Browsing Han Publications by Date Issued

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Substitution of general practitioners by nurse practitioners in out-of-hours primary care home visits: A quasi-experimental study
Smits, M. ; Peters, Y ; Ranke, S ; Plat, E ; Laurant, M.G.H. ; Giesen, P
2020, Article / Letter to editor (International Journal of Nursing Studies, vol. 104, (2020))Background: General practitioners experience a high workload during out-of-hours care. A possible solution is the shifting of care to nurse practitioners. Objectives: To provide insight into patient- and care characteristics, safety, efficiency, and patient satisfaction of substituting general practitioners with nurse practitioners for home visits by out-of-hours primary care services. Design: Quasi-experimental non-randomised study comparing home visits by nurse practitioners (intervention group; one out-of-hours care service) with home visits by general practitioners (control group; two out-of-hours care services) for 24 protocolised health problems. Setting: Three out-of-hours primary care services in the East of the Netherlands. Participants: 1601 patients who received a home visit by a nurse practitioner (N=386) or a general practitioner (N = 1215). Of these patients, 639 gave informed consent to be included in the protocol adherence assessment and follow-up record review (nurse practitioner: N=358; general practitioner: N=281). Methods: Five nurse practitioners with experience in ambulance care were recruited and trained. From September 2016 to March 2017 the nurse practitioners took over home visits under supervision of a general practitioners. This was evaluated using: (1) data-extraction from the patient registration system, (2) follow-up record review in the patients' general practices, and (3) patient satisfaction survey. Two general practitioners independently assessed protocol adherence based on the extracted registration data. Results: Nurse practitioners prescribed medication significantly less often than general practitioners (19.9% versus 30.6%), and referred patients significantly more often to the hospital (24.1% versus 15.9%). The mean length of the home visit was significantly longer for nurse practitioners (34.1 versus 21.1 min). Nurse practitioners adhered to the protocol significantly more often than general practitioners (84.9% versus 76.2%) and their medication prescribing was significantly more often appropriate (93.7% versus 79.5%). There were no differences in the number of missed diagnoses and complications. The number of follow-up contacts was also similar in both groups. Patient satisfaction was generally high and significantly higher for nurse practitioners on several items. Conclusions: Nurse practitioners with experience in ambulance care can safely, efficiently, and satisfactorily perform low complex out-of-hours primary care home visits. It is recommended to study the safety and efficiency of nurse practitioners' home visits in other regions and with nurse practitioners with different educational levels and different specialisations. In addition, we recommend to evaluate the cost-effectiveness and if it leads increased quality of care. (C) 2019 Elsevier Ltd. All rights reserved.
Meet and eat, an interdisciplinary group intervention for patients with myotonic dystrophy about healthy nutrition, meal preparation, and consumption: a feasibility study
Hees, SGM van ; Knuijt, S. ; Dicke, H ; Groothuis, JT ; Raaphorst, J ; Satink, T. ; Cup, Edith
2020, Article / Letter to editor (Disability and Rehabilitation, vol. 42, iss. 11, (2020), pp. 1561-1568)Purpose: To develop and evaluate an interdisciplinary group intervention for patients with myotonic dystrophy regarding healthy nutrition, meal preparation, and consumption, called Meet and Eat. Materials and methods: A design-based approach was used, exploring experiences and needs of patients with myotonic dystrophy and their next of kin. This resulted in a 4-week interdisciplinary outpatient group intervention to increase awareness and change behavior. In a mixed-method feasibility study this intervention was evaluated with participants and facilitators. Results: Participants reported on social impact of difficulties with eating and drinking (speaking, swallowing, and social embarrassment) and a variety of complaints affecting meal preparation and consumption. Patients and family members expressed the wish to learn from others. After delivery of the intervention, self-reported outcome measures demonstrated improvement on eating and drinking issues in daily life. The qualitative evaluation showed increased awareness and appreciation of the following design principles: peer support, multidisciplinary approach, active involvement of patient with myotonic dystrophy and their next of kin by using personal goals and motivational interviewing. Conclusion: Participation in Meet and Eat seemed to increase insight in patients' condition and ways of management. However, a longer self-management life style program is recommended to change behavior.
