Innovatie en wendbaarheid zijn twee essentiële voorwaarden voor economische groei en welzijn. De noordelijke regio heeft veel potentie maar de benutting ervan is niet vanzelfsprekend. Het lectoraat Wendbaar Vakmanschap draagt bij aan Vital Regions, het hogeschoolbrede zwaartepunt waarmee NHL Hogeschool zich inzet voor het sociaalmaatschappelijk welzijn van de regio door praktijkgericht onderzoek te doen naar huidige en vernieuwende leerprocessen die veelal met samenwerkingspartners vorm krijgen. Het onderwijs bereidt jonge mensen voor op een actieve rol in de samenleving, economische zelfredzaamheid en een leven lang leren. Het lectoraat is ingesteld om kennis te ontwikkelen over leren, veranderen en innoveren. Het richt zich op leerprocessen die van invloed zijn op de wendbaarheid van vakmensen en professionals. Het zijn immers de wendbare professionals die innovaties aanjagen en maatschappelijke meerwaarde creëren en daarmee een cruciale rol spelen in de regionale activiteitensystemen
The TOP program is a fully implemented responsive parenting intervention for very preterm born infants. Fidelity monitoring of interventions is important for preserving program adherence, impact outcomes and to make evidence-based adaptations. The aim of this study was to develop a fidelity tool for the TOP program following an iterative and co-creative process and subsequently evaluate the reliability of the tool. Three consecutive phases were carried out. Phase I: Initial development and pilot testing two methods namely self-report and video based observation. Phase II: Adaptations and refinements. Phase III: Evaluation of the psychometric properties of the tool based on 20 intervention videos rated by three experts.The interrater reliability of the adherence and competence subscales was good (ICC.81 to .84) and varied from moderate to excellent for specific items (ICC between .51 and .98). The FITT displayed a high correlation (Spearman’s rho.79 to.82) between the subscales and total impression item. The co-creative and iterative process resulted in a clinical useful and reliable tool for evaluating fidelity in the TOP program. This study offers insights in the practical steps in the development of a fidelity assessment tool which can be used by other intervention developers.
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Background: Research within the framework of Self-Determination Theory (SDT) indicates that patients' autonomy is to be considered a critical health care outcome in its own right since it promotes improved mental and physical health.This paper presents an analysis of studies addressing communication and interaction interventions in health literacy curricula for medical and health care practitioners, focusing on patient-oriented skills in “making sense” and “to adapt and self-manage”. For evaluating interventions, underlying communication models were traced. The criteria for good practice are “making sense” and “supporting autonomy in making choices”. For the search of interventions, keywords from both the framework of the EU-project, Intervention Research on Health Literacy among Ageing population (IROHLA), as well as the SDT (Self Determination Theory) were applied.The research question of this paper is to what degree are both aspects (making sense and making choices) of HL-definitions implemented in curricula on health literacy (HL) for medical and health care practitioners and providers? A Pubmed search revealed: a) that “making sense” is clearly represented in HL interventions in curricula; however, b) very few interventions teach medical and health care practitioners how to give autonomy support in the interaction with their (future) patients.Four promising, beneficial practices were identified. Several recommendations were presented encouraging curriculum developers to adapt skills of supporting autonomy into their programs.Methods: a qualitative content analysis of interventions in the curricula of communication and interaction skills for medical students and practitioners.Results: a review of literature indicates: a) most interventions in curricula for medical students and practitioners are focusing on skills in adequately providing information to patients by using an underlying (advanced) Sender-Message-Receiver Model; and b) only a few interventions in curricula are available for providing the acquisition of interaction skills in supporting autonomy.Conclusions: The proposal of Huber and others to change the emphasis in the definition of the WHO definition on health towards “to adapt and self manage” has impact on the training of medical students and practioners in dealing with patients with low levels of health literacy. From the present study it can be concluded that a dynamic approach to communication can be linked to theoretical constructs on self-management. In such an approach interaction techniques like scaffolding can increase the level of HL of the patient.
