746 results on '"Zuidema, Sytse"'
Search Results
152. Including informal caregivers in decision making regarding the treatment of neuropsychiatric symptoms in dementia
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Janus, Sarah, Warmelink, Esther, Nieuwenhuys, Cecile, van Manen, Jeannette, Achterberg, Wilco, Zuidema, Sytse, and Life Course Epidemiology (LCE)
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- 2019
153. Quality of life in nursing home residents with dementia and very frequent agitation, vocalizations or physical aggression
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Bielderman, Annemiek, Veldwijk-Rouwenhorst, Annelies, Pelgrims, Britt, Smalbrugge, Martin, Zuidema, Sytse, Koopmans, Raymond, Gerritsen, Debby, and Life Course Epidemiology (LCE)
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- 2019
154. Process evaluation of a participatory action research-RCT aimed at reducing inappropriate psychotropic drug use in nursing home residents with dementia by tailored intervention-and implementation plans
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Kormelinck, Claudia Groot, Van Teunenbroek, Charlotte, Zuidema, Sytse, Gerritsen, Debby, Smalbrugge, Martin, and Life Course Epidemiology (LCE)
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CARE ,NEUROPSYCHIATRIC SYMPTOMS ,PREVALENCE - Published
- 2019
155. Development of a mobile application to monitor psychotropic drug prescriptions
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Janus, Sarah, Rasing, Naomi, Zuidema, Sytse, Teunenbroek, Charlotte, and Life Course Epidemiology (LCE)
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- 2019
156. Music Interventions for Dementia and Depression in ELderly care (MIDDEL): protocol and statistical analysis plan for a multinational cluster-randomised trial
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Gold, Christian, Eickholt, Jasmin, Stige, Brynjulf, Wake, Jo Dugstad, Baker, Felicity Anne, Tamplin, Jeanette, Clark, Imogen, Lee, Young-Eun Claire, Jacobsen, Stine Lindahl, Ridder, Hanne Mette Ochsner, Kreutz, Gunter, Muthesius, Dorothea, Wosch, Thomas, Ceccato, Enrico, Raglio, Alfredo, Ruggeri, Mirella, Vink, Annemiek, Zuidema, Sytse, Odell-Miller, Helen, Orrell, Martin, Schneider, Justine, Kubiak, Christine, Romeo, Renee, and Geretsegger, Monika
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Residential Care ,General MedicineMusic - Abstract
Introduction In older adults, dementia and depression are associated with individual distress and high societal costs. Music interventions such as group music therapy (GMT) and recreational choir singing (RCS) have shown promising effects, but their comparative effectiveness across clinical subgroups is unknown. This trial aims to determine effectiveness of GMT, RCS and their combination for care home residents and to examine heterogeneity of treatment effects across subgroups.Methods and analysis This large, pragmatic, multinational cluster-randomised controlled trial with a 2×2 factorial design will compare the effects of GMT, RCS, both or neither, for care home residents aged 65 years or older with dementia and depressive symptoms. We will randomise 100 care home units with ≥1000 residents in total across eight countries. Each intervention will be offered for 6 months (3 months 2 times/week followed by 3 months 1 time/week), with extension allowed if locally available. The primary outcome will be the change in the Montgomery-Åsberg Depression Rating Scale score at 6 months. Secondary outcomes will include depressive symptoms, cognitive functioning, neuropsychiatric symptoms, psychotropic drug use, caregiver burden, quality of life, mortality and costs over at least 12 months. The study has 90% power to detect main effects and is also powered to determine interaction effects with gender, severity and socioeconomic status.Ethics and dissemination Ethical approval has been obtained for one country and will be obtained for all countries. Results will be presented at national and international conferences and published in scientific journals.
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- 2019
157. Jeuk bij ouderen
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Leus, Alet J G, Meijer, Joost M, Zuidema, Sytse U, Jonkman, Marcel F, and Life Course Epidemiology
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integumentary system ,skin and connective tissue diseases - Abstract
Pruritus is the most common dermatological complaint in elderly people and may have a significant negative influence on quality of life. In elderly, the identification of the underlying cause of pruritus can be difficult, due to the broad differential diagnosis and the frequent occurence of comorbidities and polypharmacy. In daily practice, a classification can be used of 'pruritus with primary skin lesions' and 'pruritus without primary skin lesions' for a more specific search to the underlying cause. The most common cause of pruritus in elderly is dry skin (xerosis). In primary care pruritis is more often caused by a dermatosis and systemic causes are more rare. Besides treatment directed at the underlying cause, it is recommended in elderly to always treat xerosis with topical emollients. Topical therapy consists of corticosteroids, anaesthetics and anti-inflammatory agents. Systemic treatments include antihistamines, antidepressants and neuroactive medications.
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- 2019
158. Additional file 2: of Explaining experiences of community-dwelling older adults with a pro-active comprehensive geriatric assessment program â a thorough evaluation by interviews
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Rietkerk, Wanda, Smit, Merel, Wynia, Klaske, Slaets, Joris, Zuidema, Sytse, and Gerritsen, Debby
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Topic list for semi-structured in-depth interview with Sage-atAge participants. (DOCX 22 kb)
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- 2019
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159. Additional file 1: of Explaining experiences of community-dwelling older adults with a pro-active comprehensive geriatric assessment program â a thorough evaluation by interviews
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Rietkerk, Wanda, Smit, Merel, Wynia, Klaske, Slaets, Joris, Zuidema, Sytse, and Gerritsen, Debby
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Detailed applied methodology following the consolidated criteria for reporting qualitative studies (COREQ) 32-item checklist. (DOCX 29 kb)
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- 2019
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160. Systematic review on barriers and facilitators of complex interventions for residents with dementia in long-term care.
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Groot Kormelinck, Claudia M., Janus, Sarah I. M., Smalbrugge, Martin, Gerritsen, Debby L., and Zuidema, Sytse U.
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Objectives: Psychotropic drugs are frequently and sometimes inappropriately used for the treatment of neuropsychiatric symptoms of people with dementia, despite their limited efficacy and side effects. Interventions to address neuropsychiatric symptoms and psychotropic drug use are multifactorial and often multidisciplinary. Suboptimal implementation of these complex interventions often limits their effectiveness. This systematic review provides an overview of barriers and facilitators influencing the implementation of complex interventions targeting neuropsychiatric symptoms and psychotropic drug use in long-term care.Design: To identify relevant studies, the following electronic databases were searched between 28 May and 4 June: PubMed, Web of Science, PsycINFO, Cochrane, and CINAHL. Two reviewers systematically reviewed the literature, and the quality of the included studies was assessed using the Critical Appraisal Skills Programme qualitative checklist. The frequency of barriers and facilitators was addressed, followed by deductive thematic analysis describing their positive of negative influence. The Consolidated Framework for Implementation Research guided data synthesis.Results: Fifteen studies were included, using mostly a combination of intervention types and care programs, as well as different implementation strategies. Key factors to successful implementation included strong leadership and support of champions. Also, communication and coordination between disciplines, management support, sufficient resources, and culture (e.g. openness to change) influenced implementation positively. Barriers related mostly to unstable organizations, such as renovations to facility, changes toward self-directed teams, high staff turnover, and perceived work and time pressures.Conclusions: Implementation is complex and needs to be tailored to the specific needs and characteristics of the organization in question. Champions should be carefully chosen, and the application of learned actions and knowledge into practice is expected to further improve implementation. [ABSTRACT FROM AUTHOR]- Published
- 2021
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161. Implementing a multidisciplinary psychotropic medication review among nursing home residents with dementia: a process evaluation.
