Ramon Daniels

Zuyd University of Applied Sciences | hszuyd · Research Group for Autonomy and Participation of Chronically Ill

This qualitative study aimed to describe users’ experiences and needs related to wearing, donning, and doffing compression hosiery, and the provision process of compression hosiery and associated assistive products for donning and doffing. Adults who have been advised to wear compression hosiery participated in semi-structured interviews. Existing...

Background The scarcity of resources in long-term care demands more than ever that organizations in this sector are prepared for innovation to ensure affordable access to care for older adults. Organizations that are innovation ready are more capable of implementing innovations. Therefore, a better understanding of how stakeholders view innovation...

Background Extended reality is increasingly used for rehabilitation after acquired brain injury, offering benefits including improved recovery, reduced length of hospital stay, enhanced self-efficacy, and lower cost. Despite these advantages, XR is rarely implemented in daily rehabilitation practice. Objective Outline extended reality for acquired...

BACKGROUND: Work-related musculoskeletal disorders are common among care professionals in elderly care. Exoskeletons showed effectiveness in preventing and reducing low back pain in other sectors. However, the potential of using an exoskeleton in elderly care is unclear. OBJECTIVE: To document the experiences of care professionals using an exoskele...

Background Increasing innovation readiness of long-term care organizations for older adults is vital to ensure future provision and affordability of care delivery. Research into innovation readiness of health care organizations is a rather new field. This study addresses following research question: What factors contribute to innovation readiness o...

Introduction People with dementia and their carers experience social stigma and often refrain from social participation. Significant improvement might be achieved by creating Dementia Friendly communities (DFCs) for which dementia friendly initiatives (DFIs) are needed. DFIs are developed by a variation of stakeholders. However, people with dementi...

Increasing innovation readiness of long-term care organizations is vital to ensure future provision and affordability of care delivery. Against this background, there is a need to obtain more insight into the factors that may lead to innovation readiness of long-term care organizations. Therefore, we conducted a scoping review and an interview stud...

Background: Extended reality (XR) seems promising for rehabilitation for people with acquired brain injury in terms of reducing professional supervision, faster recovery, shorter hospital stays, and reduced expenses. Since there is no overview this scoping review describes how XR can be utilized in rehabilitation, particularly for people with acqu...

BACKGROUND: Do-it-yourself technologies such as 3D printing offer interesting opportunities for creating custom-made assistive devices for people with disabilities. Although these opportunities are increasingly acknowledged, it remains unclear how 3D printing technology should be implemented in assistive devices delivery processes. OBJECTIVE: In th...

Background: Dementia-friendly communities (DFCs) are seen as key to the inclusion and participation of people with dementia and carers. Dementia-friendly initiatives (DFIs) are important building blocks for the growth of DFCs. The collaboration between different stakeholders is a central aspect in developing and sustaining DFIs. Aim: This study...

Background Dementia friendly communities (DFCs) are seen as key to participation of people with dementia and carers. Dementia-friendly initiatives (DFI) are important building blocks for the growth of DFCs. Therefore, it is essential to understand how DFIs are developed and sustained to secure the growth of DFCs. This study identifies contextual fa...

Het domein Gezondheidszorg en Welzijn van Zuyd Hogeschool ziet in living labs kansen om nauwe samenwerking tussen praktijk, onderwijs en onderzoek te realiseren. In living labs komen onderwijs en praktijkleren, onderzoek en innoveren samen. Hoe je het hoger onderwijs goed geïntegreerd krijgt in living labs is het thema van dit artikel. We pr...

Background Increasing innovation readiness of healthcare organizations is necessary to meet upcoming challenges, including population aging, staff shortages and reduced funding. Health care organizations differ in the extent to which they are innovation ready. This review aims to clarify the concept of innovation readiness and identify which factor...

