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Child research

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STRATEGIC THEMES: MENTAL & PHYSICAL HEALTH<br />

<strong>Child</strong>hood<br />

cancer affects the<br />

whole family.<br />

Screening<br />

<br />

and<br />

monitoring help to<br />

prevent traumatic stress<br />

and provide timely<br />

interventions.<br />

- Martha Grootenhuis<br />

rheumatology, pulmonology and oncology. Together with Elise<br />

van de Putte, MD, PhD, she’s translated insights into tailored<br />

e-health interventions: FitNet-plus, a web-based portal for<br />

cognitive behavioral therapy; and PROfeel, a smartphone app<br />

where children can log their complaints in real-time.<br />

Martha’s group has longitudinally studied several pediatric<br />

populations. Her studies demonstrate, for example, that young<br />

adults who grow up with a childhood chronic disease achieve<br />

fewer milestones, or achieve them later than their peers across<br />

different domains (i.e. autonomy, psychosexual and social). A<br />

delayed social development, including limited participation in<br />

sports, was related to a lower quality of life in adulthood. This<br />

underlines the urgent need to address social development<br />

earlier in life.<br />

Together with Elise van Putte, MD, PhD, we collaborate in the<br />

PROactive study (Patient Reported Outcomes in Adolescents<br />

with Chronic/life-threatening disease and Tailored<br />

InterVentions in a digital Environment). PROactive enables the<br />

early detection of a disturbed psychosocial development and<br />

prompts subsequent interventions, that considers the<br />

perspective of both the child and his or her family, and aims to<br />

improve self-management and growth towards independency<br />

in adulthood. In particular, we have a special focus on fatigue<br />

and social/sports activities.<br />

Early interventions will empower our chronically ill patients<br />

and help them cope with the psychosocial effects of their<br />

physical condition. We expect that, through health play and<br />

game interventions, our patients will develop into healthy<br />

resilient adults.<br />

UMC Utrecht - <strong>Child</strong> <strong>research</strong> 39

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