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Gerritsen, Debby L., de Vries, Erica, Smalbrugge, Martin, Smeets, Claudia H. W., van der Spek, Klaas, Zuidema, Sytse U., and Koopmans, Raymond T. C. M.
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Objectives: Before drawing conclusions on the contribution of an effective intervention to daily practice and initiating dissemination, its quality and implementation in daily practice should be optimal. The aim of this process evaluation was to study these aspects alongside a randomized controlled trial investigating the effects of a multidisciplinary biannual medication review in long-term care organizations (NTR3569).Design: Process evaluation with multiple measurements.Setting: Thirteen units for people with dementia in six long-term care organizations in the Netherlands.Participants: Physicians, pharmacists, and nursing staff of participating units.Intervention: The PROPER intervention is a structured and biannually repeated multidisciplinary medication review supported by organizational preparation and education, evaluation, and guidance.Measurements: Web-based questionnaires, interviews, attendance lists of education sessions, medication reviews and evaluation meetings, minutes, evaluation, and registration forms.Results: Participation rates in education sessions (95%), medication reviews (95%), and evaluation meetings (82%) were high. The intervention's relevance and feasibility and applied implementation strategies were highly rated. However, the education sessions and conversations during medication reviews were too pharmacologically oriented for several nursing staff members. Identified barriers to implementation were required time, investment, planning issues, and high staff turnover; facilitators were the positive attitude of professionals toward the intervention, the support of higher management, and the appointment of a local implementation coordinator.Conclusion: Implementation was successful. The commitment of both higher management and professionals was an important factor. This may partly have been due to the subject being topical; Dutch long-term-care organizations are pressed to lower inappropriate psychotropic drug use. [ABSTRACT FROM AUTHOR]- Published
- 2021
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162. Very frequent physical aggression and vocalizations in nursing home residents with dementia.
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Veldwijk-Rouwenhorst, Annelies E., Zuidema, Sytse U., Smalbrugge, Martin, Bor, Hans, Wetzels, Roland, Gerritsen, Debby L., and Koopmans, Raymond T. C. M.
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STATISTICS ,APATHY ,ANTICONVULSANTS ,CONFIDENCE intervals ,NURSING home patients ,CROSS-sectional method ,MULTIPLE regression analysis ,MULTIVARIATE analysis ,AGE distribution ,DEMENTIA patients ,PSYCHOLOGICAL tests ,SEVERITY of illness index ,PSYCHOSOCIAL factors ,VIOLENCE against medical personnel ,DISEASE prevalence ,DESCRIPTIVE statistics ,AGGRESSION (Psychology) ,STATISTICAL correlation ,ODDS ratio ,EMOTIONS ,INVECTIVE ,ANTIPSYCHOTIC agents - Abstract
We investigated the 2-week prevalence and correlates of very frequent physical aggression (PA) and vocalizations in nursing home (NH)-residents with dementia. This cross-sectional study used combined data of 2074 NH-residents from four studies, collected from 119 dementia special care units in 26 Dutch NH. Very frequent PA was defined as scoring 6 or 7 on the items 'hitting', pushing', 'biting' and 'kicking' of the Cohen Mansfield Agitation Inventory; very frequent vocalizations as scoring 6 or 7 on 'screaming' and 'making strange noises'. We compared NH-residents with very frequent PA or vocalizations with residents with less frequent PA or vocalizations, assessing correlates using univariate and multivariate multilevel logistic regression analyses. We found a 2-week prevalence of 2.2% (95% confidence interval (CI): 1.63–2.89) of very frequent PA and 11.5% of very frequent vocalizations (95% CI: 10.23–12.98). Very frequent PA was only associated with apathy (odds ratio (OR)=1.93, 95% CI: 1.04–3.61). Correlates of very frequent vocalizations were age (OR = 0.97, 95% CI: 0.951–0.998), dementia severity (overall p-value 0.020), antipsychotic drug use (OR = 1.56, 95% CI: 1.08–2.26), antiepileptic drug use (OR = 2.75, 95% CI: 1.34–5.68) and euphoria (OR = 2.01, 95% CI: 1.22–3.31). Characteristics of NH-residents with very frequent PA or very frequent vocalizations differ from those of NH-residents with less frequent PA or vocalizations. Frontal lobe damage, boredom, pain and/or external factors may explain several of the found associations, but further research is necessary. Our findings may contribute to better care for these residents and thereby to improving their quality of life. [ABSTRACT FROM AUTHOR]
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- 2021
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163. Validation of a modified ambiance scale in nursing homes.
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Kosters, Janouk, Kunz, Miriam, van den Bosch, Kirsten A., Andringa, Tjeerd C., Zuidema, Sytse U., Luijendijk, Hendrika J., and Janus, Sarah I. M.
