Background Communication between people with aphasia and their healthcare professionals (HCPs) can be greatly improved when HCPs are trained in using supportive conversation techniques and tools. Communication partner training (CPT) is an umbrella term that covers a range of interventions that train the conversation partners of people with aphasia. Several CPT interventions for HCPs have been developed and used to support HCPs to interact successfully with people with aphasia. Aims The objective of this study was to identify the mechanisms of change as a result of a Dutch CPT intervention, named CommuniCare, in order to evaluate and optimise the intervention. Methods & procedures A total of 254 HCPs from five different healthcare centres received CommuniCare. An explorative qualitative research design was chosen. Two interviews were conducted with 24 HCPs directly after and 4 months after receiving the training that was part of CommuniCare. Two conceptual frameworks were used to deductively code the interviews. HCPs’ perspectives were coded into a four-part sequence following CIMO logic: the self-reported use of supportive conversation techniques or tools pre-intervention (Context), the intervention elements (Intervention) that evoked certain mechanisms (Mechanisms), resulting in the self-reported use of supportive conversation techniques and tools post-intervention (Outcomes). The Capabilities Opportunities Motivation–Behaviour (COM-B) model was used to fill in the Mechanisms component. Outcomes & results Three themes were identified to describe the mechanisms of change that led to an increase in the use of supportive conversation techniques and tools. According to HCPs, (i) information, videos, e-learning modules, role-play, feedback during training and coaching on the job increased their psychological capabilities; (ii) information and role-play increased their automatic motivations; and (iii) information, videos and role-play increased their reflective motivations. Remaining findings show HCPs’ perspectives on various barriers to use supportive conversation techniques and tools. Conclusions & implications HCPs in this study identified elements in our CPT intervention that positively influenced their behaviour change. Of these, role-play and coaching on the job were particularly important. HCPs suggested this last element should be better implemented. Therefore, healthcare settings wishing to enhance HCPs’ communication skills should first consider enhancing HCPs’ opportunities for experiential learning. Second, healthcare settings should determine which HCPs are suitable to have a role as implementation support practitioners, to support their colleagues in the use of supportive conversation techniques and tools.
This workshop provides participants with the opportunity to familiarise themselves with the Behavioural Lenses Toolkit. This toolkit supports designers in using theory from the behavioural sciences to inform their work. The workshop consists of an introduction to the toolkit and a couple of hands-on exercises in which we will demonstrate and try out the toolkit in establishing use (r) contexts in behavioural design projects. Furthermore, we will try out a new prototype tool that supports making an evidence-based transition from user insights to behavioural change strategies.
Waste separation at companies is considered a priority to achieve a circular and sustainable society. This research explores behaviour change poli-cies for separating the organic fraction of municipal solid waste (OFMSW) at Small and Medium Enterprises (SMEs), particularly in cities. At SMEs, co-work-ers are responsible for waste disposal. Therefore, their behavioural intention to-wards pro-environmental action plays a major role. In this study, we have used agent-based modelling and simulation to explore the waste behaviour of the ac-tors in the system. The models were co-created in participatory workshops, sur-veys and interviews with stakeholders, domain experts and relevant actors. Ad-ditionally, we co-created and tested practical social and technical interventions with the model. We used the collaborative modelling method Lange reported to conceptualise, implement, test and validate the models. Five policies that affect waste separation behaviour were included in the model. The model and simula-tion results were cross-validated with the help of a literature study. The results were validated through experts and historical data to sketch a generalisable idea of networks with similar characteristics. These results indicate that combinations of behaviour profiles and certain policy interventions correlate with waste sepa-ration rates. In addition, individual waste separation policies are often limitedly capable of changing the behaviour in the system. The study also shows that the intention of co-workers concerning environmental behaviour can significantly impact waste separation rates. Future work will include the role of households, policies supporting separating multiple waste types, and the effect of waste sep-aration on various R-strategies.
This PD project aims to gather new knowledge through artistic and participatory design research within neighbourhoods for possible ways of addressing and understanding the avoidance and numbness caused by feelings of vulnerability, discomfort and pain associated with eco-anxiety and chronic fear of environmental doom. The project will include artistic production and suitable forms of fieldwork. The objectives of the PD are to find answers to the practice problem of society which call for art that sensitises, makes aware and helps initiate behavioural change around the consequences of climate change. Rather than visualize future sea levels directly, it will seek to engage with climate change in a metaphorical and poetic way. Neither a doom nor an overly techno-optimistic scenario seem useful to understand the complexity of flood risk management or the dangers of flooding. By challenging both perspectives with artistic means, this research hopes to counter eco-anxiety and create a sense of open thought and susceptibility to new ideas, feelings and chains of thought. Animation and humour, are possible ingredients. The objective is to find and create multiple Dutch water stories, not just one. To achieve this, it is necessary to develop new methods for selecting and repurposing existing impactful stories and strong images. Citizens and students will be included to do so via fieldwork. In addition, archival materials will be used. Archives serve as a repository for memory recollection and reuse, selecting material from the audiovisual archive of the Institute of Sound & Vision will be a crucial part of the creative work which will include two films and accompanying music.
