bluuebunny/crossref_metadata_2025_split huggingface dataset:
Group Sessions Performance Feedback System to Promote Physical Activity and Heath Decisions- Making
Authors: Mendez-Zorrilla Amaia , Romero Sheila , Vicente-Saez Javier 
Published: January 2024

Introduction: In recent times, there has been a boom in data analytics in different sectors (banking, retail...) this type of task facilitate decision-making or helps to better understand the needs of patients/users. Now, these techniques are also starting to be implemented in the world of physical activity, with different objectives. Among them may be the prevention/prediction of injuries, or obtaining the maximum performance, but they are also an element to analyze the physical activity of chronic patients, people with special needs or elderly people. This project promoted activities such as walking, physical activity in parks or in the gym in groups.
Objectives: The main objectives are:
- to capture and digitize all available information
- to design an interactive web application to help doctors, caregivers and patients themselves to make decisions about their health.
- to test the application results with the final users
Methodology: The data come from activity wristbands and video recordings of group exercise over several sessions (alt least 2-3 sessions).
The groups that have participated in the tests are composed of between 5 and 15 people (of legal age), and all of them with some kind of disability or chronic disease. The recordings have been made on a minimum of 3 sessions per group carried out on different dates and with repetition of exercises.
After extracting and digitizing all the data, it is stored in a database, and analyzed following the CRISP-DM methodology.
Results: The resulting application allows visualization of individual and collective statistics of measured variables, comparisons of performance between patients/users, and provides information in text that can be interpreted by anyone.
All users receive feedback after their sessions via cell phone, and they, as well as their doctors or caregivers, can review the detail in the interactive application.
A novel application of a self-report comprehensive assessment: Where do telephone assessments fit in home care practice?
Authors: Schumacher Connie , Correia Rebecca H , Hogeveen Sophie , Salter Megan , Donaldson Bailey 
Published: January 2024

Introduction: In Canada, long-stay home care patients are a prevalent group of frail older adults living in the community. Home care patients have a high emergency department visit rate compared to those living independently without formal home care services. In March 2020, concerted efforts were put into place to reduce COVID-19 transmission and spread in health sectors, including older adult home care populations.
Description: The interRAI home care (HC) assessment is the practice standard for face-to-face comprehensive assessments in home care. The interRAI Check Up is a comprehensive self-report assessment that can be completed in-person, by video call or telephone. Check Up assessment items are consistent with the content items of interRAI HC. During pandemic mandated restrictions, care coordinators used the Check Up to assess new and existing patients over the phone or by video call to ensure continuity of care. Feasibility and utility of the Check Up was evaluated through a staff survey and focus groups in two distinct regions of Ontario.
Discussion: A total of 48 care coordinators completed the survey, of which 7 consented to provide feedback in the focus groups. Care coordinators found the Check Up easy to pivot to during the pandemic, citing familiarity with questions and risk algorithms. The Check Up results were helpful in gaining an understanding of the patient’s medical issues, functional status, mood, and informal supports, while telephone and video assessments saved travel time. According to the care coordinators, patients and informal care givers were comfortable answering the questions over the phone and appreciative of interaction with a health professional. Although care coordinators were accustomed to telephone check ins, language barriers, hearing impairment, and inability to see the home environment were limitations. Care coordinators found telephone assessments, using the Check Up, most beneficial in the absence of cognitive impairment and with patients previously known and assessed by the care coordinator.
Conclusion: The interRAI Check Up was an efficient method of completing a comprehensive assessment over the phone. Care coordinators found the Check Up to be best suited for reassessments and as a new assessment with stable, cognitively intact patients. Our findings support use of the interRAI Check Up as a promising and feasible addition to the suite of tools for home care coordination.
Primary Care Family Physicians’ Experiences with Clinical Integration: A Scoping Review of Qualitative and Mixed Reviews
Authors: Tseng L. Olivia , Kim Grace G , Newton Christie , Wan Yu Ho Julia , Hall David , Lee Esther , Howard Chang , Poureslami Iraj , Vasarhelyi Krisztina , Lacaille Diane , Mitton Craig 
Published: January 2024

