bluuebunny/crossref_metadata_2025_split huggingface dataset:
Person centred care: good practises in an ambulatory mental healthcare setting
Authors: Heip Tine , Van den steen Jochen 
Published: January 2024

Introduction: BW IPSO is an organisation that started out as a variety of small organisations in the late 1970. By offering people with a mental illness the possibility to live in sheltered housing, with the guidance of mental healthcare workers, the organisation intended to improve the quality of life for this population. Over the years the organisation grew, merged and became BW IPSO. We now offer 118 places of supported living, going from group homes, to small appartements provided by the organisation, as well as guiding people in their own (social) home.
Description: Throughout the years, apart from housing and mental health, other life domains became more and more important. The mental healthcare worker became a case manager . In our multiprofessional team we follow the principles of FACT and SRH . If the resident wishes so, the case manager can also become a care coordinator. The principles of SRH comprise of three key aspects: presence-oriented, recovery-oriented and strength-oriented. So together, the resident and mental healthcare worker, will explore every life domain and investigate if the resident wishes to ameliorate or change something on a particular domain. Self-direction in the process is crucial. The life domains are physical health, mental health, administration, living and general daily life activities, religion and meaning, meaningful daily activities/work, social network, learning. The mental healthcare worker walks next to the resident throughout his/her path. A path that may lead to all different kinds of settings, f.e. specialized residential (mental) healthcare, community health centres, ambulatory psychologist/psychiatrist but also a workplace, regular welfare organisations, family, friends… When a resident decides to leave our organisation, (s)he can also choose to stay in ‘follow-up’. This means that the mental healthcare worker will still see this person but less frequent. It is a way to prevent fractions in the care continuum and gives the very important opportunity to shift to a more intensive form of care when needed. Providing continuity in care is essential in our line of work. To make this possible, BW IPSO invests maximum efforts to form partnerships with other organisations or initiatives. Building relations in health systems is vital. Innovations in such systems are affected by collaboration. In making these investments, we aim to give our residents the possibilities to try new things, make connections and improve overall quality of life.
Conclusion: Over time, many healthcare services have become fragmented, people who are less empowered miss out on proper care. This also applies for a majority of people who suffer of a (severe) mental illness. As an organisation we strive for continuity of care, collaborative partnerships, patient centred care with maximum ownership. We achieve this with a multidisciplinary team of experienced mental health workers in partnership with other organisations and the network of de person in need.
Diffusion of person-centred care within 27 European countries – interviews with managers, officials, and researchers at the micro, meso, and macro levels
Authors: Rosengren Kristina , Carlström Eric 
Published: January 2024

Purpose: This study aimed to describe facilitators and barriers in terms of regulation and financing of healthcare due to the implementation and use of person-centred care (PCC).
Design/methodology/approach: A qualitative design was adopted, using interviews at three different levels: micro=hospital ward, meso=hospital management, and macro=national board/research. Inclusion criteria were staff working in healthcare as first line managers,
hospital managers, and officials/researchers on national healthcare systems, such as Bismarck, Beveridge, and mixed/out-of-pocket models, to obtain a European perspective.
Findings: Countries, such as Great Britain and Scandinavia (Beveridge tax-based health systems), were inclined to implement and use person-centred care. The relative freedom of a market (Bismarck/mixed models) did not seem to nurture demand for PCC. In countries with an autocratic culture, that is, a high-power distance, such as Mediterranean countries, PCC was regarded as foreign and not applicable. Another reason for difficulties with PCC was the tendency for corruption to hinder equity and promote inertia in the healthcare system.
Originality and practical implications: Fragmented health systems divided by separate policy documents or managerial roadmaps hindered local or regional policies and made it difficult to implement innovation as PCC. Therefore, support at the managerial level, together with patient rights supported by European countries’ laws, facilitated the diffusion of PCC.
Keywords: Europe, Health systems, Managers, Person-centred care, Qualitative content analysis
Factors Influencing Influenza Vaccination Uptake Among Community-Dwelling Older Adults: A Mixed-Methods Study
Authors: Yi Xu , See Min Ting  Alicia , Aloweni Fazila Abu Bakar , Koh Chun Hui Fion , Tan Cheng Gaik Irene , Xin Xiaohui , Gan Wee Hoe , Low Lian Leng , Lim Su Fee 
Published: January 2024