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HEALTH facilities ,CAREGIVERS ,RESEARCH evaluation ,STATISTICAL reliability ,RESEARCH methodology evaluation ,CROSS-sectional method ,RESEARCH methodology ,NURSING care facilities ,PSYCHOMETRICS ,QUESTIONNAIRES ,FACTOR analysis ,DESCRIPTIVE statistics ,STATISTICAL correlation ,STATISTICAL sampling - Abstract
We translated and modified an ambiance scale for use by (in)formal caregivers in Dutch nursing homes. We tested validity and reliability of the modified Ambiance Scale. Convenience sampling was used to enrol (in)formal caregivers in three nursing homes in the Netherlands. 104 questionnaires were filled in; 45 by informal caregivers, 46 by formal caregivers. Ten caregivers filled in the questionnaire twice for test-retest purposes. Three original items were used, and seven newly were added to form the modified Ambiance Scale. Each item consisted of an adjective pair assessing an aspect of ambiance on a scale of 1 (homelike) to 5 (institutional). Caregivers filled in the questionnaire on two different days to assess intra rater reliability. Differences in scoring between formal and informal caregivers and between original and new items were analyzed. The questionnaire was easy to comprehend and fill in. Internal consistency was good (a = 0.93). Validity was found to be good. Factor analysis demonstrated that eight items identified as one factor. No differences in scoring between the first and second assessment were found (p<.001). Formal caregivers scored ambiance more chaotic than informal caregivers did (p<.01). No differences in scoring between original and new items were found (p =.06). This study demonstrated that the modified Ambiance Scale had good internal consistency, moderate replicability and both informal and formal caregivers' overall ratings were comparable. The modified Ambiance Scale is a valid, reliable and easy to use tool to assess ambiance in nursing home settings. [ABSTRACT FROM AUTHOR]
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- 2021
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164. Social health and dementia: a European consensus on the operationalization of the concept and directions for research and practice
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Dröes, R. M, CHATTAT, RABIH, Diaz, A., Gove, D., Graff, M., Murphy, K., Verbeek, H., Vernooij Dassen, M., Clare, L., Johannessen, A., Roes, M., Verhey, F., Charras, K., van Audenhove, Chantal, Casey, Dympna, Evans, Simon, FABBO, ANDREA, Franco, Manuel, Gerritsen, Debby, Vittoria Gianelli, Marie, Gonςalves Pereira, Manuel, Gzil, Fabrice, van Hout, Hein, Innes, Anthea, Hee Jeon, Yun, Koopmans, Raymond, Kristensen, Fritze, Losada Baltar, Andrés, Mcevoy, Phil, Mchugh, Joanna, Meiland, Franka, Moniz Cook, Esme, Parkes, Jacqueline, Rymaszewska, Joanna, Spruytte, Nele, Surr, Claire, de Vugt, Marjolein, Wolf Ostermann, Karin, Zuidema, Sytse, Psychiatry, APH - Aging & Later Life, APH - Mental Health, APH - Quality of Care, APH - Methodology, RS: CAPHRI - R1 - Ageing and Long-Term Care, RS: Academische Werkplaats Ouderenzorg, Health Services Research, MUMC+: MA Med Staf Spec Psychiatrie (9), RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, Psychiatrie & Neuropsychologie, Dröes, R.M, Chattat, R., Diaz, A., Gove, D., Graff, M., Murphy, K., Verbeek, H., Vernooij-Dassen, M., Clare, L., Johannessen, A., Roes, M., Verhey, F., Charras, K., van Audenhove, Chantal, Casey, Dympna, Evans, Simon, Fabbo, Andrea, Franco, Manuel, Gerritsen, Debby, Vittoria Gianelli, Marie, Gonςalves-Pereira, Manuel, Gzil, Fabrice, van Hout, Hein, Innes, Anthea, Hee Jeon, Yun, Koopmans, Raymond, Kristensen, Fritze, Losada Baltar, André, Mcevoy, Phil, Mchugh, Joanna, Meiland, Franka, Moniz-Cook, Esme, Parkes, Jacqueline, Rymaszewska, Joanna, Spruytte, Nele, Surr, Claire, de Vugt, Marjolein, Wolf-Ostermann, Karin, and Zuidema, Sytse
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Health Knowledge, Attitudes, Practice ,self-management ,social participation ,Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] ,Applied psychology ,Social group ,0302 clinical medicine ,ddc:150 ,therapy [Chronic Disease] ,QUALITY-OF-LIFE ,Surveys and Questionnaires ,Health care ,Activities of Daily Living ,030212 general & internal medicine ,effective intervention ,SKILL-BUILDING PROGRAM ,NURSING-HOME RESIDENTS ,RANDOMIZED CONTROLLED-TRIAL ,COGNITIVE STIMULATION THERAPY ,Social engagement ,Europe ,ALZHEIMERS-DISEASE ,Psychiatry and Mental Health ,standards [Social Validity, Research] ,Social competence ,Health education ,Pshychiatric Mental Health ,Psychology ,Consensus ,psychology [Dementia] ,therapy [Dementia] ,FRAIL OLDER-PEOPLE ,03 medical and health sciences ,effective interventions ,COMMUNITY OCCUPATIONAL-THERAPY ,Nursing ,Humans ,Social determinants of health ,Psychiatric Mental Health ,Social health ,Health policy ,Aged ,Operationalization ,psychology [Chronic Disease] ,030214 geriatrics ,business.industry ,capacity ,Social Support ,Social Validity, Research ,FAMILY CAREGIVERS ,Chronic Disease ,Quality of Life ,LONG-TERM-CARE ,Geriatrics and Gerontology ,business ,Gerontology ,dementia - Abstract
Contains fulltext : 170085.pdf (Publisher’s version ) (Open Access) BACKGROUND: Because the pattern of illnesses changes in an aging population and many people manage to live well with chronic diseases, a group of health care professionals recently proposed reformulating the static WHO definition of health towards a dynamic one based on the ability to physically, mentally and socially adapt and self-manage. This paper is the result of a collaborative action of the INTERDEM Social Health Taskforce to operationalize this new health concept for people with dementia, more specifically the social domain, and to formulate directions for research and practice to promote social health in dementia. METHOD: Based on the expertise of the Social Health Taskforce members (N = 54) three groups were formed that worked on operationalizing the three social health dimensions described by Huber et al.: (1) capacity to fulfil potential and obligations; (2) ability to manage life with some degree of independence; (3) participation in social activities. For each dimension also influencing factors, effective interventions and knowledge gaps were inventoried. After a consensus meeting, the operationalizations of the dimensions were reviewed by the European Working Group of People with Dementia (EWGPWD). RESULTS: The social health dimensions could be well operationalized for people with dementia and are assessed as very relevant according to the Social Health Taskforce and EWGPWD. Personal (e.g. sense of coherence, competencies), disease-related (e.g. severity of cognitive impairments, comorbidity), social (support from network, stigma) and environmental factors (e.g. enabling design, accessibility) that can influence the person with dementia's social health and many interventions promoting social health were identified. CONCLUSION: A consensus-based operationalization of social health in dementia is proposed, and factors that can influence, and interventions that improve, social health in dementia identified. Recommendations are made for research and practice.
