Annual Report innovations in healthcare

Annual report 2011 Research Centre for Innovation in Health Care

NVAO accredited programme

Our research findings result in innovations that improve patient care, clinical practice and education

Contents Research Centre for Innovation in Health Care

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The 2011 Facts

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Inauguration professor Ellen Gerrits

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New Research Group for Dissemination of Pharmaceutical

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Innovations Doctoral degrees in 2011

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• The fittest people have the least back pain complaints

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• Better care for vulnerable elderly in hospitals

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• Intensive physical activity improves cognition

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• How to get patients into a more active lifestyle?

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Chair appointment at the Eindhoven University of Technology

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Awards for members of the Research Centre

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HU-UAS Prime Area Care and Technology

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Ethical aspects in research and education

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Professionalization teaching staff

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Research Centre active in education

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• Courses in evidence based practice

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• Research Centre Masterclasses

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Open Access Publications

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/ T he Research Centre for Innovations in Health Care The Research Centre for Innovations in Health Careof the Faculty of Health Care of HU University of Applied Sciences carries out research that results in innovations that improve patient care, clinical practice and education.

The goal of these innovations is to maintain independence and self reliance for those patients with (chronic) illness. The various research groups of the Research Centre all work towards this goal and are centered around care for older adults and familiy care physical activity and health, speech and language therapy, pharmaceutical innovations and care and technology. We carry out applied research on behalf of and in collaboration with health care professionals.

Teaching staff and students participate in our research too.

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The 2011 facts • •

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5 research groups 7 professors 41 researchers 14 PhDs 14 PhD students 60 scientific publications 35 abstracts 57 professional publications 93 presentations for professionals 48 scientific presentations 4 doctoral degrees 244 bachelor and master students participated in research 16 masterclasses attended by more than 1450 students

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Inauguration / Professor Ellen Gerrits

Do we speak the same language?

On March 31st Professor Ellen Gerrits delivered her inaugural speech.

The title of the inaugural speech was “Do we speak the same language? Evidence-based speech and language therapy and the communication between research, education and clinical practice.� The research Group Speech and Language therapy focuses on speech and language interventions in children.

Its research findings will contribute to the professionalization of speech and language therapists and to implementation of evidence based practice in children with language disorders and children with hearing loss. The output of the research group will be used by speech and language therapists in institutions, hospitals, education or private practice. This professor was appointed by the HU university of Applied Sciences in collaboration with the Royal Auris group.

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New Research Group Dissemination of Pharmaceutical Innovations al Inaugur speech 2 2-9-201

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Dr Ad van Dooren, has been appointed chair the research group Dissemination of Pharmaceutical Innovations.

This research group will contribute to knowledge about the dissemination of innovations in the field of pharmaceutical health care.

The aim of its research is to efficiently bring these innovations to patients and health professionals. The knowledge so gained will result in generalizations and recommendations for professionals in pharmaceutical health care. The research group is a collaboration with Nefarma, the Dutch association for innovative drugs.

Dr Ad van Dooren delivered his inaugural speech on February 9th, 2012.

This research group contributes to the knowledge the dissemination of innovations in the field of pharmaceutical health care.

This research group contributes to the knowledge the dissemination of innovations in the field of pharmaceutical health care 9

/ Marjolein Kruijs Nursing student Participates in research in the Research Centre

“I think you can make a difference with your research skills within the role of professional and contribute positively to the field�

fittest people hAVe fewest bAck pAiN cOmplAiNts Moderate physical activity that contributes to physical fitness is an important factor in preventing (low) back pain complaints. Too little or too much activity on the other hand is hazardous for spinal health.

Research Centre member Hans Heneweer received his doctoral degree on March 4th at the Leuven University for his dissertation on the association of lifestyle factors and low back pain complaints entitled “Correlates of low back pain: a closer look at physical activity, physical fi tness and personal attributes”. His dissertation committee consisted of Research Centre prof. Luc Vanhees, RIVM dr H.S.J. Picavet en prof. F. Staes of Leuven University.

Heneweer: “In order to understand better the complaints of low back pain, it is important to learn the importance of various single factors that infl uence back pain, but also their mutual 12

4 interrelations. We performed six separate studies to enlarge our knowledge about this health problem.�

You can request a copy of the dissertation by sending an email to hans.heneweer@hu.nl 13

Better care for vulnerable elderly in hospitals Four simple questions asked at admission to hospital can determine whether an elderly patient has an increased risk for the development of permanent functional decline. This questionnaire may improve care for vulnerable elderly.

