Motor learning is particularly challenging in neurological rehabilitation: patients who suffer from neurological diseases experience both physical limitations and difficulties of cognition and communication that affect and/or complicate the motor learning process. Therapists (e.g.,, physiotherapists and occupational therapists) who work in neurorehabilitation are therefore continuously searching for the best way to facilitate patients during these intensive learning processes. To support therapists in the application of motor learning, a framework was developed, integrating knowledge from the literature and the opinions and experiences of international experts. This article presents the framework, illustrated by cases from daily practice. The framework may assist therapists working in neurorehabilitation in making choices, implementing motor learning in routine practice, and supporting communication of knowledge and experiences about motor learning with colleagues and students. The article discusses the framework and offers suggestions and conditions given for its use in daily practice.
The digital platform Youth Quarter is built by youth care organizations with the intention to facilitate youth care professionals to share knowledge. The adoption of Youth Quarter is investigated using the USE IT-adoption-model. Interviews with 27 youth care professionals demonstrated that the main problem they experience is high working pressure. Youth Quarter does not relieve the working pressure nor solves other relevant problems. Youth Quarter is regarded as having little relevance and not meeting users’ requirements, because of the little content and low number of users. Youth care professionals prefer to consult colleagues, and professionals they know. To increase the adoption, Youth Quarter should reward users by providing up-to-date relevant information and knowledge, and support efficient and effective working processes. Management should share clear goals for Youth Quarter and encourage the use of Youth Quarter, in order to increase the adoption.
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To face the challenges of an ageing population, many Western countries nowadays stimulate an ageing in place policy to empower older adults to grow old in their own homes with the highest degree of self‐reliance. However, many community‐living older adults experience limitations in (instrumental) activities of daily living ((I)ADLs), which may result in a need for home‐care services. Unfortunately, home‐care workers often provide support by taking over tasks, as they are used to doing things for older adults rather than with them, which undermines their possibilities to maintain their self‐care capabilities. In contrast, reablement focuses on capabilities and opportunities of older adults, rather than on disease and dependency. Consequently, older adults are stimulated to be as active as possible during daily and physical activities. The 'Stay Active at Home' programme was designed to train home‐care workers to apply reablement in practice. To explore the experiences of home‐care workers with this programme an exploratory study was conducting in the Netherlands, between April and July, 2017. In total, 20 participants were interviewed: nine nurses (including a district nurse), 10 domestic support workers and the manager of the domestic support workers. The semi‐structured interviews focused on the experienced improvements with regard to knowledge, skills, self‐efficacy and social support. Furthermore, the most and least appreciated programme components were identified. The study has shown that home‐care workers perceived the programme as useful to apply reablement. However, they also need more support with mastering particular skills and dealing with challenging situations. Future implementation of the 'Stay Active at Home' programme can potentially benefit from small adaptions. Furthermore, future research is needed to examine whether the programme leads to more (cost‐) effective home care.
Het Godivapp Applied in Pediatric Primary care (GoAPP) project ontwikkelt, onderzoekt en realiseert de implementatie van een e-health applicatie voor uitwisseling van videomateriaal in zelfstandige praktijken (MKB) in de eerstelijnsgezondheidszorg. Voor een goede analyse van bewegingsproblemen bij baby?s uit risicogroepen is het van belang de motorische ontwikkeling te meten en te volgen in de tijd. Kinderfysiotherapeuten gebruiken hiervoor een observatie-instrument, de Alberta Infant Motor Scale (AIMS). In 2014 en 2015 heeft de GODIVA-onderzoeksgroep (GrOss motor Development of Infants using home Video registration with the AIMS) van Hogeschool Utrecht een methode ontworpen, waarbij de ontwikkeling gevolgd kan worden aan de hand van video?s gemaakt door ouders. De methode wordt door professionals gezien als een aanvulling op bestaande methoden, die het monitoring van kinderen doelmatiger en transparanter maakt. De methode past uitstekend in de huidige e-health ontwikkeling en zelfmanagement/empowerment van ouders. Voor research met de videomethode is een prototype applicatie ontwikkeld waarmee op veilige wijze de