#knoop — Public Fediverse posts
Live and recent posts from across the Fediverse tagged #knoop, aggregated by home.social.
-
Cette semaine, le réseau thématique CNRS Éducation nous présentera ses travaux réunis au sein d’un ouvrage collectif qui paraîtra prochainement :
🔎 🏫 🎓 « Regards interdisciplinaires sur la recherche en éducation »
🗓️ Vendredi 20 mars 2026 de 9h15 à 17h30
📍 CNRS Site Pouchet et en visioconférencePour y participer, suivez le lien zoom indiqué dans le programme : https://rteducation.sciencesconf.org/?lang=fr
@cnrs @shs @sociology @cnrsshs @EducationRechercheADBS @academia @REA
#language #linguistics #socialsciences #biology #miti #inegality #equals #education #sociology #geography #research #collaboration #pedagogy #numerique #ruralité
#SFL #CNRSeditions #Watorek #Borst #Vibert #Gaille #Bodolec #Etxepare #Poulain #Assaiante #Knoop #Gacoin #Vallet #Farrer #Bara #Caro #Goudeau #Buisson #Liquete #Behra #Filiod #CairoCrocco #Clerc #Mascret #Delarue #Gardes #Vors #Allouch #Sallandre #Goudeau #Tenret -
Cette semaine, le réseau thématique CNRS Éducation nous présentera ses travaux réunis au sein d’un ouvrage collectif qui paraîtra prochainement :
🔎 🏫 🎓 « Regards interdisciplinaires sur la recherche en éducation »
🗓️ Vendredi 20 mars 2026 de 9h15 à 17h30
📍 CNRS Site Pouchet et en visioconférencePour y participer, suivez le lien zoom indiqué dans le programme : https://rteducation.sciencesconf.org/?lang=fr
@cnrs @shs @sociology @cnrsshs @EducationRechercheADBS @academia @REA
#language #linguistics #socialsciences #biology #miti #inegality #equals #education #sociology #geography #research #collaboration #pedagogy #numerique #ruralité
#SFL #CNRSeditions #Watorek #Borst #Vibert #Gaille #Bodolec #Etxepare #Poulain #Assaiante #Knoop #Gacoin #Vallet #Farrer #Bara #Caro #Goudeau #Buisson #Liquete #Behra #Filiod #CairoCrocco #Clerc #Mascret #Delarue #Gardes #Vors #Allouch #Sallandre #Goudeau #Tenret -
Cette semaine, le réseau thématique CNRS Éducation nous présentera ses travaux réunis au sein d’un ouvrage collectif qui paraîtra prochainement :
🔎 🏫 🎓 « Regards interdisciplinaires sur la recherche en éducation »
🗓️ Vendredi 20 mars 2026 de 9h15 à 17h30
📍 CNRS Site Pouchet et en visioconférencePour y participer, suivez le lien zoom indiqué dans le programme : https://rteducation.sciencesconf.org/?lang=fr
@cnrs @shs @sociology @cnrsshs @EducationRechercheADBS @academia @REA
#language #linguistics #socialsciences #biology #miti #inegality #equals #education #sociology #geography #research #collaboration #pedagogy #numerique #ruralité
#SFL #CNRSeditions #Watorek #Borst #Vibert #Gaille #Bodolec #Etxepare #Poulain #Assaiante #Knoop #Gacoin #Vallet #Farrer #Bara #Caro #Goudeau #Buisson #Liquete #Behra #Filiod #CairoCrocco #Clerc #Mascret #Delarue #Gardes #Vors #Allouch #Sallandre #Goudeau #Tenret -
Cette semaine, le réseau thématique CNRS Éducation nous présentera ses travaux réunis au sein d’un ouvrage collectif qui paraîtra prochainement :
🔎 🏫 🎓 « Regards interdisciplinaires sur la recherche en éducation »
🗓️ Vendredi 20 mars 2026 de 9h15 à 17h30
📍 CNRS Site Pouchet et en visioconférencePour y participer, suivez le lien zoom indiqué dans le programme : https://rteducation.sciencesconf.org/?lang=fr
@cnrs @shs @sociology @cnrsshs @EducationRechercheADBS @academia @REA
#language #linguistics #socialsciences #biology #miti #inegality #equals #education #sociology #geography #research #collaboration #pedagogy #numerique #ruralité
#SFL #CNRSeditions #Watorek #Borst #Vibert #Gaille #Bodolec #Etxepare #Poulain #Assaiante #Knoop #Gacoin #Vallet #Farrer #Bara #Caro #Goudeau #Buisson #Liquete #Behra #Filiod #CairoCrocco #Clerc #Mascret #Delarue #Gardes #Vors #Allouch #Sallandre #Goudeau #Tenret -
Cette semaine, le réseau thématique CNRS Éducation nous présentera ses travaux réunis au sein d’un ouvrage collectif qui paraîtra prochainement :
🔎 🏫 🎓 « Regards interdisciplinaires sur la recherche en éducation »
🗓️ Vendredi 20 mars 2026 de 9h15 à 17h30
📍 CNRS Site Pouchet et en visioconférencePour y participer, suivez le lien zoom indiqué dans le programme : https://rteducation.sciencesconf.org/?lang=fr
@cnrs @shs @sociology @cnrsshs @EducationRechercheADBS @academia @REA
#language #linguistics #socialsciences #biology #miti #inegality #equals #education #sociology #geography #research #collaboration #pedagogy #numerique #ruralité
#SFL #CNRSeditions #Watorek #Borst #Vibert #Gaille #Bodolec #Etxepare #Poulain #Assaiante #Knoop #Gacoin #Vallet #Farrer #Bara #Caro #Goudeau #Buisson #Liquete #Behra #Filiod #CairoCrocco #Clerc #Mascret #Delarue #Gardes #Vors #Allouch #Sallandre #Goudeau #Tenret -
Dutch Agency Funds CBT Training Program Based on Flawed Long COVID Trial
By David Tuller, DrPH
Here is how bullshit replicates itself in today’s medical world: Conduct a flawed trial, declare success despite serious questions, then develop health policy based on these hyped-up claims.
ZonMW, a major Dutch healthcare funding agency, is supporting a new program led by Professor Hans Knoop, a longtime supporter of the fraudulent PACE trial, to develop “therapist training” for a “post-infection fatigue treatment” dubbed “Fit after an infection.” The training is based on a 2023 study, spearheaded by Professor Knoop and published in Clinical Infectious Diseases, called “Efficacy of Cognitive-Behavioral Therapy Targeting Severe Fatigue Following Coronavirus Disease 2019: Results of a Randomized Controlled Trial.”