In Long-Term Care for elderly people in the Netherlands, the demand for care is growing and the number of vacancies is increasing. One of the possible solutions to address these developments are innovative technological solutions. An innovative solution could be telemedicine, such as SmartGlass. SmartGlass provides caregivers the possibility to wat...

Background Dementia friendly communities (DFCs) are seen as key to participation of people with dementia and carers. Dementia-friendly initiatives (DFI) are important building blocks for the growth of DFCs. Therefore, it is essential to understand how DFIs are developed and sustained to secure the growth of DFCs. This study identifies contextual fa...

BACKGROUND: New technologies have made rapid advances in the field of assistive technologies (AT), with Extended Reality (XR) offering promising results in supporting people with mild intellectual disabilities (ID). Yet, the design and goals of programs for people with mild ID may differ from those for people with moderate and severe ID. It remains...

As society changes rapidly, there is a need to educate professionals who contribute to innovation and complex adaptations in organizations. As part of this education, companies, governmental bodies and other stakeholders have sought collaboration on complex issues in "living labs". Living labs are recognized as educational environments to prepare s...

Objectives To describe and explain the outcomes of community dementia friendly initiatives (DFIs) for people with dementia and their caregivers to inform the development and tailoring of DFIs Methods Literature searches on DFIs were performed through two systematic online database searches of PubMed, Embase, ASSIA, CINAHL and Google scholar. Paper...

BACKGROUND: Impaired upper extremity function due to muscle paresis or paralysis has a major impact on independent living and quality of life (QoL). Assistive technology (AT) for upper extremity function (i.e. dynamic arm supports and robotic arms) can increase a client’s independence. Previous studies revealed that clients often use AT not to thei...

Achtergrond en doel: Mensen met dementie ervaren vaak problemen op het gebied van communicatie en gedrag. Bij vergevorderde dementie gaat contact maken moeizaam en kunnen hulpmiddelen zoals CRDL (Cradle) mogelijk ondersteunend zijn. CRDL is een interactief instrument dat sociale interactie stimuleert door middel van geluid en aanraking. Het doel va...

De complexiteit van de zorgvragen in de eerste lijn neemt toe: steeds meer patiënten ervaren zowel somatische als psychische en sociale problemen. Huisartsen hebben een belangrijke rol in het signaleren van deze problemen, maar het vraagt onderlinge afstemming met andere zorg- en welzijnsprofessionals, de patiënt en diens naasten, om tot integrale...

Inleiding Van praktijkondersteuners wordt verwacht dat zij samen met chronische zieke patiënten doelen en actieplannen formuleren. Dit vraagt een verandering van hun rol: van medisch expert naar coach. Wij onderzochten de ervaringen van praktijkondersteuners en patiënten met COACH, een nieuwe aanpak voor gezamenlijke besluitvorming, en hun mening o...

Objective: Self-management is a core theme within chronic care and several evidence-based interventions (EBIs) exist to promote self-management ability. However, these interventions cannot be adapted in a mere copy-paste manner. The current study describes and demonstrates a planned approach in adapting EBI's in order to promote self-management in...

Assistive technology supports maintenance or improvement of an individual’s functioning and independence, though for people in need the access to assistive products is not always guaranteed. This paper presents a generic quality framework for assistive technology service delivery that can be used independent of the setting, context, legislative fra...

Introduction: Primary care is increasingly being confronted with complex health care demands stemming from both biomedical and psychosocial problems of people with chronic diseases. Interprofessional collaboration is needed to enhance person-centredness and coordinate care provision in an efficient manner, which should eventually result in high-qu...

Background Primary care nurses play a crucial role in setting personal goals and action plans together with chronically ill patients. This may be a challenge for practice nurses, who are often trained to adopt protocol-based work routines. The aim of this study was to systematically develop a conversation approach, and a corresponding training cour...

