About
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Introduction
As senior researcher of the Research group on Organization of Care and Social Services my main interest is the development of inclusive cross domain collaborations in the neighborhood, including citizens in relation to health and welfare issues. Through the application of action research we include citizens and professionals in co-creative processes to develop structures that enable the provision of personalized care.
Additional affiliations
April 2016 - present
HAN University of Applied Sciences
Position
- Lecturer
April 2010 - April 2016
April 2005 - April 2010
Publications
Publications (65)
Background: A large proportion of people who sustain a whiplash injury will have persistent pain, disability, and participation problems. Several prognostic factors for functional recovery have been reported in the literature but these factors are often evaluated based on differing implementations in clinical practice. Additionally, physiotherapist...
Quality improvement is now a central tenet in physiotherapy care, and quality indicators (QIs), as measurable elements of care, have been applied to analyze and evaluate the quality of physiotherapy care over the past two decades. QIs, based on Donabedian’s model of quality of care, provide a foundation for measuring (improvements in) quality of ph...
It is widely accepted that psychosocial prognostic factors should be addressed by clinicians in their assessment and management of patient suffering from low back pain (LBP). On the other hand, an overview is missing how these factors are addressed in clinical LBP guidelines. Therefore, our objective was to summarize and compare recommendations reg...
Background
Overweight and obesity are problems that are increasing globally in both children as well as adults, and may be prevented by adopting a healthier lifestyle. Lifestyle coaches counsel overweight and obese children (and their parents) as well as adults in initiating and maintaining healthier lifestyle behaviours. It is currently unclear wh...
Abstract
Background
From both evidence-based physiotherapy care and cost perspective, it is important that the duration of treatment episode and the number of physiotherapy sessions in traffic collision-related Whiplash-Associated Disorders (WAD) is tailored to the patient and can be prognosticated. However, little is known about the accuracy of ph...
SAMENVATTING
Introductie
Physician assistants (PA) en verpleegkundig specialisten (VS) worden in toenemende mate ingezet in verpleeghuizen om laag en middel complexe medische zorg en hoog-complexe verpleegkundige zorg te verlenen. In dit onderzoek worden de inzet van de PA en factoren van invloed op de implementatie geëxploreerd.
Methode
In deze in...
Background:
Whiplash-associated disorders (WADs) constitute a state of health characterized by a wide diversity of symptoms as a result of impairments of functions, activity limitations, and participation restrictions. Patient-reported outcome measurements (PROMs) and patient-reported outcomes (PROs) seem appropriate when describing and evaluating...
Operationalisation of variables of the clinical reasoning process at several different levels (nominal, ordinal, interval and ratio).
Combined lifestyle interventions (CLIs) that target both physical activity (PA) and diet have been shown to improve PA and health of adults who are overweight; however, optimal amount of guidance remains unclear. This study evaluated the effects of adding PA group sessions to a standard CLI in primary care in the Netherlands. 411 participants (BMI...
Supplementary file 1. Overview of variables of context (n=9), process (n=9), outcome (n=7) and structure
(n=2) indicators for physiotherapy in patients with Whiplash-Associated Disorders (WAD).
Supplementary file 2. Variables per context indicator in patients with Whiplash-Associated Disorders
(WAD).
Supplementary file 3.Variables per process indic...
Background Overweight and obesity are problems that are increasing globally in both children as well as adults, and may be prevented by adopting a healthier lifestyle. Lifestyle coaches counsel overweight and obese children (and their parents) as well as adults in initiating and maintaining healthier lifestyle behaviours. It is currently unclear wh...
Background:
Quality indicators (QIs) are measurable elements of practice performance and may relate to context, process, outcome and structure. A valid set of QIs have been developed, reflecting the clinical reasoning used in primary care physiotherapy for patients with whiplash-associated disorders (WAD). Donabedian's model postulates relationshi...
Background:
Combined lifestyle interventions (CLIs) are designed to help people who are overweight or obese maintain a healthy new lifestyle. The CooL intervention is a CLI in the Netherlands, in which lifestyle coaches counsel adults and children (and/or their parents) who are obese or at high risk of obesity to achieve a sustained healthier life...
Steps of Clinical Reasoning Process.
