Examining determinants of lifestyle interventions targeting persons with intellectual disabilities supported by healthcare organizations: Usability of the Measurement Instrument for Determinants of Innovations

Steenbergen, H. A.; Jong, Brenda I. de; Fleuren, M.A.H.; Schans, Cees P. van der; Waninge, Aly

doi:10.1111/jar.12583

Cited by 5 publications

(4 citation statements)

References 27 publications

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“…These interviews were structured by using determinants of MIDI; see Table 1 for an overview of the data collection method that was used for each determinant. Where MIDI is originally a quantitative method, during the consultation meetings we used it as an interview guide, to ensure that relevant domains of implementation were discussed, as is done in earlier studies [ 35 , 38 ]. Questions were presented on-screen one by one and the professionals answered the questions in an interactive program (Teams Forms or Mentimeter), after which the answers were discussed and elaborated upon in the group.…”

Section: Methodsmentioning

confidence: 99%

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Process evaluation of the ‘Grip on Health’ intervention in general and occupational health practice

Vossen

Gulden

Genabeek³

et al. 2022

BMC Health Serv Res

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Background For working patients with a lower socioeconomic position, health complaints often result from a combination of problems on multiple life domains. To prevent long-term health complaints and absence from work, it is crucial for general and occupational health professionals to adopt a broad perspective on health and to collaborate when necessary. This study aimed to evaluate how the ‘Grip on Health’ intervention is implemented in general and occupational health practice to address multi-domain problems and to promote interprofessional collaboration. Method A process evaluation was performed among 28 general and occupational health professionals, who were trained and implemented the Grip on Health intervention during a six-month period. The ‘Measurement Instrument for Determinants of Innovations’ was used to evaluate facilitators and barriers for implementing Grip on Health. Data included three group interviews with 17 professionals, a questionnaire and five individual interviews. Results While most health professionals were enthusiastic about the Grip on Health intervention, its implementation was hindered by contextual factors. Barriers in the socio-political context consisted of legal rules and regulations around sickness and disability, professional protocols for interprofessional collaboration, and the Covid-19 pandemic. On the organizational level, lack of consultation time was the main barrier. Facilitators were found on the level of the intervention and the health professional. For instance, professionals described how the intervention supports addressing multi-domain problems and has created awareness of work in each other’s healthcare domain. They recognized the relevance of the intervention for a broad target group and experienced benefits of its use. The intervention period was, nevertheless, too short to determine the outcomes of Grip on Health. Conclusion The Grip on Health intervention can be used to address problems on multiple life domains and to stimulate interprofessional collaboration. Visualizing multi-domain problems appeared especially helpful to guide patients with a lower socioeconomic position, and a joint training of general and occupational health professionals promoted their mutual awareness and familiarity. For a wider implementation, stakeholders on all levels, including the government and professional associations, should reflect on ways to address contextual barriers to promote a broad perspective on health as well as on collaborative work.

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Section: Methodsmentioning

confidence: 99%

“…Second, the experts involved in the development studies found that most determinants were generic. Third, since its publication in 2014, MIDI has been validated, used and tested in process evaluations of different types of healthcare interventions [35][36][37][38].…”

Section: Methodsmentioning

confidence: 99%

Process evaluation of the ‘Grip on Health’ intervention in general and occupational health practice

Vossen

Gulden

Genabeek³

et al. 2022

BMC Health Serv Res

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“…Maps of health needs are undoubtedly a tool enabling such measurements and analysis of health data, whereas, according to many authors, the essential tool supporting the planning and coordination of healthcare, used for communication with the patient, is electronic medical documentation [42][43][44][45][46]. This documentation is also necessary for the effective use of telemedicine and e-health mobile solutions in health service delivery [80][81][82][83]. However, digitalization may create some difficulties in extreme situations and during disasters in obtaining the necessary authorization to access patients' data and should be considered in the early planning phases.…”

Section: Discussion Challenges and Recommendationsmentioning

confidence: 99%

Integrated Healthcare and the Dilemma of Public Health Emergencies

Goniewicz¹,

Carlström

Hertelendy

et al. 2021

Sustainability

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Traditional healthcare services have demonstrated structural shortcomings in the delivery of patient care and enforced numerous elements of integration in the delivery of healthcare services. Integrated healthcare aims at providing all healthcare that makes humans healthy. However, with mainly chronically ill people and seniors, typically suffering from numerous comorbidities and diseases, being recruited for care, there is a need for a change in the healthcare service structure beyond direct-patient care to be compatible in peacetime and during public health emergencies. This article’s objective is to discuss the opportunities and obstacles for increasing the effectiveness of healthcare through improved integration. A rapid evidence review approach was used by performing a systematic followed by a non-systematic literature review and content analysis. The results confirmed that integrated healthcare systems play an increasingly important role in healthcare system reforms undertaken in European Union countries. The essence of these changes is the transition from the episodic treatment of acute diseases to the provision of coordinated medical services, focused on chronic cases, prevention, and ensuring patient continuity. However, integrated healthcare, at a level not yet fully defined, will be necessary if we are to both define and attain the integrated practice of both global health and global public health emergencies. This paper attains the necessary global challenges to integrate healthcare effectively at every level of society. There is a need for more knowledge to effectively develop, support, and disseminate initiatives related to coordinated healthcare in the individual healthcare systems.

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“…It is based on a systematic review, a Delphi panel [29] and empirical studies [6], which resulted in 29 factors. MIDI has been successfully applied in different settings and innovations [30][31][32]. MIDI briefly describes each code and illustrates the code with examples.…”

Section: Coding and Analysismentioning

confidence: 99%

Sustainment of Innovations in Palliative Care: A Survey on Lessons Learned From a Nationwide Quality Improvement Program

Veer

Fleuren

Voss

et al. 2021

Journal of Pain and Symptom Management

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Examining determinants of lifestyle interventions targeting persons with intellectual disabilities supported by healthcare organizations: Usability of the Measurement Instrument for Determinants of Innovations

Cited by 5 publications

References 27 publications

Process evaluation of the ‘Grip on Health’ intervention in general and occupational health practice

Process evaluation of the ‘Grip on Health’ intervention in general and occupational health practice

Integrated Healthcare and the Dilemma of Public Health Emergencies

Sustainment of Innovations in Palliative Care: A Survey on Lessons Learned From a Nationwide Quality Improvement Program

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