Stel de mens en zijn talent centraal
Neure, S. van ; Muffels, Ruud ; Lange, A.H. de
2020, Article / Letter to editor (PW. : magazine voor HR-professionals, iss. maart, (2020))
Tracing metaphors throughout design education.
Turnhout, K.G. van ; Köppe, Ch. ; Schuszler, P. ; Bakker, R.R.
2020, Article in monograph or in proceedings (In DS 95: Proceedings of the 21st International Conference on Engineering and Product Design Education (E&PDE 2019), University of Strathclyde, Glasgow. 12th-13th September 2019. 2019.)
The Contribution of Conceptual Independence to IT Infrastructure Flexibility:
Tarenskeen, D. ; Wetering, R. van de ; Bakker, R.R. ; Brinkkemper, S.
2020, Article in monograph or in proceedings (The Case of openEHR., pp. 233-244)
Using ampersand in IT architecture.
Tarenskeen, D. ; Bakker, R.R. ; Joosten, S.
2020, Article in monograph or in proceedings (In: 7th International Conference on Research and Practical Issues of Enterprise Information Systems, pp. 206-214)
Support Need Among Patients with Huntington Disease in the Netherlands: Results of a Focus Group Study
Verschuur, E. ; Geense, W.W. ; Adriaansen, M.J.M.
2020, Article / Letter to editor (Nursing & Primary Care, vol. 4, iss. 1, (2020))
Verleiden tot het ondernemen van plezierige activiteiten
Bemmel, M.E.C. van ; Kemper, W. ; Adriaansen, M.J.M.
2020, Article / Letter to editor (Tijdschrift voor Gerontologie en Geriatrie, vol. 4, iss. 1, (2020), pp. 1-4)
1903: Vereeniging van onderwijzers en artsen werkzaam aan inrichtingen van onderwijs aan achterlijke en zenuwzieke kinderen
Beer, F.H. de
2020, Part of book or chapter of book (Lans, J. van der (ed.), Canon Speciaal & Passend Onderwijs)
1915: Dr. A. van Voorthuijsen. De invloed van schoolartsen
Beer, F.H. de
2020, Part of book or chapter of book (Lans, j. van der (ed.), Canon Speciaal & Passend Onderwijs)
9 tips om vernieuwing vast te houden
Wierda-Boer, H. ; Lange, M. de
2020, Article / Letter to editor (Didactief, vol. 50, iss. 4, (2020), pp. 22-23)
Investigation on identifying roadanomalies using in-vehicle sensors for cooperative applications and roadasset management
Padarthy, M. ; Heyns, E.E.
2020, Article / Letter to editor (Transportation Research Record : Journal of the Transportation Research Board, (2020))
An exploration of the conditions for deploying self-management strategies: a qualitative study of experiential knowledge in depression
Smit, D. ; Peelen, J. ; Vrijsen, J.N. ; Spijker, J.
2020, Article / Letter to editor (BMC Psychiatry, vol. 20, iss. 210, (2020), pp. 1-11)
Stand van Webcare: is corona een versneller voor ontwikkelingen in digitaal klantcontact?
Hachmang, Daphne
2020, Article / Letter to editor (Marketingfacts.Nl|NOISSN, (2020))
How are lifestyle factors associated with socioeconomic differences in health care costs? Evidence from full population data in the Netherlands
Boer, W.I.J. de ; Dekker, L.H. ; Koning, R.H. ; Navis, G.J. ; Mierau, J.O.
2020, Article / Letter to editor (Preventive Medicine, vol. 130, (2020))
A Nitrate-Rich Vegetable Intervention Elevates Plasma Nitrate and Nitrite Concentrations and Reduces Blood Pressure in Healthy Young Adults
Avoort, C.M.T. van der ; Jonvik, K.L. ; Nyakayiru, J. ; Loon, L.J.C. van ; Hopman, M. ; Verdijk, L.B.
2020, Article / Letter to editor (Journal of the Academy of Nutrition and Dietetics, (2020))
Krachtvoer: optimaliseren van krachttrainingsadaptaties met voeding, deel 1
Hilkens, L.P.M. ; Werf, R. van der ; Iedema, N. ; Maas, T.
