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“I, as an independently living older person…”: A narrative study on Dutch older people’s capabilities in Integrated Service Areas in The Netherlands.
Jansen, C. ; Pijpers, R. ; Kam, George de
2017, Article in monograph or in proceedings ()
I/You Do Not Fit Here Anymore : Developing a Research Identity as a Teacher Educator
Volman, Monique ; Geerdink, G. ; Swennen, Anja
2014, Article in monograph or in proceedings ()Paper in symposium: ‘International Perspectives on the Professional Development of Teacher Educators in Contemporary University Contexts’. Presented at the Annual meeting of the American Educational Research Association, Philadelphia, USA. In this paper we examine the development of the professional identity of teacher educators who combine studying for a doctoral degree with working as teacher educators. While working on their doctoral thesis, teacher educators move temporarily from the semi-academic world of teacher education into the academic world of universities. Semi-structured interviews were held with ten teacher educators. Although the research topics, their experiences in conducting research and their professional life after obtaining the PhD degree differ in many ways, they all stated that they had developed a research identity as part of their former identity. Nevertheless none of the teacher educators, except one temporarily, made a job shift towards the academic world after finishing the doctoral thesis. They preferred the semi-academic world of teacher education where the focus is on education and practice-based research – if they are engaged in it at all - is a minor part of the work of teacher educators.
IC-cafés
Touw, H. ; Rutten, A. ; Vloet, L.C.M. ; Boogaard, Mark van den
2020, Article / Letter to editor (Medisch Contact, (2020), pp. 39)
ICT bij autisme. Symposium Autisme - samen leren en beleven. HAN, Nijmegen
Magnée, M.J.C.M.
2017, Article in monograph or in proceedings ()
ICT-ondersteuning voor communicatie in complexe werksituaties : Een taalkundige benadering
Zaad, L.J. ; Lenior, Dick ; Pool, E.M.C. van der
2011, Article in monograph or in proceedings (Chi Sparks)For successful execution of operational tasks within complex work situations, communication is essential. This ‘operational’ communication is analyzed to gain insight in the way the parties concerned put a similar meaning on the exchanged information. Or, as linguists call it: create shared understanding. This paper focuses on the characteristics of complex work situations, the methods of analyzing, and it indicates the preliminary results of the first field study. The final results consist of guidelines for the design of ICT-systems in order to realize a more effective and efficient way of communication.
ICT-toepassingen in de didactiek van het voortgezet onderwijs: mogelijkheden en beperkingen. : Mesofocus 82
Beemt, Antoine van den ; Loo, M. van ; Simons, P.R.J. ; Jeukendrup, B.
2011, Book (monograph) De toepassing van ict in het onderwijs komt pas sinds kort en nog enigszins traag op gang. Zowel in het vo als mbo, zijn opvallende voortrekkers, interessante pilots en veelbelovende voorbeeldprojecten te zien, maar het grootste deel van de scholen benut nog maar een gering deel van de voordelen die ict kunnen bieden voor het onderwijs. Zijn er kansen die worden gemist? En vooral, zijn er ervaringen waarvan geleerd kan worden?
Ideal memcapacitors and meminductors are overunity devices
Jeltsema, D. ; Schaft, Arjan van der
2020, Article / Letter to editor (vol. 2020, iss. 10, (2020), pp. 1-8)
Identification and classification of slippery winter road conditions using commonly available vehicle variables
Padarthy, M. ; Heyns, E.E.
2019, Article / Letter to editor (Transportation Research Record : Journal of the Transportation Research Board, vol. 2673, iss. 2, (2019), pp. 60-70)Extreme winter weather conditions severely affect the transportation sector. Technologies such as Road Weather Information Systems provide live data on the road surface conditions to assist the road authorities in providing safe mobility. The main problem is, however, the limited number of such systems that have been deployed, resulting in fragmented informa- tion about road conditions. This paper addresses the problems associated with the limited quantity of information concerning slippery winter road conditions by presenting a proof-of-concept for a system that not only detects slippery winter road con- ditions, but also predicts the type of slippery surface (ice, snow and slush) via vehicle-based systems. The concept demon- strated in this paper makes use of commonly available variables, which are, longitudinal slip ratios, longitudinal acceleration and the ambient temperature to identify such situations. The developed system employs a Fuzzy Inference System that is not only capable of identifying slippery conditions but is also capable of classifying surfaces based on the extent of slipperiness. This provides the road authorities with several moving sensors (vehicles traveling on a particular road) compared with the few fixed sensors currently available. This could deliver a pool of information to assist the road authorities to efficiently han- dle their staff and equipment so that appropriate equipment reaches the right place at the right time.
Identification of elite performance characteristics in a small sample of taekwondo athletes
Wazir, M.R.W.N. ; Hiel, M. van ; Mostaert, M. ; Deconinck, F.J. ; Pion, J.A.J. ; Lenoir, M.
2019, Article / Letter to editor (PLoS One, vol. 14, iss. 5, (2019))
Identification of influencing factors and strategies to improve communication between general practitioners and community nurses: a qualitative focus group study
Nieuwboer, M.S. ; Perry, M. ; Sande, W.M.M. van der ; Maassen, I.T.H.M ; Olde Rikkert, M.G.M. ; Marck, M.A. van der
2018, Article / Letter to editor (Family Practice, vol. 35, iss. 5, (2018), pp. 619-625)
Identification of preoperative predictors for acute postsurgical pain and for pain at three months after surgery: a prosperative observational study
Boekel, R.L.M. van ; Bronkhorst, E.M. ; Vloet, L.C.M. ; Steegers, M.A.M.