Background: Clinical (service) integration in primary care settings describes how healthcare services are coordinated over time across healthcare contexts to meet patient care needs. Promoting integrated care with interventions that lack systematic approaches can unintentionally increase the complexity and fragmentation of the healthcare system. To improve care integration and healthcare service planning, a systematic approach to understanding its many influencing factors is paramount. This phase I study aims to generate a comprehensive map of family physician (FP) perceived factors, across diseases and patient demographics, influencing how services are integrated for patients.
Methods: The protocol development is guided by Arksey and O’Malley’s scoping review methodology framework. Keywords and MeSH terms were contributed by a multidisciplinary team of healthcare professionals, researchers, and patient representatives through an iterative discussion. An Information Specialist with clinical research expertise tested keywords and MeSH terms to build a search strategy using MEDLINE. The strategy was then adjusted for the EMBASE and CINAHL databases. All identified articles were imported into Covidence platform, and 228 duplicates were removed. Two independent reviewers screened 1,771 studies by their titles and abstracts. Of them, 264 studies were reviewed in full text against the selection criteria and their references were hand-searched. A total of 91 articles were included, and over 2,800 factors were extracted. The factors are being or will be coded into themes the Clinical Integration Framework, a merging of two existing models identified from literature and modified. Within each theme, similar codes are clustered together as a subtheme.
Discussion: The identified factors will help develop a survey in Phase II study to ascertain high impact factors for intervention(s), as well as thematic and evidence gaps to guide future research. The study findings will be shared with stakeholders to promote awareness of clinical integration issues through multiple channels: publications and conferences for researchers and care providers, an executive summary for clinical leaders and policy makers, and social media for the public.
Above The Clouds: a loving way to look at perinatal loss.
Authors: Fransen Anneleen 
Published: January 2024

Above the clouds is a charity organisation in Belgium, founded in 2016, by Anneleen, midwife and photographer, and Sharon, photographer and bereaved mother of Nina*. Our goal: give all bereaved parents in Belgium beautiful memories of their deceased baby. More than 4500 babies have since been photographed.
As a society we have lost the connection with death, although it is a key part of life. How can we look differently at mourning and loss and by doing so support bereaved parents and family and friends? What can we, as healthcare providers and human beings, do more to give parents who experience loss the best possible start in their mourning process?
Through real life stories we take the audience on a journey to change their view on mourning, loss and death. The importance of recognition, memories and the extremly hard but beautiful and important moment of saying goodbye.
The only way to heal our society in our way of looking at death and mourning, is creating awereness around the subject of perinatal loss and starting to look at it with different eyes from a loving point of view.
The 7 fundamental ways that mental health services should engage with carers and family.
Authors: Maybery Darryl 
Published: January 2024

Having a parent with a mental illness doubles the risk of children also developing a mental health problems later in life. However, the influence of parental mental illness can be negated by targeted and integrated care. Thirty six percent of clients attending adult mental health services (AMHS) have children under 18 (Ruud et al., 2019) and when mental health service providers, service users and their carers/family successfully integrate their care and perspectives, widespread benefits flow to all stakeholders. However, mental health services do not commonly engage with carers or family. This presentation describes (a) an extensive review of the literature and (b) mixed method feedback from 134 carers/family members about what they received and wanted from mental health services. The findings triangulate carer/family PPI with multiple diverse literatures, to confirm 7 fundamental engagement practices that carers/family want from health services. International delegates will understand from this presentation the ‘fundamental’ ways that mental health services should engage with carers and family of mental health service users. They will also understand how and why such engagement is ‘fundamental’ to the wellbeing of both service users, their carers and family members.
The implementation of I.ROC as a way to use client goals as drivers to organise mental health care and improve mental health care through outcome monitoring.
Authors: Deloof John 
Published: January 2024

De MaRe uses the Indivdual recovery outcome counter (I.ROC) as a way to organise mental health care starting from the individual client needs and goals. Clients are put in the drivers seat of their own recovery proces by being able to set their goals on the HOPE-framework (home, opportunity, people, empowerment) and determing their own needs in health care. Health care workers developed a toolkit to meet clients needs and facilitate the recovery proces.
By processing the data the health care facility can use generalised input as an outcome monitor and improve the health care service for clients.
Generalised data can also be used to benchmark the provided care with peer centers in Flanders
Bringing companions together: how we support, develop and spread Open Dialogue practice in Flanders, Belgium
Authors: Van Wetter Dag 
Published: January 2024