2020, Article / Letter to editor (Sportgericht, vol. 74, iss. 2, (2020), pp. 32-39)
From community datamining to enterprising villagers
Goor, J. van de ; Turnhout, K.G. van ; Regterschot, M. ; Hansma, M. ; Bakker, R.R.
2020, Article in monograph or in proceedings (From community datamining to enterprising villagers)
Ethiek voor financieel professionals
Verstegen, M.F.G.M.
2020, Book (monograph) Over ethisch handelen in bedrijven en organisaties is onder de noemer van bedrijfsethiek al veel geschreven. Veel minder geldt dat voor het ethisch handelen van financieel professionals (accountants, controllers, fiscalisten, financieel adviseurs). Dit boek richt zich op hen – zowel beroepsbeoefenaars uit de praktijk als studenten die daartoe opgeleid worden. Ethiek voor financieel professionals heeft de volgende uitgangspunten: • De besproken modellen worden geïllustreerd en benaderd met cases en dilemma’s uit de beroepspraktijk. • Ethisch handelen is niet altijd simpel; het betekent soms een zoektocht naar wat het goede (of minst slechte) is om te doen. De zorgvuldigheid van die zoektocht, vaak in een dialoog, is dan bepalend voor de morele kwaliteit van de uitkomst. • Naast traditionele benaderingen (deugdenethiek, plichtenethiek, utilisme) is er ook aandacht voor nieuwere benaderingen, zoals horizontale ethiek en zorgethiek. • Diverse topics krijgen speciale aandacht: gedragseconomie; integriteit en integriteitsbevordering; moreel redeneren; sturen op vertrouwen; kritieken op onze westerse markteconomie; duurzaamheid; fiscaliteit en ethiek; beroepscontext en beroepscodes van de verschillende financiële professies.
Nurse Practitioners in Swiss Family Practices as Potentially Autonomous Providers of Home Visits: An Exploratory Study of Two Cases
Gysin, S. ; Bischofberger, I. ; Meier, R. ; Vught, A.J.A.H. van ; Merlo, C. ; Essig, S.
2020, Article / Letter to editor (Home Health Care Management & Practice, (2020))
Optimizing psychosocial support in prostate cancer patients during active surveillance
Donachie, K. ; Adriaansen, M.J.M. ; Cornel, E. ; Mennes, R. ; Oort, I. van ; Bakker, E. ; Lechner, L.
2020, Article / Letter to editor (European Journal of General Practice, (2020))
Evaluation of a Web-Based Self-Management Program for Patients With Cardiovascular Disease: Explorative Randomized Controlled Trial
Engelen, M.M. ; Dulmen, S. van ; Gaal, B.G.I. van ; Nijhuis, R ; Vermeulen, H. ; Puijk-Hekman, S. ; Bredie, S.J.H.
2020, Article / Letter to editor (Journal of Medical Internet Research, (2020))
Experienced complaints, activity limitations and loss of motor capacities in patients with pure hereditary spastic paraplegia: a web-based survey in the Netherlands
Lith, B.J.H. van ; Kerstens, H.C.J.W. ; Bemd, LAC van den ; Nijhuis-van der Sanden, M.W.G. ; Weerdesteyn, V. ; Smeets, R.J.E.M. ; Fheodoroff, K ; Warrenburg, BPC van de ; Geurts, A.C.H.
