Background: Low-educated patients are disadvantaged in using questionnaires within the health care setting because most health-related questionnaires do not take the educational background of patients into account. The Dutch Talking Touch Screen Questionnaire (DTTSQ) was developed in an attempt to meet the needs of low-educated patients by using plain language and adding communication technology to an existing paper-based questionnaire. For physical therapists to use the DTTSQ as part of their intake procedure, it needs to generate accurate information from all of their patients, independent of educational level. Objective: The aim of this study was to get a first impression of the information that is generated by the DTTSQ. To achieve this goal, response processes of physical therapy patients with diverse levels of education were analyzed. Methods: The qualitative Three-Step Test-Interview method was used to collect observational data on actual response behavior of 24 physical therapy patients with diverse levels of education. The interviews included both think-aloud and retrospective probing techniques. Results: Of the 24 respondents, 20 encountered one or more problems during their response process. The use of plain language and information and communication technology (ICT) appeared to have a positive effect on the comprehensibility of the DTTSQ. However, it also had some negative effects on the interpretation, retrieval, judgment, and response selection within the response processes of the participants in this study. No educational group in this research population stood out from the rest in the kind or number of problems that arose. All respondents recognized themselves in the outcomes of the questionnaire. Conclusions: The use of plain language and ICT within the DTTSQ had both positive and negative effects on the response processes of its target population. The results of this study emphasize the importance of earlier recommendations to accompany any adaption of any questionnaire to a new mode of delivery by demonstrating the difference and equivalence between the two different modes and to scientifically evaluate the applicability of the newly developed mode of the questionnaire in its intended setting. This is especially important in a digital era in which the use of plain language within health care is increasingly being advocated.
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Case study of “The Plain Indians: artists of earth and sky” exhibition at the musée du quai Branly. [Book chapter]
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We have come to understand our world less and less, despite the countless one-liners (and slogans) that influencers and advertising people are constantly shooting at us via social media, among other things. We can no longer describe our world - it has simply become too complex for that. HBut marketing and communications people make it seem like plain language can convey any message, which, as this column argues, is absolutely not true.
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De Digitale Universiteit (DU) performed a quickscan to determine the usability of the IMS Question and TestInteroperability (QTI) specification as a format to store questions and tests developed for and by the consortium. The original report is available in Dutch from the website of De Digitale Universiteit and an unofficial English translation of that report can be downloaded. In October 2003, Canvas Learning Ltd., developers of the Canvas Canvas Learning Author and Canvas Learning Player responded to the Quickscan by sending their Canvas Flash player which could also render the test questions developed for the Quickscan. The Canvas Learning Player hadn't been tested as part of the original Quickscan because none of the partners within De Digitale Universiteit was using the application at that time. This addendum contains a short overview of the results of the tests for the Flash player as it was provided by Canvas Learning Ltd. All tests have been conducted by the author of the quickscan using the original test set. The set and the player used can be downloaded as a SCORM compliant package.
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Background: The integrated uptake of patient-reported experience measures, using outcomes for the micro, meso and macro level, calls for a successful implementation process which depends on how stakeholders are involved in this process. Currently, the impact of stakeholders on strategies to improve the integrated use is rarely reported, and information about how stakeholders can be engaged, including care-users who are communication vulnerable, is limited. This study illustrates the impact of all stakeholders on developing tailored implementation strategies and provides insights into supportive conditions to involve care-users who are communication vulnerable. Methods: With the use of participatory action research, implementation strategies were co-created by care-users who are communication vulnerable (n = 8), professionals (n = 12), management (n = 6) and researchers (n = 5) over 9 months. Data collection consisted of audiotapes, reports, and researchers’ notes. Conventional content analysis was performed. Results: The impact of care-users concerned the strategies’ look and feel, understandability and relevance. Professionals influenced impact on how to use strategies and terminology. The impact of management was on showing the gap between policy and practice, and learning from previous improvement failures. Researchers showed impact on analysis, direction of strategy changes and translating academic and development experience into practice. The engagement of care-users who are communication vulnerable was supported, taking into account organisational issues and the presentation of information. Conclusions: The impact of all engaged stakeholders was identified over the different levels strategies