Introduction The Integrated Recovery Scales (IRS) was developed by the Dutch National Expertise board for routine outcome monitoring with severe mental illnesses. This board aimed to develop a multidimensional recovery measure directed at 1. clinical recovery, 2. physical health, 3. social recovery (work, social contacts, independent living) and 4. existential, personal recovery. The measure had to be short, suited for routine outcome monitoring and present the perspective of both mental health professionals and service users with severe mental illnesses. All aspects are assessed over a period of the pas 6 months. Objectives The objective of this research is validation of the Integral Recovery Scales and to test the revelance for clinical practice and police evaluation. Methods The instrument was tested with 500 individuals with severe mental illnesses (80% individuals with a psychotic disorder), of whom 200 were followed up for 1 year. For the questions concerning clinical recovery, physical health and social recovery mental health care workers conducted semi structured interviews with people living with serious illnesses. The questions concerning personal health were self-rated. We analyzed interrater reliability, convergent and divergent validity and sensitivity to change. Results The instrument has a good validity and is easy to complete for service users and mental health care workers and appropriate for clinical and policy evaluation goals. Conclusions The Integrated Recovery Scales can be a useful instrument for a simple and meaningful routine outcome monitoring. Page: 121
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Abstract Background: Good dental hygiene is important to prevent or reduce frailty in the elderly. Research shows that 66% of elderly patients admitted to a nursing home have bad dental hygiene. During their stay, dental hygiene remains moderate to bad. To start addressing this issue, a group of students (nursing, occupational therapy, computer science and health care technology), part of an exchange collaboration facilitated through our Vitale Delta Research Program, have been researching 1) why caregivers struggle to give good dental hygiene, 2) which eHealth applications could support the (professional) caretakers and the elderly in performing appropriate dental hygiene, and 3) to develop an app to support dental hygiene.
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Abstract. In: abstractbook 5th European Nursing Congress: 'Caring for older people: how can we do the right things right?' 4-7 oktober 2016, Rotterdam.
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In dit abstract wordt de ontwikkeling van een online onderwijsmodule beschreven gericht op eHealth voor leefstijlverbetering
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Abstract: Methods: Nurses were recruited from the psychogeriatric and somatic ward of five nursing homes in the Netherlands, from September to December 2020. Due to the COVID-19 pandemic, semi-structured interviews were held with twenty nurses via Microsoft Teams. The intra-oral camera was demonstrated in an online video. The topic list was based on the Technology Acceptance Model (Davis, 1985) and reviewed by an expert group. The topics include: the use of e-health; current oral health care; collaboration with oral-health professionals; nurses’ acceptance of the intra-oral camera and expected acceptance of nursing-home residents. Each interview lasted approximately 45 minutes and was recorded. The data was transcribed verbatim in MaxQDA2020 and analyzed using the Grounded Theory approach. Results: In total twenty nurses were interviewed. The majority of respondents were willing to try the intraoral camera when implemented (n=18). Some nurses mentioned that lack of time could be an issue during implementation. Barriers that were mentioned included that nursing-home residents may not be able to keep their mouth open long enough for the examination or may bite on the camera (especially residents of the psychogeriatric) and therefore nurses expected that the camera cannot be applied in people with reduced cognition, like dementia. Conclusions: The Dutch nurses appear to be willing to try the intraoral camera when implemented. Future research has to determine whether the intra-oral camera can be applied in people with reduced cognition.
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accepted abstract Quis14 conference Field findings show that value dimensions in legal services are functional, social and emotional. The last category emerges not only within but also outside the interaction with the lawyer. Recommendation of others or the trackrecord of lawyers for example, which play a role before or after the service, contribute to emotional values like trust and reassurance and help clients to reduce the perceived purchase risk, which is inherent to the nature of credence services. Also due to the credential character of legal services we conclude that not only professional skills but also service aspects as client involvement play an important role in the emergence of value because professional skills are difficult to judge even by routine buyers.
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Abstract: The primary aim of the dissertation was to develop and evaluate a smartphone app, the WhiteTeeth app, designed to promote good oral health behaviour and oral hygiene among adolescent orthodontic patients between the ages of 12 and 16. The app's development and evaluation was guided methodically by intervention mapping (IM). Development thus starts with an analysis of the health problem and the identification of the psychosocial factors and health behaviour related to it. To identify the psychosocial factors underlying oral health behaviour in our target group, a systematic literature review with meta-analysis was conducted,a cross-sectional clinical study and semi-structured interviews. Then, to target these psychosocial factors and facilitate continuous behavioural support, various behaviour-changing techniques were incorporated into the app. The app provides feedback on users' oral health behaviour and allows users to evaluate and monitor their behaviour. Finally, a randomised controlled trial was conducted. This showed that the app had improved oral hygiene in adolescent orthodontic patients after 12 weeks.
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Inzicht in hoe gasten hun hotelbezoek ervaren is belangrijk. Hotels zijn zich hiervan in toenemende mate bewust. Hotels meten regelmatig de tevredenheid van hun gasten. Maar hoe komt het dat gasten tevreden of niet tevreden zijn? Gastbeleving gaat over het ‘waarom’ achter deze tevredenheid en heeft te maken met de sfeer en emoties tijdens het verblijf in het hotel. Hoewel emotionele aspecten een betere voorspeller lijken te zijn van loyaliteit dan rationele aspecten (o.a. Bennett, Hartel en Mc Coll-Kennedy, 2005), is er op dit gebied nog relatief weinig onderzoek gedaan.
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Introduction F-ACT is a flexible version of Assertive Community Treatment to deliver care in a changing intensity depending on needs of individuals with severe mental illnesses (Van Veldhuizen, 2007). In 2016 a number of the FACT-teams in the Dutch region of Utrecht moved to locations in neighborhoods and started to work as one network team together with neighborhood based facilities in primary care (GP’s) and in the social domain (supported living, social district teams, etc.). This should create better chances on clinical, social and personal recovery of service users. Objectives This study describes the implementation, obstacles and outcomes for service users. The main question is whether this Collaborative Mental Health Care in the Community produces better outcome than regular FACT. Measures include (met/unmet) needs for care, quality of life, clinical, functional and personal recovery, and hospital admission days. Methods Data on care utilization regarding the innovation are compared to regular FACT. Qualitative interviews are conducted to gain insight in the experiences of service users, their family members and mental health care workers. Changes in outcome measures of service users in pilot areas (N=400) were compared to outcomes of users (matched on gender and level of functioning) in regular FACT teams in the period 2015-2018 (total N=800). Results Data-analyses will take place from January to March 2019. Initial analyses point at a greater feeling of holding and safety for service users in the pilot areas and less hospital admission days. Conclusions Preliminary results support the development from FACT to a community based collaborative care service.
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