A5062494839- Dementia and Cognitive Impairment Research
- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Interprofessional Education and Collaboration
- Patient-Provider Communication in Healthcare
- Patient Dignity and Privacy
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Frailty in Older Adults
- Mental Health and Psychiatry
- Clinical practice guidelines implementation
- Intergenerational Family Dynamics and Caregiving
- Migration, Aging, and Tourism Studies
- Primary Care and Health Outcomes
- Aging, Elder Care, and Social Issues
- Health, psychology, and well-being
- Health, Environment, Cognitive Aging
- Aging and Gerontology Research
- Health and Well-being Studies
- Childhood Cancer Survivors' Quality of Life
- Tryptophan and brain disorders
- Healthcare Systems and Technology
- Stress Responses and Cortisol
- Family and Patient Care in Intensive Care Units
Radboud University Nijmegen
2015-2025
Radboud University Medical Center
2015-2025
University Medical Center
2013-2025
Huisarts en Wetenschap
2022-2024
Community Care
2012-2023
Maastricht University
2023
Radboud Institute for Molecular Life Sciences
2015-2023
Maastricht University Medical Centre
2023
Flinders University
2021
Columbia University
2021
Prevention of dementia is considered a healthcare priority. We aimed to identify potentially modifiable risk factors and mechanisms within the social health domain find novel avenues prevent cognitive decline dementia. integrated results eight sub-studies Social Health in Mice Men (SHiMMy) project that were separately published specialized journals, but not yet jointly considered. followed integrative methodology Whittemore Knafl, using conceptual framework for structure integrate human...
Introduction: Care for the frail elderly is often provided by several professionals. Collaboration between them essential, but remains difficult to achieve. Interprofessional education (IPE) can improve this collaboration. We developed a 9-hour IPE program primary care professionals from 7 disciplines caring elderly, and aimed establish whether improved professionals' interprofessional attitudes toward collaboration, collaboration skills, collaborative behavior. also evaluated learners'...
ACP enables individuals to define and discuss goals preferences for future medical treatment care with family healthcare providers, record these if appropriate. Because general practitioners (GPs) often have long-lasting relationships people dementia, GPs seem most suited initiate ACP. However, dementia in primary is uncommon. Although several barriers facilitators already been identified earlier research, evidence gaps still exist. We therefore aimed further explore community-dwelling...
Older people suffering from frailty often receive fragmented chronic care multiple professionals. According to the literature, there is an urgent need for coordination of care.The objective this study was investigate effectiveness online health community (OHC) intervention older with aimed at facilitating multidisciplinary communication.The design a controlled before-after 12 months follow-up in 11 family practices eastern part Netherlands. Participants consisted frail living requiring...
Advance care planning (ACP) is seldom initiated with people dementia (PWD) and mainly focuses on medical end-of-life decisions. We studied the effects of an educational intervention for general practitioners (GPs) aimed at initiating optimizing ACP, a focus discussing nonmedical preferences future care.A single-blinded cluster randomized controlled trial.In 2016, 38 Dutch GPs (all from different practices) completed study. They recruited 140 PWD, aged ≥65 years any stage type dementia, their...
Objective The recognition of dementia as a multifactorial disorder encourages the exploration new pathways to understand its origins. Social health might play role in cognitive decline and dementia, but conceptual clarity is lacking this hinders investigation associations mechanisms. objective develop framework for social advance future studies. Process We use following steps: underpinning concept advancement, advancement by development model, potential feasibility. An iterative...
The immune system has been proposed to play a role in the link between social health and all-cause dementia risk. We explored cross-sectional longitudinal associations health, balance plasma neurodegeneration markers community-dwelling older adults, whether innate adaptive immunity mediates both cognition total brain volume. Social (social support, marital status, loneliness) were measured Rotterdam Study 2002–2008. Immune cell counts assessed repeatedly from 2002 2016 using white...
Early diagnosis of dementia benefits both patient and caregiver. Nevertheless, in primary care is currently under-diagnosed. Some educational interventions developed to improve management were successful increasing the number diagnoses changing attitudes knowledge health staff. However, none these focussed on collaboration between GPs nurses care. We an EASYcare-based Dementia Training Program (DTP) aimed at stimulating expect this program increase cognitive assessments nurses. The DTP a...
Due to fragmentation of care, continuity care is often limited in the provided frail older people. Further, people are not always enabled become involved their own care. Therefore, we developed Health and Welfare Information Portal (ZWIP), a shared Electronic Record combined with communication tool for community-dwelling primary professionals. This article describes process evaluation its implementation, aims establish (1) outcomes implementation process, (2) which strategies barriers...
