Ingrid Rosbergen

Ingrid Rosbergen
University of Applied Sciences Leiden | UAS · Department of Health

Doctor of Philosophy (PhD)

About

19
Publications
2,285
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232
Citations
Introduction
Research interest in stroke rehabilitation and brain recovery: consumer involvement, optimizing environments to support physical activity such as environmental enrichment and optimal hospital design, efficacy of telerehabilitation after stroke to support delivery of quality care and rehabilitation across the continuum. Expertise in co-design, implementation science, health service research, and observation (behavioral mapping) of physical activity and accelerometers .

Publications

Publications (19)
Article
Background Cognitive impairment is common and problematic post-stroke, yet vital information to understand early cognitive recovery is lacking. To examine early cognitive recovery, it is first necessary to establish the feasibility of repeat cognitive assessment during the acute post-stroke phase. Objective To determine if serial computerised test...
Article
Full-text available
Objective Determine the effects of a vertigo/dizziness emergency department (ED) clinical pathway incorporating vestibular physiotherapy on quality and efficiency of care. Study Design A multisite retrospective study investigated differences between cohorts before and after a vertigo clinical pathway and cohorts who did and did not receive vestibu...
Article
Adherence to prescribed exercise poses significant challenges for older adults despite proven benefits. The aim of this exploratory descriptive qualitative study was to explore the perceived barriers to and facilitators of prescribed home exercise adherence in community-dwelling adults 65 years and older. Three focus groups with 17 older adults ( M...
Article
Background Interprofessional practice and teamwork are critical components to patient care in a complex hospital environment. The implementation of electronic health records (EHRs) in the hospital environment has brought major change to clinical practice for clinicians which could impact interprofessional practice. Objectives The aim of the study i...
Article
Full-text available
Introduction This study aimed to explore the perspective of nurses, therapists and stroke survivors on the performance of upper limb self-exercise and use outside therapy during early inpatient stroke rehabilitation. Methods A descriptive qualitative approach was used in focus groups with nurses (n = 21) and therapists (n = 8), as well as in-depth...
Article
Purpose To seek physiotherapists’ perspectives on patient adherence to exercise prescription for falls prevention/risk reduction in the Singapore setting. Method Three focus groups with physiotherapists (n = 16) were conducted. An inductive thematic analysis was performed to identify main themes by four independent researchers. Results Three main...
Article
Purpose To explore the decision-making processes and experiences of acute and rehabilitation clinicians, regarding referral and acceptance of patients to rehabilitation after stroke. Materials and methods Multi-site rapid ethnography, involving observation of multidisciplinary case conferences, interviews with acute stroke and rehabilitation clini...
Article
Purpose: The aim of this study was to quantify changes in patients’ activity levels, location and people present, within one acute stroke unit (ASU) and one inpatient rehabilitation unit (IRU) with respect to change in hospital design. Methods: A prospective observational study using behavioural mapping. We observed participants from 8 am till 5pm...
Article
Objective The aims of this study were to describe patterns and dose of rehabilitation received following stroke and to investigate their relationship with outcomes. Design This was a prospective observational cohort study. Setting A total of seven public hospitals and all subsequent rehabilitation services in Queensland, Australia, participated i...
Article
Background & aims: Malnutrition is common after stroke. We investigated the impact of environmental enrichment strategies on dietary intake and rates of malnutrition in an acute stroke unit. Methods: We performed a before-after study. In standard care, meals were delivered to participants' rooms whilst in the enriched environment, communal meals...
Article
Objective: To describe current practice and investigate factors associated with selection for rehabilitation following acute stroke. Design: Prospective observational cohort study. Setting: Seven public hospitals in Queensland, Australia. Subjects: Consecutive patients surviving acute stroke. Measures: Rehabilitation selection processes ar...
Article
Objectives:: To explore the effect of environmental enrichment within an acute stroke unit on how and when patients undertake activities, and the amount of staff assistance provided, compared with a control environment (no enrichment). Design:: This is a substudy of a controlled before-after observational study. Setting:: The study was conduct...
Article
Full-text available
Environmental enrichment (EE) has been widely used as a means to enhance brain plasticity mechanisms (e.g., increased dendritic branching, synaptogenesis, etc.) and improve behavioral function in both normal and brain-damaged animals. In spite of the demonstrated efficacy of EE for enhancing brain plasticity, it has largely remained a laboratory ph...
Article
Full-text available
Objective An enriched environment embedded in an acute stroke unit can increase activity levels of patients who had stroke, with changes sustained 6 months post-implementation. The objective of this study was to understand perceptions and experiences of nursing and allied health professionals involved in implementing an enriched environment in an a...
Article
Objectives: To determine whether an enriched environment embedded in an acute stroke unit could increase activity levels in acute stroke patients and reduce adverse events. Design: Controlled before-after pilot study. Setting: An acute stroke unit in a regional Australian hospital. Participants: Acute stroke patients admitted during (a) init...
Article
Full-text available
Background Clinical practice guidelines advocate engaging stroke survivors in as much activity as possible early after stroke. One approach found to increase activity levels during inpatient rehabilitation incorporated an enriched environment (EE), whereby physical, cognitive, and social activity was enhanced. The effect of an EE in an acute stroke...

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Projects

Projects (5)
Project
The project has a stage 1 co-design phase to develop the intervention and stage 2 pilot RCT phase to determine the efficacy of the telerehabilitation intervention on physical activity levels.
Project
To determine if an enriched environment increases physical, social and cognitive activity in people with stroke early after stroke
Project
Provide a pathway for patients presenting with dizziness and vertigo to the emergency department to improve diagnosis and follow up.