2020, Article / Letter to editor (Orphanet Journal of Rare Diseases, vol. 15, iss. 1, (2020))Background Hereditary spastic paraplegia (HSP) is a group of inherited disorders characterized by progressive spastic paresis of the lower limbs. Treatment is often focused on reducing spasticity and its physical consequences. To better address individual patients' needs, we investigated a broad range of experienced complaints, activity limitations, and loss of motor capacities in pure HSP. In addition, we aimed to identify patient characteristics that are associated with increased fall risk and/or reduced walking capacity. Methods We developed and distributed an HSP-specific online questionnaire in the Netherlands. A total of 109 out of 166 questionnaires returned by participants with pure HSP were analyzed. Results Participants experienced the greatest burden from muscle stiffness and limited standing and walking activities, while 72% reported leg and/or back pain. Thirty-five and 46% reported to use walking aids (e.g. crutches) indoors and outdoors, respectively; 57% reported a fall incidence of at least twice a year ('fallers'); in 51% a fall had led to an injury at least once; and 73% reported fear of falling. Duration of spasticity and incapacity to rise from the floor were positively associated with being a 'faller', whereas non-neurological comorbidity and wheelchair use were negatively associated. Higher age, experienced gait problems, not being able to stand for 10 min, and incapacity to open a heavy door showed a negative association with being a 'walker without aids' (> 500 m). Conclusions Our results emphasize the large impact of spastic paraparesis on the lives of people with pure HSP and contribute to a better understanding of possible targets for rehabilitation.
Samenwerken met burgers, hoe doe je dat? Sterk wijknetwerk
Laurant, M.G.H.
2020, Article / Letter to editor (De Eerstelijns, iss. mei 2020, (2020), pp. 40-41)
Verpleegkundig specialist als regiebehandelaar ook buiten de ggz
Vught, A.J.A.H. van ; Kennis, E. ; Werf, M. van der ; Boeijen, E.R.K. ; Laurant, M.G.H.
2020, Article / Letter to editor (Dé Verpleegkundig Specialist, iss. jaargang 15, nr 1 maart 2020, (2020), pp. 36-39)
Validity and reliability of serratus anterior hand held dynamometry
Ijspeert, J ; Kerstens, H.C.J.W. ; Janssen, R. ; Geurts, A.C.H. ; Alfen, N. van ; Groothuis, JT
2020, Article / Letter to editor (BMC Musculoskeletal Disorders, vol. 20, iss. 1, (2020))Background Strength testing of the serratus anterior muscle with hand held dynamometry (HDD) in supine subjects has low reproducibility, and is influenced by compensatory activity of other muscles like the pectoralis major and upper trapezius. Previously, two manual maximum voluntary isometric contraction tests of the serratus anterior muscle were reported that recruited optimal surface electromyography (sEMG) activity in a sitting position. We adapted three manual muscle tests to make them suitable for HHD and investigated their validity and reliability. Methods Twenty-one healthy adults were examined by two assessors in one supine and two seated positions. Each test was repeated twice. Construct validity was determined by evaluating force production (assessed with HHD) in relation to sEMG of the serratus anterior, upper trapezius and pectoralis major muscles, comparing the three test positions. Intra- and interrater reliability were determined by calculating intra-class correlation coefficients (ICC) smallest detectable change (SDC) and standard error of measurement (SEM). Results Serratus anterior muscle sEMG activity was most isolated in a seated position with the humerus in 90 degrees anteflexion in the scapular plane. This resulted in the lowest measured force levels in this position with a mean force of 296 N (SEM 15.8 N). Intrarater reliability yielded an ICC of 0.658 (95% CI 0.325; 0.846) and an interrater reliability of 0.277 (95% CI -0.089;0.605). SDC was 127 Newton, SEM 45.8 Newton. Conclusion The results indicate that validity for strength testing of the serratus anterior muscle is optimal with subjects in a seated position and the shoulder flexed at 90 degrees in the scapular plane. Intrarater reliability is moderate and interrater reliability of this procedure is poor. However the high SDC values make it difficult to use the measurement in repeated measurements.
From Big Data Communities to Enterprising Villagers The Transformational Effect of a Designerly Approach Within a Research Project
Goor, J.B.W. van de ; Turnhout, K.G. van ; Regterschot, M. ; Losse, M. ; Geest, T.M. van der ; Hansma, M.
2020, Part of book or chapter of book (Technology, Innovation, Entrepreneurship and Education, pp. 101-108)
Conceptual Independence as an Architecture Pattern for Adaptable Systems.
Tarenskeen, D.