The main goal of this workshop is to exchange together on the values of the Open Dialogue approach, from the different perspectives and experiences of professionals, people with lived experience and people with family experience.
Structure of the session:
15 min. introduction: The Open Dialogue approach was first established in Western Lapland (Finland) and is gaining wider development in international practice. This approach been remarkably helpful in different situations and contexts, always possible starting from within a personal mental health crisis - without hesitation or delay - and with further flexible, sustainable support for everyone who is involved in this together. In the Open Dialogue approach professionals seek connection and dialogue with and between everyone involved. Without delay, to listen openly to the different voices, experiences and perspectives. In searching for a new understanding to carry on together, there’s time and a future to be won. Following seven core principles, Open Dialogue translates "being with” and ""doing with" concepts to a dialogical practice.
15 min. Presentation of different case studies or contexts: Involving many teams in different regions, Open Dialogue practice is also developing in Flanders, Belgium. In cooperation with mental health organisations, people with lived experience, people with family experience, social welfare partners and training of health professionals/peer workers, teams are also actively connecting Open Dialogue practice to strengthening and spreading other community-based, right-based and recovery-based practices.
25 min. Interaction: Exchanging reflections with the audience
5 min. Interactive closing together: Gathering take home messages and looking forward to further steps in Open Dialogue development
Engaging youth in research, education, and practice: a workshop on various forms of youth participation
Authors: Nooteboom Laura , De Beer Carolijn , Heek Eline , Vermeiren Robert 
Published: January 2024

To improve integrated care for youth with multiple and complex needs, it is crucial to actively collaborate with youth in research, education and practice. Only by combing scientific evidence, clinical expertise, and patient values, we are able to organize care that fit the needs of youth [1].
However, engaging youth can be challenging for both professionals and youth. For example, youth participation often fails due to a lack of knowledge on the various roles they can play, problems in collaboration, or a lack of preconditions such as insufficient rewards and minimal supervision. Questions that often arise are: how do we actively engage youth in research, education and practice? What roles can youth play to improve integrated care programs? And what conditions are needed to optimize youth engagement and collaboration?
This workshop is for all researchers, policy makers and practitioners, working in youth (mental health) care, interested in improving (youth) engagement in their own practice. Also, this workshop is interesting for youth who want to be involved in improving integrated care.
The workshop is based on the results of a systematic review on youth peer support [2] and experiences from multiple projects (i.e., research, education and treatment) in child and youth psychiatry in The Netherlands. Participants will learn about the various roles youth can play and preconditions that should be met to optimize collaboration in practice. The workshop starts with an introduction (15 min.) explaining different forms of experiential knowledge and the added value of including all perspectives in research, education and practice. Then, the various roles youth can play will be presented. Also, opportunities and challenges within these roles will be discussed by a youth representative based on examples from practice.
Following the introduction, the workshop participants will get the opportunity to reflect on youth participation in their own context (30 min. in total). First, participants are asked to answer questions which stimulate individual reflection on the theory presented (10 min.). Then, participants will discuss their successes, opportunities and challenges in groups (20 min.). An experienced participatory researcher and a youth representative will provide real-time feedback on the participants’ experiences and support them to formulate points of action to improve their practice.
At the end of the workshop, participants will have insight into various forms of youth engagement, they will be inspired by examples from other participants, and are equipped with specific points of action to improve their own practice (15 min.).
Evaluation Capacity Building for Integrated Care Models in Practice
Authors: Shearkhani Sara , Embuldeniya Gayathri , Wodchis Walter , Wojtak Anne , Fam Mark 
Published: January 2024

Quality and timely evaluation is key in creating a sustainable integrated care; however, it requires resources, expertise, and capacity building. Evaluation capacity building (ECB) is the process of improving an organization’s capacity to conduct rapid cycle evaluations by building knowledge and skills within the organisation. The process involves behavioral changes and could enhance collective capability to generate evidence for informed decision-making. ECB can be a complex process and it could become even more complicated in the context of integrated care where several organizations are involved. However, ECB could lay the groundwork for a stronger collaboration and eventually lead to achieving goals such as improving population health, patient/caregiver and provider experience, value for money, and equity (quintuple aim).
The workshop is built on the following three questions:
1.What is the state of the art on evaluation of integrated care?

The workshop will focus on presenting evaluation approaches and techniques such as developmental, ethnographic, and realist evaluations, as well as quantitative methods such as comparative effectiveness)

2.What can be done internally to build local capacity? What are some main considerations?

We present a case study from Toronto, Canada. In partnership with Health System Performance Network, East Toronto Health Partners (ETHP) have invested in building internal evaluation capacity since 2020 to support learning, knowledge transfer, and decision making for scale and spread of their new models of care. We will talk about how ETHP made decisions about what they would evaluate, what/ who was needed to do this, and how they decided that it was possible to achieve their goals.
From a local capacity perspective, we will also focus on intervention-level evaluation (i.e. understanding the goals of the intervention, the activities and their links to goals, and the ‘countable’ ‘measurable’ aspects of implementation (processes), and data collection, analysis, and interpretation).

3.What are some practical tools that can be used for internal capacity building?

We will share some practical tools with the audience including logic model and evaluation plan templates that were developed by HSPN/ETHP.