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- 2017
165. The CareWell-primary care program: design of a cluster controlled trial and process evaluation of a complex intervention targeting community-dwelling frail elderly
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Ruikes Franca GH, Meys Antoinette RM, van de Wetering Gijs, Akkermans Reinier P, van Gaal Betsie GI, Zuidema Sytse U, Schers Henk J, van Achterberg Theo, and Koopmans Raymond TCM
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Frail elderly ,Complex intervention ,Integrated care ,Functional status ,Cost-effectiveness ,Implementation ,Process evaluation ,Primary care ,Medicine (General) ,R5-920 - Abstract
Abstract Background With increasing age and longevity, the rising number of frail elders with complex and numerous health-related needs demands a coordinated health care delivery system integrating cure, care and welfare. Studies on the effectiveness of such comprehensive chronic care models targeting frail elders show inconclusive results. The CareWell-primary care program is a complex intervention targeting community-dwelling frail elderly people, that aims to prevent functional decline, improve quality of life, and reduce or postpone hospital and nursing home admissions of community dwelling frail elderly. Methods/design The CareWell-primary care study includes a (cost-) effectiveness study and a comprehensive process evaluation. In a one-year pragmatic, cluster controlled trial, six general practices are non-randomly recruited to adopt the CareWell-primary care program and six control practices will deliver ‘care as usual’. Each practice includes a random sample of fifty frail elders aged 70 years or above in the cost-effectiveness study. A sample of patients and informal caregivers and all health care professionals participating in the CareWell-primary care program are included in the process evaluation. In the cost-effectiveness study, the primary outcome is the level of functional abilities as measured with the Katz-15 index. Hierarchical mixed-effects regression models / multilevel modeling approach will be used, since the study participants are nested within the general practices. Furthermore, incremental cost-effectiveness ratios will be calculated as costs per QALY gained and as costs weighed against functional abilities. In the process evaluation, mixed methods will be used to provide insight in the implementation degree of the program, patients’ and professionals’ approval of the program, and the barriers and facilitators to implementation. Discussion The CareWell-primary care study will provide new insights into the (cost-) effectiveness, feasibility, and barriers and facilitators for implementation of this complex intervention in primary care. Trial registration The CareWell-primary care study is registered in the ClinicalTrials.gov Protocol Registration System: NCT01499797
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- 2012
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166. Is patient-grouping on basis of condition on admission indicative for discharge destination in geriatric stroke patients after rehabilitation in skilled nursing facilities? The results of a cluster analysis
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Buijck Bianca I, Zuidema Sytse U, Eijk Monica, Bor Hans, Gerritsen Debby L, and Koopmans Raymond TCM
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Stroke ,Geriatric ,Rehabilitation ,Skilled-nursing-facility ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Geriatric stroke patients are generally frail, have an advanced age and co-morbidity. It is yet unclear whether specific groups of patients might benefit differently from structured multidisciplinary rehabilitation programs. Therefore, the aims of our study are 1) to determine relevant patient characteristics to distinguish groups of patients based on their admission scores in skilled nursing facilities (SNFs), and (2) to study the course of these particular patient-groups in relation to their discharge destination. Methods This is a longitudinal, multicenter, observational study. We collected data on patient characteristics, balance, walking ability, arm function, co-morbidity, activities of daily living (ADL), neuropsychiatric symptoms, and depressive complaints of 127 geriatric stroke patients admitted to skilled nursing facilities with specific units for geriatric rehabilitation after stroke. Results Cluster analyses revealed two groups: cluster 1 included patients in poor condition upon admission (n = 52), and cluster 2 included patients in fair/good condition upon admission (n = 75). Patients in both groups improved in balance, walking abilities, and arm function. Patients in cluster 1 also improved in ADL. Depressive complaints decreased significantly in patients in cluster 1 who were discharged to an independent- or assisted-living situation. Compared to 80% of the patients in cluster 2, a lower proportion (46%) of the patients in cluster 1 were discharged to an independent- or assisted-living situation. Conclusion Stroke patients referred for rehabilitation to SNFs could be clustered on the basis of their condition upon admission. Although patients in poor condition on admission were more likely to be referred to a facility for long-term care, this was certainly not the case in all patients. Almost half of them could be discharged to an independent or assisted living situation, which implied that also in patients in poor condition on admission, discharge to an independent or assisted living situation was an attainable goal. It is important to put substantial effort into the rehabilitation of patients in poor condition at admission.
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- 2012
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167. Goal planning in person-centred care supports older adults receiving case management to attain their health-related goals.
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Rietkerk, Wanda, Uittenbroek, Ronald J., Gerritsen, Debby L., Slaets, Joris P. J., Zuidema, Sytse U., and Wynia, Klaske
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SOCIAL support ,CONFIDENCE intervals ,SOCIAL services case management ,PATIENT-centered care ,ACTIVITIES of daily living ,MANN Whitney U Test ,TREATMENT effectiveness ,PRE-tests & post-tests ,RANDOMIZED controlled trials ,INDEPENDENT living ,DESCRIPTIVE statistics ,QUESTIONNAIRES ,DISEASE prevalence ,RESEARCH funding ,STATISTICAL sampling ,DATA analysis software ,GOAL (Psychology) - Abstract
Care for older adults should preferably be provided in a person-centred way that includes goal planning. The aim of the present cohort study is to gain an insight into the results of goal planning, in a person-centred care setting for community-living older adults. Within Embrace, a person-centred and integrated care service, older adults set goals with the aim to improve health-related problems. For every goal, they rated severity scores ranging from 0 (no problem) to 10 (extremely severe): a baseline score, a target score and, within one year, an end score to evaluate these goals. The differences between baseline and end scores (goal progress) and target and end scores (goal attainment), and the percentage of goals attained were calculated and compared between health-related domains (i.e., mental health, physical health, mobility, and support). Among 233 older adults, 836 goal plans were formulated of which 74% (95% Confidence Interval: 71–77) were attained. Goals related to physical health were the most likely to be attained and goals for mobility and pain the least likely. Older adults are able to attain health-related goals through collaborative goal planning. We recommend future integrated care programmes for older adults to incorporate goal-planning methods to achieve person-centred care. Older adults experiencing frailty or complex care needs and receiving individual support within an integrated care setting are able to formulate and attain goals using goal planning with severity scores. Goal plans of community-living older adults mostly aim at improving health-related problems concerning physical health, mobility, or support. Goals related to physical health are the most likely to be attained, while goals for mobility and pain are the least likely to be attained. [ABSTRACT FROM AUTHOR]
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- 2021
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168. Sounds in nursing homes and their effect on health in dementia: a systematic review.
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Janus, Sarah I. M., Kosters, Janouk, van den Bosch, Kirsten A., Andringa, Tjeerd C., Zuidema, Sytse U., and Luijendijk, Hendrika J.
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Objectives: Nursing home residents with dementia are sensitive to detrimental auditory environments. This paper presents the first literature review of empirical research investigating (1) the (perceived) intensity and sources of sounds in nursing homes, and (2) the influence of sounds on health of residents with dementia and staff.Design: A systematic review was conducted in PubMed, Web of Science and Scopus. Study quality was assessed with the Mixed Methods Appraisal Tool. We used a narrative approach to present the results.Results: We included 35 studies. Nine studies investigated sound intensity and reported high noise intensity with an average of 55-68 dB(A) (during daytime). In four studies about sound sources, human voices and electronic devices were the most dominant sources. Five cross-sectional studies focused on music interventions and reported positives effects on agitated behaviors. Four randomized controlled trials tested noise reduction as part of an intervention. In two studies, high-intensity sounds were associated with decreased nighttime sleep and increased agitation. The third study found an association between music and less agitation compared to other stimuli. The fourth study did not find an effect of noise on agitation. Two studies reported that a noisy environment had negative effects on staff.Conclusions: The need for appropriate auditory environments that are responsive to residents' cognitive abilities and functioning is not yet recognized widely. Future research needs to place greater emphasis on intervention-based and longitudinal study design. [ABSTRACT FROM AUTHOR]- Published
- 2021
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169. Improving person-centred care in nursing homes through dementia-care mapping: design of a cluster-randomised controlled trial
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van de Ven Geertje, Draskovic Irena, Adang Eddy MM, Donders Rogier ART, Post Aukje, Zuidema Sytse U, Koopmans Raymond TCM, and Vernooij-Dassen Myrra JFJ
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Geriatrics ,RC952-954.6 - Abstract
Abstract Background The effectiveness and efficiency of nursing-home dementia care are suboptimal: there are high rates of neuropsychiatric symptoms among the residents and work-related stress among the staff. Dementia-care mapping is a person-centred care method that may alleviate both the resident and the staff problems. The main objective of this study is to evaluate the effectiveness and cost-effectiveness of dementia-care mapping in nursing-home dementia care. Methods/Design 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. Discussion 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. Trial registration The trial is registered in the Netherlands National Trial Register: NTR2314.