filmbeelden verstuurd kunnen worden en opgeslagen. Het prototype is nog niet geschikt voor gebruik binnen de beroepspraktijk. Eerstelijns Kinderfysiotherapiepraktijken zouden graag de applicatie gebruiken. Zij verwachten dat het een waardevolle uitbreiding is van hun mogelijkheden en een kans om als praktijk te innoveren. Zij zien, als zelfstandige ondernemers, echter ook belemmeringen, zoals ICT-ondersteuning en een passende tarifering van een videoconsult. Voor deze kleine bedrijven spelen ook betaalbaarheid en gebruiksgemak een essentiële rol. Binnen GoAPP zijn vijf perspectieven voor innovatie en implementatie van e-health bij elkaar gebracht: eindgebruikers, zorginhoudelijk, harde technologie, zachte technologie en bedrijfskundig perspectief. Georganiseerd rondom drie werkpakketten wordt interdisciplinair onderzoek gedaan naar (1) optimalisatie van het videoportal, (2) implementatie, en (3) bedrijfskundige haalbaarheid, via ontwerpgericht onderzoek, literatuuronderzoek, implementatieanalyse en business-case onderzoek. Een vierde werkpakket richt zich op doorgroei van het netwerk kinderfysiotherapeuten naar een Community of Practice. Doel: Een innovatieve videomethode voor het observeren van de motoriek van zuigelingen, geschikt voor eerstelijnspraktijken kinderfysiotherapie, met een passend implementatieplan en business modelling.
The findings suggests that participation in music practices can significantly support caregivers' and nurses' contact with the people to whom they give care and the healthcare professionals' insights into the patients' and residents' personhood. Music can create experienced changes in the care environment through kairotic moments of connectivity and intimacy of the musical interaction. The music sessions support and reinforce the person-centred values of care delivery.The meaning of participatory music practices for the well-being and learning of healthcare professionals working with ageing patients and nursing home residents.
communicative participation, language disordersOBJECTIVE(S)/RESEARCH QUESTION(S) Speech and language therapists (SLTs) are the primary care professionals to treat language and communication disorders. Their treatment is informed by a variety of outcome measures. At present, diagnosis, monitoring of progress and evaluation are often based on performance-based and clinician-reported outcomes such as results of standardized speech, language, voice, or communication tests. These tests typically aim to capture how well the person can produce or understand language in a controlled situation, and therefore only provide limited insight in the person’s challenges in life. Performance measures do not incorporate the unobservable feelings such as a patient's effort, social embarrassment, difficulty, or confidence in communication. Nor do they address language and communication difficulties experienced by the person themselves, the impact on daily life or allow patients to set goals related to their own needs and wishes. The aim of our study is give our patients a voice and empower SLTs to incorporate their patient's perspective in planning therapy. We will Aangemaakt door ProjectNet / Generated by ProjectNet: 08-12-2020 12:072Subsidieaanvraag_digitaal / Grant Application_digitaalDossier nummer / Dossier number: 80-86900-98-041DEFINITIEFdevelop a valid and reliable patient-reported outcome measure that provides information on communicative participation of people with communication disorders and integrate this item bank in patient specific goal setting in speech and language therapy. Both the item bank and the goal setting method will be adapted in cocreation with patients to enable access for people with communication difficulties.STUDY DESIGN Mixed methods research design following the MRC guidance for process evaluation of complex interventions, using PROMIS methodology including psychometric evaluation and an iterative user-centered design with qualitative co-creation methods to develop accessible items and the goal setting method.RESEARCH POPULATION Children, adolescents and adults with speech, language, hearing, and voice disorders.OUTCOME MEASURES An online patient-reported outcome measure on communicative participation, the Communicative Participation Item Bank (CPIB), CPIB items that are accessible for people with language understanding difficulties, a communicative-participation person-specific goal setting method developed with speech and language therapists and patients and tested on usability and feasibility in clinical practice, and a course for SLTs explaining the use of the goal-setting method in their clinical reasoning process.RELEVANCE This study answers one of the prioritized questions in the call for SLTs to systematically and reliably incorporate the clients’ perspective in their daily practice to improve the quality of SLT services. At present patient reported outcomes play only a small role in speech and language therapy because 1) measures (PROMS) are often invalid, not implemented and unsuitable for clinical practice and 2) there is a knowledge gap in how to capture and interpret outcomes from persons with language disorders.