The trial was unblinded and relied solely on subjective measures for its claims of benefits—a recipe for an unknown amount of bias. As would be expected with such research, the investigators reported modestly positive results for the primary outcome, self-reported fatigue. But the trial yielded null results for the one objective outcome mentioned in the protocol—amount of physical activity, as measured by monitoring devices worn at the beginning and end of the intervention.
The investigators conveniently left that salient detail out of the published trial report–a choice that (in my view) constitutes a form of research misconduct. Instead, they touted the intervention as a success. When online commenters noted the absence of the physical activity results, the investigators acknowledged the null findings for that measure and then offered ludicrous, “dog ate my data”-type excuses for not having included these data in the paper. As I pointed out on social media, I had just seen a terrific London stage production of Arthur Miller’s The Crucible, and the pro-witchcraft arguments in the play were more credible than the excuses offered by the trial investigators for not having mentioned their null objective outcome results.
The most laughable claim was that level of physical activity bore no relationship to self-reported fatigue. Huh??? Professor Knoop himself has stated otherwise in previous papers, so it is hard to take this assertion seriously. If physical activity were really irrelevant, there would have been no reason to measure it in the first place. Had the physical activity outcome supported the positive subjective results for fatigue, the investigators would undoubtedly have mentioned them.
The new training effort is part of a ZonMW initiative to fund projects that build on previous COVID-19 work funded by the organization. The maximum grant under the program is €50,000, or about $58,000. So it’s a modest sum that, in reality, won’t pay for much.
Here is a description of the new program from the ZonMW site:
“Fatigue is common after COVID-19 and can become chronic in a significant proportion of patients, limiting daily functioning. Cognitive behavioral therapy (CBT) can reduce fatigue, concentration problems, and disability in some of these patients…Because there are few other proven treatments for fatigue after COVID-19, there is a need for CBT. The treatment has been successfully implemented at the Amsterdam UMC, but referral options elsewhere are limited. Fatigue is also common after other infections. Fatigue symptoms after other infections may also be treated with CBT…The aim of the current project is to develop a training program for behavioral therapists to treat chronic fatigue following an infection, such as COVID-19. This can promote the nationwide implementation of CBT for post-infectious fatigue.”
And here is the expected outcome:
“The project will produce an evidence-based, transferable treatment protocol and web-based tool for CBT treatment for fatigue. Both will be made available to participants in the training program. The web tool will be offered to multiple intervention software platforms. Trainers will be appointed to deliver the training program, and the program will be offered to continuing education institutes. Accreditation will be sought from the Dutch Association for Cognitive and Behavioral Therapy (VGCT) and the Federation of Healthcare Psychologists (FGzP), making the training attractive to professionals. The plan is to describe the protocol and background in a Dutch chapter and in a journal for behavioral therapists.”
In other words, based on biased trial with predictable subjective findings that were not supported by the one objective measure, the Netherlands would like to roll out a national treatment infrastructure. Makes sense!
Some patient advocates have protested this project on social media. In response to one such complaint, ZonMW explained that these implementation grants are not peer-reviewed and are awarded to ZonMW-funded investigators who want to put their findings into practice on a first-come, first-serve basis:
“At ZonMw we encourage research results from the COVID‑19 program to find their way into practice. That is why ZonMw opened an implementation‑impulse round for projects that previously received funding. Researchers can turn their earlier findings into concrete products such as training materials, guidelines or educational materials. This is a scheme with a process without reviewers or an assessment committee and without patient involvement. This means that the application is assessed by ZonMw for completeness and whether it meets all the conditions and assessment criteria as set out in the subsidy call. ZonMw assesses applications in order of receipt until the subsidy ceiling is reached.”
ZonMW added:
“We are aware that Cognitive Behavioral Therapy (CBT) for chronic fatigue after COVID‑19 is a sensitive topic. Funding implementation activities after the completion of a research project is a standard procedure for ZonMw. Granting this subsidy application is not a position on what causes post‑COVID or other illnesses.”
It is unwarranted to suggest that patients are “sensitive” about CBT. They are “sensitive” about research, like Professor Knoop’s CBT trial, that is flawed from the start and claims to show what it doesn’t. They have a right to demand that health policy be based on quality trials. Apparently, ZonMW has trouble understanding that concept, at least in this domain.
(View the original post at virology.ws)
#Knoop #Netherlands -
Dutch Agency Funds CBT Training Program Based on Flawed Long COVID Trial
By David Tuller, DrPH
Here is how bullshit replicates itself in today’s medical world: Conduct a flawed trial, declare success despite serious questions, then develop health policy based on these hyped-up claims.
ZonMW, a major Dutch healthcare funding agency, is supporting a new program led by Professor Hans Knoop, a longtime supporter of the fraudulent PACE trial, to develop “therapist training” for a “post-infection fatigue treatment” dubbed “Fit after an infection.” The training is based on a 2023 study, spearheaded by Professor Knoop and published in Clinical Infectious Diseases, called “Efficacy of Cognitive-Behavioral Therapy Targeting Severe Fatigue Following Coronavirus Disease 2019: Results of a Randomized Controlled Trial.”
The trial was unblinded and relied solely on subjective measures for its claims of benefits—a recipe for an unknown amount of bias. As would be expected with such research, the investigators reported modestly positive results for the primary outcome, self-reported fatigue. But the trial yielded null results for the one objective outcome mentioned in the protocol—amount of physical activity, as measured by monitoring devices worn at the beginning and end of the intervention.
The investigators conveniently left that salient detail out of the published trial report–a choice that (in my view) constitutes a form of research misconduct. Instead, they touted the intervention as a success. When online commenters noted the absence of the physical activity results, the investigators acknowledged the null findings for that measure and then offered ludicrous, “dog ate my data”-type excuses for not having included these data in the paper. As I pointed out on social media, I had just seen a terrific London stage production of Arthur Miller’s The Crucible, and the pro-witchcraft arguments in the play were more credible than the excuses offered by the trial investigators for not having mentioned their null objective outcome results.
