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Dr. M. (Marijn) de Bruin
Assistant professor Intervention Design & Behavior Change
E marijn.debruin@wur.nl
T +31 (0)317-4 82126
Visiting address:
Building no. 201, 'Leeuwenborch' , 4th floor
Room 4065
Hollandseweg 1
6706 KN Wageningen
The Netherlands
Postal address:
P.O. Box 8130
6700 EW Wageningen
The Netherlands |
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Marijn de Bruin is assistant professor Intervention Design & Behavior Change, with a focus on health behavior . He graduated in Health Education and Health Promotion (Faculty of Health Sciences, Maastricht University) and completed his PhD-thesis at the Faculty of Psychology of the same university. His applied psychological research focuses on the development and testing of theory- and evidence-based health promotion/behavior change interventions, with the main focus on supporting adherence to HIV/AIDS, diabetes and asthma treatment. Other domains such as exercise behavior and (un)healthy eating also have his interest. Marijn has experience with qualitative and quantitative determinant studies of health behavior, randomized controlled trials, and meta-analyses. His work is strongly embedded in psychological theories of behavior and behavior change.
Current Teaching
Courses
COM 12306 - Methods for effective communication
COM 36806 - Advances in health promotion
HNE 51806- Healthy ageing
HNE 33306- Public Health Practice
Current Research Focus
- Self-regulation of health behavior - Systematic design of behavior change interventions - Quality of care in chronic diseases - Meta-analyses of behavior change interventions - Control groups and bias in randomized controlled trials - Quality of intervention descriptions in published articles - Randomized controlled trials for health behavior change - Cost-effectiveness analyses of behavior change interventions – Efficacy and effectiveness in biomedical Hiv prevention trials – Bias in self-reported behavior – Quality of life – Pharmacoepidemiology - Social cognitive and environmental determinants of health behavior
Articles
Pasternak A.O., de Bruin M., Jurriaans S., Bakker M., Berkhout B., Prins J.M., and Lukashov V.V. Modest deviations from 100% adherence to antiretroviral therapy promote residual HIV-1 replication in the absence of virological rebound in plasma. The Journal of Infectious Diseases (2012, in press).
De Bruin, M., Sheeran, P., Kok, G., Hiemstra, A., Prins, J.M., Hospers, H.J., Breukelen, G.J.P. Self-regulatory processes mediate the intention-behavior relation for adherence and exercise behaviors. Health Psychology (2012, March).
Stutterheim, S., Bos, A., de Bruin, M., Kok, G., & Schaalma, H.P. Beliefs contributing to HIV-related stigma in African and Afro-Carribean communities in the Netherlands. Journal of Community & Applied Social Psychology (2011, October).
Stutterheim, S., Bos, A., de Bruin, M., Kok, G., & Schaalma, H.P. HIV-related stigma in African and Afro-Caribbean communities in the Netherlands: Manifestations, consequences and coping. Psychology & Health, 2012;27(4):395-41.
De Bruin, M. Commentary on "Communication strategies to improve HIV treatment adherence". Health Communication, 2012:217-218.
Mulder, B., de Bruin, M., Schreurs, H., van Woerkum, C. Socioeconomic Inequalities in health behaviors as a function of psychosocial stressors and resources: A multiple mediation model. BMC Public Health, 2011;11:1-31.
Lyimo, R.A., van den Boogaard, J., Msoka, E., Hospers, H.J., van der Ven, A., Mushi, D., de Bruin, M. Measuring adherence to antiretroviral therapy in northern Tanzania: feasibility and acceptability of the Medication Event Monitoring System. BMC Public Health, 2011;11:92. doi:10.1186/1471-2458-11-92.
Stutterheim, S.E., Shiripinda, I., Bos, A.E.R., Pryor, J.B., de Bruin, M., Nellen, F.J.B., Kok, G., Prins, J.M., & Schaalma, H.P. HIV status disclosure among HIV-positive African and Afro-Caribbean people in the Netherlands. AIDS Care, 2011;23(2):195-205.
De Bruin, M., Hospers, H.J., van Breukelen, G., Kok, G., Koevoets, W.M., Prins, J.M. Electronic monitoring-based counseling to enhance adherence among HIV-infected patients: a randomized controlled trial. Health Psychology, 2010; 29(4):421-8.
Michie, S., Prestwich, A., & de Bruin, M. Importance of the nature of comparison conditions for testing theory-based interventions: reply. Health Psychology, 2010;29(5):468-70.
Schoenmakers, T., de Bruin, M., Lux, I.F.M., Goertz, A.C., van Kerkhof, D.H.A.T., & Wiers, R.W. Attentional re-training in alcohol dependent patients: a randomized controlled trial. Drug & Alcohol Dependence, 2010;109(13):30-6.