Nursing scientist and Research Centre member Jita Hoogerduijn received her doctoral degree on April 19th at Utrecht University. Her dissertation team consisted of Research Centre prof. Marieke Schuurmans and prof. R. Grobbee of Utrecht University. “Many elderly leave the hospital worse off than when they entered. With ageing this becomes an increasingly larger problem” says Hoogerduijn. “Thanks to the questionnaire we can study which interventions can prevent this possible health collaboration”. Hoogerduijns’ thesis is entitled:” Identification of older hospitalized patients at risk for functional decline”.You can request a copy of the dissertation by sending an email to jita.hoogerduijn@hu.nl 14

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better cOgNitiON thrOugh intensive eXercise

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It is well known that physical exercise helps keeping the body fit. It turns out that your brain also benefits when you exercise hard enough to increase your heart rate and breathing frequency.

It seems not necessary to exercise very often or very long, apparently the most crucial characteristic of exercise is the intensity. Research Centre member Maaike Angevaren received her doctoral degree April 29th for her dissertation:�

Physical activity, cardiorespiratory fi tness and cognition�. Her dissertation committee consisted of Research Centre prof. Luc Vanhees and dr Harald Verhaar of Utrecht University. You can request a copy of the dissertation by sending an email to maaike.angevaren@hu.nl

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How to get patients into a more active lifestyle?

When someone is told to exercise more often, chances are he will not comply. How can health care professionals help patients to become more active? arbara Sassen received her doctoral degree on this B topic on November 23rd at Maastricht University. Her dissertation team consisted of Research Centre prof.

Luc Vanhees and prof. G.J. Kok of Maastricht University.

Her dissertation is entitled: “Supporting healthcare professionals to encourage patients to decrease cardiovascular risk attributable to physical inactivity�.

You can request a copy of the dissertation by sending an email to barbara.sassen@hu.nl

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/ chAir AppOiNtmeNt At the eiNdhOVeN uNiVersity Of techNOlOgy

professor heliANthe kOrt

Professor Helianthe Kort has been appointed Full Professor at the Faculty of Built Environment for the chair Building Performance, Building Healthy Environments for Future Usersat Eindhoven University of Technology.

Prof. Kort is Chair Demand Driven Care at the Research Centre for Innovation in Health Care.

Her research includes technological support in buildings, with the purpose of making clients better able to function independently. At Eindhoven University of Technology she will supervise research and provide advice on building design with emphasis on the interaction which users have with their environment and what this implies for building performance. She coordinates the prime area Care and Technology with the HU University of Applied Sciences (see next in this annual report).

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Awards for members of the Research Centre

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/ dr jOOst VAN hOOf, eur iNg

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won the REHVA Young Scientist Award 2011. This annual award is distributed to young scientists for outstanding research work in the fi eld of installation technology.

/ dr jANke de grOOt

won the HUgenoot Award for contributing to developments in education and clinical practice through her dedication to and activities around her PhD work.

This Award is for staff and students who have delivered a special and valuable contribution to the HU University of Applied Sciences.

/ dr jOOst VAN hOOf, eur iNg The Research Centre Innovation of Health Care came in third for the Universities of Applied Sciences award for the best practice based research in 2011, with the subject Technology at home now! and the dissertation ageing-in-place by dr Joost van Hoof.

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/ Solange Galvez Vargas student Pharmaceutical Business Administration Participates in research of the Research Centre

“I carry out research into the influence of the internet on the choices patients and health care providers make. In our survey we added health care applications, because this is a coming trend. Based on the survey results, we can improve these health care applications because they are relatively new.�

HU University of Applied Sciences Prime Area Care and Technology Health care without technology is no longer imaginable. Technology has become an integral part of our existence and therefore also of health care.

This concerns not just ICT and equipment for the delivery of medical, nursing and allied health care, but also appliances that enable independent functioning in an environment that complies with the demands of the patient.

HU University of Applied Sciences focuses on Care and Technology as one of its prime areas of research.

It is one of the domains we excel in. Our Research Centre is leading in Care and Technology. We aim at the development and the use of technology in the primary process of health care, with the purpose of enabling chronically ill patients to function independently and to participate socially as long as possible.

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10 The expertise of several HU Faculties and Research Centres will be bundled in this prime area of research.

For this reason we collect all activities that our colleagues perform in the domain of care and technology, both for education and for research.

Care and technology determine the profi le of the HU University of Applied Sciences and will become increasingly visible in the research and education activities of the HU. 27

Ethical aspects in research and education

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The Research Centre has performed a pilot within the Faculty of Health Care investigating the quality and (medical) ethical aspects of all human research related activities in research and education.