The most laughable claim was that level of physical activity bore no relationship to self-reported fatigue. Huh??? Professor Knoop himself has stated otherwise in previous papers, so it is hard to take this assertion seriously. If physical activity were really irrelevant, there would have been no reason to measure it in the first place. Had the physical activity outcome supported the positive subjective results for fatigue, the investigators would undoubtedly have mentioned them.
The new training effort is part of a ZonMW initiative to fund projects that build on previous COVID-19 work funded by the organization. The maximum grant under the program is €50,000, or about $58,000. So it’s a modest sum that, in reality, won’t pay for much.
Here is a description of the new program from the ZonMW site:
“Fatigue is common after COVID-19 and can become chronic in a significant proportion of patients, limiting daily functioning. Cognitive behavioral therapy (CBT) can reduce fatigue, concentration problems, and disability in some of these patients…Because there are few other proven treatments for fatigue after COVID-19, there is a need for CBT. The treatment has been successfully implemented at the Amsterdam UMC, but referral options elsewhere are limited. Fatigue is also common after other infections. Fatigue symptoms after other infections may also be treated with CBT…The aim of the current project is to develop a training program for behavioral therapists to treat chronic fatigue following an infection, such as COVID-19. This can promote the nationwide implementation of CBT for post-infectious fatigue.”
And here is the expected outcome:
“The project will produce an evidence-based, transferable treatment protocol and web-based tool for CBT treatment for fatigue. Both will be made available to participants in the training program. The web tool will be offered to multiple intervention software platforms. Trainers will be appointed to deliver the training program, and the program will be offered to continuing education institutes. Accreditation will be sought from the Dutch Association for Cognitive and Behavioral Therapy (VGCT) and the Federation of Healthcare Psychologists (FGzP), making the training attractive to professionals. The plan is to describe the protocol and background in a Dutch chapter and in a journal for behavioral therapists.”
In other words, based on biased trial with predictable subjective findings that were not supported by the one objective measure, the Netherlands would like to roll out a national treatment infrastructure. Makes sense!
Some patient advocates have protested this project on social media. In response to one such complaint, ZonMW explained that these implementation grants are not peer-reviewed and are awarded to ZonMW-funded investigators who want to put their findings into practice on a first-come, first-serve basis:
“At ZonMw we encourage research results from the COVID‑19 program to find their way into practice. That is why ZonMw opened an implementation‑impulse round for projects that previously received funding. Researchers can turn their earlier findings into concrete products such as training materials, guidelines or educational materials. This is a scheme with a process without reviewers or an assessment committee and without patient involvement. This means that the application is assessed by ZonMw for completeness and whether it meets all the conditions and assessment criteria as set out in the subsidy call. ZonMw assesses applications in order of receipt until the subsidy ceiling is reached.”
ZonMW added:
“We are aware that Cognitive Behavioral Therapy (CBT) for chronic fatigue after COVID‑19 is a sensitive topic. Funding implementation activities after the completion of a research project is a standard procedure for ZonMw. Granting this subsidy application is not a position on what causes post‑COVID or other illnesses.”
It is unwarranted to suggest that patients are “sensitive” about CBT. They are “sensitive” about research, like Professor Knoop’s CBT trial, that is flawed from the start and claims to show what it doesn’t. They have a right to demand that health policy be based on quality trials. Apparently, ZonMW has trouble understanding that concept, at least in this domain.
(View the original post at virology.ws)
#Knoop #Netherlands -
Dutch Agency Funds CBT Training Program Based on Flawed Long COVID Trial
By David Tuller, DrPH
Here is how bullshit replicates itself in today’s medical world: Conduct a flawed trial, declare success despite serious questions, then develop health policy based on these hyped-up claims.
ZonMW, a major Dutch healthcare funding agency, is supporting a new program led by Professor Hans Knoop, a longtime supporter of the fraudulent PACE trial, to develop “therapist training” for a “post-infection fatigue treatment” dubbed “Fit after an infection.” The training is based on a 2023 study, spearheaded by Professor Knoop and published in Clinical Infectious Diseases, called “Efficacy of Cognitive-Behavioral Therapy Targeting Severe Fatigue Following Coronavirus Disease 2019: Results of a Randomized Controlled Trial.”
The trial was unblinded and relied solely on subjective measures for its claims of benefits—a recipe for an unknown amount of bias. As would be expected with such research, the investigators reported modestly positive results for the primary outcome, self-reported fatigue. But the trial yielded null results for the one objective outcome mentioned in the protocol—amount of physical activity, as measured by monitoring devices worn at the beginning and end of the intervention.
The investigators conveniently left that salient detail out of the published trial report–a choice that (in my view) constitutes a form of research misconduct. Instead, they touted the intervention as a success. When online commenters noted the absence of the physical activity results, the investigators acknowledged the null findings for that measure and then offered ludicrous, “dog ate my data”-type excuses for not having included these data in the paper. As I pointed out on social media, I had just seen a terrific London stage production of Arthur Miller’s The Crucible, and the pro-witchcraft arguments in the play were more credible than the excuses offered by the trial investigators for not having mentioned their null objective outcome results.
The most laughable claim was that level of physical activity bore no relationship to self-reported fatigue. Huh??? Professor Knoop himself has stated otherwise in previous papers, so it is hard to take this assertion seriously. If physical activity were really irrelevant, there would have been no reason to measure it in the first place. Had the physical activity outcome supported the positive subjective results for fatigue, the investigators would undoubtedly have mentioned them.
The new training effort is part of a ZonMW initiative to fund projects that build on previous COVID-19 work funded by the organization. The maximum grant under the program is €50,000, or about $58,000. So it’s a modest sum that, in reality, won’t pay for much.
Here is a description of the new program from the ZonMW site:
“Fatigue is common after COVID-19 and can become chronic in a significant proportion of patients, limiting daily functioning. Cognitive behavioral therapy (CBT) can reduce fatigue, concentration problems, and disability in some of these patients…Because there are few other proven treatments for fatigue after COVID-19, there is a need for CBT. The treatment has been successfully implemented at the Amsterdam UMC, but referral options elsewhere are limited. Fatigue is also common after other infections. Fatigue symptoms after other infections may also be treated with CBT…The aim of the current project is to develop a training program for behavioral therapists to treat chronic fatigue following an infection, such as COVID-19. This can promote the nationwide implementation of CBT for post-infectious fatigue.”