We propose a 120-minute workshop with the following structure:
1)Welcome (5 minutes)
2)Theory burst: State of the art (30 minutes)
3)Group discussion: Getting to know each other and report back (20 minutes)
4)Break (10 minutes)
5)Case study: East Toronto Health Partners Journey (20 minutes)
6)Fireside chat: A facilitated discussion on building evaluation capacity (20 minutes)
7)Evaluation toolkit presentation (10 minutes)
8)Wrap up (5 minutes)
We will engage the audience by sharing practical example and inviting them to relate what they have learnt to their evaluation needs. We will share an evaluation toolkit with the audience as a way to summarize the take home messages of the workshop.
Multidisciplinary client meetings: key towards integrated care
Authors: Forde Natascha , Senesael Dhaeyere Eline 
Published: January 2024

Due to the increase of chronic diseases and multimorbidity, there is a growing need for integrated care. Setting up multidisciplinary clientmeetings, mostly in the patient’s home environment, is an important key to achieve this. The complexity of care increases which makes it more difficult for both the care givers and the patient and his environment to maintain a good overview and efficient care planning to meet client’s needs.
Care as we see it, generally speaking, is more than only health care in a strict interpretation. It also includes wellbeing and this in a broad perspective of different aspects in people’s lives (physical as well as mental health, social needs, integration and participation, spiritual needs, etc). Therefore, care coordination between the patient and the various care givers is crucial to meet all of these care needs and to achieve the care and life goals of the patient.
Multidisciplinary clientmeetings already exist since 1990’s (and even earlier) in Belgium, but the method is still too unknown in some regions or sectors, even though the added value can be clearly demonstrated for the patient and the care givers. The public and social health care insurance funds have invested in people and expertise in facilitating these multidisciplinary clientmeetings and with success. A multidisciplinary clientmeeting is specifically interesting to be organized in a complex care situation. The objective of a multidisciplinary clientmeeting is bringing client and care givers together to formulate common goals and to make a plan of action. The client’s goal is the key to this plan. The facilitator is the organizer of this multidisciplinary clientmeeting. Although this means an investment of time, there is an obvious return on investment in terms of smoother cooperation and more effective care.
The workshop starts with presenting very briefly the unique mission of the public and social health care insurance funds in Belgium and how we try to build bridges between care and wellbeing.  We will be presenting an actual complex case and together we will explore how the attendees would deal with this based on their own knowledge and experience. After this interactive part, we will give insights in the method used by our facilitators with special attention for the client’s perspective. We will explain what a multidisciplinary clientmeeting is, who your target audience can be, who are the participants, what is the role of a facilitator and a care coordinator and how integrated care is realized during such a clientmeeting. Not only by using testimonials of several professional and informal care givers, but also with testimonials from the patient and his informal care givers, we will show the added value of the multidisciplinary clientmeeting.
Monitoring the governance maturity of network organizations.&nbsp;&nbsp; A session for policymakers.
Authors: Boeckx Thomas 
Published: January 2024

In 2020 Flanders has installed care councils as a network organization at meso level. The care council aims to install integrated, goal-oriented care within the local network of medical care providers, social and welfare providers and local authorities, in cooperation with the patient and his or her caregiver. Together with all these partners, the care council takes care of a population of at least 75,000 people.
In this way, the Flemish government wants to move from a fragmented care system towards integration in which goal-oriented care, based on the life goals of citizens, is central.
Care councils were established during the covid years. Within the Flemish healthcare landscape, the fight against the covid-19-pandemic created a great connection between the different partners. This collaboration was enhanced by the work of the brand new care councils. Now that the pandemic is coming under control, new and complex challenges are piling up for these new network organizations:

How can the local network be engaged to provide quality, integrated care within their network organizations?
Within a decentralized care policy, how can priority-setting be done without compromising global and local policy objectives?
How do these young organizations plan to face future crises, together with their networks? How do they increase their resilience?

In this workshop, we want to bring policymakers and network organizations from different regions around the table to reflect on how organizations can be followed up in their growth towards managerial maturity. Both the core objective (implementation of integrated, goal-oriented care within the network) and increasing resilience in crisis situations are guiding this. What systems exist for this purpose? What good practice examples are available? Which indicators are suitable? This session mainly aims to explore and take inventory.
The workshop will be made up of:

15-minute introduction and context
3 x 15 minutes of work around 3 different themes (exchanging experiences and good practices):
a) Measuring and monitoring managerial maturity and good governance of network organizations to achieve integrated, goal-oriented care
b) Monitoring and measuring priority setting as a function of different policy objectives from different levels
c) Follow up on how organizations increase their resilience in function of various crisis situations.
3 x 5-minute to bundle the results