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- 2012
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170. Barriers and Facilitators of Conducting Medication Reviews in Nursing Home Residents: A Qualitative Study
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Wouters, Hans, primary, Foster, Juliet M., additional, Ensink, Anne, additional, O’Donnell, Lisa Kouladjian, additional, Zuidema, Sytse U., additional, Boersma, Froukje, additional, and Taxis, Katja, additional
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- 2019
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171. Executive Functions and Pain
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Bunk, Stefanie, primary, Preis, Lukas, additional, Zuidema, Sytse, additional, Lautenbacher, Stefan, additional, and Kunz, Miriam, additional
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- 2019
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172. Implementing a multidisciplinary psychotropic medication review among nursing home residents with dementia: a process evaluation
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Gerritsen, Debby L., primary, de Vries, Erica, additional, Smalbrugge, Martin, additional, Smeets, Claudia H. W., additional, van der Spek, Klaas, additional, Zuidema, Sytse U., additional, and Koopmans, Raymond T. C. M., additional
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- 2019
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173. The Difficulty With Studying Challenging Behavior
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Gerritsen, Debby L., primary, Smalbrugge, Martin, additional, Veldwijk-Rouwenhorst, Annelies E., additional, Wetzels, Roland, additional, Zuidema, Sytse U., additional, and Koopmans, Raymond T.C.M., additional
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- 2019
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174. Prevalence and correlates of psychotropic drug use in Dutch nursing home patients with young‐onset dementia
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Mulders, Ans J.M.J., primary, Zuidema, Sytse U., additional, Leeuwis, Renée, additional, Bor, Hans, additional, Verhey, Frans R.J., additional, and Koopmans, Raymond T.C.M., additional
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- 2019
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175. Antipsychotics for agitation and psychosis in people with Alzheimer's disease and vascular dementia
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Mühlbauer, Viktoria, primary, Luijendijk, Hendrika, additional, Dichter, Martin N, additional, Möhler, Ralph, additional, Zuidema, Sytse U, additional, and Köpke, Sascha, additional
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- 2019
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176. A longitudinal study of the impact of social network size and loneliness on cognitive performance in depressed older adults
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Kuiper, Jisca S., primary, Smidt, Nynke, additional, Zuidema, Sytse U., additional, Comijs, Hannie C., additional, Oude Voshaar, Richard C., additional, and Zuidersma, Marij, additional
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- 2019
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177. Grip on challenging behaviour: a multidisciplinary care programme for managing behavioural problems in nursing home residents with dementia. Study protocol
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Eefsting Jan A, van Tulder Maurits W, Bosmans Judith E, Koopmans Raymond TCM, Zuidema Sytse U, Smalbrugge Martin, Zwijsen Sandra A, Gerritsen Debby L, and Pot Anne-Margriet
- Subjects
Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background Behavioural problems are common in nursing home residents with dementia and they often are burdensome for both residents and nursing staff. In this study, the effectiveness and cost-effectiveness of a new care programme for managing behavioural problems will be evaluated. Methods/Design The care programme is based on Dutch national guidelines. It will consist of four steps: detection, analysis, treatment and evaluation. A stepped wedge design will be used. A total of 14 dementia special care units will implement the care programme. The primary outcome is behavioural problems. Secondary outcomes will include quality of life, prescription rate of antipsychotics, use of physical restraints and workload and job satisfaction of nursing staff. The effect of the care programme will be estimated using multilevel linear regression analysis. An economic evaluation from a societal perspective will also be carried out. Discussion The care programme is expected to be cost-effective and effective in decreasing behavioural problems, workload of nursing staff and in increasing quality of life of residents. Trial registration The Netherlands National Trial Register (NTR). Trial number: NTR 2141
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- 2011
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178. Baseline imbalances and clinical outcomes of atypical antipsychotics in dementia: A meta-epidemiological study of randomized trials
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Hulshof, Tessa A., primary, Zuidema, Sytse U., additional, van Meer, Peter J.K., additional, Gispen-de Wied, Christine C., additional, and Luijendijk, Hendrika J., additional
- Published
- 2018
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179. Goal Planning in Person-Centred Care Supports Older Adults to Attain Their Health-Related Goals
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Rietkerk, Wanda, primary, Uittenbroek, Ronald J, additional, Gerritsen, Debby L, additional, Slaets, Joris P J, additional, Zuidema, Sytse U, additional, and Wynia, Klaske, additional
- Published
- 2018
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180. Geriatric rehabilitation of stroke patients in nursing homes: a study protocol
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Geurts Alexander CH, Voncken Frans LM, Zuidema Sytse U, Buijck Bianca I, Spruit-van Eijk Monica, and Koopmans Raymond TCM
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Geriatrics ,RC952-954.6 - Abstract
Abstract Background Geriatric patients are typically underrepresented in studies on the functional outcome of rehabilitation after stroke. Moreover, most geriatric stroke patients do probably not participate in intensive rehabilitation programs as offered by rehabilitation centers. As a result, very few studies have described the successfulness of geriatric stroke rehabilitation in nursing home patients, although it appears that the majority of these patients are being discharged back to the community, rather than being transferred to residential care. Nevertheless, factors associated with the successfulness of stroke rehabilitation in nursing homes or skilled nursing facilities are largely unknown. The primary goal of this study is, therefore, to assess the factors that uniquely contribute to the successfulness of rehabilitation in geriatric stroke patients that undergo rehabilitation in nursing homes. A secondary goal is to investigate whether these factors are similar to those associated with the outcome of stroke rehabilitation in the literature. Methods/Design This study is part of the Geriatric Rehabilitation in AMPutation and Stroke (GRAMPS) study in the Netherlands. It is a longitudinal, observational, multicenter study in 15 nursing homes in the Southern part of the Netherlands that aims to include at least 200 patients. All participating nursing homes are selected based on the existence of a specialized rehabilitation unit and the provision of dedicated multidisciplinary care. Patient characteristics, disease characteristics, functional status, cognition, behavior, and caregiver information, are collected within two weeks after admission to the nursing home. The first follow-up is at discharge from the nursing home or one year after inclusion, and focuses on functional status and behavior. Successful rehabilitation is defined as discharge from the nursing home to an independent living situation within one year after admission. The second follow-up is three months after discharge in patients who rehabilitated successfully, and assesses functional status, behavior, and quality of life. All instruments used in this study have shown to be valid and reliable in rehabilitation research or are recommended by the Netherlands Heart Foundation guidelines for stroke rehabilitation. Data will be analyzed using SPSS 16.0. Besides descriptive analyses, both univariate and multivariate analyses will be performed with the purpose of identifying associated factors as well as their unique contribution to determining successful rehabilitation. Discussion This study will provide more information about geriatric stroke rehabilitation in Dutch nursing homes. To our knowledge, this is the first large study that focuses on the determinants of success of geriatric stroke rehabilitation in nursing home patients.