Social health markers have been linked to the development of dementia. We hypothesize that social affects brain structure and consequently influences cognitive function. aim elucidate cross-sectional longitudinal associations between structural changes in older adults general population.Social (loneliness, perceived support, marital status) were assessed Rotterdam Study from 2002 2008. Magnetic resonance imaging was performed repeatedly 2005 2015 for 3737 participants obtain volumetrics,...
Prehabilitation is increasingly offered to patients with colorectal cancer (CRC) undergoing surgery as it could prevent complications and facilitate recovery. However, implementation of such a complex multidisciplinary intervention challenging. This study aims explore perspectives professionals involved in prehabilitation gain understanding barriers or facilitators its identify strategies successful operationalization prehabilitation.In this qualitative study, semi-structured interviews were...
Abstract Background Patients with incurable cancer face complex medical decisions. Their family caregivers play a prominent role in shared decision making processes, but we lack insights into their experiences. In this study, explored how bereaved experienced the process. Methods We performed qualitative interview study in-depth interviews analysed inductive content analysis. used purposive sample of ( n = 16) patients treated tertiary university hospital Netherlands. Results Four themes...
Objectives:The coronavirus disease-2019 (COVID-19) pandemic and accompanying lockdown restrictions impacted social life significantly. We studied associations of sociodemographic factors, mental health markers, brain structure with trajectories during the COVID-19 pandemic.Design:Prospective longitudinal population-based cohort study.Setting:Community-dwelling inhabitants Rotterdam, Netherlands.Participants:Repeated questionnaires including questions on were sent to Rotterdam Study...
Introduction: In this study, we examine whether social health markers measured at baseline are associated with differences in cognitive capability and the rate of decline over an 11-to-18-year period among older adults compare results across studies. Methods: We applied integrated data analysis approach to 16,858 participants (mean age 65 years; 56% female) from National Survey for Health Development (NSHD), English Longitudinal Study Aging (ELSA), Swedish on Care Kungsholmen (SNAC-K),...
ABSTRACT Introduction Nursing home residents can be faced with relocations within nursing care for various reasons, whether individual or per group. We aimed to collect a broad stakeholder overview of observed and experienced impacts on aspects that influence the impact. Methods conducted qualitative study using semistructured interviews followed by one focus recruited participants from perspectives based differences in roles while having an interest involvement relocations, experience...
Background: The importance of palliative care and advance planning in dementia is increasingly recognized. However, little known about the distinct needs preferences people with young-onset dementia. Aim: To explore how their family caregivers experience quality life, these experiences shape views on future, needs, planning. Design: A qualitative interview study, using inductive thematic analysis. Setting/participants: Ten community-dwelling from Netherlands. Results: Four themes were found:...
Background: Allied health professionals possess the expertise to improve primary healthcare for frail older adults but do not structurally engage in interprofessional collaboration. Game theoretical concepts may help characterize and explain collaboration decision-making Dutch setting offer a better perspective action than current barriers facilitators known. Goal: To explore game characteristics between allied other which aspects contribute certain game-play outcomes. Participants: Primary...
<title>Abstract</title> <bold>INTRODUCTION:</bold> Cognitive and functional impairments can both influence stem from deteriorating social health). However, the interplay between these dimensions while aging remains poorly understood. This study investigated concordance discordance of SH, cognitive, daily functioning trajectories. <bold>METHODS: </bold>We analyzed 15-year follow-up data (2001-2015) 2848 initially dementia-free older adults in Swedish National on Aging Care Kungsholmen...
Allied health professionals can contribute to better quality of life people with dementia. However, it is unclear whether DementiaNet networks effectively integrate their expertise. We aim describe the extent allied involvement in networks. Between 2015 and 2021, 35 currently active primary care were formed. During this period, logs network's composition kept used involvement. Ten included at least one professional start project, which increased 17 follow-up. Networks larger than average...
To construct a set of quality indicators (QIs) for dementia diagnosis and management in primary care setting.RAND modified Delphi method, including postal survey, stakeholders consensus meeting, scientific expert demonstration project.Primary care.General practitioners (GPs), nurses (PCNs), informal caregivers (ICs) survey meeting. Eight national experts Thirteen GPs the project.Mean face validity feasibility scores. Compliance rates using GPs' electronic medical record data.The initial...