In addition, the added value of a Medical Ethical Screeningscommittee (MES) has been investigated.

In the Faculty of Health Care, patients, staff and/or students are often participants in research projects.

This human research must comply with legal guidelines for the privacy and the treatment of research subjects.

This pilot investigates the protection of the rights, safety and well-being of research subjects who participate in research projects by students, teaching staff and members of the Research Centre. This is not limited to the research protocol, but includes the skills of the researchers, the appropriateness of the facilities and the protection of personal data. It includes all research projects whether medical scientifi c research according to the WMO or not. WMO stands for the Law on Medical Scientifi c Research involving Human Beings. Research that falls under the WMO, but also research we think might fall under the WMO, is submitted by the Research Centre to the appropriate Medical Ethical Committee, which, In our case, is usually the Medical Ethical Committee in Utrecht.

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At the same time, we are doing a data pilot, in which we investigate which variables are being collected within the Faculty of Health Care, with which purpose and how these data are being saved. Here too, the aspect of privacy is of major importance. The pilots contribute to the development of the HU University of Applied Sciences.

It’s about the skills of the researchers, the appropriateness of the facilities and the protection of personal data

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Professionalization of teaching staff

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In many places within our Faculty journal clubs are being held once a month. In these journal clubs members of the Research Centre together with our teaching staff critically appraise scientific publications.

These Journal clubs have been thematically classifi ed.

Teaching staff can thus assess scientifi c research in the fi eld of their interest. In addition, teaching staff participates in projects in which questions from health care professionals are answered, together with students for one day a week. The Research Centre Innovation in Health Care also provides Health Research continuing education for teaching staff.

This continuing education comprises 4 courses that can be taken.

• Health Research I Basic is for bachelor educated teaching staff and include the searching and fi nding of scientifi c literature and understanding statistics.

• Health Research II Basic+ includes the practical applications of Health Research I • Health Research III General is for staff with deeper knowledge of statistics • Health Research IIII Advanced is an advanced education for members of the Research Centre.

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Course Evidence Based Practice The course Evidence Based Practice (EBP) is integrated in all bachelor studies at the Faculty of Health Care.

Students start learning about research in their first year of education. Tasks in the first year aim to not only develop a scientific attitude, but are also directed towards the essence of their future professions in health care. In the second year the focus is more directed towards the scientific attitude and small research projects. In the third year research projects take place within a profession-specific context to increase a critical and reflective professional attitude.

In the fourth year attention is mainly directed towards the innovative professional attitude through final research projects.

Every year the quality of the EBP course is assessed.

On the basis of random samples the quality of the research projects (already assessed by teaching staff) is reviewed.

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The professors of the Research Centre are in charge of the reviews, members of the Research Centre carry them out. This year, the quality of the research projects was again reviewed. On the basis of the outcomes of this review, the EBP course and the assessment of the research projects is further developed where necessary.

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/ Hilde Hiemstra Nursing student Participates in research in the Research Centre

“During my education we practiced doing research, but that was really an artificial situation. Because you are now involved in real research, you learn to do real research. You also have to deal with aspects that could cause problems that you have to solve.�

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The results are not the main objective, but mainly the way the results have been reached

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reseArch ceNtre masterclasses

In 2011 the content of the Research Centre masterclasses was updated.

To get acquainted with our research, research ethics and – methods, students are offered a series of eight masterclasses. In this series students get insight in doing research and applying several different research methods. The results are not the main objective, but mainly the way the results have been reached. Which choices were made by the researchers of the Research Centre? This knowledge contributes to the education of our students to become refl ective practitioners, who as health care providers are capable of critically assessing their own practice.

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Open Access Publications The Research Centre of Innovation in Health Care wants to disseminate her knowledge widely.

Together with other Research Centres of the HU University of Applied Sciences the Research Centre is building a digital library which includes all publications of the members of the Research Centres: www.ivz.onderzoek.hu.nl/Publicaties.aspx This library is linked to the Dutch Universities of Applied Sciences Knowledge Bank and the website www.lectoren.nl. This opens access to all publications. It stimulates knowledge circulation and dissemination between researchers and education, between Universities of Applied Sciences and clinical practice. Publications become accessible sooner and are more visible.

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Our research is aimed at and in close collaboration with clinical practice

Bolognalaan 101 3584 CJ Utrecht

www.ivz.onderzoek.hu.nl secretariaatlectoraat.fg@hu.nl