In c.1330 the Antwerp public servant Jan van Boendale composed Der Leken Spieghel (The Layman's Mirror), a free adaption of several earlier Latin treatises on education. Van Boendale evidently wanted to ensure that a clear and reliable handbook was available to the laity, who lacked sufficient training in Latin to access the original texts. Der Leken Spieghel consists of four books, each divided into numerous smaller sections. This article presents a fresh translation of paragraph 113, which outlines the four characteristics needed to conduct an honourable life.
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Background Literature on self-management innovations has studied their characteristics and position in healthcare systems. However, less attention has been paid to factors that contribute to successful implementation. This paper aims to answer the question: which factors play a role in a successful implementation of self-management health innovations? Methods We conducted a narrative review of academic literature to explore factors related to successful implementation of self-management health innovations. We further investigated the factors in a qualitative multiple case study to analyse their role in implementation success. Data were collected from nine self-management health projects in the Netherlands. Results Nine factors were found in the literature that foster the implementation of self-management health innovations: 1) involvement of end-users, 2) involvement of local and business partners, 3) involvement of stakeholders within the larger system, 4) tailoring of the innovation, 5) utilisation of multiple disciplines, 6) feedback on effectiveness, 7) availability of a feasible business model, 8) adaption to organisational changes, and 9) anticipation of changes required in the healthcare system. In the case studies, on average six of these factors could be identified. Three projects achieved a successful implementation of a self-management health innovation, but only in one case were all factors present. Conclusions For successful implementation of self-management health innovation projects, the factors identified in the literature are neither necessary nor sufficient. Therefore, it might be insightful to study how successful implementation works instead of solely focusing on the factors that could be helpful in this process.
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Objective: Self-management is a core theme within chronic care and several evidence-based interventions (EBIs) exist to promote self-management ability. However, these interventions cannot be adapted in a mere copy-paste manner. The current study describes and demonstrates a planned approach in adapting EBI’s in order to promote self-management in community-dwelling people with chronic conditions. Methods: We used Intervention Mapping (IM) to increase the intervention’s fit with a new context. IM helps researchers to take decisions about whether and what to adapt, while maintaining the working ingredients of existing EBI’s. Results: We present a case study in which we used IM to adapt EBI’s to the Flemish primary care context to promote self-management in people with one or more chronic disease. We present the reader with a contextual analysis, intervention aims, and content, sequence and scope of the resulting intervention. Conclusion: IM provides an excellent framework in providing detailed guidance on intervention adaption to a new context, while preserving the essential working ingredients of EBI’s. Practice Implications: The case study is exemplary for public health researchers and practitioners as a planned approach to seek and find EBI’s, and to make adaptations.
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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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In our world of VUCA (volatile, uncertain, complex and ambiguous), a capacity for change and adaption is vital. However, changing successfully has been a challenging task for both individuals and organizations. Taking into account the insights of neuroscience, this chapter introduces a framework of change management called STREAP-Be. The acronym represents 7 factors that could significantly influence the effect of change: safety; trigger; reward; emotion; alignment; people; and behavior.
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'Aanpassing aan klimaatverandering is mogelijk door tal van voorzieningen te creëren. Dat is al jaren gaande. Voor het eerst is gewerkt aan een overzicht van wat er al is aangelegd en hoe dit kwantitatief bijdraagt aan klimaatadaptatie.'
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Climatescan is een database met klimaatadaptieve maatregelen in binnen- en buitenland, ontwikkeld door de Hanzehogeschool. Tijdens de posterpresentatie op RIONED dag 2022 laten we zien wat Climatescan is, hoe het werkt en moedigen we professionals aan om ermee te werken in de praktijk.
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There is a clear demand for collaborative, knowledge sharing tools for urban resilienceprojects. Climatescan is an interactive, web-based map application for international knowledge exchange on ‘blue-green’ projects around the globe. The tool was applied during the Adaptation Futures & The Water Institute of Southern Africa (WISA)conferences, June 2018, in Cape Town. The use of climatescan by different stakeholders during the event led to recommendations for a better application of the web-based map in Africa and around the world.
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There is a clear demand for a collaborative knowledge-sharing on climate adaptation and mitigation. The aim of most climate adaptation platforms is (inter)national knowledge exchange and raising awareness about climate adaptation in urban areas and promote solutions such as Nature-based solutions (NBS) and floating infrastructure. However their multiple benefits are often unknown to the wider public. During seminars (February 2020) in Indonesia climate adaptation measures where mapped and the relevance of the climate adaption platforms such as ClimateScan was evaluated by the means of workshops and a survey. The platform ClimateScan holds now over 5000 locations in 5 main categories of climate adaptation (water, nature, agriculture, energy and people). The conclusions from the workshops in Semarang and Surabaya show high relevance scores for NBS: permeable pavement and swales; for infiltration of stormwater to groundwater; for mitigation of high temperatures with heat stress measures; and flood barriers to mitigate flooding. There were low scores for floating urbanization because this is not a culturally accepted practice in contradiction to other parts of the world. Indonesian floating infrastructure as a floating library, restaurant and airport terminal where mapped during workshops bringing the total of international floating structure locations to 150. The workshops have raised awareness among participants and contributed to capacity building by empowering the participants to map and review climate adaptation measures. A high majority see the value of climate adaptation platforms and will use it in the future.
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