2021, Article / Letter to editor (Scientific Reports, (2021))
Identifying the differences of anthropometric, physical, motor coordination and cycling specific characteristics of young cyclists from five different cycling disciplines (BMX, road cycling, track cycling, MTB and cyclo-cross)
Mostaert, M. ; Deconinck, F.J. ; Wazir, M.R.W.N. ; Robertson, K. ; Pion, J.A.J. ; Lenoir, M.
2017, Article / Letter to editor (Journal of Sport and Exercise Psychology, vol. 39, (2017), pp. S293)
Identifying the minimal important difference in patient-reported outcome measures in the field of people with severe mental illness: a pre-post-analysis of the Illness Management and Recovery Programme
Beentjes, T.A.A. ; Teerenstra, S. ; Vermeulen, H. ; Goossens, P. ; Nijhuis-van der Sanden, M.W.G. ; Gaal, B.G.I. van
2021, Article / Letter to editor (Quality of Life Research, (2021))Purpose Complementary interventions for persons with severe mental illness (SMI) focus on both personal recovery and illness self-management. This paper aimed to identify the patient-reported outcome measures (PROMs) associated with the most relevant and meaningful change in persons with SMI who attended the Illness Management and Recovery Programme (IMR). Methods The effect of the IMR was measured with PROMs concerning recovery, illness self-management, burden of symptoms and quality of life (QoL). From the QoL measures, an anchor was chosen based on the most statistically significant correlations with the PROMs. Then, we estimated the minimal important difference (MID) for all PROMs using an anchor-based method supported by distribution-based methods. The PROM with the highest outcome for effect score divided by MID (the effect/MID index) was considered to be a measure of the most relevant and meaningful change. Results All PROMs showed significant pre-post-effects. The QoL measure 'General Health Perception (Rand-GHP)' was identified as the anchor. Based on the anchor method, the Mental Health Recovery Measure (MHRM) showed the highest effect/MID index, which was supported by the distribution-based methods. Because of the modifying gender covariate, we stratified the MID calculations. In most MIDs, the MHRM showed the highest effect/MID indexes. Conclusion Taking into account the low sample size and the gender covariate, we conclude that the MHRM was capable of showing the most relevant and meaningful change as a result of the IMR in persons with SMI.
Identities of research-active academics in new universities : towards a complete academic profession cross-cutting different worlds of practice
Winkel, M. van ; Rijst, Roeland van der ; Poell, Rob ; Driel, Jan van
2017, Article / Letter to editor ((2017), pp. 1-17)This study explores how academics who expanded their teaching-only positions to include research view their (re)constructed academic identity. Participants worked in a higher professional education institution of applied research and teaching, comparable with so-called new universities. The aim is to increase our understanding of variations in academic identity and to be better able to support academics’ ‘role making’ within and across different worlds of practice. Data from semi-structured interviews with 18 academics at a Dutch new university were analysed using a grounded theory approach. This revealed six well-rounded academic identities reflecting participants’ personal scholarly objectives: the ‘continuous learner’, ‘disciplinary expert’, ‘skilled researcher’, ‘evidence-based teacher’, ‘guardian of the research work process’ and ‘liaison officer’. The researcher role served to promote the overall development of participants’ identities. The ‘disciplinary expert’ matured through participation in the academic world and research activities. Participants discovered what ‘being’ and ‘becoming’ a researcher in the new university might entail, and contributed to the professions’ knowledge base. Participants learned to apply various research-based teaching approaches. As brokers, they linked research projects to practices in meaningful ways. The six identities embodied an emergent power in creating and preserving a complete academic profession. Participants’ accounts showed tensions inherent in an extended role portfolio and constraints in ‘role making’ given inconsistencies between the university’s espoused research mission and the one in use. These imply challenges for university managers in aligning policies and practices, and scaffolding academics’ attempts to integrate their academic roles in different worlds of practice.
Ik spiek, jij spiekt, wij spieken
Sluijsmans, Dominique ; Molkenboer, Harry
2010, Article / Letter to editor (Examens. Tijdschrift voor de Toetspraktijk, vol. 8, iss. 2, (2010), pp. 5-8)In de zomer van 2010 bracht de HEMA een site in de lucht waarop spiektips konden worden geplaatst. De site kreeg veel aandacht in de media en leidde tot ophef. Docenten werden door de Onderwijsraad opgeroepen kennis te nemen van alle spiektips. Moet spieken als fraude worden gezien of als iets onschuldigs? Want wie heeft nog nooit gespiekt? En welke gevolgen heeft spieken?
Ik wil de diëtetiek op een hoger plan brengen
Schueren, M.A.E. de van der
2020, Article / Letter to editor (Suiker in perspectief, vol. 49, (2020), pp. 12)
Imaging versus no imaging for low back pain: a systematic review, measuring costs, healthcare utilization and absence from work.
Lemmers, G.P.G. ; Lankveld, W.G.J.M. van ; Westert, G.P. ; Wees, Philip van der ; Staal, J.B.
