used in practice as a conversation starter on values. [...] ...
Some people look at what is being created in a project, others look at what drives people in a projects. Industrial Design Engineering, TU Delft researcher Marina Bos-de Vos argues it should be about both. It’s about internal values that drive you, and the external values you create. As designer, it is your role to grasp and connect all these values to make it a success.
This short movie is intended to be used in education, but can also be used in practice as a conversation starter on values. [...]