A5020895713- Geriatric Care and Nursing Homes
- Frailty in Older Adults
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Health Policy Implementation Science
- Health disparities and outcomes
- Dementia and Cognitive Impairment Research
- Interprofessional Education and Collaboration
- Nutrition and Health in Aging
- Palliative Care and End-of-Life Issues
- Primary Care and Health Outcomes
- Emergency and Acute Care Studies
- Clinical practice guidelines implementation
- Aging and Gerontology Research
- Health and Wellbeing Research
- Family and Patient Care in Intensive Care Units
- Dental Health and Care Utilization
- Delphi Technique in Research
- Mobile Health and mHealth Applications
- COVID-19 and Mental Health
- Health, psychology, and well-being
- Mental Health and Patient Involvement
- Healthcare professionals’ stress and burnout
- Ophthalmology and Visual Impairment Studies
- Nursing Roles and Practices
University Medical Center Utrecht
2016-2025
University of Applied Sciences Utrecht
2016-2025
Utrecht University
2017-2024
Heidelberg University
2014-2021
University Hospital Heidelberg
2014-2021
Bohn Stafleu van Loghum (Netherlands)
2019
Oklahoma State University Center for Health Sciences
2018-2019
University Medical Center
2018-2019
Leidsche Rijn Julius Health Centers
2015
Geneeskundige en Gezondheidsdienst
2013
In recent years there has been much emphasis on 'research waste' caused by poor question selection, insufficient attention to previous research results, and avoidable weakness in design, conduct analysis. Little paid the effect of inadequate development interventions before proceeding a full clinical trial.We therefore propose enrich phase MRC Framework adding crucial elements improve likelihood success enhance fit with practice METHODS: Based existing intervention guidance synthesis,...
A general frailty indicator could guide practitioners (GPs) in directing their care efforts to the patients at highest risk. We investigated if a Frailty Index (FI) based on routine health data of GPs can predict risk adverse outcomes community-dwelling older people. This was retrospective cohort study with 2-year follow-up period among all an urban primary center aged 60 and older: 1,679 (987 women [59%], median age, 73 years [interquartile range, 65–81]). For each patient, baseline FI...
To predict the risk of future unfavourable health outcomes in older people it is common to assess level both basic and instrumental activities daily living. accomplish this, commonly used Katz-6 Lawton IADL questionnaires can be combined form ‘Modified Katz ADL’ scale, also known as Katz-15 scale. So far, validity reliability scale unknown. The objective current study investigate how well able unfavorable this related existing We performed a follow-up using data from group 60 year...
Early identification of frailty is important for proactive primary care. Currently, however, there no consensus on which measure to use. Therefore, we examined whether a Frailty Index (FI), based ICPC-coded care data, and the Groningen Indicator (GFI) questionnaire identify same older people as frail.We conducted cross-sectional, observational study 1,580 patients aged ≥ 60 years in Dutch center. Patients received GFI were surveyed their baseline characteristics. Frailty-screening software...
Objectives To determine the effectiveness of a proactive primary care program on daily functioning older people in care. Design Single‐blind, three‐arm, cluster‐randomized controlled trial with 1‐year follow‐up. Setting Primary setting, 39 general practices Netherlands. Participants Community‐dwelling aged 60 and (N = 3,092). Interventions A frailty screening intervention using routine electronic medical record data to identify at risk adverse events followed by usual from practitioner;...
Background: Due to changing demographics in the population, majority of current nursing students will work mostlywith older people after graduation. It is known that most student have little knowledge and interests workingwith people. There a growing need for motivated nurses provide care as quality isinfluenced by their attitudes. The objective this study investigate Dutch students' andattitudes toward willingness with how attitudeschanges three years education. Methods: A longitudinal...
Abstract Background: The strain on health care services is increasing due to an ageing population and the prevalence of chronic conditions. eHealth could contribute optimise effective efficient older adults with one or more conditions in general practice. Aim: aim this study was identify needs, barriers facilitators amongst community-dwelling (60+) suffering from conditions, using online applications support practice services. Methods: A qualitative study, semi-structured followed by...
Introduction The rising global demand for district nursing care necessitates effective strategies to support evidence-based decision-making. Despite the extensive development of guidelines, adherence by teams remains suboptimal, revealing a gap between guideline and daily practice. Learning And Reflection Nurses (LEARN) programme aims bridge this enhancing use fostering learning attitude among teams. This protocol outlines programme’s development, components evaluation approach. Methods...
Abstract Purpose Care for older patients in primary care is currently reactive, fragmented, and time consuming. An innovative structured proactive program (U‐CARE) has been developed to preserve physical functioning enhance quality of life frail people. This study describes detail the development process U‐CARE allow its replication. Methods The framework Medical Research Council (MRC) evaluation complex interventions was used as a theoretical guide design program. extended stepwise...
Currently, primary care for frail older people is reactive, time consuming and does not meet patients' needs. A transition needed towards proactive integrated care, so that daily functioning a good quality of life can be preserved. To work these goals, two interventions were developed to enhance the patients in general practice: screening monitoring intervention using routine healthcare data (U-PRIM) nurse-led multidisciplinary program (U-CARE). The U-PROFIT trial was designed evaluate...
Abstract Aim To report the expectations and experiences of general practitioners practice nurses regarding U‐ CARE programme, to gain a better understanding barriers facilitators in providing proactive, structured care frail older people determine whether implementation is feasible. Background Care for patients with complex needs primary fragmented, reactive time consuming. A structured, proactive programme was developed improve physical functioning quality life patients. Design An...
BackgroundA proactive integrated approach has shown to preserve daily functioning among older people in the community. The aim is determine cost-effectiveness of a primary care program.MethodsEconomic evaluation embedded single-blind, 3-armed, cluster-randomized controlled trial with 12 months' follow-up 39 general practices Netherlands. General were randomized one 3 arms: (1) an electronic frailty screening instrument using routine medical record data followed by standard practitioner (GP)...
Abstract Purpose to support older people with several healthcare needs in sustaining adequate functioning and independence, more proactive approaches are needed. This purpose of this study is summarise the (cost-) effectiveness proactive, multidisciplinary, integrated care programmes for Dutch primary care. Methods design individual patient data (IPD) meta-analysis eight clinically controlled trials. Setting sector. Interventions combination (i) identification complex problems by means...
Abstract Objectives Research on what matters most to people with dementia is crucial for developing tailored interventions and support. This study explored how experience their everyday lives, providing insight into important them live the best they can at home. Methods Inspired by a phenomenological approach, open interviews were conducted 15 dementia, supplemented home tours walking interviews. Data collection included one three sessions per participant. analysed using descriptive content...
As populations age, chronic geriatric conditions linked to progressive organ failure jeopardize health-related quality of life (HRQoL). Thus, this research assessed the validity and applicability EQ-5D (a common HRQoL instrument) across four major conditions: hearing issues, joint damage, urinary incontinence, or dizziness with falls. The study sample comprised 25,637 community-dwelling persons aged 65 years older residing in Netherlands (Data source: TOPICS-MDS, www.topics-mds.eu ). Floor...
This study investigated the trajectories of decline in individual instrumental activities daily living (IADL) with aging and effect hearing loss, vision or dual sensory loss on these community-living frail older persons. longitudinal population-based was conducted 9,319 Dutch persons aged 60 years older. Self-reported nine IADL were assessed 15 studies National Care for Elderly Program (The Older Persons Informal Caregivers Survey Minimum Dataset). Probabilities limitations IADL, odds ratios...