ObjectiveThe Joint Effort Initiative (JEI) is an international collaboration of clinicians, researchers, and consumer organisations with a shared vision of improving the implementation of osteoarthritis management programs (OAMPs). This study aimed to identify JEI's future priorities and guide direction. DesignA two-part international survey to prioritise topics of importance to our membership and research stakeholders. Survey one presented a list of 40 topics under 5 themes. Consenting participants were asked to choose their top three topics in each theme. A short list of 25 topics was presented in survey two. Participants were asked to rank the importance (100-point NRS scale, 100 = highest priority). Response frequency (median, IQR) was used to rank the top priorities by theme. Results Ninety-five participants completed survey one (61% female, 48% clinicians) and 57 completed survey two. The top ranked topic/s were: i. Promotion and advocacy: support training for health professionals (median 85, IQR 24). ii. Education and training: incorporating behaviour change into OAMPs (80, 16), advanced OA skills (80, 30), and integration of OA education into clinical training (80, 36). iii. Improving OAMPs delivery: regular updates on changes to best-evidence OA care (84, 24). iv. Future research: improve uptake of exercise, physical activity, and weight-loss (89, 16). v. Enhancing relationships, alliances, and shared knowledge: promote research collaborations (81, 30), share challenges and opportunities for OAMP implementation (80, 23). ConclusionsThese topics will set the JEI's research and collaboration agenda for the next 5 years and stimulate ideas for others working in the field.
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In this opinion piece, we establish some key priorities for evidence-based governance to address the increasing threat of heatwave events in Europe, particularly for human health. According to the European Environment Agency (EEA) [1], Europe is warming faster than the global average. The year 2020 was the warmest year in Europe since the instrumental records began, with the range of anomaly between 2.53˚C and 2.71˚C above the pre-industrial levels. Particularly high warming has been observed over eastern Europe, Scandinavia and the eastern part of the Iberian Peninsula. Climate change-related heatwaves are becoming a significant threat to human health and necessitate early action [2]. While financial resources and technological capacities are crucial to aid (local) governments in adapting to and proactively mitigating the threats posed by heatwaves, they are not enough [3]. Akin to flood responses, European countries must prepare for large-scale evacuations of vulnerable citizens (especially older adults living alone) from their homes. Here, we outline three priorities for Europe in the governance domain. These priorities encompass developing and rolling-out heat-health action plans, a stronger role for European Union institutions in regional heatwave governance, and creating a sense of urgency by developing innovative ways of communicating research findings to relevant policy makers and citizens.
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Background: To prevent deterioration after admission to the intensive care unit (ICU), and to improve rehabilitation, the ICU team should use digital technologies to provide comprehensive and practical information alongside personalised support for survivors and their family members. However, a knowledge gap exists on the users’ preferences for such an e-health platform in ICU follow-up services. Objectives: This study aims to explore the opinions and priorities for an e-health platform, including choices in digital elements, according to survivors of critical illness and their family members. Methods: A cross-sectional survey was used among members and other interested individuals of the Dutch volunteer organisation ‘Foundation Family- and Patient-Centred Intensive Care’. An investigator-developed questionnaire was disseminated through the newsletter and social media channels of the Foundation Family- and Patient-Centred Intensive Care. The results of this member consultation were analysed and reported as descriptive statistics on demographic variables and outcome measures in opinions and priorities of the participants. Results: Most of the 227 participants were female (76%), aged 46–55 years (33%), and completed higher education (70%). The participants reported high confidence in advice delivered through an e-health platform (72%). They prioritised the provision of a guide including relevant professionals who may support them during their recovery when using an e-health platform. Conclusions: ICU survivors prioritised the provision of relevant professionals who may support them during their recovery when using an e-health platform; however, selection bias means the population studied is likely to be more digitally connected than the general ICU population. Digital solutions could cater to their information and support needs. For family members, the highest priority reported was receiving help in managing their emotional distress. The development of an e-health platform considering the opinions and priorities of this target group could contribute to a personalised recovery trajectory promoting self-management while including digital elements addressing relevant ICU follow-up services.
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In 2012 researchers from the professorship 'Krimp en Leefomgeving', together with the inhabitants of the village, created a longterm on how the village of Westerbroek would set its priorities concerning livability (facilities, health, environment, etc). This vision will be evaluated and used to work on a new longterm plan for the village together with all stakeholder inside and outside Westebroek.What is realized and what is not realized? Is this still important for the inhabitants or do they focus on new longterm targets?In 2012 researchers from the professorship 'Krimp en Leefomgeving', together with the inhabitants of the village, created a longterm on how the village of Westerbroek would set its priorities concerning livability (facilities, health, environment, etc). This vision will be evaluated and used to work on a new longterm plan for the village together with all stakeholder inside and outside Westebroek.
