Publish in OALib Journal

ISSN: 2333-9721

APC: Only $99


Any time

2018 ( 1 )

2017 ( 6 )

2016 ( 7 )

2015 ( 18 )

Custom range...

Search Results: 1 - 10 of 681 matches for " Eddy Adang "
All listed articles are free for downloading (OA Articles)
Page 1 /681
Display every page Item
Effectiveness and efficiency of a practice accreditation program on cardiovascular risk management in primary care: study protocol of a clustered randomized trial
Nouwens Elvira,Van Lieshout Jan,Adang Eddy,Bouma Margriet
Implementation Science , 2012, DOI: 10.1186/1748-5908-7-94
Abstract: Background Cardiovascular risk management is largely provided in primary healthcare, but not all patients with established cardiovascular diseases receive preventive treatment as recommended. Accreditation of healthcare organizations has been introduced across the world with a range of aims, including the improvement of clinical processes and outcomes. The Dutch College of General Practitioners has launched a program for accreditation of primary care practices, which focuses on chronic illness care. This study aims to determine the effectiveness and efficiency of a practice accreditation program, focusing on patients with established cardiovascular diseases. Methods/design We have planned a two-arm cluster randomized trial with a block design. Seventy primary care practices will be recruited from those who volunteer to participate in the practice accreditation program. Primary care practices will be the unit of randomization. A computer list of random numbers will be generated by an independent statistician. The intervention group (n = 35 practices) will be instructed to focus improvement on cardiovascular risk management. The control group will be instructed to focus improvement on other domains in the first year of the program. Baseline and follow-up measurements at 12 months after receiving the accreditation certificate are based on a standardized version of the audit in the practice accreditation program. Primary outcomes include controlled blood pressure, serum cholesterol, and prescription of recommended preventive medication. Secondary outcomes are 15 process indicators and two outcome indicators of cardiovascular risk management, self-reported achievement of improvement goals and perceived unintended consequences. The intention to treat analysis is statistically powered to detect a difference of 10% on primary outcomes. The economic evaluation aims to determine the efficiency of the program and investigates the relationship between costs, performance indicators, and accreditation. Discussion It is important to gain more information about the effectiveness and efficiency of the practice accreditation program to assess if participation is worthwhile regarding the quality of cardiovascular risk management. The results of this study will help to develop the practice accreditation program for primary care practices. Trial registration This cluster randomized trial is registered at ClinicalTrials.gov nr NCT00791362
Helping hands: A cluster randomised trial to evaluate the effectiveness of two different strategies for promoting hand hygiene in hospital nurses
Anita Huis, Lisette Schoonhoven, Richard Grol, George Borm, Eddy Adang, Marlies Hulscher, Theo van Achterberg
Implementation Science , 2011, DOI: 10.1186/1748-5908-6-101
Abstract: This study is a cluster randomised controlled trial with inpatient wards as the unit of randomisation. Guidelines for hand hygiene will be implemented in this study. Two strategies will be used to improve the adherence to guidelines for hand hygiene. The state-of-the-art strategy is derived from the literature and includes education, reminders, feedback, and targeting adequate products and facilities. The extended strategy also contains activities aimed at influencing social influence in groups and enhancing leadership. The unique contribution of the extended strategy is built upon relevant behavioural science theories. The extended strategy includes all elements of the state-of-the-art strategy supplemented with gaining active commitment and initiative of ward management, modelling by informal leaders at the ward, and setting norms and targets within the team. Data will be collected at four points in time, with six-month intervals. An average of 3,000 opportunities for hand hygiene in approximately 900 nurses will be observed at each time point.Performing and evaluating an implementation strategy that also targets the social context of teams may considerably add to the general body of knowledge in this field. Results from our study will allow us to draw conclusions on the effects of different strategies for the implementation of hand hygiene guidelines, and based on these results we will be able to define a preferred implementation strategy for hospital based nursing.The study is registered as a Clinical Trial in ClinicalTrials.gov, dossier number: NCT00548015.Hospital-acquired infections (HAIs) are a serious and persistent problem throughout the world. They are burdensome to patients, complicate treatment, prolong hospital stay, increase costs, and can be life threatening [1,2].Micro-organisms on the hands of healthcare workers contribute to the incidence of infections in patients [3,4]. Therefore, hand hygiene prescriptions are widely accepted as the most importa
