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Proactive and integrated primary care for frail older people

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

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.

2012-04-25GezondheidArtikelOpen Access

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

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

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, …

2018-04GezondheidArtikelOpen Access

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

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

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 …

2017GezondheidArtikelOpen Access

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

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

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 …

2016GezondheidArtikelClosed Access

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

Marieke Schuurmans (Lector); Mattijs E. Numans; Niek J. de Wit; Hester ten Dam; Nicolaas Zuithoff; Irene Drubbel; 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: …

2016GezondheidArtikelOpen Access

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

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

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 …

2016GezondheidArtikelOpen Access

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

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

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 …