Background: Due to complex processes of implementation of innovations aimed at persons with intellectual disabilities in healthcare organizations, lifestyle interventions are not used as intended or not used at all. In order to provide insight into determinants influencing this implementation, this study aims to ascertain if the Measurement Instrument for Determinants of Innovations (MIDI) is useful for objectively evaluating implementation.Method: With semi‐structured interviews, data concerning determinants of implementation of lifestyle interventions were aggregated. These data were compared to the determinants questioned in the MIDI. Adaptations to the MIDI were made in consultation with the author of the MIDI.Results: All determinants of the MIDI, except for that concerning legislation and regulations, were represented in the interview data. Determinants not represented in the MIDI were the level of intellectual disabilities, suitability of materials and physical environment, multi‐levelness of interventions and several persons who could be involved in the intervention, such as direct support persons (DSPs), a therapist or family, and the communication between these involved persons.Conclusion: The present authors suggested making adjustments to existing questions of the MIDI in order to improve usability for deployment in organizations that provide care to persons with intellectual disabilities. The adjustments need to be tested with other interventions.
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Music moves us, literally. We tend to move the body in synchrony with the beat. Individuals without any professional music training are capable of singing or humming along with an unfamiliar melody or indicating the melodic contour by means of hand gestures. Musicians who play by ear are able to do the same on an instrument.In this study an attempt was made to quantify the extent to which professional keyboard performers were able to play by ear, and whether improvising musicians were superior to non-improvising. During the experiment, subjects were asked to listen to short, unfamiliar music excerpts recorded on a MIDI controller. Subjects were asked either to play along, replicate the excerpt, transpose it to a different key, or to harmonize it. Subjects were recruited from two groups of classically-trained musicians: improvising and non-improvising pianists and church organists. The bass and treble parts extracted from each MIDI sequence were compared with the bass and treble from the aural model, yielding an alignment score for each task. The comparison was performed using content-based music retrieval software developed in the WITCHCRAFT project for the study of folksong melodies. Results showed that the top voice was replicated better than the bass. There were large differences between the musicians. As a group, improvising musicians scored better than non-improvising musicians, however this difference was not significant. Mixture analysis showed that top-scorers came from both groups. Subjects with perfect pitch did not perform better.
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Objective: Effective healthcare innovations are often not adopted and implemented. An implementation strategy based on facilitators and barriers for use as perceived by healthcare professionals could increase adoption rates. This study therefore aimed to identify the most relevant facilitators and barriers for use of an innovative breast cancer aftercare decision aid (PtDA) in healthcare practice. Methods: Facilitators and barriers (related to the PtDA, adopter and healthcare organisation) were assessed among breast cancer aftercare health professionals (n = 81), using the MIDI questionnaire. For each category, a backward regression analysis was performed (dependent = intention to adopt). All significant factors were then added to a final regression analysis to identify to most relevant determinants of PtDA adoption. Results: Expecting higher compatibility with daily practice and clinical guidelines, more positive outcomes of use, higher perceived relevance for the patient and increased self-efficacy were significantly associated with a higher intention to adopt. Self-efficacy and perceived patient relevance remained significant in the final model. Conclusions: Low perceived self-efficacy and patient relevance are the most important barriers for health professions to adopt a breast cancer aftercare PtDA. Practice implications: To target self-efficacy and perceived patient relevance, the implementation strategy could apply health professional peer champions.
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BACKGROUND: Due to complex processes of implementation of innovations aimed at persons with intellectual disabilities in healthcare organizations, lifestyle interventions are not used as intended or not used at all. In order to provide insight into determinants influencing this implementation, this study aims to ascertain if the Measurement Instrument for Determinants of Innovations (MIDI) is useful for objectively evaluating implementation.METHOD: With semi-structured interviews, data concerning determinants of implementation of lifestyle interventions were aggregated. These data were compared to the determinants questioned in the MIDI. Adaptations to the MIDI were made in consultation with the author of the MIDI.RESULTS: All determinants of the MIDI, except for that concerning legislation and regulations, were represented in the interview data. Determinants not represented in the MIDI were the level of intellectual disabilities, suitability of materials and physical environment, multi-levelness of interventions and several persons who could be involved in the intervention, such as direct support persons (DSPs), a therapist or family, and the communication between these involved persons.CONCLUSION: The present authors suggested making adjustments to existing questions of the MIDI in order to improve usability for deployment in organizations that provide care to persons with intellectual disabilities. The adjustments need to be tested with other interventions.
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De tien gemeenten in de regio Haaglanden (H10 gemeenten) werken gezamenlijk aan de samenwerking tussen lokale teams en gecertificeerde instellingen in het project Beter Samenspel. Doel van Beter Samenspel is een betere samenwerking tussen professionals uit lokale teams en de gecertificeerde instellingen, zodat gezinnen eerder en beter geholpen zijn en de kinderen in deze gezinnen veilig kunnen opgroeien. Sinds begin 2020 werken de H10 gemeenten aan de implementatie van Beter Samenspel. Alle gemeenten zijn bezig met de uitrol van Beter Samenspel, terwijl zij tegelijkertijd Beter Samenspel doorontwikkelen. De H10 gemeenten zijn benieuwd wat Beter Samenspel oplevert en hoe het in de uitvoeringspraktijk vorm krijgt. Daarom heeft De Haagse Hogeschool een participatief actieonderzoek opgezet om, in aanvulling op de monitoring volgens het causaal model, gedurende de implementatie de opbrengsten te onderzoeken. Deze tussenrapportage na twee jaar participatief actieonderzoek naar Beter Samenspel laat de weerbarstigheid van de praktijk goed zien. Hoewel professionals in de uitvoering, management, bestuur en beleid van goede wil zijn om Beter Samenspel te implementeren, is het niet eenvoudig gebleken de werkwijze draaiend te krijgen in de praktijk. Onze reflectie op de implementatie laat zien dat er ten aanzien van Beter Samenspel, de individuele gebruikers en de betrokken organisaties winst te behalen is om tot succesvolle uitvoering te komen. Daarbij zijn aanbevelingen te doen op programmaniveau en op lokaal niveau.