And here is the expected outcome:
“The project will produce an evidence-based, transferable treatment protocol and web-based tool for CBT treatment for fatigue. Both will be made available to participants in the training program. The web tool will be offered to multiple intervention software platforms. Trainers will be appointed to deliver the training program, and the program will be offered to continuing education institutes. Accreditation will be sought from the Dutch Association for Cognitive and Behavioral Therapy (VGCT) and the Federation of Healthcare Psychologists (FGzP), making the training attractive to professionals. The plan is to describe the protocol and background in a Dutch chapter and in a journal for behavioral therapists.”
In other words, based on biased trial with predictable subjective findings that were not supported by the one objective measure, the Netherlands would like to roll out a national treatment infrastructure. Makes sense!
Some patient advocates have protested this project on social media. In response to one such complaint, ZonMW explained that these implementation grants are not peer-reviewed and are awarded to ZonMW-funded investigators who want to put their findings into practice on a first-come, first-serve basis:
“At ZonMw we encourage research results from the COVID‑19 program to find their way into practice. That is why ZonMw opened an implementation‑impulse round for projects that previously received funding. Researchers can turn their earlier findings into concrete products such as training materials, guidelines or educational materials. This is a scheme with a process without reviewers or an assessment committee and without patient involvement. This means that the application is assessed by ZonMw for completeness and whether it meets all the conditions and assessment criteria as set out in the subsidy call. ZonMw assesses applications in order of receipt until the subsidy ceiling is reached.”
ZonMW added:
“We are aware that Cognitive Behavioral Therapy (CBT) for chronic fatigue after COVID‑19 is a sensitive topic. Funding implementation activities after the completion of a research project is a standard procedure for ZonMw. Granting this subsidy application is not a position on what causes post‑COVID or other illnesses.”
It is unwarranted to suggest that patients are “sensitive” about CBT. They are “sensitive” about research, like Professor Knoop’s CBT trial, that is flawed from the start and claims to show what it doesn’t. They have a right to demand that health policy be based on quality trials. Apparently, ZonMW has trouble understanding that concept, at least in this domain.
(View the original post at virology.ws)
#Knoop #Netherlands -
Dutch Agency Funds CBT Training Program Based on Flawed Long COVID Trial
By David Tuller, DrPH
Here is how bullshit replicates itself in today’s medical world: Conduct a flawed trial, declare success despite serious questions, then develop health policy based on these hyped-up claims.
ZonMW, a major Dutch healthcare funding agency, is supporting a new program led by Professor Hans Knoop, a longtime supporter of the fraudulent PACE trial, to develop “therapist training” for a “post-infection fatigue treatment” dubbed “Fit after an infection.” The training is based on a 2023 study, spearheaded by Professor Knoop and published in Clinical Infectious Diseases, called “Efficacy of Cognitive-Behavioral Therapy Targeting Severe Fatigue Following Coronavirus Disease 2019: Results of a Randomized Controlled Trial.”
The trial was unblinded and relied solely on subjective measures for its claims of benefits—a recipe for an unknown amount of bias. As would be expected with such research, the investigators reported modestly positive results for the primary outcome, self-reported fatigue. But the trial yielded null results for the one objective outcome mentioned in the protocol—amount of physical activity, as measured by monitoring devices worn at the beginning and end of the intervention.
The investigators conveniently left that salient detail out of the published trial report–a choice that (in my view) constitutes a form of research misconduct. Instead, they touted the intervention as a success. When online commenters noted the absence of the physical activity results, the investigators acknowledged the null findings for that measure and then offered ludicrous, “dog ate my data”-type excuses for not having included these data in the paper. As I pointed out on social media, I had just seen a terrific London stage production of Arthur Miller’s The Crucible, and the pro-witchcraft arguments in the play were more credible than the excuses offered by the trial investigators for not having mentioned their null objective outcome results.
The most laughable claim was that level of physical activity bore no relationship to self-reported fatigue. Huh??? Professor Knoop himself has stated otherwise in previous papers, so it is hard to take this assertion seriously. If physical activity were really irrelevant, there would have been no reason to measure it in the first place. Had the physical activity outcome supported the positive subjective results for fatigue, the investigators would undoubtedly have mentioned them.
The new training effort is part of a ZonMW initiative to fund projects that build on previous COVID-19 work funded by the organization. The maximum grant under the program is €50,000, or about $58,000. So it’s a modest sum that, in reality, won’t pay for much.
Here is a description of the new program from the ZonMW site:
“Fatigue is common after COVID-19 and can become chronic in a significant proportion of patients, limiting daily functioning. Cognitive behavioral therapy (CBT) can reduce fatigue, concentration problems, and disability in some of these patients…Because there are few other proven treatments for fatigue after COVID-19, there is a need for CBT. The treatment has been successfully implemented at the Amsterdam UMC, but referral options elsewhere are limited. Fatigue is also common after other infections. Fatigue symptoms after other infections may also be treated with CBT…The aim of the current project is to develop a training program for behavioral therapists to treat chronic fatigue following an infection, such as COVID-19. This can promote the nationwide implementation of CBT for post-infectious fatigue.”
And here is the expected outcome:
“The project will produce an evidence-based, transferable treatment protocol and web-based tool for CBT treatment for fatigue. Both will be made available to participants in the training program. The web tool will be offered to multiple intervention software platforms. Trainers will be appointed to deliver the training program, and the program will be offered to continuing education institutes. Accreditation will be sought from the Dutch Association for Cognitive and Behavioral Therapy (VGCT) and the Federation of Healthcare Psychologists (FGzP), making the training attractive to professionals. The plan is to describe the protocol and background in a Dutch chapter and in a journal for behavioral therapists.”
In other words, based on biased trial with predictable subjective findings that were not supported by the one objective measure, the Netherlands would like to roll out a national treatment infrastructure. Makes sense!
Some patient advocates have protested this project on social media. In response to one such complaint, ZonMW explained that these implementation grants are not peer-reviewed and are awarded to ZonMW-funded investigators who want to put their findings into practice on a first-come, first-serve basis:
“At ZonMw we encourage research results from the COVID‑19 program to find their way into practice. That is why ZonMw opened an implementation‑impulse round for projects that previously received funding. Researchers can turn their earlier findings into concrete products such as training materials, guidelines or educational materials. This is a scheme with a process without reviewers or an assessment committee and without patient involvement. This means that the application is assessed by ZonMw for completeness and whether it meets all the conditions and assessment criteria as set out in the subsidy call. ZonMw assesses applications in order of receipt until the subsidy ceiling is reached.”