De Bruin, M., Viechtbauer, W., Schaalma, H. P., Kok, G., Abraham, C., & Hospers, H. J. Standard care impact of effects of highly active antiretroviral therapy adherence interventions: a meta-analysis of randomized controlled trials. Archives of Internal Medicine, 2010;170(3):240-250.
De Bruin, M., Viechtbauer, W., Hospers, H.J., Schaalma, H.P., & Kok, G. Standard Care Quality Determines Treatment Outcomes in Control Groups of HAART-Adherence Intervention Studies: Implications for the Interpretation and Comparison of Intervention Effects. Health Psychology, 2009;28:668-674.
De Bruin, M., Hospers, H.J., van den Borne, H.W., Kok, G., & Prins, J.M. A Theory- and evidence-based intervention to improve adherence to antiretroviral therapy among HIV-infected patients in the Netherlands: A pilot study. Aids Patient Care and STDS, 2005, 19(6); 384-394.
Research grants
EU FP7
Role: Work package leader
Phase: negotiation
Grant total: approx. € 3.000.000
Grant work package: € 376.000
Title: Safety and effectiveness of LABAs in routine Asthma care
Title workpackage: Drug exposure validation and adherence measurement; adherence determinants and quality of care
Role: Supervisor of Ines Brito (project withdrawn: community leaders did not want to participate)
March 2011-July 2011
Grant: Obtained from the Dutch Aids Fonds- € 3.150
Title: ‘HIV-empathy promotion among Cape Verdean community leaders in Rotterdam’
Role: Primary investigator, Trainer, Post-doc and Ph.D. supervisor
January 2010 – January 2014
Grant: obtained from ZONmw (Dutch organization for health research and innovation in health care)- € 428.095
Title: 'Determining the cost-effectiveness of an effective intervention to improve adherence among treatment-experienced HIV-infected patients in the Netherlands'
Role: Primary investigator
April 2010 - June 2010
Grant: small grant obtained from the Aids fonds (Dutch Aids Foundation) for research assistance- 10.000 euro
Title: 'Fine-tuning a measurement tool for the quality of adherence care in HIV-treatment’
Role – Ph.D.-candidate
March 2005 – September 2008
Grant: PhD-candidate (supervised) obtained grant from Maastricht University for 3.5 years Ph.D. salary (internal funding competition, externally reviewed)
Supervisors: Professors Harm J. Hospers, Gerjo Kok, Jan M. Prins
Title: ‘Theory- and Evidence-based interventions to enhance adherence to HAART’
Role – Researcher
March 2004 – March 2005
Young talent grant provided by the Faculty of Psychology, Maastricht University- 1 year salary
Role – Researcher
December 2002 – December 2003
Grant: obtained from Aardex, ltd., €35.000
Supervisors: Professor Bart van den Borne, Dr. Harm J Hospers, Dr. Jan M Prins
Title: Designing and pilot-testing an intervention to enhance adherence to HAART among HIV-infected patients in the Netherlands
(Ph.D.) Supervisor
Co-promotor and daily supervisor of Ramsey Limo, in collaboration with prof. Harm J Hospers (dean University College, Professor of Applied psychology, Maastricht University) and Dr. Andre van de Ven (Professor International Health, Radboud Medical Center, Nijmegen)
Topic: Validation of adherence measurement tools and identifying behavioral determinants of adherence to HIV-medication in rural Tanzania. Expected end date: 01-03-2011
Co-promotor and daily supervisor of Bob Mulder, together with prof. Cees van Woerkum (Strategic Communication, Communication science, Wageningen University) and prof. Guy Rutten (Professor of Diabetology in General Practice at the Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht). Topic: a] Socio-economic differences and health, b] What determines treatment outcomes of diabetes type 2 treatment in primary care? Understanding the role of health behaviors and behavior change counseling. Start date as co-promotor: October 01 2009
Co-promotor and daily supervisor of Edwin Oberje, together with professor Cees van Woerkum, professor Jan M Prins (Professor of Internal Medicine, Academic medical center, Amsterdam), and Dr. Sylvia Evers (Associate professor Health Technology Assessment, Maastricht University).
Topic: Cost-effectiveness of an effective intervention to promote HIV-treatment adherence. Start date: March 14 2010
Selected presentations
De Bruin, M. Methodological challenges in adherence intervention studies: Desig of a multi-site cost-effectiveness trial. European Symposium on Patient Adherence and Persistance. (2011)
De Bruin, M. Studying the impact of standard and intervention care directed at HIV treatment adherence using meta-regression. Hôpital du Saint Sacrement, Laval University, Quebec, Canada (2011, invited lecturer).