Systematic care for caregivers of people with dementia in the ambulatory mental health service: designing a multicentre, cluster, randomized, controlled trial
Anouk Spijker, Frans Verhey, Maud Graff, Richard Grol, Eddy Adang, Hub Wollersheim, Myrra Vernooij-Dassen
BMC Geriatrics , 2009, DOI: 10.1186/1471-2318-9-21
Abstract: In our ongoing, cluster, randomized, single-blind, controlled trial, the participants in six mental health services in four regions of the Netherlands have been randomized per service. Professionals of the ambulatory mental health services (psychologists and social psychiatric nurses) have been randomly allocated to either the intervention group or the control group. The study population consists of community-dwelling people with dementia and their informal caregivers (patient-caregiver dyads) coming into the health service. The dyads have been clustered to the professionals. The primary outcome measure is the patient's admission to a nursing home or home for the elderly at 12 months of follow-up. This measure is the most important variable for estimating cost differences between the intervention group and the control group. The secondary outcome measure is the quality of the patient's and caregiver's lives.A novelty in the SCPD is the pro-active and systematic approach. The focus on the caregiver's sense of competence is relevant to economical healthcare, since this sense of competence is an important determinant of delay of institutionalization of people with dementia. The SCPD might be able to facilitate this with a relatively small cost investment for caregivers' support, which could result in a major decrease in costs in the management of dementia. Implementation on a national level will be started if the SCPD proves to be efficient.NCT00147693Estimates state that the rapidly aging western European population will peak at about 2040 [1]. An aging population demands more healthcare and challenges the healthcare budget. Two-thirds of the people with dementia (also referred to as "patients" in this study protocol) are cared for at home [2]. Care at home is often intensive and burdensome. Informal caregivers of these patients carry a greater burden than informal caregivers of other chronically ill people [3], and they are at a greater risk of depression [4-6]. The
Ibn azm on Homosexuality. A case-study of āhirī legal Methodology
Adang, Camilla
Al-Qantara : Revista de Estudios Arabes , 2003,
Abstract: This article discusses the views of the teologian and legal scholar Ibn azm of Cordoba (d. 456/1064) on homosexuality. Although reference is made to his literary work awq al- amāma, which is rich in anecdotes on homoerotic attraction, the article focuses on Ibn azm's multivolume legal tract Kitāb al-Mu allā, a work written from a āhirī, or literalist perspective. A step-by-step analysis of Ibn Hazm's legal reasoning on homosexuality, both male (liwā ) and female (si āq) is provided, and comparisons with the views of other jurist, especially Mālikis, are made. Unlike his Mālikī contemporaries, Ibn azm holds that homosexuality is not to be equated with fomication (zinā), which incurs the death penalty. Instead, he advocates a relatively mild punishment of up to ten lashes for homosexual practices, based upon his idiosyncratic interpretation of the revealed sources which is illustrated here. Although Ibn azm is believed by some modem authors to have had homosexual leanings himself, he categorically condemns sexual contacts between members of the same sex as immoral and sinful, and believes that homosexuals should be reformed. Este artículo discute las opiniones de Ibn azm de Córdoba (m. 456/1064) jurista y teólogo, acerca de la homosexualidad. Aunque se hace referencia a su obra literaria awq al- amāma, rica en anécdotas sobre atracción homoerótica, el artículo se centra en su voluminosa obra legal zahirí Kitāb al-Mu allā y analiza el razonamiento legal de Ibn azm sobre la homosexualidad tanto masculina (liwāf) como femenina (si āq) comparándola con la de otros juristas, en particular, malikíes. A diferencia de sus contemporáneos malikíes, Ibn Hazm mantiene que la homosexualidad no debe equipararse a la fornicación (zinā) que incurre en la pena de muerte. Por el contrario, aboga por el relativamente suave castigo de diez latigazos por prácticas homosexuales, basado en su interpretación de las fuentes reveladas tal y como se expone en este artículo. Aunque algunos autores modernos han insinuado que el propio Ibn azm era homosexual, él condena categóricamente las relaciones entre miembros de un mismo sexo y mantiene que los homosexuales deben reformarse.
