Blended face-to-face and Web-based treatment is a promising way to deliver cognitive behavioral therapy. Since adherence has been shown to be a measure for treatment’s acceptability and a determinant for treatment’s effectiveness, in this study, we explored adherence to a new blended smoking cessation treatment (BSCT).
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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 and aim: Moderate preterm (MP) birth is associated with an increased risk of developmental problems. However, post-discharge support for this group is scarce. The aim of this study was to evaluate the feasibility of a post-discharge parenting program (TOP program) for MP infants. Three feasibility dimensions were evaluated (1) recruitment capability and compliance, (2) intervention acceptability, and (3) limited efficacy testing. Methods: A group of MP infants with a gestational age (GA) between 320/7‐346/7 weeks and their parents received six home visits by a TOP interventionist until 6 months corrected age (CA). A pre-posttest intervention design with quantitative and qualitative measures was used. Recruitment capability and compliance, acceptability, and satisfaction with the intervention were evaluated using a questionnaire, checklists, interviews, and a focus group. Infant socio-emotional development, parental distress, self-efficacy, and reflective functioning were measured with questionnaires. Observation measurements were used for infant motor development and parental sensitivity. Results: Thirty-two families completed the six home visits. The satisfaction rate (scale 0–10) was remarkably high (Mean 9.4, range: 8–10). Parents reported that the program was suitable, enhanced their understanding of their infants' developmental needs, and increased their self-efficacy. The infants showed age-appropriate motor and socio-emotional development post-intervention. Parental self-efficacy, reflective functioning, and sensitivity improved from pre to post intervention, with small to large effect sizes. Conclusion: The study demonstrated high compliance, acceptability, and satisfaction with the TOP program for MP infants with promising infant and parent outcomes. This study contributes to the preparatory work prior to a larger scale evaluation and dissemination.
In dit project wordt onderzocht hoe je burgers niet alleen kunt betrekken maar ook aan het roer kunt zetten bij de invulling van de ambitieuze doelstelling om als stad energieneutraal te worden.Een Positive Energy District (PED) brengt alle elementen van de energietransitie samen op een locatie: energieopwek, energieopslag, energiegebruik, energiebesparing, balancering en transport. Ontwikkeling, eigenaarschap en acceptatie van dit nieuwe socio-technische arrangement zijn onderwerp van het onderzoek. In het nieuwe speelveld komen volgens Grunneger Power niet 2 helften, maar drie helften bij elkaar: burgers, bedrijfsleven en overheden. Wij menen dat er nog een vierde belangrijke speler is: kennisinstellingen. Dit betekent dat een transdisciplinaire benadering van het onderzoek gewenst is, waarin het centrale thema wordt benaderd vanuit verschillende disciplines enerzijds en diverse maatschappelijke stakeholders anderzijds.In het onderzoek wordt een aanpak ontwikkeld die aansluit bij de beleving van gewone burgers. De aanpak identificeert concrete stappen die burgers kunnen nemen en benoemt randvoorwaarden die borgen dat zij daartoe ook de ruimte krijgen. Deze randvoorwaarden hebben onder meer betrekking op het beleid van de gemeente, de manier waarop het PED, inclusief technische en sociale aspecten, wordt ingericht, welke oplossingen bedrijven aanbieden, en tenslotte hoe de lokale energiebeweging en hun achterban optimaal bij het PED betrokken kunnen worden.De ontwikkeling van de City Vision 2050 in WP1 begint met het betrekken van burgers: 'Launching a co-creation process, engaging stakeholders and citizens from the very beginning. This can facilitate the early identification of social barriers and foster future acceptance of the changes.' Ook in de 'Follower Cities' is dit het geval: 'Citizen and stakeholders engagement. Once the area is selected, the engagement strategy will be launched to ensure a relevant participation of local actors in the process, in order to maximize acceptability and replicability. At least civic centres and individual citizens will be invited to participate in some sessions, focused on collecting needs and opinions and making them participants of the definition process.'(p.46).In dit project wordt onderzocht hoe je burgers niet alleen kunt betrekken maar ook aan het roer kunt zetten bij de invulling van de ambitieuze doelstelling om als stad energieneutraal te worden.Een Positive Energy District (PED) brengt alle elementen van de energietransitie samen op een locatie: energieopwek, energieopslag, energiegebruik, energiebesparing, balancering en transport. Ontwikkeling, eigenaarschap en acceptatie van dit nieuwe socio-technische arrangement zijn onderwerp van het onderzoek. In het nieuwe speelveld komen volgens Grunneger Power niet 2 helften, maar drie helften bij elkaar: burgers, bedrijfsleven en overheden. Wij menen dat er nog een vierde belangrijke speler is: kennisinstellingen. Dit betekent dat een transdisciplinaire benadering van het onderzoek gewenst is, waarin het centrale thema wordt benaderd vanuit verschillende disciplines enerzijds en diverse maatschappelijke stakeholders anderzijds.In het onderzoek wordt een aanpak ontwikkeld die aansluit bij de beleving van gewone burgers. De aanpak identificeert concrete stappen die burgers kunnen nemen en benoemt randvoorwaarden die borgen dat zij daartoe ook de ruimte krijgen. Deze randvoorwaarden hebben onder meer betrekking op het beleid van de gemeente, de manier waarop het PED, inclusief technische en sociale aspecten, wordt ingericht, welke oplossingen bedrijven aanbieden, en tenslotte hoe de lokale energiebeweging en hun achterban optimaal bij het PED betrokken kunnen worden.De ontwikkeling van de City Vision 2050 in WP1 begint met het betrekken van burgers: 'Launching a co-creation process, engaging stakeholders and citizens from the very beginning. This can facilitate the early identification of social barriers and foster future acceptance of the changes.' Ook in de 'Follower Cities' is dit het geval: 'Citizen and stakeholders engagement. Once the area is selected, the engagement strategy will be launched to ensure a relevant participation of local actors in the process, in order to maximize acceptability and replicability. At least civic centres and individual citizens will be invited to participate in some sessions, focused on collecting needs and opinions and making them participants of the definition process.'(p.46).