De Bruin, M. Theory- and evidence-based intervention to improve adherence: an example in HIV. Symposium on patient adherence. Laval University, Quebec, Canada (2011, invited speaker)
De Bruin, M. Potential sources of bias in behavior change RCTs and Design of a multi-site cost-effectiveness study. (Conference of the European Health Psychology Society, 2011)
De Bruin, M. Invited discussant on the symposium ‘Advancing the science of behaviour change: New approaches to designing, reporting and reviewing interventions’. (EHPS, 2011)
De Bruin, M. Invited discussant on the research day of the municipal health service (GGD) of Amsterdam (2011)
De Bruin, M. Communication Science and Health Behavior Change (invited workshop for Regional health
services Gelre-ijssel, the Netherlands, 2011)
De Bruin, M. Improving adherence and treatment decision-making: the power of elecntronically compiled drug-dosing histories. (European Symposium on Patient Ccompliance, 2010, Lodz, Poland; Invited key-note lecture).
De Bruin, M. Intervention and control care determine aderence intervention effects among patients treated for HIV: A meta-analysis of randomized controlled trials (ESPACOMP, 2010, Lodz, Poland)
De Bruin, M., et al. Standard care quality affects adherence intervention trial outcomes (Invited Lecturer at the 5th IAPAC conference in Miami, May 2010).
De Bruin, M., et al. An electronic-monitoring based intervention improves HIV-treatment adherence (5th IAPAC conference in Miami, May 2010).
De Bruin, M. Een effectieve therapietrouw interventie bij HIV: Kosten-effectief en cultureel-sensitief? (An effective adherence intervention in HIV: Cost-effective and cultural sensitive?). University of Amsterdam, Medical Psychology (invited talk for research meeting, 2010).
De Bruin, M. Therapietrouw & HAART. Evidence-based zorg (November, 2009). (Adherence & HAART. Evidence-based care). Symposium: Improvement of pharmacotherapy with chronic conditions: good for patient and provider. Sint Maartenskliniek (Invited speaker).
De Bruin, M. Variability in intervention and standard care impacts treatment outcomes in HAART adherence intervention trials: A meta-analysis. Center for Health Intervention and Prevention, University of Connecticut (Invited speaker seminar series, October 2009)
De Bruin, M. Designing health promotion interventions; A counseling intervention to support HIV-treatment adherence. Social psychology, University of Connecticut (Invited speaker seminar series, October 2009).
De Bruin, M. Variability in care provided to active controls impacts effect sizes in meta-analyses of HAART-adherence interventions. 23rd conference of the European Health Psychology Society (September 2009).
De Bruin, M. Adherence and HAART: Evidence-based behavioral interventions. (2008) 2nd National Patient Adherence Conference, Amsterdam, the Netherlands.
De Bruin, M. Adherence and HAART: Evidence-based health care. (2008) XIIIth Infectious Diseases Symposium, Amsterdam, the Netherlands (invited speaker).
De Bruin, M. Variations on the above presentations for Dutch health care professionals (e.g., (HIV-) nurses, general pratitioners, internal physicians; invited speaker).
De Bruin, M. Intervention design, description, and evaluation: The role of behavior change techniques. (2008) Invited speaker on a seminar for PhD-candidates and researchers at the Scientific Institute for Quality in Health Care, Radboud University Nijmegen.
De Bruin, M. Intervention Mapping: Improving adherence to ARV among HIV-infected patients. (2007) Psychology & Health research day, the Netherlands.
De Bruin, M., van Kesteren, N. Adherence and safe sexual behavior among HIV-infected patients. (2006) The 10th National STD-AIDS Conference, the Netherlands.
Courses: Development as an Instructor and Scholar
- Meta-analysis (3-day course)
- Advanced statistics (1 month-course)
- Structural equation modeling (2-day training)
- Ethics in science (1-day training)
- Motivational Interviewing (introduction, practitioners and trainer’s course; total 8-day training)
- Consulting skills (2-day training)
- Career development training (3-day training)
- Intercultural communication skills (3-day training)
- Tutor training (2-day training)
- Lectures (3-day training)
- Didactic skills (9-day training + 3 days self-study)
- Trainer Intervention Mapping: Designing theory and evidence based health promotion programs
Other
- Advisor for the AIDS foundation for developing life style programs. Also not scientific, but supervising professionals in the AIDS foundation to improve the quality of their campaigns. Societal role.
- Member of the advisory board for a national medication monitor, Nivell. The board helps making data available for the society. Societal role.
- Member educational board Nutrition and Health, Wageningen University
- Fellow of the Mansholt graduate school
- Member of WIDER (Workgroup for Intervention Development and Evaluation Research) that aims to improve reporting of behavior change interventions following from the CONSORT agreement: http://interventiondesign.co.uk/
- Member of SHARP- research group on Synthesis of HIV/AIDS Research Project, University of Connecticut: http://socialpsych.uconn.edu/SHARP.html
- Member of MINT, the Motivational Interviewers Network of Trainers: http://www.motivationalinterview.org/
- Trainer Intervention Mapping; designing theory- and evidence-based behavior change interventions: http://interventionmapping.com/
- Member of RESHAPE, the Maastricht Center for Research on HIV/AIDS Prevention and Education: http://reshape.unimaas.nl/