2019, Article / Letter to editor (European Spine Journal, vol. 28, iss. 5, (2019), pp. 937-950)
Immediate patient perceptions following lumbar spinal fusion surgery: semi-structured multi-centre interviews exploring the patient journey and experiences of lumbar fusion surgery (FuJourn).
Rushton, A. ; Elena, B. ; Jadhakhan, F. ; Masson, A. ; Staal, J.B. ; Verra, M.L. ; Emms, A. ; Reddington, M. ; Cole, A. ; Willems, P.C. ; Benneker, L. ; Heneghan, N.R. ; Soundy, A. et al. sine al.
2022, Article / Letter to editor (European Spine Journal, vol. 31, iss. 12, (2022), pp. 3590-3602)PURPOSE: To understand the patient journey to Lumbar Spinal Fusion Surgery (LSFS) and patients' experiences of surgery. METHODS: Qualitative study using interpretive phenomenological analysis. Adult participants following LSFS were recruited from 4 UK clinical sites using purposive sampling to ensure representation of key features (e.g. age). Semi-structured interviews informed by a piloted topic guide developed from the literature were audio-recorded and transcribed verbatim. Framework analysis for individual interviews and then across participants (deductive and inductive) identified emerging themes. Trustworthiness of data analyses was enhanced using multiple strategies (e.g. attention to negative cases). RESULTS: Four emerging themes from nn=n31 patients' narratives were identified: decision for surgery, coping strategies, barriers to recovery and recovery after surgery. Decision for surgery and recovery after surgery themes are distinguished by the point of surgery. However, barriers to recovery and coping strategies are key to the whole patient journey encompassing long journeys to surgery and their initial journey after surgery. The themes of coping strategies and barriers to recovery were inter-related and perceived by participants as parallel concepts. The 4 multifactorial themes interacted with each other and shaped the process of an individual patient's recovery. Factors such as sporadic interventions prior to surgery, time-consuming wait for diagnosis and surgery and lack of information regarding recovery strongly influenced perceptions of outcome. CONCLUSION: Patient driven data enables insights to inform research regarding surgery/rehabilitation through depth of understanding of the patient journey. Awareness of factors important to patients is important; ensuring that patient-driven data informs research and patient care.
Impact Covid-19 binnenstadslogistiek
Kamphuis, M. ; Kloppenburg, R.
2021, Article / Letter to editor (Logistiek+: Tijdschrift voor toegepaste logistiek, (2021))
The impact of beetroot juice supplementation on muscle strength and endurance
Hilkens, L.P.M.
2018, Article in monograph or in proceedings (23th Annual Congress of the European College of Sport Science)
The impact of beetroot juice supplementation on muscular endurance, maximal strength and countermovement jump performance.
Jonvik, K.L. ; Hoogervorst, D. ; Peelen, H.B. ; Niet, M. de ; Verdijk, L.B. ; Loon, L.J.C. van ; Dijk, J.W. van
2021, Article / Letter to editor (European Journal of Sport Science, vol. 21, iss. 6, (2021), pp. 871-878)Purpose: Dietary nitrate has been shown to enhance muscle contractile function and has, therefore, been linked to increased muscle power and sprint exercise performance. However, the impact of dietary nitrate supplementation on maximal strength, performance and muscular endurance remains to be established. Methods: Fifteen recreationally active males (25 ±4 y, BMI 24 ±3 kg/m(2)) participated in a randomized double-blinded cross-over study comprising two 6-d supplementation periods; 140 mL/d nitrate-rich (BR; 985 mg/d) and nitrate-depleted (PLA; 0.37 mg/d) beetroot juice. Three hours following the last supplement, we assessed countermovement jump (CMJ) performance, maximal strength and power of the upper leg by voluntary isometric (30° and 60° angle) and isokinetic contractions (60, 120, 180 and 300°•s(-1)), and muscular endurance (total workload) by 30 reciprocal isokinetic voluntary contractions at 180°•s(-1). Results: Despite differences in plasma nitrate (BR: 879 ±239 vs. PLA: 33 ±13 μmol/L, Pn<n0.001) and nitrite (BR: 463 ±217 vs. PLA: 176 ±50 nmol/L, Pn<n0.001) concentrations prior to exercise testing, CMJ height (BR: 39.3 ±6.3 vs. PLA: 39.6 ±6.3 cm; Pn=n0.39) and muscular endurance (BR: 3.93 ±0.69 vs. PLA: 3.90 ±0.66 kJ; Pn=n0.74) were not different between treatments. In line, isometric strength (Pn>n0.50 for both angles) and isokinetic knee extension power (Pn>n0.33 for all velocities) did not differ between treatments. Isokinetic knee flexion power was significantly higher following BR compared with PLA ingestion at 60°•s(-1) (Pn=n0.001), but not at 120°•s(-1) (Pn=n0.24), 180°•s(-1) (Pn=n0.066), and 300°•s(-1) (Pn=n0.36). Conclusion: Nitrate supplementation does not improve maximal strength, countermovement jump performance and muscular endurance in healthy, active males.
Impact of COVID-19 Pandemic on Young Children With Feeding and Eating Problems and Disorders and Their Families.