Background: Despite making the influenza vaccine accessible and affordable, vaccination rates remained low among community-dwelling older adults. Therefore, this study aimed to explore the factors influencing vaccine uptake and impact of COVID-19 on vaccine uptake among community-dwelling older adults in Singapore.
Methods: A mixed methods study involving a survey and face-to-face semi-structured interviews were conducted between September 2020 and July 2021. Community-dwelling older adults aged ≥ 65 years were recruited from 27 Community Nurse Posts. Data on participants’ demographics, health condition(s), vaccination status, attitudes towards influenza infections and vaccinations, willingness to pay, intention for future vaccination and source of information were collected via the survey. Semi-structured interviews were conducted to understand vaccination experiences, key enablers and barriers, and the impact of COVID-19 on vaccine uptake. All interviews were analyzed using Braun and Clarke’s thematic analysis. Quantitative data were analyzed using descriptive statistics, chi-square tests and multinomial logistic regressions.
Results: A total of 235 participants completed the survey. Living arrangement was a statistically significant contributing factor for influenza vaccine uptake (ꭓ2= -0.139; p=0.03). Participants who lived alone were 2.5 times more likely to be vaccinated than those living with others (OR=2.504, 95% CI: 1.294-4.842, p=0.006). Avoidance of getting infected (82.5%), avoidance of transmission to others (84.7%), and advice from healthcare professionals to receive vaccination (83.4%) were key enablers while concerns about possible side effects (41.2%), effectiveness of vaccine (42.6%), and not having enough information (48.1%) were barriers. Twenty participants were interviewed. The findings were congruent with the survey results. Five themes were identified as follows: 1) Perceived importance of influenza vaccination, 2) Sphere of influence, 3) Healthcare schemes and medical subsidies, 4) Psychological impediments, and 5) Inconsistent emphases at various touch points.

Conclusion: Greater public health efforts are needed to reach out to the larger population of older adults of different living arrangements, and those concerned about the possible side effects and effectiveness of the influenza vaccine. Healthcare professionals need to provide more information to address these concerns, especially during COVID-19, to encourage vaccine uptake.
Keywords: older adult, influenza, vaccine, vaccination, barrier, enabler, mixed methods
Research based youth care?!: An equal partnership between youth, their network, professionals, and researchers in youth care.
Authors: O'Driscoll Julia Villanueva , Willegems Vicky 
Published: January 2024

In the interdisciplinary research program VOICe (Voicing youth at social risk) at the Vrije Universiteit Brussel, we focus on developing collaborative research practices with young people ‘at social risk’. We share the mission to enable young people and professionals to enter a dialogue in an equal and investigative manner about what they really find important in their daily life context and to adjust this together if necessary. For the past ten years we have been developing collaborative research practices in education in collaboration with schools under the name ‘Research based School?!' to enhance the learning and well-being of students. We would like to further explore, adapt, and possibly roll out this experience with a collaborative model in the context of youth care. This project is based on the idea that quality of care stands or falls with the expertise and commitment of the facility.
“Research based youth care?!” sees a facility as an environment in which everyone bears a responsibility in each other's development. The focus is on the provision that dares to come forward as a learning community. This learning community enhances the growth of all involved by challenging them to tackle questions in partnership.
This project embraces a collaboration model in which care providers, researchers, young people, and their network adopt an investigative attitude together. The use of problem-solving strategies and the exchange of knowledge through participation in a learning community with structured research activities are paramount in this project. It is important that the youth, their network, and the professionals realizes that a problem he/she is confronted with in the facility also affects others (colleagues, management, parents, other youth…). By including these different perspectives, the problem is supported within the entire social context and the chance of carrying out improvement actions is greater.
In a first step, we will build a basis for the collaborative model within youth care, in which we will bring involved parties together to discuss the conditions for equal participation between young people, their network, professionals, and researchers. We have started experience experts and managers sharing their experiences in a professional learning community and to enter a dialogue to design a workable model to further involve other professionals and youth in subsequent phases.
With this trajectory, the university and the professional field join forces with the aim of professionalizing themselves and promoting the development of young people, starting from their own practice; relevant for the facility, the care provider, the youth, and their network; as a full partner; and in dialogue between practice and theory.
Including citizens in collaborative projects in integrated health care through the living lab approach: how to attract participants, build a panel database, engage with end users, and keep them motivated
Authors: Vandenhoudt Hilde , Adriaensen Ingrid , De Witte Nele , Broeckx Leen , Vermeylen Sascha , Helsen Kim , Weyers Glenn , Van der Auwera Vicky 
Published: January 2024