Act In case of Depression: The evaluation of a care program to improve the detection and treatment of depression in nursing homes. Study Protocol
Debby L Gerritsen, Martin Smalbrugge, Steven Teerenstra, Ruslan Leontjevas, Eddy M Adang, Myrra JFJ Vernooij-Dassen, Els Derksen, Raymond TCM Koopmans
BMC Psychiatry , 2011, DOI: 10.1186/1471-244x-11-91
Abstract: In a 19-month longitudinal controlled study using a stepped wedge design, 14 somatic and 14 dementia special care units will implement the care program. All residents who give informed consent on the participating units will be included. Primary outcomes are the frequency of depression on the units and quality of life of residents on the units. The effect of the care program will be estimated using multilevel regression analysis. Secondary outcomes include accuracy of depression-detection in usual care, prevalence of depression-diagnosis in the intervention group, and response to treatment of depressed residents. An economic evaluation from a health care perspective will also be carried out.The care program is expected to be effective in reducing the frequency of depression and in increasing the quality of life of residents. The study will further provide insight in the cost-effectiveness of the care program.Netherlands Trial Register (NTR): NTR1477Depression is a common health problem in nursing home (NH) residents: prevalence rates vary from 6 to even 50% [1-3]. Depression is strongly related to quality of life of NH residents [4], it seriously impacts wellbeing and daily functioning, and increases use of health care services and even mortality [5-7]. The association between depression and quality of life highlights the importance of identifying and treating depression in NH residents with and those without dementia [8,4]. Unfortunately, although depression is a treatable disorder [9], various studies have shown poor detection and undertreatment of depression in NH residents [2,10-12].Several studies have demonstrated effects of pharmacological and psychosocial interventions for depression in nursing homes [13,14]. The review of Bharucha et al. [15] of 'talk therapies' for depression in long-term care presents evidence for an improvement in depressive symptoms after reminiscence/life review therapy. Moreover, there is evidence for the effectiveness of multifaceted
A new combined strategy to implement a community occupational therapy intervention: designing a cluster randomized controlled trial
Carola ME D?pp, Maud JL Graff, Steven Teerenstra, Eddy Adang, Ria WG Nijhuis - van der Sanden, Marcel GM OldeRikkert, Myrra JFJ Vernooij-Dassen
BMC Geriatrics , 2011, DOI: 10.1186/1471-2318-11-13
Abstract: In this cluster randomized, single-blinded, controlled trial, each cluster consists of at least two occupational therapists, a manager, and a physician working at Dutch healthcare organizations that deliver community occupational therapy. Forty-five clusters, stratified by healthcare setting (nursing home, hospital, mental health service), have been allocated randomly to either the intervention group (CI strategy) or the control group (ED strategy). The study population consists of the professionals included in each cluster and community-dwelling people with dementia and their caregivers. The primary outcome measures are the use of community OT, the adherence of OTs to the COTiD program, and the cost effectiveness of implementing the COTiD program in outpatient care. Secondary outcome measures are patient and caregiver outcomes and knowledge of managers, physicians and OTs about the COTiD program.Implementation research is fairly new in the field of occupational therapy, making this a unique study. This study does not only evaluate the effects of the CI-strategy on professionals, but also the effects of professionals' degree of implementation on client and caregiver outcomes.NCT01117285Dementia is associated with a major decrease in quality of life of clients and their caregivers due to a loss of independence, autonomy, and social participation [1]. In addition, dementia is a major driver of costs in health care [2]. These costs increased by 34% between 2005 and 2009 [3]. In the Netherlands, nearly 1% of people aged 65 years old suffer from dementia and 40% of people aged 90 and over [4]. The number of dementia patients will increase substantially in the years to come [5]. This stresses the importance of effective interventions which aim at increasing quality of life of people with dementia and their caregivers [6] and implementation of these interventions in practice.Two recent pilot studies showed that strategies currently used to implement the COTiD program are n
