Background: Current use of smartphone cameras by parents create opportunities for longitudinal home-video-assessments to monitor infant development. We developed and validated a home-video method for parents, enabling Pediatric Physical Therapists to assess infants’ gross motor development with the Alberta Infant Motor Scale (AIMS). The objective of the present study was to investigate the feasibility of this home-video method from the parents’ perspective. Methods: Parents of 59 typically developing infants (0–19 months) were recruited, 45 parents participated in the study. Information about dropout was collected. A sequential mixed methods design was used to examine feasibility, including questionnaires and semi-structured interviews. While the questionnaires inquired after the practical feasibility of the home-video method, the interviews also allowed parents to comment on their feelings and thoughts using the home-video method. Results: Of 45 participating parents, 34 parents returned both questionnaires and eight parents agreed to an interview. Parent reported effort by the infants was very low: the home-video method is perceived as similar to the normal routine of playing. The parental effort level was acceptable. The main constraint parents reported was time planning. Parents noted it was sometimes difficult to find the right moment to record the infant’s motor behavior, that is, when parents were both at home and their baby was in the appropriate state. Technical problems with the web portal, reported by 28% of the parents were also experienced as a constraint. Positive factors mentioned by parents were: the belief that the home videos are valuable for family use, receiving feedback from a professional, the moments of one-on-one attention and interaction with their babies. Moreover, the process of recording the home videos resulted in an increased parental awareness of, and insight into, the gross motor development of their infant. Conclusion: The AIMS home-video method is feasible for parents of typically developing children. Most constraints are of a practical nature that can be addressed in future applications. Future research is needed to show whether the home-video method is also applicable for parents with an infant at risk of motor development problems.
BACKGROUND: To evaluate whether a training programme is a feasible approach to facilitate occupational health professionals' (OHPs) use of knowledge and skills provided by a guideline.METHODS: Feasibility was evaluated by researching three aspects: 'acceptability', 'implementation' and 'limited efficacy'. Statements on acceptability and implementation were rated by OHPs on 10-point visual analogue scales after following the training programme (T2). Answers were analysed using descriptive statistics. Barriers to and facilitators of implementation were explored through open-ended questions at T2, which were qualitatively analysed. Limited efficacy was evaluated by measuring the level of knowledge and skills at baseline (T0), after reading the guideline (T1) and directly after completing the training programme (T2). Increase in knowledge and skills was analysed using a non-paramatric Friedman test and post-hoc Wilcoxon signed rank tests (two-tailed).RESULTS: The 38 OHPs found the training programme acceptable, judging that it was relevant (M: 8, SD: 1), increased their capability (M: 7, SD: 1), adhered to their daily practice (M: 8, SD: 1) and enhanced their guidance and assessment of people with a chronic disease (M: 8, SD: 1). OHPs found that it was feasible to implement the programme on a larger scale (M: 7, SD: 1) but foresaw barriers such as 'time', 'money' and organizational constraints. The reported facilitators were primarily related to the added value of the knowledge and skills to the OHPs' guidance and assessment, and that the programme taught them to apply the evidence in practice. Regarding limited efficacy, a significant increase was seen in OHPs' knowledge and skills over time (X2 (2) = 53.656, p < 0.001), with the median score improving from 6.3 (T0), 8.3 (T1) and 12.3 (T2). Post-hoc tests indicated a significant improvement between T0 and T1 (p < 0.001) and between T1 and T2 (p < 0.001).CONCLUSIONS: The training programme was found to be a feasible approach to facilitate OHPs' use of knowledge and skills provided by the guideline, from the perspective of OHPs generally (acceptability and implementation) and with respect to their increase in knowledge and skills in particular (limited efficacy).