Introduction: The living lab approach allows citizens to be directly involved in projects in integrated healthcare to ensure that the development of topics is tailored to their needs and priorities and that their values are respected all throughout ideation and development. Be it through providing insights to researchers, participating in the collection and analysis of information on their health and well-being, or initiating and co-constructing the protocols of a project, citizens can be involved in many ways. They are the experts of their own lives!
Aims & methods: While setting up a community living lab, the development of a large-scale panel of citizens is an intensive, but necessary action. This community forms a large-scale co-creation and test environment of individuals willing to contribute to the development of new concepts, services, or products.
A user panel fulfills two core functions: Firstly, the panel is needed as a recruitment (data)base for the various experiments/research projects that will run within the living lab (as well as facilitating scalability). The panel must be well profiled and easily accessible, so it can be quickly activated.
Secondly, this test panel aims to act as a benchmark for the living lab. It is the breeding ground from which specific needs and requirements, but also certain trends, can be identified bottom-up. This information can serve as a basis for defining new projects.
In this presentation, we will highlight:
What the requirements are for a representative reference group to run projects
How different profiles and organisations can be approached and attracted
The importance of network building
How a panel database can be built and managed
Which techniques can be used to profile panel members
How to keep panel members interested and motivated to contribute to projects on a regular basis
Key findings: LiCalab has over 10 years of experience in working with citizens in innovation projects. It takes time to build a test panel and it will always remain a work in progress. The main learnings from this journey are that you need to be a trusted partner for both citizens and intermediaries as well as care organisations. An ethical approach, committed and inclusive communication, and an attractive story are key.
Conclusions: Citizens are motivated partners in designing future-proof and inclusive healthcare. A well profiled database and a close one-on-one connection with members is an intensive but rewarding approach for all parties that want to build new solutions together with end users.
Implications: Local authorities, care organisations and companies increasingly acknowledge the importance of citizen involvement to design better solutions corresponding to the needs of end users.
Frailty status and medication use in community-dwelling older patients with polypharmacy: a community pharmacy study.
Authors: Carrein Marie , Mehuys Els , Petrovic Mirko , Sutter An De , Christiaens Thierry 
Published: January 2024

Background and Objective: Frailty is a concept that refers to the deterioration of several organ systems and is characterized by the inability to provide an adequate response to stressors. While mainly used in the field of geriatrics, the concept is extending to other disciplines. Frail older people are more at risk for adverse drug reactions and also more often use potentially inappropriate medication, suggesting that they could benefit the most from medication reviews. With this community pharmacy study we aimed to determine prevalence of frailty in a cohort of community-dwelling older people with polypharmacy, and to describe their medication use. These data can form the basis for optimized patient selection for medication review by community pharmacists.
Methods: An observational study was carried out from November 2019 until August 2020 in 196 community pharmacies in Belgium. Participants (≥70 year, ≥5 chronic drugs, community-dwelling) were consecutively included in the study. Frailty was assessed using the Fried phenotype, operationalized by SHARE-FI75+. Each patient completed a self-administered questionnaire collecting sociodemographics, current medication use, difficulties with basic activities of daily living and unplanned hospital admission. Cognitive status was assessed by Mini-Cog©.
Results: A total of 875 patients were included in the study. Mean age was 79,3 ±5,9 years and 488 (55,8%) were female. Participants used a median of 8 [IQR 6-10] medicines. Most frequently used drugs were: antithrombotic agents (used by 71,1% of the sample), lipid modifying agents (67,4%) and β-blocking agents (53,8%).
Almost 15% of patients were identified as frail, 52,4% as pre-frail and 32,8% as robust. Frailty criteria most commonly present in the cohort were weakness (67,8%) and fatigue (49,7%). 32,1% of the patients were assessed as potentially positive for cognitive impairment. More than 40% of the patients had ≥1 limitation in basic activities of daily living, with difficulties taking a bath/shower as the most common limitation (29,7%). One in 5 patients reported an unplanned hospital admission in the 6 months prior inclusion.
Conclusion: The prevalence of (pre-)frailty among community-dwelling older patients with polypharmacy is high. Based on the current findings we will try to develop a quick and reliable method to identify these patients in the community pharmacy, in order to perform stratified medication reviews.
Hearing Care, as part of basic care in a senior home.
Authors: Tollenaere Claire 
Published: January 2024