2020, Article in monograph or in proceedings (Proceedings of the 10th Travelling Conference on Pattern Languages of Programs)
Experienced consequences of spasticity and effects of botulinum toxin injections: a qualitative study amongst patients with disabling spasticity after stroke
Kerstens, H.C.J.W. ; Satink, T. ; Nijkrake, M.J. ; Swart, B.J.M. de ; Nijhuis-van der Sanden, M.W.G. ; Wees, Philip van der ; Geurts, A.C.H.
2020, Article / Letter to editor (Disability and Rehabilitation, (2020))Purpose:Chronic spasticity poses a major burden on patients after stroke. Intramuscular botulinum toxin injections constitute an important part of the treatment for patients suffering from troublesome focal spasticity. This study explores the experienced consequences of chronic spasticity amongst patients after stroke regarding physical impairments and activities, the experienced effects of botulinum toxin treatment on these domains, and whether current spasticity management addresses patients' needs. Materials and methods:Fourteen participants with chronic spasticity after stroke who were treated with cyclical botulinum toxin injections in the upper and/or lower extremity muscles were interviewed. Inductive thematic analysis generated representative themes. Results:Analyses of the interviews revealed three themes: (1) spasticity-related impairments and activity limitations; (2) fluctuations in spasticity related to botulinum toxin; (3) need for professional support and feedback. Besides motor impairments, participants experienced activity limitations in many domains of everyday life, with considerable day-to-day fluctuations. Moreover, treatment with botulinum toxin led to cyclical fluctuations in spasticity-related symptoms, which differed across participants. The participants called for shared responsibility for treatment, particularly regarding optimising the timing of injections. Conclusion:Incorporating patient-relevant outcomes into the current assessment of spasticity and monitoring these outcomes may improve spasticity management, particularly regarding the timing of botulinum toxin injections.
Educational programs for learning to observe movement quality in physical therapy: a design-based research approach
Dekkers, L.M.A. ; Satink, T. ; Nijhuis-van der Sanden, M.W.G. ; Swart, B.J.M. de ; Maas, M.J.M. ; Janssen, Astrid
2020, Article / Letter to editor (Physiotherapy Theory and Practice, (2020))Introduction: Movement observation is a core aspect in physical therapists' diagnosis to determine which interventions are adequate to improve functional abilities. The aim of this study was to derive design principles for an educational program for the development of observational skills. Methods: We used a qualitative approach within a design-based research methodology. In four rounds, 8 physical therapy students, 16 teachers, and 9 practitioners participated in five Nominal Group Technique meetings and six interviews. Meetings and interviews were transcribed verbatim and analyzed using thematic analysis. Results: We identified three themes, each with several design principles: (1) didactics; (2) professional content; and (3) conditions for optimal learning. We developed a proto-theory underpinned with underlying educational theories. Conclusions: To learn observational skills, students, facilitated by an experienced teacher, need to take the lead in their own learning process. This might imply a need for additional training for teachers. A realistic context is a precondition for learning; it might be necessary to increase possibilities for observations in clinical contexts or to invest in training for (simulated) patients as participants in education. Further research is needed to test the applicability of the design principles and a proto-theory for other professionals with a focus on observation and analysis of movements.
Self-management develops through doing of everyday activities-a longitudinal qualitative study of stroke survivors during two years post-stroke
Satink, T. ; Josephsson, S ; Zajec, J. ; Cup, Edith ; Swart, B.J.M. de ; Nijhuis-van der Sanden, M.W.G.
2020, Article / Letter to editor (BMC Neurology, vol. 16, (2020))Background: A description of the complexity of the process of self-management and the way stroke survivors give meaning to their process of self-management post-stroke is lacking. This study explores how stroke survivors managed their lives, gave meaning to their self-management post-stroke and how this evolved over time. Methods: Data was generated through participant observations and interviews of 10 stroke survivors at their homes at 3, 6, 9, 15 and 21 months post-discharge. A constant comparative method was chosen to analyse the data. Results: 'Situated doing' was central in stroke survivors' simultaneous development of self-management and their sense of being in charge of everyday life post-stroke. Doing everyday activities provided the stroke survivors with an arena to explore, experience, evaluate, develop and adapt self-management and being in charge of everyday activities and daily life. The influence of stroke survivors' partners on this development was sometimes experienced as empowering and at other times as constraining. Over time, the meaning of self-management and being in charge changed from the opinion that self-management was doing everything yourself towards self-managing and being in charge, if necessary, with the help of others. Moreover, the sense of self-management and being in charge differed among participants: it ranged from managing only at the level of everyday activities to full role management and experiencing a meaningful and valuable life post-stroke. Conclusions: The findings of this study indicate the doing of activities as an important arena in which to develop self-management and being in charge post-stroke. Stroke self-management programs could best be delivered in stroke survivors' own environment and focus on not only stroke survivors but also their relatives. Furthermore, the focus of such interventions should be on not only the level of activities but also the existential level of self-management post-stroke.