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- 2010
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181. Developing consensus description of group music therapy characteristics for persons with dementia.
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Janus, Sarah I. M., Vink, Annemieke C., Ridder, Hanne Mette, Geretsegger, Monika, Stige, Brynjulf, Gold, Christian, and Zuidema, Sytse U.
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TREATMENT of dementia ,CONSENSUS (Social sciences) ,DELPHI method ,DEMENTIA patients ,GROUP psychotherapy ,MUSIC therapy ,PSYCHOTHERAPY ,THEMATIC analysis ,PATIENT-centered care - Abstract
Group music therapy (GMT) represents a promising person-centered approach facilitating emotional and social interaction and alleviating behavioral and psychological symptoms in people with dementia. The aim of this study is to produce a consensus statement that can inform provision of and research on person-centered group music therapy (GMT) for persons with dementia. We used a Delphi consensus procedure of two iterations in which music therapists rated their agreement with predefined statements about descriptions of GMT in structured questionnaires. Music therapists from eight countries (Austria, Australia, Denmark, Germany, Italy, Netherlands, Norway and UK) participated in the Delphi iterations. In the first iteration 57 music therapists participated and 34 in the second iteration. Consensus was reached on 75 out of 91 statements covering five themes: (1) People who can benefit from GMT, (2) Short and long-term goals, (3) Therapy frame & Assessment (4) Therapeutic approaches within GMT and (5) Therapists' qualities and attitudes. This consensus statement provides therapists and researchers with practical information to which music therapists agree on an international level. It may serve as a foundation for developing more extensive and in-depth guidelines and fidelity measures. The statements underlinethat the music therapist must adapt therapy to the needs and wishes of persons with dementia, which can be seen in the consensus statements about group size, group dynamics, distractions and interruptions during the therapy. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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182. Prevalence and risk factors of delirium in psychogeriatric outpatients.
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Quispel‐Aggenbach, Daisy W. P., Schep‐de Ruiter, Esther P. R., Bergen, Wilma, Bolling, J. Rob, Zuidema, Sytse U., and Luijendijk, Hendrika J.
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DELIRIUM ,OLDER patients ,COGNITION disorders ,ACTIVITIES of daily living ,PSYCHIATRIC hospitals - Abstract
Background: Delirium is a serious neuropsychiatric syndrome, which requires timely treatment. However, it is easily missed, especially in older patients with premorbid cognitive disorders. Objectives: The aim of this study is to investigate the prevalence and risk factors of delirium in older outpatients with and without dementia. Method: We assessed 444 patients referred to the memory clinic of a psychiatric hospital between March 2013 and March 2014. Demographic information, medical history, impairments in daily living activities and referral information were registered. Patients underwent a psychiatric examination using the Delirium Rating Scale‐Revised‐98 and cognitive tests, a physical examination and laboratory tests. We recorded medication use and changes before and after the onset of symptoms. Results: Among the 444 outpatients, 85 had probable delirium (prevalence of 19%), and 10 had subsyndromal delirium (2%). The most common triggers were infection (42%), drug‐intoxication or withdrawal (22%), and metabolic/endocrine disturbance (12%). Age (OR 1.07, 95% CI 1.02‐1.11) and prior delirium (OR 3.34, 95% CI 1.28‐8.69) were independent non‐modifiable factors associated with an increased risk of delirium. The only independent modifiable risk factor was infection (OR 17.31, 95% CI 8.44‐35.49). Conclusions: A delirium was detected in one of five patients referred for dementia screening. Most patients could be treated at home. Age and prior delirium were predictive of an increased risk of delirium. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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183. Caregiver dementia training in caregiver-patient dyads: Process evaluation of a randomized controlled study.
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Birkenhäger‐Gillesse, Elizabeth G., Achterberg, Wilco P., Janus, Sarah I. M., Zuidema, Sytse U., and Birkenhäger-Gillesse, Elizabeth G
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CAREGIVER education ,EXPERIMENTAL design ,DYADS ,CONTROL groups - Abstract
Objectives: We performed a randomized controlled study to evaluate the effects of caregiver training on the well-being of both people with dementia and their caregivers. Before the effect analysis, we conducted a process evaluation to estimate internal and external validity. This was anticipated to augment our understanding of the outcomes.Methods: We focused on three questions. (a) Was the intervention performed as planned (internal validity)? (b) Can qualitative data be used to inform how the intervention evoked change? (c) Can the study outcomes be extrapolated to all caregivers living with people who have dementia (external validity)?Results: Responses from participants assigned to the intervention group suggested that the intervention was feasible, could be performed as planned, and that modelling and discussions between participants were important. However, participant recruitment to the entire study was ultimately laborious because participants had issues with the study design (risk of being assigned to the control group) and referrers lacked familiarity with the training (new type of intervention). Participants were also younger and better educated compared with the general population. Some dropouts in the follow-up period occurred due to the number of questionnaires, and this was more pronounced in the control group.Conclusions: Although we achieved high internal validity, we lack certainty about the external validity. We not only experienced general difficulty in recruiting participants but also tended to recruit a biased sample that was relatively young and well educated. These factors combine to limit our ability to extrapolate the results to the general population. [ABSTRACT FROM AUTHOR]- Published
- 2021
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184. A short delirium caregiver questionnaire for triage of elderly outpatients with cognitive impairment: a development and test accuracy study.
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Luijendijk, Hendrika J., Quispel-Aggenbach, Daisy W. P., Stroomer-van Wijk, Anne J. M., Meijerink-Blom, Agnes H., van Walbeek, Annemiek, and Zuidema, Sytse U.
- Abstract
Objectives: Delirium is often missed in older outpatients. Caregivers can give valuable information that might improve identification rates. The aim of this study was to develop a short and sensitive delirium caregiver questionnaire (DCQ) for triage of elderly outpatients with cognitive impairment by telephone.Design, Setting, and Participants: The pilot questionnaire was administered to 112 caregivers of patients who were referred for dementia screening to our clinic for geriatric psychiatry, and the final DCQ to 234 other caregivers.Measurements: In phase I (2013-2014), we tested a pilot questionnaire with 17 items. Health professionals who established delirium diagnoses were blinded to the results. We then used the results and other information available at referral to construct the final DCQ with seven items. During phase II (2015-2016), we investigated the test accuracy of the final DCQ in a subsequent cohort. In both phases, the patients received a structured diagnostic workup. Time between referral and first visit was a secondary outcome.Results: The final DCQ consisted of the following items: emergency visit required, sleeping disorder, fluctuating course, hallucinations, suspicious thoughts, previous delirium, and recent discharge from hospital. DCQ results indicated that urgent intake was required in 85 of 234 patients. Sensitivity was 73.5% (95% CI: 58.9-85.1%) and specificity 73.5% (95% CI: 66.5-79.7%). The mean number of days to first visit dropped from 31.6 to 11.2 in delirious patients (p = 0.001).Conclusions: Triage with the easy-to-use DCQ among patients referred for cognitive screening leads to earlier assessment and higher detection rates of delirium. [ABSTRACT FROM AUTHOR]- Published
- 2021
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185. Kenmerken en beloop van patiënten in het eerstelijnsverblijf
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Holtman, Gea, Luijendijk, Dika, Havinga, H, Zuidema, Sytse, and Life Course Epidemiology
- Published
- 2017
186. Effects of a Multidisciplinary Intervention on the Presence of Neuropsychiatric Symptoms and Psychotropic Drug Use in Nursing Home Residents WithYoung-Onset Dementia: Behavior and Evolution of Young-Onset Dementia Part 2 (BEYOND-II) Study
- Author
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Appelhof, Britt, Bakker, Christian, de Vugt, Marjolein E., van Duinen-van den IJssel, Jeannette C.L., Zwijsen, Sandra A., Smalbrugge, Martin, Teerenstra, Steven, Verhey, Frans R.J., Zuidema, Sytse U., and Koopmans, Raymond T.C.M.