Het uitgangspunt van dit boekje is een (SIA RAAK Pro) project Sociale robots in de zorg; van experiment tot zorgpraktijk van Zuyd Hogeschool in samenwerking met Windesheim Hogeschool, Adelante Zorggroep, Heliomare, University of Siena en de University of Hertfordshire. Vanaf de start van het onderzoeksproject in 2013, is er voor gekozen om het onde...

Introduction Interprofessional teamwork is increasingly necessary in primary care to meet the needs of people with complex care demands. Needs assessment shows that this requires efficient interprofessional team meetings, focusing on patients’ personal goals. The aim of this study was to develop a programme to improve the efficiency and patient-cen...

Background: Primary care nurses play a crucial role in coaching patients in shared decision making about goals and actions. This presents a challenge to practice nurses, who are frequently used to protocol-based working routines. Therefore, an approach was developed to support nurses to coach patients in shared decision making. Objectives: To in...

Introduction The ongoing rise in the numbers of chronically ill people necessitates efforts for effective self-management. Goal setting and action planning are frequently used, as they are thought to support patients in changing their behavior. However, it remains unclear how goal setting and action planning in the context of self-management are de...

Overview of phases and components for each article. (PDF)

Overview of mode of delivery, phases, components and strategies for each article. (PDF)

Background The number of people with multiple chronic conditions requiring primary care services increases. Professionals from different disciplines collaborate and coordinate care to deal with the complex health care needs. There is lack of information on current practices regarding interprofessional team (IPT) meetings. Objectives This study aim...

Background The number of people with multiple chronic conditions receiving primary care services is growing. To deal with their increasingly complex health care demands, professionals from different disciplines need to collaborate. Interprofessional team (IPT) meetings are becoming more popular. Several studies describe important factors related to...

Background: The number of people suffering from one or more chronic conditions is rising, resulting in an increase in patients with complex health care demands. Interprofessional collaboration and the use of shared care plans support the management of complex health care demands of patients with chronic illnesses. This study aims to get an overvie...

Background: There is an increasing number of patients with a chronic illness demanding primary care services. This demands for effective self-management support, including collaborative goal setting. Despite the fact that primary care professionals seem to have difficulties implementing goal setting, little information is available about the facto...

Background: The number of people with multiple chronic conditions demanding primary care services is increasing. To deal with the complex health care demands of these people, professionals from different disciplines collaborate. This study aims to explore influential factors regarding interprofessional collaboration related to care plan developmen...

Inleiding Zuyd Hogeschool onderzoekt samen met Universiteit Maastricht hoe je de samenwerking kunt verbeteren in teams van meerdere disciplines die gezamenlijk zorgplannen opstellen. Het streven is interprofessioneel werken. Dat gaat verder dan een multidisciplinaire aanpak. Methoden Experts en zorgprofessionals droegen best practices aan. De onder...

The Canadian Enabling Occupation II guidelines contain theory and examples of how to apply client-centredness in occupation-based practice. Little information is available about the feasibility of the guidelines in other contexts. For 18 months, nine Dutch occupational therapists participated in a community of practice to explore, together with thr...

Introduction: Self-management is considered a potential answer to the increasing demand for family medicine by people suffering from a chronic condition or multi-morbidity. A key element of self-management is goal setting. Goal setting is often defined as a moment of agreement between a professional and a patient. In the self-management literature...

To assess the added value of an interdisciplinary primary care programme for frail elderly people living at home with regard to reducing disability in activities of daily living and preventing functional decline or worsening thereof. A cluster randomised trial. We sent a written survey, the Groningen Frailty Indicator (GFI), to 3498 patients ≥ 70 y...

Introduction: The concept of participation has been extensively used in health and social care literature since the World Health Organization introduced its description in the International Classification of Functioning, Disability and Health (ICF) in 2001. More recently, the concept of social participation is frequently used in research articles...

Background: The complex healthcare needs of frail older people and their increased risk of disability require an integrated and proactive approach. In the Netherlands, an interdisciplinary primary care approach has recently been developed, involving individualized assessment and interventions (tailor-made care), case management and long-term follo...

