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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

Unravelling effectiveness of a nurse-led behaviour change intervention to enhance physical activity in patients at risk for cardiovascular disease in primary care

Heleen Westland; Irene D. Bos-Touwen; Jaap C.A. Trappenburg; Carin D. Schröder; Niek J. de Wit; Marieke Schuurmans (Lector)

Background: Self-management interventions are considered effective in patients with chronic disease, but trials have shown inconsistent results, and it is unknown which patients benefit most. Adequate self-management requires behaviour change in both patients and health care providers. Therefore, the …

2017GezondheidArtikel

Patient factors that influence clinicians' decision making in self-management support: a clinical vignette study

Irene D. Bos-Touwen; Jaap C.A. Trappenburg; Ineke van der Wulp; Marieke Schuurmans (Lector); Niek J. de Wit

Background and aim Self-management support is an integral part of current chronic care guidelines. The success of self-management interventions varies between individual patients, suggesting a need for tailored self-management support. Understanding the role of patient factors in the current decision …

2017GezondheidArtikel

Implementatie van een proactief zorgprogramma voor kwetsbare ouderen in de huisartsenpraktijk: van onderzoek naar praktijk

Artine de Jonge; Nienke Bleijenberg; Morris P. Brand; Niek J. de Wit; Marieke J. Schuurmans (Lector); Caitriona O’Flynn

Full text beschikbaar met HU-account Achtergrond Multimorbiditeit, functionele beperkingen en kwetsbaarheid bij thuiswonende ouderen leiden tot een toenemende zorgcomplexiteit in de eerstelijn. Een proactieve, integrale aanpak is hierbij noodzakelijk. In de periode oktober 2014–oktober 2015 is een …

2016GezondheidArtikel

Treatment Fidelity of an Evidence-Based Nurse-Led Intervention in a Proactive Primary Care Program for Older People

Nienke Bleijenberg (Lector); Valerie H. ten Dam; Irene Drubbel; Mattijs E. Numans; Niek J. de Wit; Marieke Schuurmans (Lector)

Background In a large randomized trial, Utrecht PROactive Frailty Intervention Trial (U‐PROFIT), we evaluated the effectiveness of an integrated program on the preservation of daily functioning in older people in primary care that consisted of a frailty identification tool and a multicomponent nurse‐led …

2016GezondheidArtikel

Effectiveness of a Proactive Primary Care Program on Preserving Daily Functioning of Older People: A Cluster Randomized Controlled Trial

Irene Drubbel; Mattijs E. Numans; Marieke J. Schuurmans (Lector); Hester ten Dam; Niek J. de Wit; Nicolaas P.F. Zuidhoff; Nienke Bleijenberg

OBJECTIVES: To determine the effectiveness of a proactive primary care program on the daily functioning of older people in primary care. DESIGN: Single-blind, three-arm, cluster-randomized controlled trial with 1-year follow-up. SETTING: Primary care setting, 39 general practices in the Netherlands. PARTICIPANTS: …

2016GezondheidArtikel

Proactive and integrated primary care for frail older people

Irene Drubbel; Marieke J. Schuurmans (Lector); Mattijs E. Numans; Niek J. de Wit; Valerie H. ten Dam; Nienke Bleijenberg

Het ontwerp van een onderzoek naar de effectiviteit van twee interventiemethodes (U-PRIM en U-CARE) voor een proactieve zorg voor kwetsbare ouderen. Uitdagingen en methodologische kwesties worden uitgelicht.

2012-04-25GezondheidArtikel

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

Unravelling effectiveness of a nurse-led behaviour change intervention to enhance physical activity in patients at risk for cardiovascular disease in primary care

Patient factors that influence clinicians' decision making in self-management support: a clinical vignette study

Implementatie van een proactief zorgprogramma voor kwetsbare ouderen in de huisartsenpraktijk: van onderzoek naar praktijk

Treatment Fidelity of an Evidence-Based Nurse-Led Intervention in a Proactive Primary Care Program for Older People

Effectiveness of a Proactive Primary Care Program on Preserving Daily Functioning of Older People: A Cluster Randomized Controlled Trial

Proactive and integrated primary care for frail older people

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