{"id":6252,"date":"2026-03-31T14:11:03","date_gmt":"2026-03-31T14:11:03","guid":{"rendered":"https:\/\/www.proefschriftmaken.nl\/portfolio\/danielle-zijlstra\/"},"modified":"2026-03-31T14:11:09","modified_gmt":"2026-03-31T14:11:09","slug":"danielle-zijlstra","status":"publish","type":"us_portfolio","link":"https:\/\/www.proefschriftmaken.nl\/en\/portfolio\/danielle-zijlstra\/","title":{"rendered":"Danielle Zijlstra"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":6255,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"us_portfolio_category":[45],"class_list":["post-6252","us_portfolio","type-us_portfolio","status-publish","has-post-thumbnail","hentry","us_portfolio_category-new-template"],"acf":{"naam_van_het_proefschift":"The development and evaluation of a smoking cessation referral aid for the primary care setting","samenvatting":"Er is geen Nederlandse samenvatting beschikbaar. De Engelse samenvatting vind je <a href=\"https:\/\/www.proefschriftmaken.nl\/en\/portfolio\/danielle-zijlstra\/\">hier<\/a>.","summary":"Smoking is still one of the leading causes of illness and premature death among the general population, but especially among groups with a lower socioeconomic status. It is therefore crucial to improve smoking cessation strategies. The primary care setting (PCS) can play a key role in reaching smokers because of its strategic position in the health-care system and the existence of guidelines aimed at providing evidence based smoking cessation care by practice nurses (PNs) and other primary care professionals (PCPs). These guidelines recommend discussing the use of evidence-based smoking cessation interventions (EBSCIs) such as behavioral counseling (face-to-face counseling, eHealth, group counseling, or counseling over the telephone) and pharmacological supplementations (nicotine replacement therapy or pharmacotherapy in the form of non-nicotine medication). Using EBSCIs can double the chance of success of a smoking cessation attempt, but unfortunately, EBSCIs are still structurally underused. To increase the use of EBSCIs and to support referral by PCPs to EBSCIs during consultations, a referral aid (RA) for smoking cessation interventions for smoking patients within the PCS was developed. The overall aim of the dissertation is to describe the process of the development of this RA and to investigate its potential.\n\nChapter 1 provides a general introduction to Chapters 2\u20137 of this dissertation, including important background information, details on the theoretical groundings, and the research questions of the studies reported on in this dissertation. Chapters 2\u20135 describe the potential of the RA in the PCS, and Chapters 6 and 7 explore further applications of the RA.\n\nPart I: The potential of an RA in the PCS\n\nChapter 2 presents a Delphi study that aimed to obtain an overview of the knowledge and viewpoints on the effectiveness and use of EBSCIs among PCPs. A three-round online Delphi study was conducted among researchers and PCPs to gain an overview of (1) the criteria that are important for recommending EBSCIs, (2) the perceptions of both groups on the effectiveness of EBSCIs, (3) the factors to consider when counseling different (high-risk) groups of smokers, and (4) the perceptions of both groups on the use of e-cigarettes as an EBSCI. We found a high level of agreement within the groups on which characteristics of smokers should be considered when recommending an EBSCI. We also found that PCPs displayed a lower consensus on the effectiveness of EBSCIs. Both groups valued the use of special protocols for different (high-risk) groups of patients, but the two groups did not reach a consensus on the use of e-cigarettes as an effective means to quit. This inventory of PCPs\u2019 needs regarding EBSCIs, and their usage provided us with clear directions to facilitate a higher uptake of and referral to EBSCIs in the PCS.","auteur":"Danielle Zijlstra","auteur_slug":"danielle-zijlstra","publicatiedatum":"10 februari 2022","taal":"EN","url_flipbook":"https:\/\/ebook.proefschriftmaken.nl\/ebook\/daniellezijlstra?iframe=true","url_download_pdf":"","url_epub":"","ordernummer":"FTP-202603311407","isbn":"978-94-6423-620-0","doi_nummer":"","naam_universiteit":"Universiteit Maastricht","afbeeldingen":6256,"naam_student:":"","binnenwerk":"","universiteit":"Universiteit Maastricht","cover":"","afwerking":"","cover_afwerking":"","design":""},"_links":{"self":[{"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/us_portfolio\/6252","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/us_portfolio"}],"about":[{"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/types\/us_portfolio"}],"author":[{"embeddable":true,"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/comments?post=6252"}],"version-history":[{"count":1,"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/us_portfolio\/6252\/revisions"}],"predecessor-version":[{"id":6253,"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/us_portfolio\/6252\/revisions\/6253"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/media\/6255"}],"wp:attachment":[{"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/media?parent=6252"}],"wp:term":[{"taxonomy":"us_portfolio_category","embeddable":true,"href":"https:\/\/www.proefschriftmaken.nl\/en\/wp-json\/wp\/v2\/us_portfolio_category?post=6252"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}