Background: World wide, 1 in 6 people is hearing impaired. Age-related hearing loss is the most frequent cause. The number of deaf and hearing impaired persons increases as the population is getting older.
Unfortunately, the impact on quality of life is underestimated.
Hearing is an important part of communication. Several studies of the World Health Organization show the consequences of bad hearing s.a. isolation, frustration, loneliness and even acceleration of the dementia process. A hearing disability is invisible and problems are often not recognized.
A great part of the elderly people lives in a senior home. The prevalence of hearing problems there is estimated around 80% as average age is about 87 years. The ringing of the telephone, a knock on the door, the radio, the television, the alarm signals are difficult to hear. This absence of familiar sounds produces a feeling of confusion and anxiety instead of safety and recognition. Communication is often done ‘on the job’ ignoring some special needs of the hearing impaired. Facemasks may make things even more difficult. The elderly hearing impaired, their family and caretakers have often little or no knowledge about the risks of untreated hearing loss, about innovative technologies in hearing aids and other hearing devices and about some interactional adaptations to improve their quality of life.
Aim: Installing high-quality hearing care in senior homes in order to stimulate the inclusion and participation of hearing impaired elderly.
Method: A team of AHOSA vzw, a Flemish interest group for persons with a hearing loss who communicate in spoken language, developed a project to put into the spotlight the importance of hearing care in senior homes.
Basic relevant information is given to all the persons who are involved in the care process, but also to the residents themselves and to their family.
Physical and digital workshops include a theoretical approach as well as practical information s.a. how wearing a hearing aid, changing a battery, seeing that the person didn’t understand the message… Tips and tricks are given to improve communication.
The workshops use tools such as a PowerPointpresentation, an instruction film and leaflets.
We started with a pilot study: a partnership between the association AHOSA VZW and the Senior Home Sint-Jozef, Assenede Belgium, with support of the Artevelde Highschool Ghent.
During this trial period, the workshops and tools are adjusted by means of feedback of all participants, and the effects are measured by pre- and post questionnaires.
Result: This participatory process with co-creation leads to a workable model of hearing care for all senior homes in Flanders, and can be a national or an international policy recommendation in a later stage.
The scoop can be more durable by also aiming at integration of this model in the education programs of schools and departments that prepare students to work with elderly people.
Conclusion: A well-developed Hearing Care model as part of basic care in a senior home leads to better quality of life.
Utilizing dyadic and triadic family interviews to better understand the integrated care needs of older adults: Examples from a Canadian study exploring the needs of older adults at risk of admission to long-term care facilities.
Authors: Campbell-Enns Heather 
Published: January 2024

Background and purpose: In family sciences, the scientific study of families and close interpersonal relationships, dyadic and triadic interviewing is utilized to gain a more complete understanding of the experiences of families, as well as individuals within families. Family-based methods have been more commonly used in pediatric research, yet they have great utility in older adult integrated care research as well, particularly when older adults experience a decline in their health and family members become more involved in their care. The aim of this presentation is to describe the use of dyadic and triadic interviews as a research method when the research focuses the lives of older adults.
Methods: A Canadian study exploring the needs of older adults at risk of admission to long-term care facilities illustrates the use of family-based research methods in an older adult population. In this qualitative study, older adults and their family members were interviewed as individuals, dyads, and triads.
Results: Data was collected from 24 participants using family-based methods. The data was analyzed in multiple ways so that the experiences of individuals and groups were more fully understood. Overall, the main problem experienced by at-risk older adults and their family members was uncovered, including breakdowns related to an integrated healthcare system.
Conclusion: Reflections on the use of family-based methods with older adults will be presented, including how this data informed integrated care planning in this context. Further, this presentation will highlight how this method compares with focus groups, how and why dyadic and triadic interview data might be analyzed, and how this data can provide robust information to lead to a more informed integrated healthcare system.