ZonMW added:
“We are aware that Cognitive Behavioral Therapy (CBT) for chronic fatigue after COVID‑19 is a sensitive topic. Funding implementation activities after the completion of a research project is a standard procedure for ZonMw. Granting this subsidy application is not a position on what causes post‑COVID or other illnesses.”
It is unwarranted to suggest that patients are “sensitive” about CBT. They are “sensitive” about research, like Professor Knoop’s CBT trial, that is flawed from the start and claims to show what it doesn’t. They have a right to demand that health policy be based on quality trials. Apparently, ZonMW has trouble understanding that concept, at least in this domain.
(View the original post at virology.ws)
#Knoop #Netherlands -
Koning en Knoop: Een Pretige Reis door de Koninkrijken!
Een Reis door de Koninkrijken 🌍
Hallo, lieve kinderen! Ik ben Schildje de Schildpad, en vandaag ga ik jullie meenemen op een bijzondere reis door de tijd. We gaan het hebben over iets heel bijzon...🌞 Leer verder: https://leeralles.nl/koning-en-knoop-een-pretige-reis-door-de-koninkrijken/?feed_id=20815
#DOOR #EEN #KNOOP #KONING #KONINKRIJKE...
https://leeralles.nl/koning-en-knoop-een-pretige-reis-door-de-koninkrijken/?feed_id=20815 -
𝗡𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗳𝗿𝘂𝘀𝘁𝗿𝗮𝘁𝗶𝗲: 𝘇𝗼 𝗵𝗮𝗮𝗹 𝗷𝗲 𝗸𝗲𝗿𝘀𝘁𝘃𝗲𝗿𝗹𝗶𝗰𝗵𝘁𝗶𝗻𝗴 𝗺𝗮𝗸𝗸𝗲𝗹𝗶𝗷𝗸𝗲𝗿 𝘂𝗶𝘁 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Nu Sinterklaas weer terug naar Spanje is, zetten we massaal de kerstboom neer. Toch blijft het ieder jaar weer één grote frustratie: een ondoordringbare hoop aan knopen in je kerstverlichting. Maar waarom raakt kerstverlichting eigenlijk zó snel in de knoop terwijl het...
-
𝗡𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗳𝗿𝘂𝘀𝘁𝗿𝗮𝘁𝗶𝗲: 𝘇𝗼 𝗵𝗮𝗮𝗹 𝗷𝗲 𝗸𝗲𝗿𝘀𝘁𝘃𝗲𝗿𝗹𝗶𝗰𝗵𝘁𝗶𝗻𝗴 𝗺𝗮𝗸𝗸𝗲𝗹𝗶𝗷𝗸𝗲𝗿 𝘂𝗶𝘁 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Nu Sinterklaas weer terug naar Spanje is, zetten we massaal de kerstboom neer. Toch blijft het ieder jaar weer één grote frustratie: een ondoordringbare hoop aan knopen in je kerstverlichting. Maar waarom raakt kerstverlichting eigenlijk zó snel in de knoop terwijl het...
-
𝗡𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗳𝗿𝘂𝘀𝘁𝗿𝗮𝘁𝗶𝗲: 𝘇𝗼 𝗵𝗮𝗮𝗹 𝗷𝗲 𝗸𝗲𝗿𝘀𝘁𝘃𝗲𝗿𝗹𝗶𝗰𝗵𝘁𝗶𝗻𝗴 𝗺𝗮𝗸𝗸𝗲𝗹𝗶𝗷𝗸𝗲𝗿 𝘂𝗶𝘁 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Nu Sinterklaas weer terug naar Spanje is, zetten we massaal de kerstboom neer. Toch blijft het ieder jaar weer één grote frustratie: een ondoordringbare hoop aan knopen in je kerstverlichting. Maar waarom raakt kerstverlichting eigenlijk zó snel in de knoop terwijl het...
-
𝗡𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗳𝗿𝘂𝘀𝘁𝗿𝗮𝘁𝗶𝗲: 𝘇𝗼 𝗵𝗮𝗮𝗹 𝗷𝗲 𝗸𝗲𝗿𝘀𝘁𝘃𝗲𝗿𝗹𝗶𝗰𝗵𝘁𝗶𝗻𝗴 𝗺𝗮𝗸𝗸𝗲𝗹𝗶𝗷𝗸𝗲𝗿 𝘂𝗶𝘁 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Nu Sinterklaas weer terug naar Spanje is, zetten we massaal de kerstboom neer. Toch blijft het ieder jaar weer één grote frustratie: een ondoordringbare hoop aan knopen in je kerstverlichting. Maar waarom raakt kerstverlichting eigenlijk zó snel in de knoop terwijl het...
-
𝗡𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗳𝗿𝘂𝘀𝘁𝗿𝗮𝘁𝗶𝗲: 𝘇𝗼 𝗵𝗮𝗮𝗹 𝗷𝗲 𝗸𝗲𝗿𝘀𝘁𝘃𝗲𝗿𝗹𝗶𝗰𝗵𝘁𝗶𝗻𝗴 𝗺𝗮𝗸𝗸𝗲𝗹𝗶𝗷𝗸𝗲𝗿 𝘂𝗶𝘁 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Nu Sinterklaas weer terug naar Spanje is, zetten we massaal de kerstboom neer. Toch blijft het ieder jaar weer één grote frustratie: een ondoordringbare hoop aan knopen in je kerstverlichting. Maar waarom raakt kerstverlichting eigenlijk zó snel in de knoop terwijl het...
-
𝗖𝗵𝗮𝗼𝘀 𝗶𝗻 𝗱𝗲 𝘄𝗮𝘀: 𝘇𝗼 𝘇𝗶𝘁 𝗷𝗲 𝗯𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗻𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wasmachine of droger komt? Je bent absoluut niet de enige. Online circuleren allerlei trucjes om te voorkomen dat ja wasgoed in elkaar verstrengelt, maar hoe effectief zijn die? Schoonmaak- en huishoudexpert...
-
𝗖𝗵𝗮𝗼𝘀 𝗶𝗻 𝗱𝗲 𝘄𝗮𝘀: 𝘇𝗼 𝘇𝗶𝘁 𝗷𝗲 𝗯𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗻𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wasmachine of droger komt? Je bent absoluut niet de enige. Online circuleren allerlei trucjes om te voorkomen dat ja wasgoed in elkaar verstrengelt, maar hoe effectief zijn die? Schoonmaak- en huishoudexpert...