Background: During hospitalization patients frequently have a low level of physical activity, which is an important risk factor for functional decline. Function Focused Care (FFC) is an evidencebased intervention developed in the United States to prevent functional decline in older patients. Within FFC, nurses help older patients optimally participate in functional and physical activity during all care interactions. FFC was adapted to the Dutch Hospital setting, which led to Function Focused Care in Hospital (FFCiH). FFCiH consists of four components: (1) ‘Environmental and policy assessment’; (2) ‘Education’; (3) ‘Goal setting with the patient’ and (4) ‘Ongoing motivation and mentoring’. The feasibility of FFCiH in the Dutch hospital setting needs to be assessed. Objective: Introduce FFCiH into Dutch hospital wards, to assess the feasibility of FFCiH in terms of description of the intervention, implementation, mechanisms of impact, and context. Design: Mixed method design Setting(s): A Neurological and a Geriatric ward in a Dutch Hospital. Participants: 56 Nurses and nursing students working on these wards. Methods: The implementation process was described and the delivery was studied in terms of dose, fidelity, adaptions, and reach. The mechanisms of impact were studied by the perceived facilitators and barriers to the intervention. Qualitative data were collected via focus group interviews, observations, and field notes. Quantitative data were collected via evaluation forms and attendance/participation lists. Results: A detailed description of FFCiH in terms of what, how, when, and by whom was given. 54 Nurses (96.4%) on both wards attended at least 1 session of the education or participated in bedside teaching. The nurses assessed the content of the education sessions with a mean of 7.5 (SD 0.78) on a 0–10 scale. The patient files showed that different short and long-term goals were set. Several facilitators and barriers were identified, which led to additions to the intervention. An important facilitator was that nurses experienced FFCiH as an approach that fits with the principles underpinning their current working philosophy. The experienced barriers mainly concern the implementation elements of the FFCiH-components ‘Education’ and ‘Ongoing motivation and mentoring’. Optimizing the team involvement, improving nursing leadership during the implementation, and enhancing the involvement of patients and their family were activities added to FFCiH to improve future implementation. Conclusions: FFCiH is feasible for the Dutch hospital setting. Strong emphasis on team involvement, nursing leadership, and the involvement of patients and their families is recommended to optimize future implementation of FFCiH in Dutch hospitals.
Een beroerte is de belangrijkste oorzaak van invaliditeit in Nederland. Revalidatie van mensen die een beroerte hebben gehad, is erop gericht hen zo zelfstandig mogelijk in hun eigen omgeving te laten functioneren. Vaak zijn er na de revalidatie nog altijd gevolgen van een beroerte, die het zelfstandig functioneren bemoeilijken. Mensen die een beroerte overleven houden er vaak chronische gevolgen aan over, zoals loop- en balansproblemen, verhoogd valrisico, vermoeidheid en depressie. Deze problemen bij thuiswonende mensen met een beroerte resulteren vaak in een inactieve leefstijl. Dit leidt tot een neerwaartse spiraal waarin de fysieke activiteit steeds verder afneemt, patiënten steeds verder deconditioneren, de verzorgingsbehoefte toe- en de mate van zelfstandigheid afneemt en het risico op een volgende beroerte toeneemt. Studies laten zien dat fysieke activiteit een positief effect op gezondheid heeft van patiënten na beroerte. De technologie om fysieke activiteit betrouwbaar en valide te meten is aanwezig en er is inzicht in belemmerende en faciliterende factoren voor fysieke activiteit. Er is echter nog geen bewezen effectieve interventie voor het aanleren en behouden van een fysiek actieve leefstijl voor patiënten na beroerte. Omdat alle richtlijnen voor beroerte aangeven dat het belangrijk is dat patiënten na beroerte fysiek actief zijn, vragen fysiotherapeuten zich af hoe krijgen en houden wij patiënten na een beroerte actief, dus hoe krijgen wij een actieve leefstijl bij een patiënt? Deze praktijkvraag is “vertaald” naar de volgende onderzoeksvraag: Wat is het effect van een beweegstimuleringsinterventie bij thuiswonende patiënten na beroerte op fysieke activiteit en aerobe capaciteit? Deze onderzoeksvraag wordt in drie stappen uitgewerkt: 1. Het ontwikkelen van een veldtest om aerobe capaciteit te meten in de praktijk, 2 Het ontwikkelen van een interventie gericht op het (langdurig) bevorderen van een fysiek actieve leefstijl; 3. Het testen van de feasibility van de interventie in een pilot studie.