Overview of variables of Quality Indicators for the physiotherapy care process
in patients with Whiplash-Associated Disorders (WAD) for analysis
Flowchart illustrating the steps of the clinical reasoning process in patients with Whiplash-Associated Disorders (WAD).
Purpose: To develop valid quality indicators (QIs) for physiotherapy care based on best available evidence, and to use these QIs to explore trends in the quality of physiotherapy care of patients with Whiplash-Associated Disorders (WAD) using guideline-based routinely collected data (RCD) gathered between 1996 and 2011.
Patients and methods: The s...
Background:
Metabolic health in people with obesity is determined by body composition. In this study, we examined the influence of a combined strength exercise and motivational programme -embedded in the school curriculum- on adolescents body composition and daily physical activity.
Methods:
A total of 695 adolescents (11-15y) from nine Dutch se...
De Coaching op Leefstijl (CooL) interventie is een gecombineerde leefstijlinterventie waarbij volwassenen en kinderen (en/of hun ouders), die obees zijn of een groot risico op obesitas lopen, worden begeleid door professionele leefstijlcoaches. De CooL-interventie bestaat uit groeps- en individuele bijeenkomsten waarin de onderwerpen beweging, voed...
In dit eindrapport worden de resultaten van het CooL-programma (Coaching op Leefstijl) gepresenteerd. In dit programma is een leefstijlcoach ingezet binnen een drie jaar lopende pilot. Binnen dit onderzoek is de uitvoering en implementatie van het CooL-programma gemonitord. Hiervoor zijn een kwantitatieve procesevaluatie (vragenlijsten, uitval), ee...
Combined lifestyle interventions (CLIs) can be effective in reducing weight and improving lifestyle-related behaviours but it is unclear how CLIs can best be implemented in practice in order to achieve sustained lifestyle changes. The Coaching on Lifestyle programme (CooL) is a CLI in the Netherlands, in which professional lifestyle coaches counsel...
[This corrects the article DOI: 10.1155/2017/1979153.].
Background Combined lifestyle interventions (CLIs) have proved to be effective in changing and maintaining behavioural lifestyle changes and reducing overweight and obesity, in clinical and real-world settings. In this CLI, lifestyle coaches are expected to promote lifestyle changes of participants regarding physical activity and diet. In the Coach...
Background
The role of health broker is a relatively new one in public health. Health brokers aim to create support for efforts to optimise health promotion in complex or even “wicked” public health contexts by facilitating intersectoral collaborations and by exchanging knowledge with different stakeholders. The current study aimed to explore the r...
Background
Combined lifestyle interventions (CLIs) are designed to reduce risk factors for lifestyle-related diseases through increasing physical activity and improvement of dietary behaviour.
Objective
To evaluate the effects of a CLI for overweight and obese patients on lifestyle-related risk factors and health care consumption, in comparison to...
Background
Low back pain is one of the main burdens of disease worldwide. Physical therapy is expected to contribute to the reduction of this burden. Adherence to guidelines that support management of patients with low back is only moderate. Programs to enhance guideline adherence have had limited success. This study assessed which individual and o...
Background:
Overweight youngsters are better in absolute strength exercises than their normal-weight counterparts; a physiological phenomenon with promising psychological impact. In this paper we describe the study protocol of the Dutch, school-based program 'Focus on Strength' that aims to improve body composition of 11-13 year old students, and...
Tussen 2008 en 2011 konden huisartsen de BeweegKuur aanbieden aan patiënten met overgewicht en obesitas. Met advies en begeleiding van een multidisciplinair team werden zij geholpen een gezonde, actieve leefstijl te ontwikkelen. Uit monitoringonderzoek van Universiteit Maastricht van onderzoeker Geert Rutten blijkt dat dat beter lukte naarmate deel...
Background
Combined lifestyle interventions (CLIs) have been advocated as an effective instrument in efforts to reduce overweight and obesity. The odds of maintaining higher levels of physical activity (PA) and healthier dietary behaviour improve when people are more intrinsically motivated to change their behaviour. To promote the shift towards mo...
Clinical practice guidelines are considered important instruments to improve quality of care. However, success is dependent on adherence, which may be improved using peer-assessment, a strategy in which professionals assess performance of their peers in a simulated setting.
