University of Applied Sciences Leiden

van den Berg D.J., Maas E.T., Edelaar R., Arendsen M.B., de Louw E.J., Kiers H., Vliet Vlieland T.P., Ostelo R.W., Donker M.H.

Background: Clinical guidelines for physiotherapy following total hip and knee arthroplasty (THA/TKA) recommend using Patient-Reported Outcome Measures (PROMs) like the Hip disability and Knee injury Osteoarthritis Outcome Score (HOOS/KOOS). However, it remains unclear how physiotherapists use these PROMs in daily clinical practice. Objective: To explore primary care physiotherapists’ experiences with the HOOS/KOOS in daily clinical practice following THA and TKA. Methods: Thirteen physiotherapists in the Netherlands were recruited via convenience sampling. Data were collected through semi-structured interviews, which explored HOOS/KOOS use in clinical practice, administrative regulations, and applications beyond patient care, as well as think-aloud interviews to capture perceptions of the content of these PROMs and interpretations of hypothetical patient scores. Interviews were analysed using reflexive thematic analysis. Results: The physiotherapists’ ages ranged from 25 to 54y, with annual THA/TKA volumes from 5 to 50 patients. Three themes emerged, as follows: (1) “Physiotherapists use the HOOS/KOOS for various purposes in daily clinical practice”, including complementing history taking and monitoring patient progress; (2) “Perceptions of the relevance of the HOOS/KOOS for daily clinical practice vary per item, domain, and version,” with items related to daily life activities and psychosocial factors being perceived as more valuable; and (3) “Practical aspects of HOOS/KOOS administration influence their use in daily clinical practice,” with electronic health records (EHRs) that facilitate PROM administration enhancing their use, while administrative regulations limit this. Conclusions: Physiotherapists experience HOOS/KOOS items related to daily life activities and psychosocial factors useful for history-taking and monitoring patient progress, particularly when embedded in EHRs that facilitate PROM administration.

Boer D., Nibbering R., Schmidt C., Sterke S., Sizoo E., Vlieland T.

Abstract Introduction Functional decline and restricted mobility are common issues among nursing home residents with dementia, resulting in frequent use of physiotherapy services. While these residents can typically articulate their therapy needs and preferences, these have not been investigated properly regarding physiotherapy and exercise, which may compromise therapy adherence. This study aims to explore the needs and preferences of nursing home residents with mild to moderate dementia in relation to physiotherapy and exercise interventions. Methods Semi-structured individual interviews were conducted with 15 nursing home residents diagnosed with mild to moderate dementia, who could understand and speak Dutch and were capable of providing informed consent. Thematic analysis was used to analyse interview data. Results From the interviews a total of 82 unique codes were identified, leading to four major themes: preferences regarding physiotherapeutic treatment, differences between physiotherapy and other exercises, preferences for unsupervised exercise, and communication and involvement preferences. Overall, residents wanted physiotherapy that included exercise and advice aimed at maintaining physical functioning and independence. Many participants indicated that a physiotherapist was not always required to supervise exercises as long as safety and quality were ensured. While residents wanted their family caregivers to stay informed about their therapy, they mostly preferred to exercise with someone other than a family caregiver. Conclusions Residents emphasised the importance of a physiotherapist providing information and understanding, and noted that sessions could be supervised by others if quality and safety are maintained. While residents preferred regular updates to their family, they did not want to exercise with them. A future coaching role for physiotherapists to oversee exercise interventions could enhance healthcare cost efficiency.

Morsink M.C., van Schaik E.N., Bossers K., Duijker D.A., Speksnijder A.G.

AbstractTargeted metagenomics is a rapidly expanding technology to analyze complex biological samples and genetic monitoring of environmental samples. In this research field, data analytical aspects play a crucial role. In order to teach targeted metagenomics data analysis, we developed a 4‐week inquiry‐driven modular course‐based undergraduate research experience (mCURE) using publicly available Australian coral microbiome DNA sequencing data and associated metadata. Since an enormous amount of metadata was provided alongside the DNA sequencing data, groups of students were able to develop their own authentic research questions. Throughout the course, the student groups worked on these research questions and were supported with bioinformatics and statistics lessons. Additionally, practical aspects of data collection and analysis were addressed during hands‐on field work on a nearby Dutch beach. Evaluation of the course indicated that the majority of students (1) achieved the intended metagenomics‐based learning outcomes and (2) experienced scientific discovery while working on their research projects. In conclusion, the huge amount of data and metadata available in the coral microbiome data set facilitated the development of a strongly inquiry‐driven course. Different groups of students were able to develop and conduct their own distinct microbiome research projects and our current mCURE format positively affected students' metagenomics data analytical skills and scientific discovery perception.

Baars E.W., Weiermayer P., Szőke H.P., van der Werf E.T.