The SPRONG-collaboration “Collective process development for an innovative chemical industry” (CONNECT) aims to accelerate the chemical industry’s climate/sustainability transition by process development of innovative chemical processes. The CONNECT SPRONG-group integrates the expertise of the research groups “Material Sciences” (Zuyd Hogeschool), “Making Industry Sustainable” (Hogeschool Rotterdam), “Innovative Testing in Life Sciences & Chemistry” and “Circular Water” (both Hogeschool Utrecht) and affiliated knowledge centres (Centres of Expertise CHILL [affiliated to Zuyd] and HRTech, and Utrecht Science Park InnovationLab). The combined CONNECT-expertise generates critical mass to facilitate process development of necessary energy-/material-efficient processes for the 2050 goals of the Knowledge and Innovation Agenda (KIA) Climate and Energy (mission C) using Chemical Key Technologies. CONNECT focuses on process development/chemical engineering. We will collaborate with SPRONG-groups centred on chemistry and other non-SPRONG initiatives. The CONNECT-consortium will generate a Learning Community of the core group (universities of applied science and knowledge centres), companies (high-tech equipment, engineering and chemical end-users), secondary vocational training, universities, sustainability institutes and regional network organizations that will facilitate research, demand articulation and professionalization of students and professionals. In the CONNECT-trajectory, four field labs will be integrated and strengthened with necessary coordination, organisation, expertise and equipment to facilitate chemical innovations to bridge the innovation valley-of-death between feasibility studies and high technology-readiness-level pilot plant infrastructure. The CONNECT-field labs will combine experimental and theoretical approaches to generate high-quality data that can be used for modelling and predict the impact of flow chemical technologies. The CONNECT-trajectory will optimize research quality systems (e.g. PDCA, data management, impact). At the end of the CONNECT-trajectory, the SPRONG-group will have become the process development/chemical engineering SPRONG-group in the Netherlands. We can then meaningfully contribute to further integrate the (inter)national research ecosystem to valorise innovative chemical processes for the KIA Climate and Energy.
Aanleiding Hoe effectief zijn de chronische pijnprogramma's, vooral op de lage termijn? Die vraag leeft bij een aantal revalidatiecentra in Nederland. De revalidatiecentra behandelen patiënten met chronische musculoskeletale pijn. Veel van de patiënten hebben of krijgen te maken met persoonlijk en maatschappelijk disfunctioneren. Programma's zijn met name gericht op het beïnvloeden en veranderen van het gedrag van patiënten, zodat ze in hun dagelijks leven beter met de pijn om kunnen gaan. Zelfmanagement speelt daarbij een belangrijke rol. Echter, patiënten met chronische pijnklachten zijn lang niet altijd trouw aan hun therapie en gaan ook niet altijd goed om met een terugval. Hulpverleners in chronische-pijnbehandelteams van revalidatiecentra en ziekenhuizen constateren dat een deel van hun patiënten zelfmanagement niet volledig kunnen bestendigen in het dagelijks leven. Doelstellingen Vanuit de beroepspraktijk is de volgende vraag geformuleerd: wat is het langetermijneffect van een chronische-pijnprogramma en zijn er strategieën te ontwikkelen om een eventuele terugval te voorkomen? Deze vraag is leidend in het RAAK-project SOLACE. Het start met een onderzoek naar het langetermijneffect van een revalidatieprogramma en meet de terugval van patiënten die een programma hebben gevolgd. Daarna worden strategieën ontwikkeld die gericht zijn op gedragsbehoud. Professionals, onderzoekers, studenten en docenten werken hierbij nauw samen. Om de effectiviteit van de strategieën in de praktijk te testen, wordt een pilot uitgevoerd. Boogde resultaten Het SOLACE-project verbindt het onderwijs- en onderzoeksveld met de beroepspraktijk door het samen ontwikkelen van strategieën die het vermogen tot zelfmanagement van patiënten met chronische pijn vergroten. Verspreiding van de opgedane kennis en ervaring vindt plaats via de verschillende projectpartners en hun netwerken. Denk aan intercollegiaal overleg, stages en fysiotherapeutische en pijngenootschappen. Daarnaast zullen de resultaten geïmplementeerd worden in het onderwijs van het Instituut voor Bewegingsstudies van de Hogeschool Utrecht.
