Various guidelines for the management of low back pain have been developed to enhance effectiveness and efficiency care. Evidence that guideline-adherent care results in better health outcomes, however, is not conclusive.The main objective this study was assess whether a higher percentage adherence Dutch physical manual therapy related improved outcomes. The further explored relationship differs individual steps process distinct subgroups patients.This an observational prospective cohort...

Systematic planning could improve the generally moderate effectiveness of interventions to enhance adherence clinical practice guidelines. The aim our study was demonstrate how process Intervention Mapping used develop an intervention address lack national CPG for low back pain by Dutch physical therapists. We systematically developed a program therapy guidelines pain. Based on multi-method formative research, we formulated and change objectives. Selected theory-based methods practical...

Abstract Rationale, aims and objectives To assess the criterion validity of paper‐and‐pencil vignettes to guideline adherence by physiotherapists in Netherlands. The evidence‐based physiotherapy practice for low back pain was used as an example. Methods Four were constructed pre‐tested. Three found represent adequate case‐mix. They described one patient with specific pain, non‐specific a normal recovery process delay process. Invited participate 113 primary care who had joined randomized...

Evidence-based practice has become a major issue in physical therapy. Many evidence-based guidelines, however, are not used extensively after dissemination, and interventions aimed at increasing guideline adherence often have limited effects.As prerequisite for changing this situation, the aims of study were to gain an in-depth understanding determinants among therapists Netherlands evaluate opportunities theoretical framework respect.This observational consisted 3 focus group interviews...

Integrated public health policy (IPHP) aims at integrating considerations into policies of other sectors. Since the limited empirical evidence available may hamper its further development, we systematically analysed manifestations IPHP, by placing strategies along a continuum less-to-more integration, going from intersectoral action (IA) to healthy (HPP) in all (HiAP). Our case study included 34 municipal projects Dutch Gezonde Slagkracht Programme (2009–15), which supports development and...

Urban social entrepreneurs have been suggested to play an essential part in the success of local health promotion initiatives. Up now, roles like these only identified retrospect. This prospective collaborative study explored possibilities institutionalizing a comparable role for 'health broker' four Dutch municipalities as additional investment promote deprived neighbourhoods. The theoretical notions public and policy well boundary spanners were adopted reference framework. Documents...

Intersectoral policy networks may be effective in dealing with complex public health problems. Their performance is assumed to depend on network management and trust, as well integrated (i.e. coordination integration). We studied the role of trust realization performance, relation between performance. In 34 Dutch local networks, we measured perceptions 278 actors through a Web-based survey used regression analyses assess relations variables. Management were positively related perceived while...

There is a dualism in current policy discourses on public health between neoliberal conceptions of health, and as product social conditions. These also co-exist the narratives citizens. In this qualitative study carried out Netherlands, we analysed how people living structural vulnerability perceive potential tension dualism. Whereas respondents' undoubtedly reflect view responsibility, their life stories revealed was intergenerational transmission poverty, violence ill health. Neoliberal...

Public health is to a large extent determined by non-health-sector policies. One approach address this apparent paradox establish healthy public This requires policy makers in non-health sectors become more aware of the impacts their policies, and willing adopt evidence-informed measures improve health. We employed knowledge broker set agenda for specify health-promoting alternatives. study aimed at gaining in-depth understanding how works. In context long-term partnership between two...

Malaria is a potentially lethal illness for which preventive measures are not optimally used among all travellers. Travellers visiting friends and relatives in their country of origin (VFRs) known to use chemoprophylaxis less consistently compared tourist In this study, factors explaining the low were pursued contribute improving uptake VFRs. Following in-depth interviews with Ghanaians living Amsterdam, questionnaire was developed assess behavioural determinants related taking measures. The...

Sustainability of health promotion programs is essential to maintain their positive effects. However, few studies have examined the extent program sustainability and factors influencing it. We these issues through Good Behaviour Game (GBG), a classroom-based in primary schools with beneficial behavioural health-related effects that was implemented 2008. GBG coordinators 17 participating were invited study 2 years after initial implementation. measured using 20-item checklist comprised four...

This paper aimed to explore the contribution of a micro grant financing scheme community action in terms residential health-promoting initiatives, interorganizational collaboration and public participation. The was two-fold, consisting (i) grants 500–3500 Euros, which were easily obtainable by local organizations (ii) neighbourhood health panels workers, functioning as distributing mechanism. Data collected using three methods: observations neighbourhood-based panels, in-depth interviews...

Abstract Rationale, aims and objectives Little is currently known about the quality of physiotherapy care for patients with musculoskeletal pain. Neck pain was used as an example. The aim to develop a set indicators, including practice test. Methods A systematic method potential process outcome indicators. An expert user panel appraise indicators regarding clarity, relevancy, feasibility, acceptability improvement potential. invitation participate in test sent practices. resulting algorithm...

Diagnosing urinary tract infections (UTIs) in nursing home residents is complex, as specific symptoms are often absent and asymptomatic bacteriuria (ASB) prevalent. The aim of this study was to assess the sensitivity blood C-reactive protein (CRP) procalcitonin (PCT), measured by point-of-care tests (PoCTs), diagnose UTIs setting.Elderly (≥65 years old) with a suspected UTI were recruited from psychogeriatric, somatic, or rehabilitation wards across 13 participating homes. CRP PCT tested...

hesselink a.e. & harting j. (2011) Process evaluation of a multiple risk factor perinatal programme for hard-to-reach minority group. Journal Advanced Nursing 67(9), 2026–2037. Aim. This article is report an tailored to ethnic Turkish women in the Netherlands. Background. The was directed at factors and aimed improving maternal lifestyle, infant care practices psychosocial health during pregnancy after delivery. carried out by community workers collaboration with midwives physiotherapists....

Guideline adherence in physical therapy is far from optimal, which has consequences for the effectiveness and efficiency of care. Programmes to enhance guideline have, so far, been relatively ineffective. We systematically developed a theory-based Quality Improvement Physical Therapy (QUIP) programme aimed at individual performance level (practicing physiotherapists; PTs) practice organization (practice quality manager; PQM). The aim study was pilot test multilevel QUIP programme's fidelity,...