dr. A. Lenferink (Anke)

Assistant Professor
BMS-TPS-HTSR
a.lenferink@utwente.nl
+31534896311
Business card

As an Epidemiologist and Assistant Professor I am working at the section of Health Technology and Services Research, University of Twente, Enschede, where I am involved in education on quality in healthcare and in supervision of Bachelor and Master students (mainly Health Sciences) during their thesis.Ā I also have an affiliation with the department of Pulmonary Diseases at Medisch Spectrum Twente, Enschede.

My research interest lies in the area of self-management interventions for patients with chronic diseases.Ā Therefore, I am involved in the development of tailored self-management interventions for patients with COPD and comorbidities, and hope to continue and expand my collaboration with different (international) disciplines and institutions to contribute to further improvement of these interventions.Ā 


Other activities

Combined with my PhD project, I was also trained as an Epidemiologist B at the Radboud University Nijmegen. Therefore, I have weekly reviewed articles on methodological issues and followed courses and conferences about epidemiology and methodology. In addition, I have reviewed multiple papers for several peer-reviewed journals.

  • Member editorial review board Chronic Respiratory Disease
  • Member of The Netherlands Epidemiological Society (VVE)
  • Member of the Netherlands and European Respiratory Society (NRS & ERS)

Expertise

  • Nursing and Health Professions

    • Obstructive Lung Disease
    • Self Care
    • Patient
    • Disease Exacerbation

  • Medicine and Dentistry

    • Chronic Obstructive Pulmonary Disease
    • Inpatient
    • Symptom

  • Psychology

    • Self-Management

Organisations

My research interest lies in the area of self-management interventions for patients with chronic diseases.Ā Self-management interventions and digital health technologies enhance care delivery substitution from secondary to primary care and facilitate home-based support. This is essential to manage the increased number of patients ā€“mainly elderly- with chronic diseases. It is a challenge to tailor chronic disease self-management interventions to patientsā€™ needs and preferences, and make them better accessible and applicable for individuals. Recently, in multidisciplinary research an e-health self-management portal for patients with COPD and comorbidities has been developed, based on paper versions of a self-management intervention (COPE-III study).

Currently, I am the clinical coordinator of a European H2020 project:Ā REal-time data monitoring forĀ Shared,Ā Adaptive,Ā Multi-domain andĀ Personalised prediction and decision making forĀ Long-termĀ Pulmonary careĀ Ecosystems (RE-SAMPLE). In this project the UT (HTSR, SCS, BSS) is collaborating with MST, RRD and hospitals in Italy and Estonia to predict exacerbations of COPD and comorbidities from real-world data monitoring and artificial intelligence, and to develop a virtual companionship program to facilitate pro-active disease management. This research would give the opportunity to contribute to further adaptation and implementation of patient-tailored chronic disease self-management interventions.Ā 

In 2017, I completed my PhD at the Department of Pulmonary Medicine, Medisch Spectrum Twente, the Netherlands and the Flinders University, Adelaide, Australia. My PhD project was concerning the effectiveness of a self-management intervention in patients with Chronic Obstructive Pulmonary Disease (COPD) and comorbidities: the COPE-III study. This study was performed in two hospitals in the Netherlands and three hospitals in Adelaide, Australia. I obtained a Cotutelle agreement between the University of Twente, Enschede, and the Flinders University, Adelaide, for cooperation between the Dutch and Australian research groups on the self-management of patients with COPD. In 2014 and 2016, I visited Adelaide for two four-month research periods as part of my Cotutelle agreement.