Krom, H. ; Mameren, J. van ; Remijn, L. ; Nennie, K. de ; Dumont, E. ; Gaag, E. van der ; Leeuwen, M.C.C. van ; Mulkens, S. ; Schakelaar, C. ; Kindermann, A
2022, Article / Letter to editor (Journal of Pediatric Gastroenterology and Nutrition, vol. 75, iss. 4, (2022), pp. 529-534)OBJECTIVES: The incidence of feeding and eating problems and disorders (FEPD) in children increased during the coronavirus disease 2019 (COVID-19) pandemic. The aim of this study was to assess the impact of the COVID-19 pandemic on young children with FEPD and their parents. METHODS: Cross-sectional survey: parents of children with FEPD (0-11 years) in the Netherlands completed an online questionnaire (January-April 2021). This questionnaire included 4 demographic questions (including criteria of pediatric feeding disorder [PFD] and/or avoidant/restrictive food intake disorder [ARFID]) and 11 questions related to experienced impact of the COVID-19 pandemic. Parental responses regarding children with FEPD (including PFD and ARFID) were compared with those of healthy controls (HCs). RESULTS: In total, 240 children (median age, 5.5 years; interquartile range [IQR], 3.5-7.9 years; 53.3% female) were included; 129 children with FEPD and 111 HC. Most children with FEPD fulfilled criteria for PFD (n = 119; 92.2%) and/or ARFID (n = 117; 90.7%). Parents of children with FEPD reported more stress (of their child [ P = 0.014] and parental stress [ P = 0.014]), worse eating by the child ( P < 0.001), more negative relations within the family ( P = 0.006), and less support from the environment ( P = 0.001) compared with parents of HC during the COVID-19 pandemic than before. CONCLUSIONS: It seems that the COVID-19 pandemic had great impact on young children with FEPD and their parents because parents of children with FEPD reported significantly more perceived stress within both the child and parents, more difficult eating behavior of the child, more negative behavior between family members, and less support from the environment as compared with HC.
Impact of early career teachers' professional identity tensions
Wal, M. van der ; Oolbekkink, H. ; Schaap, H. ; Meijer, P.C.
2019, Article / Letter to editor (Teaching and Teacher Education, vol. 80, (2019), pp. 59-70)This study gains insight into impact of professional identity tensions in terms of affective appraisal and behavioral response. Data consisted of 126 semi-structured reflective journals from early career teachers collected during one school year. Affective appraisals were 'low' (no impact on daily functioning, short occurrence), 'moderate' (reasonable impact for a couple of days) or 'high' (negative impact on work and private life, leading to personal doubts, long occurrence). Behavioral responses occurred as reflection, help seeking, support seeking, and directive actions. High affective appraisals occurred often in combination with reflection, while low and moderate affective appraisals often occurred with directive actions. This study concludes that impact is multidimensional and therefore, all tensions can be of significant importance for teacher induction programs. (C) 2019 Elsevier Ltd. All rights reserved.
The impact of laws and regulations
Maris, A. ; Gaalen, H. van ; Moeke, D. ; Ravesteijn, P.
2020, Article in monograph or in proceedings (ten behoeve van 16th European Conference on Management Leadership and Governance)
Impact of lean interventions on time buffer reduction in a hospital setting
Roemeling, O.P. ; Land, M.J. ; Ahaus, K. ; Slomp, J. ; Bijllaardt, W. van den
2017, Article / Letter to editor (International Journal of Production Research, vol. 55, iss. 16, (2017), pp. 4802-4815)
Impact of multimorbidity on functioning: evaluating the ICF core set approach in an empirical study of people with rheumatic diseases
Wijlhuizen, G. ; Meeteren, N. van ; Perenboom, R. ; Heerkens, Y.F. ; Galindo Garre, F.
2012, Article / Letter to editor (Journal of Rehabilitation Medicine, vol. 44, iss. 8, (2012), pp. 664-668)Chronic conditions can lead to considerable deterioration in functioning. Several condition-specific Core Sets, selections of categories from the International Classification of Functioning, Disability and Health (ICF), have been developed to facilitate the rehabilitation process. Considering the increase in patients with more than one specific condition, we evaluated the impact of multimorbidity on functioning and the implications for the Core Set approach. Design: Internet survey. Multimorbidity seriously aggravates the already existing functioning problems of people with rheumatic disease. We recommend that in the ICF Core Set approach more emphasis is given to systematic empirical analysis of the impact of multimorbidity on functioning.
Impact of nurse practitioner care on patients with chronic conditions
Dusseldorp, L. van ; Groot, M. ; Adriaansen, M.J.M. ; Vught, A.J.A.H. van ; Vissers, K. ; Peters, J.
2020, Article / Letter to editor (Journal of the American Association of Nurse Practitioners, (2020))
The Impact of Nursing Delirium Preventive Interventions in the ICU. A multicenter cluster-randomized controlled clinical trial
Rood, P. ; Zegers, M. ; Ramnarain, D. ; Koopmans, M. ; Klarenbeek, T. ; Ewalds, E. ; Steen, M. van der ; Oldenbeuving, A. ; Kuiper, M. ; Teerenstra, S. ; Adang, E. ; Loon, L.M. van ; Wassenaar, A. ; Vermeulen, H. ; Pickkers, P. ; Boogaard, M. van den et al. sine al.
