- Frailty in Older Adults
- Intensive Care Unit Cognitive Disorders
- Nutrition and Health in Aging
- Cardiac Health and Mental Health
- Cardiac, Anesthesia and Surgical Outcomes
- Telemedicine and Telehealth Implementation
- Geriatric Care and Nursing Homes
- Mobile Health and mHealth Applications
- Health Systems, Economic Evaluations, Quality of Life
- Emergency and Acute Care Studies
- Hip and Femur Fractures
- Delphi Technique in Research
- Dementia and Cognitive Impairment Research
- Body Composition Measurement Techniques
- Healthcare Systems and Practices
- Surgical Simulation and Training
- Clinical Nutrition and Gastroenterology
- Dysphagia Assessment and Management
- Digital Mental Health Interventions
- Healthcare Systems and Technology
- Health, psychology, and well-being
- Chronic Disease Management Strategies
- Patient Satisfaction in Healthcare
- Interprofessional Education and Collaboration
Amsterdam University of Applied Sciences
2016-2024
University of Amsterdam
2016-2023
Amsterdam University Medical Centers
2018-2023
Leyden Academy on Vitality and Ageing
2023
Amsterdam UMC Location University of Amsterdam
2016-2020
Swinburne University of Technology
2020
Vrije Universiteit Amsterdam
2020
The Royal Melbourne Hospital
2020
The University of Melbourne
2020
Robert Bosch (India)
2019
Major surgery is associated with negative postoperative outcomes such as complications and delayed or poor recovery. Multimodal prehabilitation can help to reduce the effects of major surgery. Offering by means mobile health (mHealth) could be an effective new approach.The objectives this pilot study were (1) evaluate usability Be Prepared mHealth app prototype for people undergoing surgery, (2) explore whether was capable bringing about a change in risk behaviors, (3) estimate preliminary...
Background Following the onset of COVID-19 pandemic, telerehabilitation (TR) has been expanding to address challenges and risks in-person delivery. It is likely that a level TR delivery will continue after pandemic because its advantages, such as reducing geographical barriers service. Many pandemic-related initiatives were put in place quickly. Therefore, we have little understanding current delivery, facilitators, how therapists anticipate integrating into practice. Knowing this...
Over 30 % of older patients experience hospitalization-associated disability (HAD) (i.e., loss independence in Activities Daily Living (ADLs)) after an acute hospitalization. Despite its high prevalence, the mechanisms that underlie HAD remain elusive. This paper describes protocol for Hospital-Associated Disability and impact on daily Life (Hospital-ADL) study, which aims to unravel potential behind from admission three months post-discharge.The Hospital-ADL study is a multicenter,...
Acute hospitalization may lead to a decrease in muscle measures, but limited studies are reporting on the changes after discharge. The aim of this study was determine longitudinal mass, strength, and physical performance acutely hospitalized older adults from admission up 3 months post-discharge.A prospective observational cohort conducted.This included 401 participants aged ≥70 years who were 6 hospitals. All variables assessed at hospital admission, discharge, 1 post-discharge.Muscle mass...
ObjectivesTo determine the number of steps taken by older patients in hospital and 1 week after discharge; to identify factors associated with step numbers examine association between functional decline discharge.DesignProspective observational cohort study conducted 2015–2017.Setting ParticipantsOlder adults (≥70 years age) acutely hospitalized for at least 48 hours internal, cardiology, or geriatric wards 6 Dutch hospitals.MethodsSteps were counted using Fitbit Flex accelerometer during...
Abstract Background Acute hospitalization may lead to posthospital syndrome, but no studies have investigated how this syndrome manifests and geriatric syndromes are often used as synonym. However, on longitudinal associations between adverse outcomes scarce. We aimed analyze functional decline (FD), readmission, mortality. Methods Prospective cohort study, including 401 acutely hospitalized patients (aged ≥ 70). performed: (i) logistic regression analyses assess patterns of they develop...
Background 30 to 60% of the acute hospitalized older adults experience functional decline after hospitalization. The first signs discharge can often be observed in inability perform mobility tasks, such as raising from a chair or walking. Information how develops over time is scarce. Insight course needed prevent and decrease limitations. Objectives objectives this study were determine (i) (ii) association between muscle strength controlled for influencing factors. Methods In multicenter,...