focused on. Care-users who are communication vulnerable were valuable engaged in co-creation implementation strategies by equipping them to their needs and routines, which requires adaptation in communication, delimited meetings and a safe group environment. Trial registration: Reviewed by the Medical Ethics Committee of Zuyderland-Zuyd (METCZ20190006). NL7594 registred at https://www.trialregister.nl/. Plain English summary Exploring care-users experiences is important for decisions to improve quality of care. This applies to care-users in the disability care in particular, as these care-users are highly dependent on their care professional. Instruments that facilitate a dialogue between care-users and care professionals about experiences with care are not always used correctly. Furthermore, it is difficult to translate outcomes into decisions about improving quality of care for the individual care-user and the organisation. In our study, care-users, care professionals, management and researchers developed strategies together to improve the use of care-user experience measures. This study aims to show the impact of all participants, including care-users, professionals, management and researchers, on developing implementation strategies. Additionally, the study aims to show how care-users can participate in developing strategies whilst having problems with communication due to intellectual, developmental and acquired disabilities. We found that care-users gave crucial input to the look and feel, and understandability and relevance of the strategies. The contribution of the professionals had impact on how to use strategies and terminology used in instructions and visuals. Management shared lessons learned and represented the needs on the policy level. Researchers used their analytical skills and facilitated the group process. Care-users were able to collaborate by taking into account their needs and because information was presented to them clearly and attractively.
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De Digitale Universiteit (DU) performed a quickscan to determine the usability of the IMS Question and Test Interoperability (QTI) specification as a format to store questions and tests developed for and by the consortium. The original report is available in Dutch from the website of De Digitale Universiteit. This is an unofficial translation in English of that report.
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1 alinea column: De BCG-matrix is na zesendertig jaar eindelijk aan revisie toe. De question mark, star, cash cow en dog hebben er een vriendje bij: de strainer. ‘Het vergiet’ doet zich aan de marketingstrateeg misleidend voor als een van de usual suspects, waardoor hij denkt te moeten handelen volgens de oude handleiding van de Boston Consulting Group. Maar dankzij voortrazende technologie behoeft dit BCG groeimodel aanvulling.
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This review aims to identify strategies to optimise radiography practice using digital technologies, for full spine studies on paediatrics focusing particularly on methods used to diagnose and measure severity of spinal curvatures. The literature search was performed on different databases (PubMed, Google Scholar and ScienceDirect) and relevant websites (e.g., American College of Radiology and International Commission on Radiological Protection) to identify guidelines and recent studies focused on dose optimisation in paediatrics using digital technologies. Plain radiography was identified as the most accurate method. The American College of Radiology (ACR) and European Commission (EC) provided two guidelines that were identified as the most relevant to the subject. The ACR guidelines were updated in 2014; however these guidelines do not provide detailed guidance on technical exposure parameters. The EC guidelines are more complete but are dedicated to screen film systems. Other studies provided reviews on the several exposure parameters that should be included for optimisation, such as tube current, tube voltage and source-to-image distance; however, only explored few of these parameters and not all of them together. One publication explored all parameters together but this was for adults only. Due to lack of literature on exposure parameters for paediatrics, more research is required to guide and harmonise practice
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What does collaboration in Dutch inclusive theatres look like, and what key themes can be identified? Data were collected through interviews and co-creative sessions with seven independent theatre makers and members of three participating theatre groups (n=48). Thematic analysis resulted in the proposal of a model that identifies six interconnected core issues central to inclusive theatre practices: the Atomium Model in which dynamic tensions of attracting and repelling forces exist. The study concludes that those involved in inclusive theatre are willing to continuously face artistic and collaborative challenges to fulfil their political ambitions and to dismantle prejudices and barriers. Plain language abstract: We studied the collaboration between theatre makers, actors with and without intellectual disabilities, and coaches in inclusive theatres in the Netherlands. We spoke with seven independent theatre makers and participants from three inclusive theatre groups and organised co-creation sessions. Through this research, we identified six interconnected themes that are essential to collaboration within inclusive theatre practices. These themes are characterised by inherent tensions, such as the balance between pushing personal boundaries for growth and respecting them for safety. We concluded that participants in inclusive theatre continually face artistic and collaborative challenges to achieve their ambition of dismantling prejudices and barriers.
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