2021, Article / Letter to editor (American Journal of Respiratory and Critical Care Medicine, vol. 204, iss. 6, (2021))
Impact of practice, provider and patient characteristics on delivering screening and brief advice for heavy drinking in primary healthcare: Secondary analyses of data from the ODHIN five country cluster randomized factorial trial
Laurant, M.G.H. ; Anderson, P. ; Kloda, K. ; Kaner, E. ; Reynolds, J. ; Bendtsen, P. ; Pelgrum-Keurhorst, M.N. ; Segura, L. ; Wojnar, M. ; Mierzecki, A. ; Deluca, P. ; Newbury-Birch, D. ; Parkinson, K. ; Gual, A. et al. sine al.
2017, Article / Letter to editor (European Journal of General Practice, (2017), pp. 241-245)
Impact of primary healthcare providers' initial role security and therapeutic commitment on implementing brief interventions in managing risky alcohol consumption: a cluster randomised factorial trial
Keurhorst, M. ; Anderson, P. ; Heinen, M. ; Bendtsen, P. ; Baena, B ; Brzozka, K ; Colom, J ; Deluca, P. ; Drummond, C ; Kaner, E. ; Kloda, K. ; Mierzecki, A. ; Newbury-Birch, D. ; Okulicz-Kozaryn, K ; Palacio-Vieira, J ; Parkinson, K. ; Reynolds, J. ; Ronda, G ; Segura, L. ; Slodownik, L ; Spak, F ; van Steenkiste, B ; Wallace, P ; Wolstenholme, A ; Wojnar, M. ; Gual, A. ; Laurant, M.G.H. ; Wensing, M. et al. sine al.
2016, Article / Letter to editor (Implementation Science, vol. 11, (2016))Background: Brief interventions in primary healthcare are cost-effective in reducing drinking problems but poorly implemented in routine practice. Although evidence about implementing brief interventions is growing, knowledge is limited with regard to impact of initial role security and therapeutic commitment on brief intervention implementation. Methods: In a cluster randomised factorial trial, 120 primary healthcare units (PHCUs) were randomised to eight groups: care as usual, training and support, financial reimbursement, and the opportunity to refer patients to an internet-based brief intervention (e-BI); paired combinations of these three strategies, and all three strategies combined. To explore the impact of initial role security and therapeutic commitment on implementing brief interventions, we performed multilevel linear regression analyses adapted to the factorial design. Results: Data from 746 providers from 120 PHCUs were included in the analyses. Baseline role security and therapeutic commitment were found not to influence implementation of brief interventions. Furthermore, there were no significant interactions between these characteristics and allocated implementation groups. Conclusions: The extent to which providers changed their brief intervention delivery following experience of different implementation strategies was not determined by their initial attitudes towards alcohol problems. In future research, more attention is needed to unravel the causal relation between practitioners' attitudes, their actual behaviour and care improvement strategies to enhance implementation science.
The impact of protein supplementation on recovery of muscle function, damage and soreness
Hilkens, L.P.M.
2020, Article in monograph or in proceedings (The impact of protein supplementation on recovery of muscle function, damage and soreness)
The impact of protein supplementation on recovery of muscle function, damage and soreness
Hilkens, L.P.M.
2020, Article in monograph or in proceedings (The impact of protein supplementation on recovery of muscle function, damage and soreness)
Impact van Covid-19 op de binnenstadslogistiek van Arnhem
Kamphuis, M. ; Kloppenburg, R.
2021, Article / Letter to editor ((2021))
Impact van intensive care
Vloet, L.C.M.
2019, Book (monograph)
De impact van vier klimaatneutrale scenario’s op de arbeidsvraag van netbeheerders: eindrapport. TNO eindrapportage voor O&O fonds Netwerkbedrijven
Verbiest, S. ; Ven, H.A. van de ; Hulsegge, G. ; Goudswaard, A. ; Oeij, P. ; Sanders, J.M.A.F.
2021, Book (monograph)
Implementatie van (loopbaan)reflectie(gesprekken) in onderwijsorganisaties: Vanuit het perspectief van routineverandering in organisaties.
Hoeve, A. ; Boer, P. den
2017, Part of book or chapter of book (Meijers, F.; Mittendorff, K (ed.), Zelfreflectie in het hoger onderwijs, pp. 67-86)
Implementatie van de richtlijn ‘Triage op de Spoedeisende Hulp’
Adriaansen, M.J.M. ; Tol, M. van ; Achterberg, Theo van ; Janssen, H.J.J. ; Mintjes, Joke ; Schalk, René
2010, Article / Letter to editor (Intensive Care Capita Selecta, (2010), pp. 59-63, 230)
Implementatie van de Surviving Sepsis Campaign bundels : Monitoring van ervaringen
Vloet, L.C.M. ; Schouten, J. ; Stevens, N. ; Rensen, J.G.H. ; Willems, A. ; Zeegers, F.