In het PRIMa mond CARE project wordt onderzocht in hoeverre de mondgezondheid bijdraagt aan de voorspelling van kwetsbaarheid bij thuiswondende ouderen.Doel Het doel van het PRIMa mond CARE project is te onderzoeken in hoeverre mondgezondheid bijdraagt aan de voorspelling van kwetsbaarheid bij thuiswonende ouderen. Resultaten Voor het onderzoek zijn 1202 ouderen geïncludeerd, waarvan 45% mannen. De gemiddelde leeftijd van de participanten was 73 jaar. De eerste resultaten laten verbanden zien tussen kwetsbaarheid en onderstaande gezondheidsfactoren: • het bezoeken van de tandarts voor een spoedconsult; • het ervaren van ongemakken in de mond; • het aanpassen van de voeding als gevolg van ongemakken in de mond en • het dragen van een gebitsprothese. De volgende artikelen over dit onderzoek zijn inmiddels gepubliceerd: 'Probing problems and priorities in oral health among community dwelling elderly in the Netherlands' in het International Journal of Health Sciences and Research. In het International Journal of Health Services is het artikel 'Needs in Sevice Provision for Older People: An comparison Between Greater Manchester (United Kingdom) and Utrecht (the Netherlands)' gepubliceerd. Recentelijk verscheen ‘’Measurement properties of oral health assessments for non-dental professionals in older people: a systematic review’’ in het BMC Geriatrics. Looptijd 01 november 2016 - 01 juli 2020 Aanpak De huisarts brengt met een softwareprogramma genaamd ‘’U-PRIM’’ de groep potentieel kwetsbare ouderen in kaart. De mensen uit deze screening komen in fase twee: U-CARE. Zij ontvangen een vragenlijst: de Groningen Frailty Indicator. Met de uitkomsten van de vragenlijsten worden de domeinen van kwetsbaarheid gedefinieerd. Deze mensen krijgen huisbezoek van een praktijkverpleegkundige die een zorgplan op maat maakt. De verpleegkundige screent tijdens dit bezoek de oudere ook op mondgezondheidsproblemen, naast de algemene gezondheidscontrole. Daarnaast zijn de gegevens uit het tandartsenbestand gekoppeld aan de gegevens van de huisarts. Ook zijn twee vragen over mondgezondheid toegevoegd aan de Groningen Frailty Indicator. Aan de deelnemers van het onderzoek is toestemming gevraagd om de tandartsgegevens op te vragen bij de tandarts en deze te koppelen aan de huisartsgegevens. Daarnaast zijn alle gegevens anoniem verwerkt.
The Hanzehogeschool Groningen (HUAS hereafter) is a University of Applied Sciences that is strongly inspired by the challenges of the North Netherlands region and firmly embedded in the city of Groningen in particular. HUAS has a strong track record in education, and practice-based research, and is dedicated to enhancing innovation and entrepreneurship. HUAS currently has 31,000 students Bachelor and Master students in 70 teaching programs. The 3.000 member of staff forming 17 schools and 7 centres of applied research collaborate to offer a cutting-edge teaching-based research. HUAS took the challenge to develop a strong research capacity with 67 professors, and an increasing number of researchers at various levels, supported by dedicated technical and administration support staff. PhD research thesis are co-supervised in collaboration with various universities in the Netherlands and abroad. HUAS positions itself as an Engaged and Versatile university, both in education and research. In line with this, the overall strategic ambitions of HUAS are to develop suitable learning pathways with recognised qualifications; to conduct applied research with a visible impact on education and society; and to be an adaptive, versatile and approachable organisation. HUAS links these strategic ambitions to three strategic research themes: Energy, Healthy Ageing and Entrepreneurship and four societal themes: strengthening a liveable and sustainable North Netherlands; transition to a healthy and active society; digital transformation; and energy transition and circularity. These four challenges define the focus of HUAS education and research.One of the societal themes is explicitly linked to the region: strengthening a liveable and sustainable North Netherlands. North Netherlands is a powerful, enterprising region with the city of Groningen as the healthiest city in the Netherlands. The region is a front runner in the energy transition, has a European exemplary role in the field of active and healthy ageing, and as an agricultural region, has many opportunities for the development of the circular economy and consequently the development of biobased construction material to mitigate climate change. Cooperation with different groups and stakeholders in the region is central in HUAS’s strategy. HUAS is part of extensive local and regional networks, including the University of the North and Akkoord van Groningen. As such, HUAS is well- connected to the research ecosystem in North Netherlands.HUAS has the ambition to better align, connect & develop on a local as well as a regional, national and international levels. Many of the challenges the North is faced with are also relevant in the EU context. Therefore, HUAS is a strong advocate and actor on engaging in European projects. HUAS monitors regularly the EU’s priorities and aligns its research between these priorities and its immediate societal needs. The EU provides a range of funding opportunities that fulfil our ambition as a research and teaching university and responds directly to our challenges from social, energy, and digital transformation. Indeed, over the last decade, HUAS has been successful in European programmes. In the Horizon 2020 programme, HUAS was part of five approved projects. In Horizon Europe so far two projects were granted. HUAS has performed particular well in the EU societal challenge for a secure, clean and efficient energy system. Examples of this are Making City (https://makingcity.eu/) focussing on the developing Positive Energy Districts, and IANOS (https://ianos.eu/) about the decarbonisation of islands. In addition to EU research and innovation schemes, HUAS has a considerable track record in projects funded by the Interreg schemes. In particular, these types of projects have strong links with region, and partners in the region. Currently, EU participation and involvement of HUAS is mainly concentrated in one field: sustainability & energy. In order to further disseminate to other parts of the university, only a well-designed strategy will allow the various research centres to better reach European fundings and satisfy the university’s ambitions. However, so far, no structured mechanism is in place internally to guide the research community and regional stakeholders how to reach European collaboration with confidence. Therefore, this pilot project aims to develop a strategic framework to enhance the participation of all parties at HUAS, including a pilot project that will lead to improvement and validation.