- Abstract
•The effect of a multidisciplinary intervention on the presence of neuropsychiatric symptoms, particularly agitation and aggression, and psychotropic drug use in nursing home residents with young-onset dementia was evaluated.•The intervention for the management of neuropsychiatric symptoms in nursing home residents with young-onset dementia was not more effective in reducing agitation, aggression, other neuropsychiatric symptoms, or psychotropic drug use compared with care as usual.•The perceived overlap between the intervention and current working methods and lower psychotropic drug use rates compared with approximately 10 years ago suggests that Dutch young-onset dementia special care units had already (to some degree) developed effective working methods for structuring the management of neuropsychiatric symptoms in young-onset dementia before implementation of our intervention.
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- 2024
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187. A longitudinal study of the impact of social network size and loneliness on cognitive performance in depressed older adults.
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Kuiper, Jisca S., Smidt, Nynke, Zuidema, Sytse U., Comijs, Hannie C., Oude Voshaar, Richard C., and Zuidersma, Marij
- Subjects
COGNITION disorder risk factors ,DIAGNOSIS of mental depression ,AUDITORY perception ,COGNITIVE testing ,INTELLECT ,LONELINESS ,LONGITUDINAL method ,MENTAL health services ,CLASSIFICATION of mental disorders ,PRIMARY health care ,RISK assessment ,SHORT-term memory ,SOCIAL networks ,TASK performance ,EDUCATIONAL attainment ,HUMAN research subjects ,PATIENT selection ,OLD age - Abstract
Objectives: To examine the association of social network size and loneliness with cognitive performance and -decline in depressed older adults. Method: A sample of 378 older adults [70.7 (7.4) years] with a Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnosis of current depressive disorder were recruited from primary care and specialized mental health care. Cognitive performance was assessed at baseline and 2 years follow-up with the Stroop colored-word test, a modified version of the Auditory Verbal Learning Task and the Digit Span subtest from the Wechsler Adult Intelligence Scale, encompassing four cognitive domains; processing speed, interference control, memory, and working memory. Social network size was assessed with the Close Person Inventory and loneliness with the de Jong Gierveld Loneliness Scale at baseline. Results: After adjusting for baseline working memory performance, loneliness was associated with impaired working memory after 2 years [B = −0.08 (−0.17 to 0.00)]. This association was no longer significant after adjusting for age, sex, education level, physical activity, alcohol use and depressive symptom severity [B = −0.07 (−0.16 to 0.03)]. A backward elimination procedure revealed education level to be the only covariable to explain this association. Loneliness was not associated with impairments or decline in other cognitive domains. Social network size was not associated with cognitive impairments or decline. Conclusion: Social network size and loneliness do not predict cognitive decline in depressed older adults. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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188. Run‐in periods and clinical outcomes of antipsychotics in dementia: A meta‐epidemiological study of placebo‐controlled trials.
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Hulshof, Tessa A., Zuidema, Sytse U., Gispen‐de Wied, Christine C., and Luijendijk, Hendrika J.
- Abstract
Purpose Run‐in periods are used to identify placebo‐responders and washout. Our aim was to assess the association of run‐in periods with clinical outcomes of antipsychotics in dementia. Methods: We searched randomized placebo‐controlled trials of conventional and atypical antipsychotics for neuropsychiatric symptoms (NPS) in dementia in electronic sources and references of selected articles. We extracted (a) the presence of a run‐in period, use of placebo/investigated drug during run‐in (versus washout only), and run‐in duration (1 week or more) and (b) the reduction in NPS, number of participants with somnolence, extrapyramidal symptoms (EPS), and deaths per treatment group. We pooled clinical outcomes comparing antipsychotic and placebo groups in trials with and without run‐in. Results: We identified 35 trials. Twenty‐nine trials used run‐in. The pooled standardized mean difference in the reduction of NPS was −0.170 (95% CI, −0.227 to −0.112) in trials with run‐in and −0.142 (95% CI, −0.331 to 0.047) in trials without run‐in. The pooled odds ratio for somnolence was 2.8 (95% CI, 2.3‐3.5) in trials with run‐in and 3.5 (95% CI, 1.2‐10.7) in trials without run‐in; for EPS, these ORs were 1.8 (95% CI, 1.4‐2.2) and 2.0 (95% CI, 1.3‐3.1) respectively, and for mortality 1.4 (95% CI, 1.0‐2.0) and 1.6 (95% CI, 0.7‐3.4). The use of placebo/investigated drug during run‐in and run‐in duration did not affect the estimates in a consistent way. Conclusions: The use of run‐in in trials might have led to overestimated efficacy and especially underestimated risks of side effects of antipsychotics compared with placebo for NPS in dementia. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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189. Cost-consequence analysis of an intervention for the management of neuropsychiatric symptoms in young-onset dementia: Results from the BEYOND-II study.
