From the publisher's site: "Trial design: Self-management plays a central role in diabetes management. However, not all patients are able to translate the health care providers’ recommendations for effective self-management in daily life. Diabetes Education and Self-management to Increase Empowerment (DESTINE) primarily investigates the effects of group education program Proactive Interdisciplinary Self-Management (PRISMA) in primary care treated people with Type 2 Diabetes Mellitus (T2DM) on the use of an online care platform. Methods: The DESTINE study has a randomized controlled design (1:1). 200 patients with T2DM using an online care platform called e-Vita will receive either PRISMA in addition to usual care or usual care only. The primary endpoint of this study is usage of the e-Vita platform. The secondary endpoints are participation in the consultation with the care provider, adherence to oral diabetes medications, and a selection of self-reported and clinical measures. After six months, both groups will receive PRISMA in a 6 month extension phase. Discussion: PRISMA focuses on aligning treatment goals from different health care providers while the individual patient remains in the lead. The goal is to shift patients from being an information receiver towards applying self-management and becoming empowered health care participants. Though recognized as important; theoretically based group education is still not routinely offered in the Netherlands. In the future, depending on the study results, e-Vita and PRISMA could be implemented in regular diabetes care. Trial registration: Current Controlled Trials NTR4693. (aut. ref.)"
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Here is something that all Europeans find of prime importance: affordable access to good health care; high quality elderly care; being able to live independently, even if you are handicapped or chronically ill.
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In the fall of 2015 the Research Group Open Educational Resources of Fontys University of Applied Sciences - School of ICT has conducted a survey into the production and/or reuse of OER and MOOCs by Dutch publicly financed Higher Education (HE) institutions: 15 research universities, 38 university of applied sciences and 8 university medical centres. The goal of the survey was to provide an overview of the current situation regarding the creation, sharing and reuse of OER and MOOCs. Until then information was anecdotal, mainly about individual projects and programs. In this paper data are presented on the following three main issues: production and publication of open educational resources (OER) and Massive Open Online Courses (MOOCs), re-use of OER and/or MOOCs (motives, forms and target audiences) and the presence or absence of an institutional vision and policy. Some of the outcomes of the survey are compared with the results of two other surveys: the survey of the OER Research Hub and a survey on policy for OER in the Netherlands in 2012. The results of the current survey indicate that on many places in universities (including university medical centres) and universities of applied sciences OER and/or MOOCs are being published and reused, but also that many institutions still lack a coherent vision or policy on this subject. The data of the survey, however, do no yet provide an overview on which conclusions may be drawn for individual institutions. Further research must enhance the current picture.