Decreased appetite is one of the main risk factors malnutrition. Little known on how changes during hospitalization and after discharge it relates with sarcopenia-related outcomes. We analyzed data Hospital-ADL study, a multicenter prospective cohort study that followed 400 acutely hospitalized older adults (≥70 year). Appetite (SNAQ), handgrip strength (Jamar), muscle mass (BIA), mobility (DEMMI), physical performance (SPPB) were assessed within 48 h admission, at discharge, three months...
ObjectivesInsight into older adults' physical resilience is needed to predict functional recovery after hospitalization. We assessed trajectories in response acute illness and subsequent hospitalization investigated baseline variables dynamic associated with these trajectories.DesignProspective observational cohort study (Hospitalization-Associated Disability impact on daily Life Study).Setting ParticipantsThis included 207 adults (aged 79.8 ± 6.9 years, 49% female, 57% frail) acutely...
ABSTRACT Objective Depression among older adults predicts mortality after acute hospitalization. is highly heterogeneous in its presentation of symptoms, whereas individual symptoms may differ predictive value. This study aimed to investigate the prevalence cognitive-affective depressive during hospitalization and value both overall for between admission up 3-month postdischarge patients. Methods A prospective multicenter cohort enrolled 401 acutely hospitalized patients 70 years...
Studies have addressed the prevalence of geriatric syndromes during hospitalization and showed their association with adverse outcomes. However, data on course post-discharge recovery are scarce. This study assessed from admission until discharge then monthly three months impact functional decline, readmission, mortality. A multi-center cohort study, Hospital-Associated Disability Impact Daily Life (Hopital-ADL) was conducted, including 400 acutely hospitalized patients aged ≥70 years...
Telemonitoring (TM), as part of telehealth, allows physiotherapists to monitor and coach their patients using remotely collected data. The use TM requires a different approach compared with face-to-face treatment. Although telehealth capability framework exists for health care professionals, it remains unclear what specific capabilities are required during physiotherapy treatments.
For older adults, acute hospitalization is a high-risk event with poor health outcomes, including functional decline. In absence of practical guidelines and high quality randomized controlled trials, this Delphi study was conducted. The aim to obtain consensus on an exercise intervention program, core outcome set (COS) handover information prevent decline or restore physical function in acutely hospitalized patients transitioning from hospital home. An internal panel experts the field...
To study (i) the association of general self-efficacy (GSE) on course subjective (i.e. basic and instrumental activities daily living (ADLs IADLs) objective physical performance outcomes (short battery (SPPB)) among older persons from discharge up to 3 months post-discharge (ii) extent whether motivational factors such as depressive symptoms, apathy fatigue mediate this association.Prospective multi-centre cohort acutely hospitalised patients aged ≥70 (Hospital-ADL study). Structural...
<sec> <title>BACKGROUND</title> Following the onset of COVID-19 pandemic, telerehabilitation (TR) has been expanding to address challenges and risks in-person delivery. It is likely that a level TR delivery will continue after pandemic because its advantages, such as reducing geographical barriers service. Many pandemic-related initiatives were put in place quickly. Therefore, we have little understanding current delivery, facilitators, how therapists anticipate integrating into practice....
Depressive symptoms and apathy are both causes for a consequences of hospitalization among older persons. highly heterogeneous in its course, psychological or physical recovery may be related to distinct trajectories. These trajectories unknown the context acute possibly important post-hospital recovery. Therefore, aim this study was identify depressive from until three months post-discharge incidence functional decline mortality these We conducted multicenter prospective cohort study,...
Acute hospitalization often initiates events leading to changes in cognitive functioning. The majority of studies that investigated trajectories over time focused on specific patient-populations such as patients who suffered a hip fracture, stroke, or delirium. Moreover, previous have had only long-term follow ups. Trajectories within the short critical three months post-discharge are hence unknown. Therefore, aim this study was identify distinct functioning from acute up and incidence...
<sec> <title>BACKGROUND</title> Major surgery is associated with negative postoperative outcomes such as complications and delayed or poor recovery. Multimodal prehabilitation can help to reduce the effects of major surgery. Offering by means mobile health (mHealth) could be an effective new approach. </sec> <title>OBJECTIVE</title> The objectives this pilot study were (1) evaluate usability Be Prepared mHealth app prototype for people undergoing surgery, (2) explore whether was capable...