Improving person-centred care in nursing homes through dementia-care mapping: design of a cluster-randomised controlled trial
Geertje van de Ven, Irena Draskovic, Eddy MM Adang, Rogier ART Donders, Aukje Post, Sytse U Zuidema, Raymond TCM Koopmans, Myrra JFJ Vernooij-Dassen
BMC Geriatrics , 2012, DOI: 10.1186/1471-2318-12-1
Abstract: The study is a cluster-randomised controlled trial, with nursing homes grouped in clusters. Studywise minimisation is the allocation method. Nursing homes in the intervention group will receive a dementia-care-mapping intervention, while the control group will receive usual care. The primary outcome measure is resident agitation, to be assessed with the Cohen-Mansfield Agitation Inventory. The secondary outcomes are resident neuropsychiatric symptoms, assessed with the Neuropsychiatric Inventory - Nursing Homes and quality of life, assessed with Qualidem and the EQ-5D. The staff outcomes are stress reactions, job satisfaction and job-stress-related absenteeism, and staff turnover rate, assessed with the Questionnaire about Experience and Assessment of Work, the General Health Questionnaire-12, and the Maastricht Job Satisfaction Scale for Health Care, respectively. We will collect the data from the questionnaires and electronic registration systems. We will employ linear mixed-effect models and cost-effectiveness analyses to evaluate the outcomes. We will use structural equation modelling in the secondary analysis to evaluate the plausibility of a theoretical model regarding the effectiveness of the dementia-care mapping intervention. We will set up process analyses, including focus groups with staff, to determine the relevant facilitators of and barriers to implementing dementia-care mapping broadly.A novelty of dementia-care mapping is that it offers an integral person-centred approach to dementia care in nursing homes. The major strengths of the study design are the large sample size, the cluster-randomisation, and the one-year follow-up. The generalisability of the implementation strategies may be questionable because the motivation for person-centred care in both the intervention and control nursing homes is above average. The results of this study may be useful in improving the quality of care and are relevant for policymakers.The trial is registered in the Ne
The design of the Dutch EASYcare study: a randomised controlled trial on the effectiveness of a problem-based community intervention model for frail elderly people [NCT00105378]
René JF Melis, Monique IJ van Eijken, George F Borm, Michel Wensing, Eddy Adang, Eloy H van de Lisdonk, Theo van Achterberg, Marcel GM Olde Rikkert
BMC Health Services Research , 2005, DOI: 10.1186/1472-6963-5-65
Abstract: DGIP is a community intervention model for frail elderly persons where the GP refers elderly patients with a problem in cognition, mood, behaviour, mobility, and nutrition. A geriatric specialist nurse applies a guideline-based intervention with a limited number of follow up visits. The intervention starts with the application of the EASYcare instrument for geriatric screening. The EASYcare instrument assesses (instrumental) activities of daily life, cognition, mood, and includes a goal setting item. During the intervention the nurse regularly consults the referring GP and a geriatrician. Effects on functional performance (Groningen Activity Restriction Scale), health related quality of life (MOS-20), and carer burden (Zarit Burden Interview) are studied in an observer blinded randomised controlled trial. 