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