Publications

2024
Potential for personalised and biomarker-guided COPD self-treatment approaches. Lenferink, A., Citgez, E., van der Valk, P. D. L. P. M., van der Palen, J., Effing, T. & Brusse-Keizer, M. G. J.https://doi.org/10.1016/S2213-2600(24)00180-2Lack of Evidence Regarding Markers Identifying Acute Heart Failure in Patients with COPD: An AI-Supported Systematic Review, 531-541. van Dijk, S. H. B., Brusse-Keizer, M. G. J., Bucsán, C. C., Ploumen, E. H., van Beurden, W., van der Palen, J., Doggen, C. & Lenferink, A.https://doi.org/10.2147/COPD.S437899
2023
Facilitators and Barriers of Adherence to Multi-Disease Exacerbation Action Plans in COPD Patients - A Qualitative Study, 262-273. Schrijver, J., Effing, T., Brusse-Keizer, M., van der Palen, J., van der Valk, P. & Lenferink, A.https://doi.org/10.1080/15412555.2023.2240408Evaluation of Exacerbation and Symptom-Free Time in Patients with COPD, 9-17. de Vries, M., Effing, T. W., van der Palen, J., Schrijver, J., van der Valk, P. D. L. P. M. & Lenferink, A.https://doi.org/10.1080/15412555.2022.2136066Exploring Patterns of COPD Exacerbations and Comorbid Flare-Ups, 2633-2644. van Dijk, S. H. B., Brusse-Keizer, M., Effing, T., van der Valk, P. D. L. P. M., Ploumen, E., Palen, J. v. d., Doggen, C. J. M. & Lenferink, A.https://doi.org/10.2147/COPD.S428960Predictors of acute exacerbations in COPD: a systematic review, PA3641. Bucsán, C. C., Lenferink, A., van dijk, S. H. B., van beurden, W. J. C., van der valk, P. D. L. P. M., Doggen, C. J. M., van der palen, J. & Brusse-Keizer, M. G. J.https://doi.org/10.1183/13993003.congress-2023.PA3641Biomarkers differentiating acute heart failure from COPD exacerbations: not much evidence, PA515. van dijk, S. H. B., Brusse-Keizer, M. G. J., Bucsán, C. C., Ploumen, E. H., van Beurden, W. J. C., van der Palen, J., Doggen, C. J. M. & Lenferink, A.https://doi.org/10.1183/13993003.congress-2023.PA515Exploring patterns of COPD exacerbations and comorbid flare-ups, PA1348. van dijk, S. H. B., Brusse-Keizer, M. G. J., Effing, T., van der valk, P. D. L. P. M., Ploumen, E. H., van der Palen, J., Doggen, C. J. M. & Lenferink, A.https://doi.org/10.1183/13993003.congress-2023.PA1348The continuously evolved RE-SAMPLE cohort: predicting outcomes of COPD and comorbidities. Lenferink, A., Bucsán, C. C. & Brusse-Keizer, M. G. J.Artificial intelligence in systematic reviews: promising when appropriately used, Article e072254. van Dijk, S. H. B., Brusse-Keizer, M. G. J., Bucsán, C. C., Palen, J. v. d., Doggen, C. J. M. & Lenferink, A.https://doi.org/10.1136/bmjopen-2023-072254
2022
Differentiating acute heart failure from exacerbations of COPD: An AI-supported literature review, 1088-1088. van Dijk, S. H. B., Brusse-Keizer, M. G. J., Bucsán, C. C., Doggen, C., van der Palen, J. & Lenferink, A.https://doi.org/10.1183/13993003.congress-2022.1088Self-management interventions for people with chronic obstructive pulmonary disease, Article CD002990. Schrijver, J., Lenferink, A., Brusse-Keizer, M., Zwerink, M., van der Valk, P. D. L. P. M., van der Palen, J. & Effing, T. W.https://doi.org/10.1002/14651858.CD002990.pub4The influence of patientsā€™ adherence to COPD exacerbation action plans on health outcomes. Schrijver, J. J., Effing, T., van Helden, J., Brusse-Keizer, M. G. J., van der Palen, J., van der Valk, P. D. L. P. M. & Lenferink, A.Differentiating between acute heart failure and a COPD exacerbation ā€“ Will AI help us in reviewing the literature?. van Dijk, S. H. B., Brusse-Keizer, M. G. J., Bucsán, C. C., Doggen, C., van der Palen, J. & Lenferink, A.Identifying predictors of acute exacerbations in COPD: a systematic review. Bucsán, C. C., Lenferink, A., van Dijk, S. H. B., van Beurden, W., van der Valk, P. D. L. P. M., Doggen, C., van der Palen, J. & Brusse-Keizer, M. G. J.Distinguishing acute heart failure from COPD exacerbations in COPD patients with acute dyspnoea: Integrating a supportive AI screening tool in the systematic literature review process. van Dijk, S. H. B., Brusse-Keizer, M. G. J., Bucsán, C. C., Doggen, C., van der Palen, J. & Lenferink, A.The influence of adherence to COPD exacerbation action plans on health outcomes. Schrijver, J. J., Effing, T., van Helden, J., Brusse-Keizer, M. G. J., van der Palen, J., van der Valk, P. D. L. P. M. & Lenferink, A.
2021
An embodied conversational agent in an ehealth self-management intervention for chronic obstructive pulmonary disease and chronic heart failure: Exploratory study in a real-life setting, Article e24110. ter Stal, S., Sloots, J., Ramlal, A., op den Akker, H., Lenferink, A. & Tabak, M.https://doi.org/10.2196/24110The effect of telehealth on hospital services use: Systematic review and meta-analysis, Article e25195. Peters, G. M., Kooij, L., Lenferink, A., Van Harten, W. H. & Doggen, C. J. M.https://doi.org/10.2196/25195Education and self-management in pulmonary rehabilitationIn ERS Educational Publications: ERS Monograph Chapter, 93: Pulmonary Rehabilitation. Lenferink, A. & Lee, A.https://doi.org/10.1183/2312508X.10017920

Research profiles

I am involved in education on epidemiology, methodology and quality in healthcare in different courses (Bachelor and Master Health Sciences, Technical Medicine, Biomedical Engineering):

  • Gezondheid, ziekte en preventie (onderdeel Epidemiologie)Ā 
  • Gezondheidszorgonderzoek (onderdeel project)
  • Optimalisatie van zorg (onderdeel Kwaliteit en veiligheid)
  • Klinisch Wetenschappelijk onderzoek (onderdeel Schrijven van een onderzoeksvoorstel)
  • Bacheloropdracht Gezondheidswetenschappen
  • Quality Management in Healthcare (Master course Health Sciences)
  • Clinical Research Methods (Master course Biomedical Engineering)
  • Clinical Internship Technical Medicine

In addition, I am involved in supervision of Bachelor and Master students (mainly Health Sciences) during their thesis.Ā 

Courses academic year 2023/2024

Courses in the current academic year are added at the moment they are finalised in the Osiris system. Therefore it is possible that the list is not yet complete for the whole academic year.

Courses academic year 2022/2023

Scan the QR code or
Download vCard