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Presentatie gegeven tijdens het congres Supporting Health by Technology (12-13 may - Groningen)
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Concerns have been raised over the increased prominence ofgenerative AI in art. Some fear that generative models could replace theviability for humans to create art and oppose developers training generative models on media without the artist's permission. Proponents of AI art point to the potential increase in accessibility. Is there an approach to address the concerns artists raise while still utilizing the potential these models bring? Current models often aim for autonomous music generation. This, however, makes the model a black box that users can't interact with. By utilizing an AI pipeline combining symbolic music generation and a proposed sample creation system trained on Creative Commons data, a musical looping application has been created to provide non-expert music users with a way to start making their own music. The first results show that it assists users in creating musical loops and shows promise for future research into human-AI interaction in art.
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In dit onderzoek in het kader van de kenniskring ‘Surfen naar Zin’ van het lectoraat Praktische Theologie van de Fontys Hogeschool Theologie Levensbeschouwing in samenwerking met de Fontys Pabo’s is een verkenning verricht naar doeloriëntaties van Pabo-studenten. De ‘jeugd van tegenwoordig’ waar Pabo-studenten nog recentelijk deel van uitmaakten heeft een andere oriëntatie op religie en levensbeschouwelijkheid dan zo’n dertig jaar geleden. Op basis van de theoretische concepten over religieus leren van Grimmitt is onderzocht welke doelen studenten voor zichzelf en het levensbeschouwelijke onderwijs hanteren. Immers oriëntaties van studenten zijn beïnvloedend voor de wijze waarop ze levensbeschouwing aan basisschoolkinderen onderwijzen. Inzicht in de voorkeursdoeloriëntatie zou kunnen leiden tot verhoging van de expertise en innovatie van het huidige Pabo curriculum op dit gebied. De volgende indeling van doeloriëntaties is gehanteerd: het monoreligieuze model - learning in religion - , het multireligieuze model - learning about religion - en het interreligieuze model - learning from religion -. Met behulp van een schriftelijke vragenlijst zijn 120 studenten bevraagd op hun oriëntaties. Het blijkt dat de onderzoeksgroep een voorkeur heeft voor het model van ‘learning about religion’ In hoeverre dit beïnvloed wordt door persoonskenmerken, culturele diversiteit, relaties tussen religies, vindplaatsen, perspectieven en alternatieven in religieus beleven is niet significant gebleken. Naar aanleiding van dit onderzoek wordt gepleit voor een aanpassing van het curriculum van de Pabo in de richting van het ‘learning about religion’ model en voor verder onderzoek naar de doeloriëntatie van leerkrachten, ouders en kinderen in de basisschool.
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Abstract Background: Several interventions have been developed to improve physical health and lifestyle behaviour of people with a severe mental illness (SMI). Recently, we conducted a pragmatic cluster-randomised controlled trial which evaluated the efects of the one-year Severe Mental Illness Lifestyle Evaluation (SMILE) lifestyle intervention compared with usual care in clients with SMI. The SMILE intervention is a 12-month group-based lifestyle intervention with a focus on increased physical activity and healthy food intake. The aim of the current study was to explore the experiences of people with SMI and healthcare professionals (HCPs) regarding implementation feasibility of the SMILE intervention and the fdelity to the SMILE intervention. Methods: A process evaluation was conducted alongside the pragmatic randomized controlled trial. The experiences of clients and HCPs in the lifestyle intervention group were studied. First, descriptive data on the implementation of the intervention were collected. Next, semi-structured interviews with clients (n=15) and HCPs (n=13) were performed. Interviews were audiotaped and transcribed verbatim. A thematic analysis of the interview data was performed using MAXQDA software. In addition, observations of group sessions were performed to determine the fdelity to the SMILE intervention using a standardised form. Results: Ten out of 26 HCPs who conducted the group sessions discontinued their involvement with the intervention, primarily due to changing jobs. 98% of all planned group sessions were performed. Four main themes emerged from the interviews: 1) Positive appraisal of the SMILE intervention, 2) Suggestions for improvement of the SMILE intervention 3) Facilitators of implementation and 4) Barriers of implementation. Both clients and HCPs had positive experiences regarding the SMILE intervention. Clients found the intervention useful and informative. The intervention was found suitable and interesting for all people with SMI, though HCPs sometimes had to tailor the intervention to individual characteristics of patients (e.g., with respect to cognitive functioning). The handbook of the SMILE intervention was perceived as user-friendly and helpful by HCPs. Combining SMILE with daily tasks, no support from other team members, and lack of staf and time were experienced as barriers for the delivery of the intervention Conclusion: The SMILE intervention was feasible and well-perceived by clients and HCPs. However, we also identifed some aspects that may have hindered efective implementation and needs to be considered when implementing the SMILE intervention in daily practice
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Deze rapportage maakt deel uit van zes rapportages die zijn opgeleverd in het WHeelchair ExercisE and Lifestyle Study (WHEELS) project. In deze rapportages worden de resultaten gepresenteerd van de Intervention Mapping (IM) stappen 1 t/m 6 in het ontwikkelen van een leefstijlapp voor rolstoelgebruikers met een dwarslaesie of beenamputatie. Deze rapportage betreft de uitwerking van IM-stap 5 waarin de potentiële appgebruikers zijn geïdentificeerd en een interventie voor adoptie, implementatie en voortzetting van het programma is ontwikkeld.
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