Vakgroep Psychologie, Gezondheid & Technologie

Title: IKNL: Individualized follow-up after breast cancer: optimalization and implementation of the INFLUENCE nomogram


Type of assignment: MA

Internal or external?: external: location Integraal KankercentrumNederland (IKNL) Enschede and ZGT Hengelo/MST Enschede

Maximum number of students 1

Individual collecting of data? yes

Type of research: qualitative/ quantitative/ literature review

The organisation: The Netherlands comprehensive Cancer Organisation (IKNL; https://www.iknl.nl/over-iknl/about-iknl ) is is the quality institute for oncological and palliative research and practice. IKNL collaborates with healthcare professionals and managers and patients on the continuous improvement of oncological and palliative care. Together with ZGT and MS and UT, we work on personalisation of (breast) cancer care and follow-up.


This assignment:

The pressure on health care with regard to follow-up is increasing due to the growing group of breast cancer patients. Some patients have a low risk of recurrence and five year of yearly follow-up is not useful for this group. With a so-called nomogram (INFLUENCE nomogram, https://www.utwente.nl/mira/influence/) the risk on recurrence can better be specified and, therefore, be used to tailor the follow up to the needs of the patients. With this nomogram we aim to work towards tailored follow-up visits for this group of patients without compromising early detection and availability of (psychosocial) care. In this assignment you will examine how the nomogram can be optimized and implemented to support clinical practice with personalized follow-up plans based on individual risks.


In this assignment you will address some of the psychological issues of this innovation. In interviews with patients and/or with health professionals you will try to find answers to questions such as:

How can the risk information of the nomogram be best presented to the women? what are the needs and wishes (besides numeric information about the risk of recurrence) of patients regarding a shared plan for follow-up? How and at what moment can the nomogram be best implemented in health care? How much faith do clinicians and patients have in the prediction through the nomogram? To what extent does the nomogram / risk prediction influence the attitude towards personalized follow-up? Which factors influence this attitude?The exact assignment and research questions will be determined in discussion with student and supervisors.




Who are we looking for? The student must speak Dutch fluently, must have good communication skills, must live in the region of UTwente/ZGT and MST, and willing to be at the head office of IKNL (Utrecht) several days during the project.

More information?: Stans Drossaert c.h.c.drossaert@utwente.nl or Sabine Siesling s.siesling@utwente.nl / s.siesling@iknl.nl

Supervisor: Stans Drossaert c.h.c.drossaert@utwente.nl or Sabine Siesling s.siesling@utwente.nl / s.siesling@iknl.nl

Additional see above IKNL website and nomogram