-
𝗖𝗵𝗮𝗼𝘀 𝗶𝗻 𝗱𝗲 𝘄𝗮𝘀: 𝘇𝗼 𝘇𝗶𝘁 𝗷𝗲 𝗯𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗻𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wasmachine of droger komt? Je bent absoluut niet de enige. Online circuleren allerlei trucjes om te voorkomen dat ja wasgoed in elkaar verstrengelt, maar hoe effectief zijn die? Schoonmaak- en huishoudexpert...
-
𝗖𝗵𝗮𝗼𝘀 𝗶𝗻 𝗱𝗲 𝘄𝗮𝘀: 𝘇𝗼 𝘇𝗶𝘁 𝗷𝗲 𝗯𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗻𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wasmachine of droger komt? Je bent absoluut niet de enige. Online circuleren allerlei trucjes om te voorkomen dat ja wasgoed in elkaar verstrengelt, maar hoe effectief zijn die? Schoonmaak- en huishoudexpert...
-
𝗖𝗵𝗮𝗼𝘀 𝗶𝗻 𝗱𝗲 𝘄𝗮𝘀: 𝘇𝗼 𝘇𝗶𝘁 𝗷𝗲 𝗯𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗻𝗼𝗼𝗶𝘁 𝗺𝗲𝗲𝗿 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wasmachine of droger komt? Je bent absoluut niet de enige. Online circuleren allerlei trucjes om te voorkomen dat ja wasgoed in elkaar verstrengelt, maar hoe effectief zijn die? Schoonmaak- en huishoudexpert...
-
𝗚𝗲𝘀𝘁𝗲𝗴𝗴𝗲𝗹 𝗶𝗻 𝗸𝗮𝗯𝗶𝗻𝗲𝘁 𝗼𝘃𝗲𝗿 𝗻𝗶𝗲𝘂𝘄𝗲 𝗡𝗔𝗩𝗢-𝗻𝗼𝗿𝗺: '𝗙𝗹𝗶𝗻𝗸𝗲 𝗽𝗼𝗹𝗶𝘁𝗶𝗲𝗸𝗲 𝗸𝗻𝗼𝗼𝗽'
Het kabinet steggelt over de nieuwe NAVO-norm van 5 procent, waarvan 3,5 procent aan defensie moet worden uitgegeven. Een groei naar 3,5 procent betekent jaarlijks 15 miljard euro extra. Maar hoe moet dat worden betaald? De betrokken ministers zijn het oneens en ook in de coalitie...
-
𝗚𝗲𝘀𝘁𝗲𝗴𝗴𝗲𝗹 𝗶𝗻 𝗸𝗮𝗯𝗶𝗻𝗲𝘁 𝗼𝘃𝗲𝗿 𝗻𝗶𝗲𝘂𝘄𝗲 𝗡𝗔𝗩𝗢-𝗻𝗼𝗿𝗺: '𝗙𝗹𝗶𝗻𝗸𝗲 𝗽𝗼𝗹𝗶𝘁𝗶𝗲𝗸𝗲 𝗸𝗻𝗼𝗼𝗽'
Het kabinet steggelt over de nieuwe NAVO-norm van 5 procent, waarvan 3,5 procent aan defensie moet worden uitgegeven. Een groei naar 3,5 procent betekent jaarlijks 15 miljard euro extra. Maar hoe moet dat worden betaald? De betrokken ministers zijn het oneens en ook in de coalitie...
-
𝗚𝗲𝘀𝘁𝗲𝗴𝗴𝗲𝗹 𝗶𝗻 𝗸𝗮𝗯𝗶𝗻𝗲𝘁 𝗼𝘃𝗲𝗿 𝗻𝗶𝗲𝘂𝘄𝗲 𝗡𝗔𝗩𝗢-𝗻𝗼𝗿𝗺: '𝗙𝗹𝗶𝗻𝗸𝗲 𝗽𝗼𝗹𝗶𝘁𝗶𝗲𝗸𝗲 𝗸𝗻𝗼𝗼𝗽'
Het kabinet steggelt over de nieuwe NAVO-norm van 5 procent, waarvan 3,5 procent aan defensie moet worden uitgegeven. Een groei naar 3,5 procent betekent jaarlijks 15 miljard euro extra. Maar hoe moet dat worden betaald? De betrokken ministers zijn het oneens en ook in de coalitie...
-
𝗚𝗲𝘀𝘁𝗲𝗴𝗴𝗲𝗹 𝗶𝗻 𝗸𝗮𝗯𝗶𝗻𝗲𝘁 𝗼𝘃𝗲𝗿 𝗻𝗶𝗲𝘂𝘄𝗲 𝗡𝗔𝗩𝗢-𝗻𝗼𝗿𝗺: '𝗙𝗹𝗶𝗻𝗸𝗲 𝗽𝗼𝗹𝗶𝘁𝗶𝗲𝗸𝗲 𝗸𝗻𝗼𝗼𝗽'
Het kabinet steggelt over de nieuwe NAVO-norm van 5 procent, waarvan 3,5 procent aan defensie moet worden uitgegeven. Een groei naar 3,5 procent betekent jaarlijks 15 miljard euro extra. Maar hoe moet dat worden betaald? De betrokken ministers zijn het oneens en ook in de coalitie...
-
𝗚𝗲𝘀𝘁𝗲𝗴𝗴𝗲𝗹 𝗶𝗻 𝗸𝗮𝗯𝗶𝗻𝗲𝘁 𝗼𝘃𝗲𝗿 𝗻𝗶𝗲𝘂𝘄𝗲 𝗡𝗔𝗩𝗢-𝗻𝗼𝗿𝗺: '𝗙𝗹𝗶𝗻𝗸𝗲 𝗽𝗼𝗹𝗶𝘁𝗶𝗲𝗸𝗲 𝗸𝗻𝗼𝗼𝗽'
Het kabinet steggelt over de nieuwe NAVO-norm van 5 procent, waarvan 3,5 procent aan defensie moet worden uitgegeven. Een groei naar 3,5 procent betekent jaarlijks 15 miljard euro extra. Maar hoe moet dat worden betaald? De betrokken ministers zijn het oneens en ook in de coalitie...