In the last decade, the automotive industry has seen significant advancements in technology (Advanced Driver Assistance Systems (ADAS) and autonomous vehicles) that presents the opportunity to improve traffic safety, efficiency, and comfort. However, the lack of drivers’ knowledge (such as risks, benefits, capabilities, limitations, and components) and confusion (i.e., multiple systems that have similar but not identical functions with different names) concerning the vehicle technology still prevails and thus, limiting the safety potential. The usual sources (such as the owner’s manual, instructions from a sales representative, online forums, and post-purchase training) do not provide adequate and sustainable knowledge to drivers concerning ADAS. Additionally, existing driving training and examinations focus mainly on unassisted driving and are practically unchanged for 30 years. Therefore, where and how drivers should obtain the necessary skills and knowledge for safely and effectively using ADAS? The proposed KIEM project AMIGO aims to create a training framework for learner drivers by combining classroom, online/virtual, and on-the-road training modules for imparting adequate knowledge and skills (such as risk assessment, handling in safety-critical and take-over transitions, and self-evaluation). AMIGO will also develop an assessment procedure to evaluate the impact of ADAS training on drivers’ skills and knowledge by defining key performance indicators (KPIs) using in-vehicle data, eye-tracking data, and subjective measures. For practical reasons, AMIGO will focus on either lane-keeping assistance (LKA) or adaptive cruise control (ACC) for framework development and testing, depending on the system availability. The insights obtained from this project will serve as a foundation for a subsequent research project, which will expand the AMIGO framework to other ADAS systems (e.g., mandatory ADAS systems in new cars from 2020 onwards) and specific driver target groups, such as the elderly and novice.
Gezond beweeggedrag bevordert de kwaliteit van leven en helpt bij het verminderen of voorkomen van gezondheidsklachten en heeft een positieve invloed op sociaal welbevinden, participatie en welzijn. Gezond leven is primair de verantwoordelijkheid van mensen zelf, maar niet iedereen is in staat om gezond gedrag zelfstandig te initiëren en vol te houden. Voor deze mensen is in de eerstelijnszorg veel aandacht. Frustrerend is dat ondanks alle inspanningen de zorgprofessionals, zoals de fysiotherapeut, praktijkondersteuner en beweegconsulent, zelf inschat-ten dat 50-90% van de cliënten binnen een jaar terugvalt in ongezond beweeggedrag. Hoewel aansluiten bij de mate van zelfmanagement van de cliënt hierbij kansrijk lijkt, blijkt de huidige aanpak onvoldoende. Bewijskracht voor het belang van het stimuleren van gezond gedrag in de context, een combinatie van achtergrondkenmerken en sociaal, psychisch en fysiek functioneren in de leefomgeving, neemt toe. Maar hoe betrek je als professional deze context in een persoonsgericht ondersteuningstraject? Hogeschool Leiden, De Haagse Hogeschool en Hogeschool Rotterdam gaan samen een methodiek ontwikkelen die antwoord geeft op deze vraag. Het BiBoZ project identificeert functioneringsprofielen vanuit cliëntenperspectief en identificeert profielspecifieke bouwstenen voor duurzaam gezond beweeggedrag. De functioneringsprofielen zijn gebaseerd op individuele kenmerken en gedrag beïnvloedende componenten zoals het fysieke, sociale en psychische functioneren in de dagelijkse leefomgeving van de cliënt. Bouwstenen zijn bestaande interventies en diensten zoals: beweeginterventie, een app of verwijzing naar een beweegaanbod of burgerinitiatief. Voor het definiëren van de functioneringsprofielen en bouwstenen starten we bij de cliënt, werken we gedurende het hele traject in co-creatie met de praktijk, gebruiken we het Behavioural Change Wheel als theoretisch raamwerk en gebruiken we naast kwalitatieve technieken ontwerpgerichte onderzoekstechnieken. Vanuit deze nieuwe open en brede blik werken we toe naar een prototype van een methodiek te gebruiken door zorgprofessionals voor op maat ondersteunen van hun cliënten in het bereiken van duurzaam gezond beweeggedrag.
