The ParkinsonNet concept: Development, implementation and initial experience

Nijkrake, Maarten J.; Keus, S.H.J.; Overeem, Sebastiaan; Oostendorp, Rob A.B.; Vlieland, Thea Vliet; Mulleners, Wim M.; Hoogerwaard, E. M.; Bloem, Bastiaan R.; Munneke, Marten

doi:10.1002/mds.22813

Cited by 82 publications

(70 citation statements)

References 16 publications

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“…In our MFI strategy, we only indirectly encouraged OTs to collaborate with physicians in their region and the exposure of physicians and managers to interpersonal communication seemed limited. Studies regarding multifaceted implementation strategies suggest that a multidisciplinary and network-based approach is both feasible [32] and effective [39] in improving attitudes, knowledge, and behavior [40]. This indicates that a more prominent place for interdisciplinary collaboration within our strategy might have been necessary to kick-start collaboration and networking.…”

Section: Discussionmentioning

confidence: 99%

Determinants for the effectiveness of implementing an occupational therapy intervention in routine dementia care

et al. 2013

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BackgroundA multifaceted implementation (MFI) strategy was used to implement an evidence-based occupational therapy program for people with dementia (COTiD program). This strategy was successful in increasing the number of referrals, but not in improving occupational therapists’ (OTs) adherence. Therefore, a process evaluation was conducted to identify factors that influenced the effectiveness of the MFI strategy.MethodsA mixed-method approach of qualitative and quantitative research was used to evaluate the implementation process. The MFI strategy as planned and as executed were reported and evaluated based on the framework of Hulscher et al. (2003; 2006). Data on OTs attitudes and expected barriers were collected at baseline from 94 OTs using a 19-item questionnaire. Data on the experiences were collected after finishing the implementation using focus groups with OTs and telephone interviews with physicians and managers. For quantitative data, frequencies and correlations were calculated and qualitative data were analyzed using inductive content analysis.ResultsThe implementation strategy as executed had a stronger focus than planned on increasing OTs promotional skills due to an initial lack of referrals. This resulted in less attention for increasing OTs’ skills in using the COTiD program as initially intended. At baseline, OTs had a positive attitude toward the program, however, 75% did not feel experienced enough and only 14.3% felt competent in using the program. Focus groups and interviews revealed various determinants that influenced implementation. Most managers were positive about the program. However, the degree of operational support of managers for OTs regarding the implementation was not always adequate. Managers stated that a well-defined place for occupational therapy within the dementia care network was lacking although this was perceived necessary for successful implementation. Several physicians perceived psychosocial interventions not to be in their area of expertise or not their responsibility. All professionals perceived inter-professional collaboration to be a facilitator for effective implementation, and general practitioners were perceived as key partners in this collaboration. However, collaboration was not always optimal. OTs indicated that increasing the referral rate was most effective when promoting OT via other disciplines within a physician’s network.ConclusionOur data suggests that a first step in successful implementation should be to make sure that individual and organizational barriers are resolved. In addition, implementation should be network-based and encourage inter-professional collaboration. Initial promotion of COTiD should focus on physicians that have a positive attitude toward non-pharmacological interventions.

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Section: Discussionmentioning

confidence: 99%

Determinants for the effectiveness of implementing an occupational therapy intervention in routine dementia care

et al. 2013

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“…• When establishing online learning communities, it is useful to look at recognized models, for example the ParkinsonNet programme from the Netherlands (Nijkrake et al, 2010), which was established to promote the provision multidisciplinary care for patients with Parkinson's disease.…”

Section: Potential Application In Medical Educationmentioning

confidence: 99%

Connectivism: A knowledge learning theory for the digital age?

2016

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BACKGROUND: The emergence of the internet, particularly Web 2.0 has provided access to the views and opinions of a wide range of individuals opening up opportunities for new forms of communication and knowledge formation. Previous ways of navigating and filtering available information are likely to prove ineffective in these new contexts. Connectivism is one of the most prominent of the network learning theories which have been developed for e-learning environments. It is beginning to be recognised by medical educators. This paper aims to examine connectivism and its potential application. CONTENT:The conceptual framework and application of connectivism are presented along with an outline of the main criticisms. Its' potential application in medical education is then considered, CONCLUSIONS: While connectivism provides a useful lens through which teaching and learning using digital technologies can be better understood and managed, further development and testing is required. There is unlikely to be a single theory that will explain learning in technological enabled networks. Educators have an important role to play in online network learning.(Word count 170)

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“…17 The experience with this network was positive, showing an increase in Parkinson specific knowledge among participating therapists, a better adherence to the treatment guidelines, and a more than sevenfold increase in annual patient volume for ParkinsonNet therapists compared with control therapists 18 ParkinsonNet coverage was gradually extended, achieving nationwide coverage in 2010. There are now 66 regional networks with 2970 trained professionals from a wide range of disciplines for around 50 000 patients (figure⇓).…”

Section: Implementation Of Regional Networkmentioning

confidence: 99%