Interdisciplinary communication and collaboration as key to improved nutritional care of malnourished older adults across health-care settings – A qualitative study
Verwijs, M.H. ; Puijk-Hekman, S. ; Heijden, E. van der ; Vasse, E. ; de Groot, C.P.G.M.
2020, Article / Letter to editor (Health Expectations, (2020))
De rol van physician assistant in de anderhalvelijnszorg
Vught, A.J.A.H. van ; Kappert, I.
2020, Article / Letter to editor (NAPA magazine, vol. 1800, (2020), pp. 26-28)
15 Organizational Implementation Strategies 263
Wensing, M. ; Grol, R. ; Laurant, M.G.H.
2020, Part of book or chapter of book (Wensing, M.; Grol, R.; Laurant, M. (ed.), Improving Patient Care: The Implementation of Change in Health Care, 3rd Edition, pp. 263-274)
Differences in patient population and service provision between nurse practitioner and general practitioner consultations in Swiss primary care: a case study
Gysin, S. ; Meier, R. ; Vught, A.J.A.H. van ; Merlo, C. ; Gemperli, A. ; Essig, S.
2020, Article / Letter to editor (BMC Family Practice, iss. 21, (2020), pp. 1-7)
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 IASP pain curriculum for undergraduate allied health professionals: educators defining competence level using Dublin descriptors
Lankveld, W. van ; Afram, B ; Staal, J.B. ; Sande, R. van der
2020, Article / Letter to editor (BMC Medical Education, vol. 2020;20(1), (2020))
Self-Management Support Needs from the Perspectives of Persons with Severe Mental Illness: A Systematic Review and Thematic Synthesis of Qualitative Research
Beentjes, T.A.A. ; Gaal, B.G.I. van ; Achterberg, Theo van ; Goossens, P.
2020, Article / Letter to editor (Journal of the American Psychiatric Nurses Association, vol. 26, iss. 5, (2020))
Bumpy moments
Hermsen, M.A.
2020, Article in monograph or in proceedings (Begeleiding a la Carte, Professionaliteit en vakmanschap)
Versterken implementatiekracht gehandicaptenzorg
Hermsen, M.A.
2020, Article in monograph or in proceedings (ZonMw Den Haag, 4 febr 2020)
Bevorderen van gezondheid en gezond gedrag door verpleegkundigen
Adriaansen, M.J.M. ; Caris, J.A.
2020, Book (monograph)
Clinical Reasoning for Speech Sound Disorders: Diagnosis and Intervention in Speech-Language Pathologists' Daily Practice
Diepeveen, S.J.H. ; Haaften, L van ; Terband, H ; Swart, B.J.M. de ; Maassen, B
2020, Article / Letter to editor (AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY, vol. 29, (2020), pp. 1529-1549)
Beïnvloeden: tussen betuttelen en verwaarlozen
Adriaansen, M.J.M.
2020, Article / Letter to editor (TVZ : verpleegkunde in praktijk en wetenschap, vol. 03, (2020), pp. 16-19)
Wenken voor meer verpleegkundig leiderschap
Adriaansen, M.J.M.
2020, Article / Letter to editor (TVZ : verpleegkunde in praktijk en wetenschap, vol. 01, (2020), pp. 34-35)
Het post-corona tijdperk
Adriaansen, M.J.M.
2020, Article / Letter to editor (TVZ : verpleegkunde in praktijk en wetenschap, vol. 02, (2020), pp. 9)
Krachtpatsers
Naumann, E.