-
𝗝𝗼𝗵𝗻𝗻𝘆 𝗱𝗲 𝗠𝗼𝗹 𝗵𝗲𝗲𝗳𝘁 '𝗴𝗲𝗲𝗻 𝗸𝗻𝗼𝗼𝗽 𝗶𝗻 𝗺𝗮𝗮𝗴' 𝘃𝗮𝗻 𝗦𝗽𝗮𝗮𝗻𝘀 𝘃𝗲𝗿𝗵𝗼𝗼𝗿
Johnny de Mol heeft "geen knoop in mijn maag" van het verhoor dat de Spaanse politie hem op 9 december afneemt. Dat vertelde de presentator woensdag in RTL Boulevard. De Mol wordt dan per Zoom-verbinding verhoord over een beschuldiging van mishandeling.
https://www.rtl.nl/boulevard/artikel/5482544/johnny-de-mol-heeft-geen-knoop-maag-van-spaans-verhoor
-
𝗝𝗼𝗵𝗻𝗻𝘆 𝗱𝗲 𝗠𝗼𝗹 𝗵𝗲𝗲𝗳𝘁 '𝗴𝗲𝗲𝗻 𝗸𝗻𝗼𝗼𝗽 𝗶𝗻 𝗺𝗮𝗮𝗴' 𝘃𝗮𝗻 𝗦𝗽𝗮𝗮𝗻𝘀 𝘃𝗲𝗿𝗵𝗼𝗼𝗿
Johnny de Mol heeft "geen knoop in mijn maag" van het verhoor dat de Spaanse politie hem op 9 december afneemt. Dat vertelde de presentator woensdag in RTL Boulevard. De Mol wordt dan per Zoom-verbinding verhoord over een beschuldiging van mishandeling.
https://www.rtl.nl/boulevard/artikel/5482544/johnny-de-mol-heeft-geen-knoop-maag-van-spaans-verhoor
-
𝗝𝗼𝗵𝗻𝗻𝘆 𝗱𝗲 𝗠𝗼𝗹 𝗵𝗲𝗲𝗳𝘁 '𝗴𝗲𝗲𝗻 𝗸𝗻𝗼𝗼𝗽 𝗶𝗻 𝗺𝗮𝗮𝗴' 𝘃𝗮𝗻 𝗦𝗽𝗮𝗮𝗻𝘀 𝘃𝗲𝗿𝗵𝗼𝗼𝗿
Johnny de Mol heeft "geen knoop in mijn maag" van het verhoor dat de Spaanse politie hem op 9 december afneemt. Dat vertelde de presentator woensdag in RTL Boulevard. De Mol wordt dan per Zoom-verbinding verhoord over een beschuldiging van mishandeling.
https://www.rtl.nl/boulevard/artikel/5482544/johnny-de-mol-heeft-geen-knoop-maag-van-spaans-verhoor
-
𝗝𝗼𝗵𝗻𝗻𝘆 𝗱𝗲 𝗠𝗼𝗹 𝗵𝗲𝗲𝗳𝘁 '𝗴𝗲𝗲𝗻 𝗸𝗻𝗼𝗼𝗽 𝗶𝗻 𝗺𝗮𝗮𝗴' 𝘃𝗮𝗻 𝗦𝗽𝗮𝗮𝗻𝘀 𝘃𝗲𝗿𝗵𝗼𝗼𝗿
Johnny de Mol heeft "geen knoop in mijn maag" van het verhoor dat de Spaanse politie hem op 9 december afneemt. Dat vertelde de presentator woensdag in RTL Boulevard. De Mol wordt dan per Zoom-verbinding verhoord over een beschuldiging van mishandeling.
https://www.rtl.nl/boulevard/artikel/5482544/johnny-de-mol-heeft-geen-knoop-maag-van-spaans-verhoor
-
𝗝𝗼𝗵𝗻𝗻𝘆 𝗱𝗲 𝗠𝗼𝗹 𝗵𝗲𝗲𝗳𝘁 '𝗴𝗲𝗲𝗻 𝗸𝗻𝗼𝗼𝗽 𝗶𝗻 𝗺𝗮𝗮𝗴' 𝘃𝗮𝗻 𝗦𝗽𝗮𝗮𝗻𝘀 𝘃𝗲𝗿𝗵𝗼𝗼𝗿
Johnny de Mol heeft "geen knoop in mijn maag" van het verhoor dat de Spaanse politie hem op 9 december afneemt. Dat vertelde de presentator woensdag in RTL Boulevard. De Mol wordt dan per Zoom-verbinding verhoord over een beschuldiging van mishandeling.
https://www.rtl.nl/boulevard/artikel/5482544/johnny-de-mol-heeft-geen-knoop-maag-van-spaans-verhoor
-
𝗕𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽? 𝗡𝗶𝗲𝘁 𝗺𝗲𝗲𝗿 𝗺𝗲𝘁 𝗱𝗲𝘇𝗲 4 𝘁𝗶𝗽𝘀
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wastrommel komt? Je bent absoluut niet de enige. Door het volgende te doen, heb je er voortaan geen last meer van.
https://www.rtl.nl/wonen/huishouden/artikel/5221799/beddengoed-uit-de-knoop-tips
-
𝗕𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽? 𝗡𝗶𝗲𝘁 𝗺𝗲𝗲𝗿 𝗺𝗲𝘁 𝗱𝗲𝘇𝗲 4 𝘁𝗶𝗽𝘀
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wastrommel komt? Je bent absoluut niet de enige. Door het volgende te doen, heb je er voortaan geen last meer van.
https://www.rtl.nl/wonen/huishouden/artikel/5221799/beddengoed-uit-de-knoop-tips
-
𝗕𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽? 𝗡𝗶𝗲𝘁 𝗺𝗲𝗲𝗿 𝗺𝗲𝘁 𝗱𝗲𝘇𝗲 4 𝘁𝗶𝗽𝘀
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wastrommel komt? Je bent absoluut niet de enige. Door het volgende te doen, heb je er voortaan geen last meer van.
https://www.rtl.nl/wonen/huishouden/artikel/5221799/beddengoed-uit-de-knoop-tips
-
𝗕𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽? 𝗡𝗶𝗲𝘁 𝗺𝗲𝗲𝗿 𝗺𝗲𝘁 𝗱𝗲𝘇𝗲 4 𝘁𝗶𝗽𝘀
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wastrommel komt? Je bent absoluut niet de enige. Door het volgende te doen, heb je er voortaan geen last meer van.
https://www.rtl.nl/wonen/huishouden/artikel/5221799/beddengoed-uit-de-knoop-tips
-
𝗕𝗲𝗱𝗱𝗲𝗻𝗴𝗼𝗲𝗱 𝗶𝗻 𝗱𝗲 𝗸𝗻𝗼𝗼𝗽? 𝗡𝗶𝗲𝘁 𝗺𝗲𝗲𝗿 𝗺𝗲𝘁 𝗱𝗲𝘇𝗲 4 𝘁𝗶𝗽𝘀
Raak jij iedere keer weer geïrriteerd als je beddengoed volledig in elkaar gedraaid uit de wastrommel komt? Je bent absoluut niet de enige. Door het volgende te doen, heb je er voortaan geen last meer van.
https://www.rtl.nl/wonen/huishouden/artikel/5221799/beddengoed-uit-de-knoop-tips
-
Exodus beim Aufsteiger.