151 participants were randomised over two treatment arms – DGIP and regular care – using pseudo cluster randomisation. We are currently performing the follow up visits. These visits are planned three and six months after inclusion. Process measures and cost measures will be recorded. Intention to treat analyses will focus on post intervention differences between treatment groups.The design of a trial evaluating the effects of a community intervention model for frail elderly people was presented. The problem-based participant selection procedure satisfied; few patients that the GP referred did not meet our eligibility criteria. The use of standard terminology makes detailed insight into the contents of our intervention possible using terminology others can understand well.In frail elderly persons chronic conditions and loss of function challenge their autonomy. This harms their well-being, and often leads to institutionalisation and high health care costs.There is much heterogeneity in the degree to which frailty affects older people. While some have many problems, others age successfully [1]. The introduction of the concept of successful aging voiced a change in ou
Effects of Dementia-Care Mapping on Residents and Staff of Care Homes: A Pragmatic Cluster-Randomised Controlled Trial
Geertje van de Ven, Irena Draskovic, Eddy M. M. Adang, Rogier Donders, Sytse U. Zuidema, Raymond T. C. M. Koopmans, Myrra J. F. J. Vernooij-Dassen
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0067325
Abstract: Background The effectiveness of dementia-care mapping (DCM) for institutionalised people with dementia has been demonstrated in an explanatory cluster-randomised controlled trial (cRCT) with two DCM researchers carrying out the DCM intervention. In order to be able to inform daily practice, we studied DCM effectiveness in a pragmatic cRCT involving a wide range of care homes with trained nursing staff carrying out the intervention. Methods Dementia special care units were randomly assigned to DCM or usual care. Nurses from the intervention care homes received DCM training and conducted the 4-months DCM-intervention twice during the study. The primary outcome was agitation, measured with the Cohen-Mansfield agitation inventory (CMAI). The secondary outcomes included residents’ neuropsychiatric symptoms (NPSs) and quality of life, and staff stress and job satisfaction. The nursing staff made all measurements at baseline and two follow-ups at 4-month intervals. We used linear mixed-effect models to test treatment and time effects. Results 34 units from 11 care homes, including 434 residents and 382 nursing staff members, were randomly assigned. Ten nurses from the intervention units completed the basic and advanced DCM training. Intention-to-treat analysis showed no statistically significant effect on the CMAI (mean difference between groups 2·4, 95% CI ?2·7 to 7·6; p = 0·34). More NPSs were reported in the intervention group than in usual care (p = 0·02). Intervention staff reported fewer negative and more positive emotional reactions during work (p = 0·02). There were no other significant effects. Conclusions Our pragmatic findings did not confirm the effect on the primary outcome of agitation in the explanatory study. Perhaps the variability of the extent of implementation of DCM may explain the lack of effect. Trial Registration Dutch Trials Registry NTR2314.
A mad Mu afā āshkubrīzāde’s (d. 968/1561) polemical tract against Judaism
Schmidtke, Sabine,Adang, Camilla
Al-Qantara : Revista de Estudios Arabes , 2008,
Abstract: This article deals with a short polemical tract against Judaism written by the well-known Ottoman scholar A mad Mu afā āshkubrīzāde (d. 968/1560). The author uses the same arguments known to us from medieval polemics, viz. that the Torah, which was abrogated by Islam, contains references to the Prophet Mu ammad, despite the fact that it was tampered with by the Jews. In addition to the Bible, āshkubrīzāde quotes a number of later Jewish sources that add an important dimension to his tract. After a brief introduction in which the possibility of the author's indebtedness to Ibn Abī ‘Abd al-Dayyān, a Jewish convert to Islam, is discussed, an edition and translation of the text are provided. Este artículo estudia un corto tratado de polémica en contra del judaísmo escrito por el conocido erudito otomano A mad Mu afā ā hkubrīzāde (m. 968/1560). El autor utiliza los mismos argumentos que conocemos de la polémica religiosa medieval, tales como que la Torah, abrogada por el Islam, contenía referencias al Profeta Mu ammad a pesar de que su texto fue corrompido por los judíos. Además de la Biblia, ā hkubrīzāde cita una serie de fuentes judías tardías que a aden una importante dimensión a este trabajo. Después de una breve introducción en que se discute la posibilidad de la deuda del autor respecto a la obra de Ibn Abī ‘Abd al-Dayyān, un converso del judaísmo al Islam, se presenta una edición y traducción del texto.
Page 1 /681
Display every page Item

Copyright © 2008-2017 Open Access Library. All rights reserved.