Samenvatting Inleiding: Het onderzoek naar de DiFiets maakt onderdeel uit van een project over het meer/anders in beweging krijgen van cliënten van verzorgings-en verpleeg-huizen. De DiFiets combineert een hometrainer met een beeldscherm waarop een fietsroute wordt getoond met beelden uit de eigen buurt. Methode: Een kwalitatief onderzoek naar erva...

Objective: To investigate the predictive value of self-reported decline in weight, exhaustion, walking difficulty, grip strength and physical activity on development of disabilities in community-dwelling elderly people. Design: A one-year follow-up study. Setting: Participants were recruited via four Dutch general practitioners. Participants:...

If brief and easy to use self report screening tools are available to identify frail elderly, this may avoid costs and unnecessary assessment of healthy people. This study investigates the predictive validity of three self-report instruments for identifying community-dwelling frail elderly. This is a prospective study with 1-year follow-up among co...

To describe and justify a primary care interdisciplinary programme for community-dwelling frail older people aimed to prevent disability. Disability is a negative outcome of frailty among older persons. Policy reports and research studies emphasize the need for programmes to reduce disability progression. Between 2008 and 2010 we developed such a p...

Background Frailty can lead towards serious adverse consequences, such as disability. With regard to prevention valid screening instruments are needed to identify frail older people. The aim was to evaluate and compare the psychometric properties of three screening instruments: the Groningen Frailty Indicator (GFI), the Tilburg Frailty Indicator (T...

Frailty can lead towards serious adverse consequences, such as disability. With regard to prevention valid screening instruments are needed to identify frail older people. The aim was to evaluate and compare the psychometric properties of three screening instruments: the Groningen Frailty Indicator (GFI), the Tilburg Frailty Indicator (TFI) and the...

Frailty Instruments: Overview of all items. The file contains an overview of all items of the Groningen Frailty Indicator, the Tilburg Frailty Indicator (2nd subscale) and the Sherbrooke Postal Questionnaire.

This narrative review was conducted to provide an overview of the variety of interventions aimed at disability prevention in community-dwelling frail older persons and to summarize promising elements. The search strategy and selection process found 48 papers that met the inclusion criteria. The 49 interventions described in these 48 papers were cat...

Frailty is highly prevalent in older people. Its serious adverse consequences, such as disability, are considered to be a public health problem. Therefore, disability prevention in community-dwelling frail older people is considered to be a priority for research and clinical practice in geriatric care. With regard to disability prevention, valid sc...

The aim of this study was to explore and gain an understanding of occupational therapists' experiences of therapy with patients in inpatient stroke rehabilitation, through the identification of their deliberations for practice. Two focus-group interviews were conducted. The deliberations for action were triggered by using a written case sample. The...

Frailty refers to a state of vulnerability in older persons for adverse outcomes. The recent assumption that frailty, disability, and comorbidity are distinct concepts creates possibilities for interventions that focus on delaying the onset of disabilities. However, disagreement exists on the definition of frailty and the factors contributing to it...

There is an interest for intervention studies aiming at the prevention of disability in community-dwelling physically frail older persons, though an overview on their content, methodological quality and effectiveness is lacking. A search for clinical trials involved databases PubMed, CINAHL and Cochrane Central Register of Controlled Trials and man...

Describes a new and experimental initiative to provide Internet-based courses to student and professional occupational therapists in four centres in the UK, Belgium, The Netherlands and Sweden. The basis of this collaborative Occupational Therapy Internet School (OTIS) is the concept of the “Virtual College”. The aim is to support and facilitate th...

Discusses the OTIS (Occupational Therapy Internet School) experience in providing Internet-based courses to student and professional occupational therapists in four centres across Europe. It uses a problem-based learning approach to promote collaboration between students based in several different European countries, who study and evaluate differen...