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Effects, costs and feasibility of the ‘Stay Active at Home’ Reablement training programme for home care professionals:

Silke Metzelthin; Teuni H. Rooijackers; G.A. Zijlstra; Erik van Rossum (Lector); Marja Veenstra; Annemarie Koster; Silvia M. M. A. Evers; Gerard J. P. van Breukelen; Gertrudis I.J.M. Kempen

Background: According to the principles of Reablement, home care services are meant to be goal-oriented, holistic and person-centred taking into account the capabilities and opportunities of older adults. However, home care services traditionally focus on doing things for older adults rather than with …

2018-11-13GezondheidArtikel

The impact of multidimensional frailty on dependency in activities of daily living and the moderating effects of protective factors

Anne van der Vorst; Linda Op het Veld (Lid Lectoraat); Nico de Witte; J.M.G.A. Schols; Gertrudis I.J.M. Kempen; G.A. Zijlstra

Background: Dependency in activities of daily living (ADL) might be caused by multidimensional frailty. Prevention is important as ADL dependency might threaten the ability to age in place. Therefore, this study aimed to assess whether protective factors, derived from a systematic literature review, …

2018-06-30GezondheidArtikel

Unravelling complex primary-care programs to maintain independent living in older people

Linda Smit (Lid Lectoraat); Marieke Schuurmans (Lector); Jeanet W. Blom; Isabelle N. Fabbricotti; Aaltje P.D. Jansen; Gertrudis I.J.M. Kempen; Raymond Koopmans; Willemijn M. Looman; René J.F. Melis; S.F. Metzelthin; Eric P. Moll van Charante; Maaike Muntinga; Franca G.H. Ruikes; Sophie L.W. Spoorenberg; Jacqueline J. Suijker; Klaske Wynia; Jacobijn Gussekloo; Niek J. de Wit; Nienke Bleijenberg (Lector)

Complex interventions are criticized for being a “black box”, which makes it difficult to determine why they succeed or fail. Recently, nine proactive primary-care programs aiming to prevent functional decline in older adults showed inconclusive effects. The aim of this study was to systematically unravel, …

2018-04GezondheidArtikel

Promoting functional activity among nursing home residents

N.O. Kuk; G.A. Zijlstra; Gerrie Bours (Lid Lectoraat); J.P. Hamers; F.E. Tan; Gertrudis I.J.M. Kempen

Objective: To obtain insight into (a) the prevalence of nursing staff–experienced barriers regarding the promotion of functional activity among nursing home residents, and (b) the association between these barriers and nursing staff–perceived promotion of functional activity. Method: Barriers experienced …

2017-01-17GezondheidArtikel

Do nursing staff encourage functional activity among nursing home residents?

Nienke O. Kuk; Mirre den Ouden; G. A. Rixt Zijlstra; Jan P.H. Hamers; Gertrudis L.J.M. Kempen; Gerrie J.J.W. Bours (Lid Lectoraat)

BACKGROUND: Nursing home residents are mainly inactive. Nursing staff can encourage residents to perform functional activities during daily care activities. This study examines 1) the extent to which nursing staff perceive that they encourage functional activity in nursing home residents and 2) the …

2017-01-14GezondheidArtikel

Do Self-Management Interventions Work in Patients With Heart Failure? An Individual Patient Data Meta-Analysis

Frank Peters-Klimm; Filipe Atienza; Pieta Bruggink-André de la Porte; Rolf H.H. Groenwold; Nini H. Jonkman; Marcia E. Leventhal; Ross T. Tsuyuki; Michael W. Rich; Dirk J.A. Lok; Barbara Riegel; Dirk J. van Veldhuisen; Lynda Blue; Anna Strömberg; Jan Mårtensson; Haruka Otsu; Javier Muñiz; Michele Heisler; Tiny Jaarsma; Heleen Westland; Marieke J. Schuurmans; Jaap C.A. Trappenburg; Arno W. Hoes; Paul L. Hebert; Gertrudis I.J.M. Kempen; Darren A. DeWalt; Susanna Ågren

Background—Self-management interventions are widely implemented in care for patients with heart failure (HF). Trials however show inconsistent results and whether specific patient groups respond differently is unknown. This individual patient data meta-analysis assessed the effectiveness of self-management …

2016-03-22GezondheidArtikel

Development and usability of the MAINtAIN, an inventory assessing nursing staff behavior to optimize and maintain functional activity among nursing home residents

Nienke O. Kuk; G.A. Rixt Zijlstra; Gerrie J.J.W. Bours; Jan P.H. Hamers; Gertrudis I.J.M. Kempen

Background: Functional decline is common in nursing home residents. Nursing staff can help prevent this decline, by encouraging residents to be more active in functional activities. Questionnaires measuring the extent to which nursing staff encourage functional activity among residents are lacking. …

2016-02-02GezondheidArtikel

Fried phenotype of frailty

Anna Beurskens (Lector); Linda Op het Veld (Lid Lectoraat); KlaasJan Hajema; Erik van Rossum (Lector); Henrica de Vet; Gertrudis Kempen

Background: The population ageing in most Western countries leads to a larger number of frail older people. These frail people are at an increased risk of negative health outcomes, such as functional decline, falls, institutionalisation and mortality. Many approaches are available for identifying frailty …

2015GezondheidArtikel

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