- Author
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Duinen‐van den IJssel, Jeannette C.L., Bakker, Christian, Smalbrugge, Martin, Zwijsen, Sandra A., Adang, Eddy, Appelhof, Britt, Zuidema, Sytse U., Vugt, Marjolein E., Verhey, Frans R.J., Koopmans, Raymond T.C.M., van Duinen-van den IJssel, Jeannette C L, and de Vugt, Marjolein E
- Subjects
NURSING home patients ,DEMENTIA ,PSYCHIATRIC drugs ,MEDICAL care costs ,NURSING care facilities - Abstract
Objective: To evaluate the cost-consequences of an intervention for the management of neuropsychiatric symptoms in nursing home residents with young-onset dementia.Methods: A stepped wedge design was used. The intervention consisted of an educational program and a multidisciplinary care program and was implemented in 13 nursing homes from September 2015 to March 2017. Costs' outcomes included the time investment of the elderly care physician and health care psychologists regarding the management of neuropsychiatric symptoms, residents' psychotropic drug use, nursing staff absenteeism, and costs of the educational program. Composite cost measure contained the sum of costs of staff absenteeism, costs on psychotropic drugs, and costs of the educational program. Costs of time investment were investigated by comparing means. Costs of psychotropic drug use were analyzed with mixed models at resident level and as part of the composite cost measure on unit level. Staff absenteeism was also analyzed at unit level.Results: Compared with care as usual, the mean costs of time invested decreased with €36.79 for the elderly care physician but increased with €46.05 for the health care psychologist in the intervention condition. Mixed model analysis showed no effect of the intervention compared with care as usual on the costs of psychotropic drug use, staff absenteeism, and the composite cost measure. The costs of the educational program were on average €174.13 per resident.Conclusion: The intervention did not result in increased costs compared with care as usual. Other aspects, such as the lack of a structured working method, should be taken into account when considering implementation of the intervention. [ABSTRACT FROM AUTHOR]- Published
- 2020
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- View/download PDF
190. Life story books for people with dementia: a systematic review
- Author
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Elfrink, Teuntje R., primary, Zuidema, Sytse U., additional, Kunz, Miriam, additional, and Westerhof, Gerben J., additional
- Published
- 2018
- Full Text
- View/download PDF
191. Advanced Glycation End Products Are Associated With Physical Activity and Physical Functioning in the Older Population
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Drenth, Hans, primary, Zuidema, Sytse U, additional, Krijnen, Wim P, additional, Bautmans, Ivan, additional, Smit, Andries J, additional, van der Schans, Cees, additional, and Hobbelen, Hans, additional
- Published
- 2018
- Full Text
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192. Differences in neuropsychiatric symptoms between nursing home residents with young-onset dementia and late-onset dementia
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Appelhof, Britt, primary, Bakker, Christian, additional, Van Duinen-van Den IJssel, Jeannette C. L., additional, Zwijsen, Sandra A., additional, Smalbrugge, Martin, additional, Verhey, Frans R. J., additional, de Vugt, Marjolein E., additional, Zuidema, Sytse U., additional, and Koopmans, Raymond T. C. M., additional
- Published
- 2018
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- View/download PDF
193. The effect of biannual medication reviews on the appropriateness of psychotropic drug use for neuropsychiatric symptoms in patients with dementia: a randomised controlled trial
- Author
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van der Spek, Klaas, primary, Koopmans, Raymond T C M, additional, Smalbrugge, Martin, additional, Nelissen-Vrancken, Marjorie H J M G, additional, Wetzels, Roland B, additional, Smeets, Claudia H W, additional, de Vries, Erica, additional, Teerenstra, Steven, additional, Zuidema, Sytse U, additional, and Gerritsen, Debby L, additional
- Published
- 2018
- Full Text
- View/download PDF
194. Effectiveness of a nurse-supported self-management programme for dual sensory impaired older adults in long-term care: a cluster randomised controlled trial
- Author
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Roets-Merken, Lieve M, primary, Zuidema, Sytse U, additional, Vernooij-Dassen, Myrra J F J, additional, Teerenstra, Steven, additional, Hermsen, Pieter G J M, additional, Kempen, Gertrudis I J M, additional, and Graff, Maud J L, additional
- Published
- 2018
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- View/download PDF
195. Attitudes toward Discontinuing Antipsychotics in Dementia Survey
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Janus, Sarah L. M., primary, van Manen, Jeannette G., additional, Zuidema, Sytse U., additional, Snijder, Carina, additional, Drossaert, Constance H.C., additional, and Ijzerman, Maarten J., additional
- Published
- 2018
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196. Psychometric Properties of the MyotonPRO in Dementia Patients with Paratonia
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Drenth, Hans, primary, Zuidema, Sytse U., additional, Krijnen, Wim P., additional, Bautmans, Ivan, additional, van der Schans, Cees, additional, and Hobbelen, Hans, additional
- Published
- 2017
- Full Text
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197. Nursing Home Residents with Dementia and Very Frequent Agitation: A Particular Group
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Veldwijk-Rouwenhorst, Annelies E., primary, Smalbrugge, Martin, additional, Wetzels, Roland, additional, Bor, Hans, additional, Zuidema, Sytse U., additional, Koopmans, Raymond T.C.M., additional, and Gerritsen, Debby L., additional
- Published
- 2017
- Full Text
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198. Discontinuing Inappropriate Medication Use in Nursing Home Residents
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Wouters, Hans, primary, Scheper, Jessica, additional, Koning, Hedi, additional, Brouwer, Chris, additional, Twisk, Jos W., additional, van der Meer, Helene, additional, Boersma, Froukje, additional, Zuidema, Sytse U., additional, and Taxis, Katja, additional
- Published
- 2017
- Full Text
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199. The Moral and Gender Implications of Measures Used to Modulate the Mobility of People With Dementia Living in Residential Care Environments: A Scoping Review.
- Author
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Sturge, Jodi, Janus, Sarah, Zuidema, Sytse, Frederiks, Brenda, Schweda, Mark, and Landeweer, Elleke
- Subjects
- *
TREATMENT of dementia , *MEDICAL information storage & retrieval systems , *RESEARCH funding , *SEX distribution , *CINAHL database , *DIGNITY , *ETHICS , *SYSTEMATIC reviews , *MEDLINE , *THEMATIC analysis , *HUMAN rights , *LITERATURE reviews , *QUALITY of life , *ONLINE information services , *PHYSICAL mobility , *DEMENTIA patients , *RESIDENTIAL care - Abstract
Background and Objectives Policies and measures often restrict the mobility of people with dementia living in residential care environments to protect them from harm. However, such measures can violate human rights and affect the quality of life. This review aims to summarize the literature on what is known about measures used to modulate the life-space mobility of residents with dementia living in a residential care environment. Furthermore, moral and sex and gender considerations were explored. Research Design and Methods A scoping review framework was referenced to summarize the literature. A total of 5 databases were searched: PubMed, Embase, CINAHL, SCOPUS, and Web of Science. The studies for eligibility using the Rayyan screening tool. Results A total of 30 articles met the inclusion criteria. A narrative description of the findings of the articles is presented across 3 themes: (1) measures and strategies used to modulate the life-space mobility; (2) moral aspects; and (3) sex and gender considerations. Discussion and Implications Various measures are used to modulate the life-space mobility of people with dementia living in residential care facilities. Research exploring the sex and gender differences of people with dementia is lacking. With a focus on human rights and quality of life, measures used to restrict or support mobility must support the diverse needs, capacity, and dignity of people with dementia. Noting the capacity and diversity of people with dementia will require society and public space to adopt strategies that promote safety and mobility to support the quality of life of people with dementia. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
200. Association between advanced glycation end products and paratonia in alzheimer's disease
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Drenth, Hans, Zuidema, Sytse, Krijnen, Wim, Bautmans, Ivan, van der Schans, Cees, Hobbelen, Hans, Ageing and Allied Health Care, Statistical Techniques for Applied Research, and Healthy Ageing, Allied Health Care and Nursing
- Subjects
mental disorders ,dementie ,paratonia ,paratonie ,dementia - Abstract
Physical activity has been proven to be effective in improving and sustaining physical and cognitive performance in dementia.
- Published
- 2016
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