Vorfreude auf die neue Saison des #fcsp im Minus Bereich.
Tja wer hoch fliegt kann halt tief fallen -
Exodus beim Aufsteiger.
Vorfreude auf die neue Saison des #fcsp im Minus Bereich.
Tja wer hoch fliegt kann halt tief fallen -
Exodus beim Aufsteiger.
Vorfreude auf die neue Saison des #fcsp im Minus Bereich.
Tja wer hoch fliegt kann halt tief fallen -
Exodus beim Aufsteiger.
Vorfreude auf die neue Saison des #fcsp im Minus Bereich.
Tja wer hoch fliegt kann halt tief fallen -
Würden wir für einen Torwart Trainer, der gerade seinen Vetrag verlängert hat, auch einen hohen 7 stelligen Betrag bekommen? #knoop #fcsp #brightonandhove
-
Würden wir für einen Torwart Trainer, der gerade seinen Vetrag verlängert hat, auch einen hohen 7 stelligen Betrag bekommen? #knoop #fcsp #brightonandhove
-
Würden wir für einen Torwart Trainer, der gerade seinen Vetrag verlängert hat, auch einen hohen 7 stelligen Betrag bekommen? #knoop #fcsp #brightonandhove
-
Würden wir für einen Torwart Trainer, der gerade seinen Vetrag verlängert hat, auch einen hohen 7 stelligen Betrag bekommen? #knoop #fcsp #brightonandhove
-
By David Tuller, DrPH
A survey of more than 1500 patients in the Netherlands with a diagnosis of ME, CFS or ME/CFS rated graded exercise therapy as “the worst” interventions, according to an article on the site of the ME and Disability Support Group, while “explanation and advice about the importance of lying down to prevent worsening of complaints, and about distributing energy and rest (pacing), was most appreciated,” (Translations in this post via Google Translate.)
The survey was conducted as part of the process of developing a set of national ME/CFS management and treatment guidelines. According to the article, these and a few other findings about the impact of the illness were released during a recent meeting in Utrecht at the Knowledge Institute of the Dutch Association of Medical Specialists, which is involved in the guideline development process.
This process is fraught with contention, as was a similar process in the UK. To review, the UK’s National Institute for Health and Care Excellence (NICE) released new guidelines on ME/CFS in 2021, after a multi-year process delayed in part by the pandemic. The new version reversed earlier NICE recommendations for GET and CBT as curative treatments. However, professional medical bodies with vested interests in these discredited interventions have refused to accept the new NICE document. Instead, they have been throwing tantrums in the form of specious journal commentaries that recycled unconvincing and already debunked arguments.
The Dutch survey was widely distributed by ME organizations through their social media networks, as well as by the Knowledge Center for Chronic Fatigue (NKCV) at Amsterdam University Medical Centers (Amsterdam UMC). “The fact that a much broader group than just the supporters of the patient organizations has been reached is evident from the fact that 45% of the participants in the survey are not members of one of these [ME] organizations,” noted the article from the ME and Disability Support Group.
NKCV is the professional home of Professor Hans Knoop, a long-time collaborator of the PACE authors and a leading light of the Dutch wing of the GET/CBT ideological brigades. I have recently criticized a study he and colleagues conducted and have claimed proves that CBT–in the form of a program called Fit after COVID–is effective in treating fatigue following an acute bout of Covid-19. (A bit more on that study below.)
Another group, Millions Missing Holland, filed an open records request with Amsterdam UMC to find out how NKCV solicited responses to the survey. Here’s what Amsterdam UMC wrote them in response:
“An attempt was made to approach as many people as possible within the patient group by providing all patients who visited Amsterdam UMC with the diagnosis of CFS/ME with a flyer containing information about the survey. In addition, this flyer was in the waiting room of Amsterdam UMC a few weeks before the target group. For approximately 150 patients it was possible to contact these patients by e-mail from the practitioner, because it was only relatively easy to retrieve their e-mail address from the file.“
In other words, patients under the care of Professor Knoop’s center, which champions the GET/CBT approach, were presumably among the survey respondents. Even so, the survey found those treatments to be “the worst” approaches to care. I look forward to seeing the full report of the survey when it’s available.
If Professor Knoop knew the results of the survey, he didn’t inform the audience in his presentation at a recent Long Covid Congress held in late November in Jena, Germany, at least judging by the available video. Instead, he presented his recent study on CBT for fatigue after an acute case of Covid-19, insisting–not surprisingly–that it showed CBT to be effective. He did not mention, nor did the trial report itself include, the very salient fact that the study’s only objective measure—how much participants moved, as measured by wearable electronic devices—yielded null results. When pressed, they offered “dog-ate-my-data” excuses for the decision to omit this key information.
Among these excuses was the claim that physical activity levels are unrelated to fatigue and that therefore the study’s null results for physical activity were unrelated to the claim that CBT was effective for self-reported fatigue. This assertion was and is ridiculous; it is hard to believe anyone would embarrass themselves by publicly making it. The assertion is also undermined by Professor Knoop’s own presentation last month, in which his slide outlining the “cognitive-behavioural model of chronic fatigue in long term medical conditions” noted that “physical inactivity” leads to fatigue. His presentation also highlighted Fit after COVID’s “graded activity” module and its role in helping patients regain their former level of activity. A graded activity module designed to increase activity would presumably be unnecessary if activity levels were unrelated to fatigue. As always, nothing Professor Knoop writes or says on these matters can be taken at face value.
***Note: My position at UC Berkeley is supported by crowdfunded donations to the university from ME/CFS patients and advocates, among others.
(Originally posted on Virology Blog.)