2011, Article / Letter to editor (Kritiek, vol. 2011, iss. 3, (2011), pp. 3-9)Sepsis komt vaak voor in ziekenhuizen. Ernstige sepsis is verantwoordelijk voor 10 - 20% van alle Intensive Care (IC) opnames en is de belangrijkste doodsoorzaak op niet-cardiale IC?s. De gemiddelde mortaliteit van volwassenen met ernstige sepsis op de IC is 33% en van volwassenen met septische shock 59%. De mortaliteit van septische shock op de verpleegafdeling is 70%. In ons land overlijden jaarlijks naar schatting 3.500 patiënten ten gevolge van sepsis. De stijging van het aantal patiënten met ernstige sepsis en septische shock is wereldwijd 1 - 2% per jaar en heeft grote implicaties voor de IC-behoefte en de kosten en inrichting van de gezondheidszorg. Jaarlijks wordt de incidentie van ernstige sepsis berekend op ongeveer 13.000 patiënten in Nederland. Sepsis is de systemische pro- en anti-inflammatoire immuunreactie op infectie en wordt geïnitieerd door een of meer componenten van binnendringende micro-organismen. Bij sepsis worden de volgende stadia onderscheiden: infectie, het systemisch onstekingssyndroom (Systematic Inflammatory Response Syndrome (SIRS), sepsis, ernstige sepsis en septische shock. Een voorwaarde voor sepsis is de aanwezigheid van twee of meer criteria van het SIRS. Het klinische beeld van een infectie kan verschillende stadia doorlopen. We spreken van sepsis als er sprake is van minimaal twee SIRS-criteria plus de (vermoedelijke) aanwezigheid van een infectieus focus. Zodra daarbij naast hypoperfusie een vorm van orgaanfalen optreedt (bijvoorbeeld verminderde diurese, een nierfunctiestoornis of een lage bloeddruk) wordt dit ernstige sepsis genoemd. Indien sprake is van sepsis geïnduceerde hypotensie die niet reageert op adequate volume resuscitatie spreekt men van septische shock.
Implementation and process evaluation of the energetic study
Veenhuizen, Y ; Cup, Edith ; Satink, T. ; Groothuis, JT ; Engelen, B.G.M. van ; Nijhuis-van der Sanden, M.W.G. ; Guerts, A
2016, Article / Letter to editor (Neuromuscular Disorders, vol. 26, (2016), pp. S147-S148)
Implementation of a Cost-Effective Physical Therapy Approach (Coach2Move) to Improve Physical Activity in Community-Dwelling Older Adults With Mobility Problems: Protocol for a Cluster-Randomized, Stepped Wedge Trial.
Heij, W. ; Teerenstra, S. ; Sweerts, L. ; Staal, J.B. ; Nijhuis-van der Sanden, M.W.G. ; Hoogeboom, T.J.
2020, Article / Letter to editor (Physical Therapy, vol. 100, iss. 4, (2020), pp. 653-661)BACKGROUND: Coach2Move is a personalized treatment strategy by physical therapists to elicit physical activity in community-dwelling older adults with mobility problems. OBJECTIVE: The primary objective of this study is to assess the effectiveness and cost-effectiveness of the implementation of Coach2Move compared with regular care physical therapy in daily clinical practice. DESIGN, SETTING, PARTICIPANTS, AND INTERVENTION: A multicenter cluster-randomized stepped wedge trial is being implemented in 16 physical therapist practices (4 clusters of 4 practices in 4 steps) in the Netherlands. The study aims to include 400 older adults (≥70 years) living independently with mobility problems and/or physically inactive lifestyles. The intervention group receives physical therapy conforming to the Coach2Move strategy; the usual care group receives typical physical therapist care. MEASUREMENTS: Measurements are taken at baseline and 3, 6, and 12 months after the start of treatment. The primary outcomes for effectiveness are the amount of physical activity (LASA Physical Activity Questionnaire) and functional mobility (Timed Up and Go test). Trial success can be declared if at least 1 parameter improves while another does not deteriorate. Secondary outcomes are level of frailty (Evaluative Frailty Index for Physical Activity), perceived effect (Global Perceived Effect and Patient Specific Complaints questionnaire), quality of life (EQ-5D-5 L), and health care expenditures. Multilevel linear regression analyses are used to compare the outcomes between treatment groups according to an intention-to-treat approach. Alongside the trial, a mixed-methods process evaluation is performed to understand the outcomes, evaluate therapist fidelity to the strategy, and detect barriers and facilitators in implementation. LIMITATIONS: An important limitation of the study design is the inability to blind treating therapists to study allocation. DISCUSSION: The trial provides insight into the effectiveness and cost-effectiveness of the Coach2Move strategy compared with usual care. The process evaluation provides insight into influencing factors related to outcomes and implementation.
Implementation of a delirium assessment tool in the ICU can influence haloperidol use
Mintjes, Joke ; Hoeven, Hans van der ; Pickkers, Peter ; Roodbol, Petrie ; Schoonhoven, Lisette ; Achterberg, Theo van ; Boogaard, Mark van den
2009, Article / Letter to editor (Netherlands Journal of Critical Care, vol. 13, iss. 4, (2009), pp. R131)In critically ill patients, delirium is a serious and frequent disorder that is associated with a prolonged intensive care and hospital stay and an increased morbidity and mortality. Without the use of a delirium screening instrument, delirium is often missed by ICU nurses and physicians. The effects of implementation of a screening method on haloperidol use is not known. The purpose of this study was to evaluate the implementation of the confusion assessment method-ICU (CAM-ICU) and the effect of its use on frequency and duration of haloperidol use.
