In Dutch policy and at the societal level, informal caregivers are ideally seen as essential team members when creating, together with professionals, co-ordinated support plans for the persons for whom they care. However, collaboration between professionals and informal caregivers is not always effective. This can be explained by the observation that caregivers and professionals have diverse backgrounds and frames of reference regarding providing care. This thematic synthesis sought to examine and understandhow professionals experience collaboration with informal caregivers to strengthen the care triad. PubMed, Medline, PsycINFO, Embase, Cochrane/Central and CINAHL were searched systematically until May 2015, using specific key words and inclusion criteria. Twenty-two articles were used for thematic synthesis. Seven themes revealed different reflections by professionals illustrating the complex, multi-faceted and dynamic interfaceof professionals and informal care. Working in collaboration with informal caregivers requires professionals to adopt a different way of functioning. Specific attention should be paid to the informal caregiver, where the focus now is mainly on the client for whom they care. This is difficult to attain due to different restrictions experienced by professionals on policy and individual levels. Specific guidelines and training for the professionals are necessary in the light of the current policy changes in the Netherlands,where an increased emphasis is placed on informal care structures.
Backgroundthe efficacy and outcomes of geriatric rehabilitation (GR) have previously been investigated. However, a systematic synthesis of the aspects that are important to patients regarding the quality of GR does not exist.Objectivethe aim of this scoping review was to systematically synthesise the patients’ perspective on the quality of GR.Methodswe followed the Scoping Review framework and gathered literature including a qualitative study design from multiple databases. The inclusion criteria were: a qualitative study design; a geriatric population; that patients had participated in a geriatric rehabilitation programme and that geriatric rehabilitation was assessed by the patient. The results sections of the included studies were analysed using a thematic analysis approach.Resultstwenty articles were included in this review. The main themes identified were: (i) the need for information about the rehabilitation process, (ii) the need for telling one’s story, (iii) the need for support (physical, psychological, social and how to cope with limitations), (iv) the need for shared decision-making and autonomy, (v) the need for a stimulating rehabilitation environment and (vi) the need for rehabilitation at home.Conclusionin this study, we identified the aspects that determine the quality of rehabilitation from the patient’s perspective, which may lead to a more holistic perspective on the quality of GR.
MULTIFILE
The childhood obesity epidemic has persisted for over three decades, which has presented serious social, economic and health consequences worldwide. For researchers and policy makers alike, cycling has been a promising focus over recent years for developing long-term physically active lifestyles in urban environments, in addition to contributing to the global quest to combat climate change. Promoting cycling thus presents a win-win situation not just for individuals' well-being, but for multiple involved sectors such as public health, transport ministry and environmental agencies. For children, cycling promotes exercise engagement, active transport opportunities, motor skill development and social interaction. However, across European cities, there are considerable discrepancies in the uptake of cycling amongst children. To understand and subsequently promote children's cycling behavior, it is crucial that the complex social, physical and policy environment, and their interrelationships, are considered. Therefore, in this perspective article, we adopt the socio-ecological model to gain insight into how children's cycling behavior is shaped at the interpersonal, organizational and community level embedded within city policies, relevant to increase future cycling participation in children. Our perspective is based on a review of cycling policies of two European cities, Amsterdam (Netherlands) and Newcastle (UK), where stark contrasts in children's cycling participation can be observed. Our findings show that cycling policies in Amsterdam have mainly contributed to comprehensive organizational level changes, for example, cycling infrastructure development within the city, whereby these initiatives have made significant progress at the community level where cycling has become part of the “Dutch culture”. Hence, cycling is a more common transportation mode among children in Amsterdam than in Newcastle. In Newcastle, policies primarily focus on organizational or community level changes, and progress has recently been accelerated in response to COVID-19. In addition to differences, we have also identified similar challenges in the two cities, such as the urgency to support uptake of cycling for children with low socio-economic background or challenges related to cultural differences. We also propose a “shared (cycle-)path” for policy makers and researchers as working together is crucial in producing multi-component interventions at a policy level that recognize individual, as well as interpersonal, community and organizational factors.