To determine whether peer-assessment is more effective than case-based disc...
This study investigates the delivered care in a multidisciplinary lifestyle intervention
by dieticians and physiotherapists compared to the protocol of this intervention.
Participants with a body mass index (BMI) between 25 and 40 kg m2 were divided
over three different programs depending on their BMI and comorbidities. All these
programs consisted...
Background
Systematic planning could improve the generally moderate effectiveness of interventions to enhance adherence to clinical practice guidelines. The aim of our study was to demonstrate how the process of Intervention Mapping was used to develop an intervention to address the lack of adherence to the national CPG for low back pain by Dutch p...
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 is to develop a set of quality indicators, including a practice test.
Methods:
A systematic method is used to develop potential process and outcome indicators. An expe...
Purpose:
To examine a process for evaluating physiotherapy (PT) students' knowledge of and adherence to the Ambassador Low Back Pain (LBP) guideline using vignettes.
Methods:
The study used a cross-sectional survey design. Participants were PT students who had received information related to the guideline as part of their curriculum. Primary mea...
Background
Guideline adherence in physical therapy is far from optimal, which has consequences for the effectiveness and efficiency of physical therapy care. Programmes to enhance guideline adherence have, so far, been relatively ineffective. We systematically developed a theory-based Quality Improvement in Physical Therapy (QUIP) programme aimed a...
Vanwege de dreiging van onbeheersbare kosten in de gezondheidszorg gaf minister Klink van Volksgezondheid, Welzijn en Sport (VWS) in 2007 aan te willen bezuinigen door middel van preventie. In zijn ‘Kaderbrief 2007-2011, Visie op gezondheid en preventie’, beschreef de minister het belang van preventie en benoemde het als een speerpunt voor het gezo...
There is increasing evidence that sedentary behaviour is in itself a health risk, regardless of the daily amount of moderate to vigorous physical activity. Therefore, sedentary behaviour should be targeted as important health behaviour.
It is known that even relatively small changes of health behaviour often require serious efforts from an individu...
Die Qualitat der Gesundheitsversorgung wird immer haufiger in Form von
Qualitatsindikatoren ausgedruckt. Auch in der Manuellen Therapie haben in den vergangenen
Jahren aufgrund der Empfehlungen aus den Leitlinien Qualitatsindikatoren Einzug gehalten.
In der vorliegenden Arbeit geht es um die Qualitat der Gesundheitsversorgung bei Patienten
mit unsp...
Various guidelines for the management of low back pain have been developed to enhance the effectiveness and efficiency of care. Evidence that guideline-adherent care results in better health outcomes, however, is not conclusive.
The main objective of this study was to assess whether a higher percentage of adherence to the Dutch physical and manual...
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 a prerequisite for changing this situation, the aims of this study were to gain an in-depth understandin...
To assess physiotherapists' adherence to the Dutch guidelines for nonspecific low back pain, the motivational determinants related to guideline adherence, and the role of physiotherapists' awareness of their performance in this respect.
This was a cross-sectional survey among a random sample of 1,500 private practice physiotherapists in the Netherl...
To assess the criterion validity of paper-and-pencil vignettes to assess guideline adherence by physiotherapists in the Netherlands. The evidence-based physiotherapy practice guideline for low back pain was used as an example.
Four vignettes were constructed and pre-tested. Three vignettes were found to represent an adequate case-mix. They describe...
Projects
Projects (9)
The aim of the project is to enable primary care organizations in an interprofessional context and social networks and other citizens' initiatives in the local context to collaborate in a sustainable manner, in order to enable a shift of (preventive) tasks/activities from primary care to the social and/or public domain.
The effects of 'the BeweegKuur', a combined lifestyle intervention for people with overweight in primary care, were evaluated in actual care setting. The project comprised the design, process, effect and cost evaluation of the programme.
In Huber's Positive Health concept, self-management and resilience play a central role. In comparison to earlier health concepts, the accomplishment of Positive Health may require different competences from (health care) professionals and 'patients'. The objective of this study is to assess the mix of competences of (health care) professionals and civilians required to accomplish Positive Health and engage in integrated care programs that aim at this accomplishment.