Implementation of Combined Lifestyle Interventions for Children with Overweight or Obesity: Experiences of Healthcare Professionals in Multiple Communities
Naumann, E. ; Fransen, G.A.J. ; Voss, L. ; Velden, K. van der ; Assendelft, W.J.J. ; Saat, J.
2023, Article / Letter to editor (International Journal of Environmental Research and Public Health, (2023))
Implementation of interprofessional digital communication tools in primary care for frail older adults: An interview study
Oostra, D.L. ; Fierkens, C. ; Alewijnse, M.E. ; Olde Rikkert, M.G.M. ; Nieuwboer, M.S. ; Perry, M.
2022, Article / Letter to editor (Journal of Interprofessional Care, (2022), pp. 1-9)
Implementation strategies to enhance management of heavy alcohol consumption in primary health care: a meta-analysis
Keurhorst, M. ; Glind, I. van de ; do Amaral-Sabadini, MB ; Anderson, P. ; Kaner, E. ; Newbury-Birch, D. ; Braspenning, J ; Wensing, M. ; Heinen, M. ; Laurant, M.G.H.
2015, Article / Letter to editor (Addiction, vol. 110, iss. 12, (2015), pp. 1877-1900)Background and AimsScreening and brief interventions (SBI) delivered in primary health care (PHC) are cost-effective in decreasing alcohol consumption; however, they are underused. This study aims to identify implementation strategies that focus on SBI uptake and measure impact on: (1) heavy drinking and (2) delivery of SBI in PHC. MethodsMeta-analysis was conducted of controlled trials of SBI implementation strategies in PHC to reduce heavy drinking. Key outcomes included alcohol consumption, screening, brief interventions and costs in PHC. Predictor measures concerned single versus multiple strategies, type of strategy, duration and physician-only input versus that including mid-level professionals. Standardized mean differences (SMD) were calculated to indicate the impact of implementation strategies on key outcomes. Effect sizes were aggregated using meta-regression models. ResultsThe 29 included studies were of moderate methodological quality. Strategies had no overall impact on patients' reported alcohol consumption [SMD=0.07; 95% confidence interval (CI)= -0.02 to 0.16], despite improving screening (SMD=0.53; 95% CI=0.28-0.78) and brief intervention delivery (SMD=0.64;95% CI=0.27-1.02). Multi-faceted strategies, i.e. professional and/or organizational and/or patient-orientated strategies, seemed to have strongest effects on patients' alcohol consumption (P<0.05, compared with professional-orientated strategies alone). Regarding SBI delivery, combining professional with patient-orientated implementation strategies had the highest impact (P<0.05). Involving other staff besides physicians was beneficial for screening (P<0.05). ConclusionsTo increase delivery of alcohol screening and brief interventions and decrease patients' alcohol consumption, implementation strategies should include a combination of patient-, professional- and organizational-orientated approaches and involve mid-level health professionals as well as physicians.
Implementing a Personalized Physical Therapy Approach (Coach2Move) Is Effective in Increasing Physical Activity and Improving Functional Mobility in Older Adults: A Cluster-Randomized, Stepped Wedge Trial.
Heij, W. ; Sweerts, L. ; Staal, J.B. ; Teerenstra, S. ; Adang, E. ; Wees, P.J. van der ; -van der Sanden, M.W.G. Nijhuis ; Hoogeboom, T.J.
2022, Article / Letter to editor (Physical Therapy, (2022))OBJECTIVE: The purpose of this study was to assess whether the superior cost-effectiveness of a personalized physical therapy approach (Coach2Move)-which was demonstrated in a previous trial when compared to usual care physical therapy (UCP)-can be replicated in daily clinical practice. METHODS: A multicenter cluster-randomized stepped wedge trial with 4 clusters consisting of 4 physical therapist practices in the Netherlands was used to compare a personalized physical therapy approach to elicit physical activity (Coach2Move) versus care as usual. Multilevel analyses for effectiveness were conducted for the amount of physical activity (Longitudinal Aging Study Amsterdam Physical Activity Questionnaire) and functional mobility (Timed "Up & Go" Test) at 3, 6 (primary outcome), and 12 months' follow-up. Secondary outcomes were: level of frailty (Evaluative Frailty Index for Physical Activity), perceived effect (Global Perceived Effect and Patient-Specific Complaints questionnaires), quality of life (Euro Quality of Life-5 Dimensions-5 Levels [EQ-5D-5L]), and health care expenditures. RESULTS: The 292 community-dwelling older adults with mobility problems visiting physical therapists were included in either the Coach2Move (nn=n112; mean [SD] agen=n82 [5] y; 60% female) or UCP (nn=n180; mean [SD] agen=n81 (6) y; 62% female) section of the trial. At baseline, Coach2Move participants were less physically active as compared with UCP participants (mean differencen=n-198; 95% CIn=n-90 to -306) active minutes. At 6 months, between-group mean differences (95% CI) favored Coach2Move participants on physical activity levels (297 [83 to 512] active minutes), functional mobility (-14.2 [-21 to -8]) seconds] and frailty levels (-5 [-8 to -1] points). At 12 months, the physical activity levels of Coach2Move participants further increased and frailty levels and secondary outcomes remained stable, whereas outcomes of UCP participants decreased. After the Coach2Move implementation strategy, physical therapists utilized significantly fewer treatment sessions compared with before the implementation (15 vs 22). Anticipated cost savings were not observed. CONCLUSIONS: This study replicated the results of an earlier trial and shows that Coach2Move leads to better mid- and long-term outcomes (physical activity, functional mobility, level of frailty) in fewer therapeutic sessions compared with UCP. Based on these and earlier findings, the implementation of Coach2Move in physical therapist practice is recommended. IMPACT: This article describes the implementation of the Coach2Move approach, a treatment strategy that has proven to be cost-effective in a previously conducted randomized controlled trial. Implementation of Coach2Move in a real-life setting allowed an evaluation of the effects in a clinically relevant population. Coach2Move has been shown to increase physical activity, improve functional mobility, and reduce frailty more effectively in comparison with usual care physical therapy and, therefore, has application for physical therapists working with older adults in daily clinical practice. LAY SUMMARY: Coach2Move is a new physical therapeutic approach for older adults. This manuscript describes how implementation of Coach2Move in daily clinical practice achieves better outcomes over a longer period of time against similar costs in comparison with regular physical therapy.