2020, Contribution for newspaper or weekly magazine (Plus Magazine, 1 november 2020, pp. 78-80)
Effectiveness and acceptance of commercially available protein-rich meals and dairy products in increasing protein intake of community-dwelling older adults
Linschooten, J.O ; Beelen, J. ; Borkent, J ; Schueren, M.A.E. de van der ; Roodenburg, AJC
2020, Article / Letter to editor (Proceedings of the Nutrition Society, vol. 79, iss. OCE2, (2020), pp. E482)
Global Leadership Initiative on Malnutrition (GLIM): Guidance on Validation of the Operational Criteria for the Diagnosis of Protein-Energy Malnutrition in Adults
Keller, H. ; Schueren, M.A.E. de van der ; Jensen, G.L. ; Barazzoni, R. ; Compher, C. ; Correia, M.I.T.D. ; Gonzalez, M.C. ; Jager-Wittenaar, H ; Pirlich, M. ; Steiber, A ; Waitzberg, D. ; Cederholm, T. et al. sine al.
2020, Article / Letter to editor (Jpen, Journal of Parenteral and Enteral Nutrition, vol. 44, iss. 6, (2020), pp. 992-1003)Background The Global Leadership Initiative on Malnutrition (GLIM) created a consensus-based framework consisting of phenotypic and etiologic criteria to record the occurrence of malnutrition in adults. This is a minimum set of practicable indicators for use in characterizing a patient/client as malnourished, considering the global variations in screening and nutrition assessment, and to be used across different healthcare settings. As with other consensus-based frameworks for diagnosing disease states, these operational criteria require validation and reliability testing, as they are currently based solely on expert opinion. Methods Several forms of validation and reliability are reviewed in the context of GLIM, providing guidance on how to conduct retrospective and prospective studies for criterion and construct validity. Results There are some aspects of GLIM that require refinement; research using large databases can be employed to reach this goal. Machine learning is also introduced as a potential method to support identification of the best cut points and combinations of indicators for use with the different forms of malnutrition, which the GLIM criteria were created to denote. It is noted as well that validation and reliability testing need to occur in a variety of sectors and populations and with diverse persons using GLIM criteria. Conclusion The guidance presented supports the conduct and publication of quality validation and reliability studies for GLIM.
Global Leadership Initiative on Malnutrition (GLIM): Guidance on validation of the operational criteria for the diagnosis of protein-energy malnutrition in adults
Schueren, M.A.E. de van der ; Keller, H. ; Cederholm, T. ; Barazzoni, R. ; Compher, C. ; Correia, M.I.T.D. ; Gonzalez, M.C. ; Jager-Wittenaar, H ; Pirlich, M. ; Steiber, A ; Waitzberg, D. ; Jensen, G.L. et al. sine al.
2020, Article / Letter to editor (Clinical Nutrition, vol. 39, iss. 9, (2020), pp. 2872-2880)Background: The Global Leadership Initiative on Malnutrition (GLIM) created a consensus-based framework consisting of phenotypic and etiologic criteria to record the occurrence of malnutrition in adults. This is a minimum set of practicable indicators for use in characterizing a patient/client as malnourished, considering the global variations in screening and nutrition assessment, and to be used across different health care settings. As with other consensus-based frameworks for diagnosing disease states, these operational criteria require validation and reliability testing as they are currently based solely on expert opinion. Methods: Several forms of validation and reliability are reviewed in the context of GLIM, providing guidance on how to conduct retrospective and prospective studies for criterion and construct validity. Findings: There are some aspects of GLIM criteria which require refinement; research using large data bases can be employed to reach this goal. Machine learning is also introduced as a potential method to support identification of the best cut-points and combinations of operational criteria for use with the different forms of malnutrition, which the GLIM criteria were created to denote. It is noted as well that the validation and reliability testing need to occur in a variety of sectors, populations and with diverse persons completing the criteria. Conclusion: The guidance presented supports the conduct and publication of quality validation and reliability studies for GLIM. (c) 2020 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism and American Society for Parenteral and Enteral Nutrition [Published by Wiley]. All rights reserved.
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)

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