Background/Objectives: Given the magnitude and urgency of the global antimicrobial resistance (AMR) problem and the insufficiency of strategies to reduce antimicrobial use, there is a need for novel strategies. Traditional, Complementary, and Integrative Healthcare (TCIH) provides strategies and solutions that contribute to reducing (inappropriate) antimicrobial use, preventing or treating infections in both human and veterinary medicine, and may contribute to promoting the health/resilience of humans and animals and reducing AMR. The aims of this study were to present the core results of a global TCIH research agenda for AMR and its added value to two existing global AMR research agendas published in 2023. Methods: A survey, interviews, and consensus meetings among network members, as an adapted version of the nominal group technique, were executed to develop the global TCIH research agenda. A comparison of the global TCIH research agenda with the two existing global AMR research agendas was performed. The TCIH additions to these two existing global AMR research agendas were determined. Results: The global TCIH research agenda adds to 19 of 40 research priorities of the World Health Organization (WHO) AMR research agenda 2023 and three of the five pillars of the WHO/Food and Agriculture Organization of the United Nations (FAO)/United Nations Environment Programme (UNEP)/World Organisation for Animal Health (WOAH) research agenda 2023. In addition, the TCIH research agenda adds two new research themes with four new research priorities and three new research priorities to already existing themes of the two global AMR research agendas. Conclusions: The global TCIH research agenda fits with and adds to two global AMR research agendas and can be used as an additional strategy to reduce AMR and (inappropriate) use of antibiotics.

Tang E., de Haan A.D., Kuiper C.H., Harder A.T.

Family involvement in youth care and special education is referred to as family-centered practice (FCP). Research on FCP, for example in relation to the effectiveness of youth care and special education, is challenged by a lack of validated instruments that measure youth professionals’ family-centered attitudes and actions that is applicable across multiple settings and professions in youth care and special education. The overall aim of the current study was to develop and empirically evaluate a comprehensive, multi-dimensional measure to assess family centered practice in residential youth care: the 40-item Family-Centered Attitudes and Actions Scale (FAAS). We developed the 40-item FAAS in collaboration with field experts, using our systematic review on FCP in residential youth care as the foundation for the scale. Youth professionals in various Dutch welfare settings (N = 279) completed the FAAS. We used confirmatory factor analysis (CFA) to adjust the scale until we established satisfactory model fit and analyzed the psychometric properties of the adjusted scale. CFA confirmed the four proposed dimensions: Whole Family Empowerment, Shared Decision-Making Analysis, Parent-Child Contact, and Family-Staff Alliance. The adjusted 27-item FAAS shows sufficient internal consistency and convergent validity, correlating positively with professionals’ self-efficacy and organizational support regarding the implementation FCP. Our findings provide initial evidence that the 27-item FAAS is an internally consistent measure of youth professionals’ family-centered attitudes and actions and show preliminary evidence of convergent validity. The FAAS has the potential to contribute to knowledge about the effectiveness of FCP in youth care and special education.

Selimi R., Llullaku N., van der Helm G.H., (Geert-Jan) Stams G.J., Roest J.

van den Berg D.J., Kiers H., Maas E.T., Vliet Vlieland T.P., Ostelo R. .

aan de Stegge C.

van der Veen D.J., Siemonsma P.C., van der Wees P.J., Swart B.J., Satink T., Graff M.J.

Heynen E., Pat-El R., Gobbi P., Junte M., van Helm P.

This study represents the first longitudinal data of living group climate in a Germany youth detention centre in terms of the support from staff, opportunities for growth, repression and group atmosphere among inmates. Participants were male adolescents (N = 709) living in supervised living groups. They completed the German version of the PGCI at 8 different moments over a period of 5 years, from 2014 to 2019. Four separate piecewise multilevel regression analyses revealed a significant increase of support. Repression decreased significantly during the first three measurement waves, and subsequently showed a slight but significant increase, while neither growth nor group atmosphere significantly changed. The present results are novel in their character as they explicitly add to the limited body of knowledge on longitudinal changes in living group climate in youth detention facilities.

Melissant H.C., Hendriks R.R., Bakker E.J., Kox J.H., Rietveld N., Miedema H.S., Roelofs P.D., Verhaegh K.J.

Many transition-to-practice programs have been developed to support novice nurses during their first years into practice. These programs report improvements in retention, wellbeing and clinical competence, but the driving mechanisms of these interventions remain largely unclear.

van der Lugt D.R., Smits T., El‐Yamani L., van den Eng T., Burggraaf M.J., Horn I.R.

AbstractWriting is usually integrated in the curriculum of science studies. However, students often lack the skills to write for various audiences or, to produce a well written manuscript. We developed a concise project of 15 European Credits to improve the writing skills in an early phase of the bachelor study. Students worked on texts from various journals and looked at the writing styles. They rewrote texts in a popular and more scientific way and practiced with clear, vivid language, avoiding clutter and hedge words, considering a proper use of grammar and interpunction. Medical writing was also introduced during the project. Grading was based on rewriting for a non‐expert and expert audience. A rewritten text was presented to the public in the form of a student‐initiated survey. This project shows an inverted approach creating student ownership and enthusiasm for writing. In addition, we created and tested successfully a concise two‐day workshop based on this project. Based on the results we herewith present the work as an idea to explore.

aan de Stegge C.

Heemskerk W.M., Wallner C., Jungerius C., Bussemaker J.

Indicating how community participation transfers to application within the nursing learning and working context.

Kubota K., Auxier J., Aslan F., Joronen K., Pakarinen A.