Implementing an outreaching, preference-led stepped care intervention programme to reduce late life depressive symptoms: results of a mixed-methods study
Beljouw, I.M.J. van ; Laurant, M.G.H. ; Heerings, M ; Stek, ML ; Marwijk, H.W.J. van ; Exel, E. van
2014, Article / Letter to editor (Implementation Science, vol. 9, (2014))Background: Depressive symptoms are highly prevalent in old age, but they remain mostly untreated. Several clinical trials have shown promising results in preventing or reducing depressive symptoms. However, it is not clear how robust these effects are in the real world of day-to-day care. Therefore, we have implemented the 'Lust for Life' programme, which significantly reduced depressive symptoms in community-dwelling older adults in the first three months after implementation. This mixed-methods study was conducted alongside the trial to develop a contextualised understanding of factors affecting the implementation. Methods: A total of 263 persons of 65 years and older with depressive symptoms were recruited from 18 general practices and home care organizations in the Netherlands. We used qualitative data (in-depth interviews and focus group discussions with participants with depressive symptoms and healthcare professionals) as well as quantitative data (longitudinal data on the severity of depressive symptoms) to explore hindering and facilitating factors to the implementation of the 'Lust for Life' programme. Results: The uptake of the routine screening was poor and imposed significant burdens on participants and healthcare professionals, and drop-out rates were high. Participants' perceived mental problems and need for care played a key role in their decision to participate in the programme and to step up to consequent interventions. Older people preferred interventions that focused on interpersonal contact. The programme was only effective when delivered by mental healthcare nurses, compared to home care nurses with limited experience in providing mental healthcare. Conclusions: The intervention programme was effective in reducing depressive symptoms, and valuable lessons can be learned from this implementation trial. Given the low uptake and high investment, we advise against routine screening for depressive symptoms in general healthcare. Further, agreement between the participant and healthcare professional on perceived need for care and intervention is vital. Rather than providing a stepped care intervention programme, we showed that offering only one single preference-led intervention is effective. Lastly, since the provision of the interventions seems to ask for specific skills and experiences, it might require mental healthcare nurses to offer the programme.
IMPLEMENTING BRIEF INTERVENTIONS FOR HEAVY DRINKING IN PRIMARY HEALTH CARE - ODHIN BASELINE AND PRELIMINARY OUTCOME RESULTS
Anderson, P. ; Gual, A. ; Spak, F ; Bendtsen, P. ; Keurhorst, M. ; Segura, L. ; Colom, J ; Reynolds, J. ; Drummond, C ; Deluca, P. ; van Steenkiste, B ; Mierzecki, A. ; Kloda, K. ; Wallace, P ; Newbury-Birch, D. ; Kaner, E. ; Laurant, M.G.H. ; Wojnar, M. et al. sine al.
2013, Article / Letter to editor (Alcohol and Alcoholism, vol. 48, (2013), pp. 58-59)
Implementing lean practices in manufacturing SMEs: testing ‘critical success factors’ using necessary condition analysis
Knol, W.H. ; Slomp, J. ; Schouteten, R.L.J. ; Lauche, K.
2018, Article / Letter to editor (International Journal of Production Research, vol. 56, iss. 11, (2018), pp. 3955-3973)
The importance of performance in youth competitions as an indicator of future success in cycling
Mostaert, M. ; Vansteenkiste, P. ; Pion, J.A.J. ; Deconinck, F.J. ; Lenoir, M.
2021, Article / Letter to editor (European Journal of Sport Science, (2021))
Improvement in sprinting and dribbling in the national Indonesian soccer players (under 23 years)
Elferink-Gemser, Marije ; Visscher, C. ; Huijgen, B. ; Lemmink, K.
2012, Article / Letter to editor (Annals of Research in Sport and Physical Activity, vol. 2012, iss. 3, (2012), pp. 64-79)This study gained more insight into the relation between improvements on sprinting with and without the ball in a group of national youth soccer players. The sprinting and dribbling performances, measured by time scoring, (n=14) were tested before and after a twelve week intensive training period. Performance changes were analyzed by means of t-tests for paired data. A correlation matrix described the relation between the changes from T1 to T2 on sprinting and dribbling. Sprinting and dribbling improvements are not directly related to each other, future training programs should contain more specificity and should also be individualized to increase performance improvements.

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