<b>Copyright information:</b>Taken from "Testing the proficiency to distinguish ... more <b>Copyright information:</b>Taken from "Testing the proficiency to distinguish locations with elevated plantar pressure within and between professional groups of foot therapists"BMC Musculoskeletal Disorders 2006;7():93-93.Published online 1 Dec 2006PMCID:PMC1698918.ured with the pressure platform (Gold Standard).
Background: Hip fracture patients often have an impaired nutritional status at the time of fractu... more Background: Hip fracture patients often have an impaired nutritional status at the time of fracture, which can result in a higher complication rate, prolonged rehabilitation time and increased mortality. A study was designed to evaluate the effect of nutritional intervention on nutritional status, functional status, total length of stay, postoperative complications and cost-effectiveness. Methods: Open-labelled, multi-centre, randomized controlled trial in hip fracture patients aged 55 years and above. The intervention group receives dietetic counselling (by regular home visits and telephone calls) and oral nutritional supplementation for three months after surgery. The control group receives usual dietetic care as provided by the hospital. Outcome assessment is performed at three and six months after hip fracture. Discussion: Patient recruitment has started in July 2007 and has ended in December 2009. First results are expected in
Affiliations: 1 MACVIA-France (Contre les Maladies Chroniques pour un Vieillissement Actif en Fra... more Affiliations: 1 MACVIA-France (Contre les Maladies Chroniques pour un Vieillissement Actif en France) European Innovation Partnership on Active and Healthy Ageing Reference Site @ERSpublications mHealth is promising but the human factors for its design, development and evaluation need to be considered http://ow.ly/cEhN30an6TK Cite this article as: Bousquet J, Chavannes NH, Guldemond N, et al. Realising the potential of mHealth to improve asthma and allergy care: how to shape the future. Eur Respir J 2017; 49: 1700447 [https://doi.
Introduction: Integrated Care Pathways (ICPs) are a method for the mutual decision-making and org... more Introduction: Integrated Care Pathways (ICPs) are a method for the mutual decision-making and organization of care for a well-defined group of patients during a well-defined period. The aim of a care pathway is to enhance the quality of care by improving patient outcomes, promoting patient safety, increasing patient satisfaction, and optimizing the use of resources. To describe this concept, different names are used, e.g. care pathways and integrated care pathways. Modern information technologies (IT) can support ICPs by enabling patient empowerment, better management, and the monitoring of care provided by multidisciplinary teams. This study analyses ICPs across Europe, identifying commonalities and success factors to establish good practices for IT-supported ICPs in diabetes care. Methods: A mixed-method approach was applied, combining desk research on 24 projects from the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) with follow-up interviews of project participants, and a non-systematic literature review. We applied a Delphi technique to select process and outcome indicators, derived from different literature sources which were compiled and applied for the identification of successful good practices. Results: Desk research identified sixteen projects featuring IT-supported ICPs, mostly derived from the EIP on AHA, as good practices based on our criteria. Follow-up interviews were then conducted with representatives from 9 of the 16 projects to gather information not publicly available and understand how these projects were meeting the identified criteria. In parallel, the non-systematic literature review of 434 PubMed search results revealed a total of eight relevant projects. On the basis of the selected EIP on AHA project data and non-systematic literature review, no commonalities with regard to defined process or outcome indicators could be identified through our approach. Conversely, the research produced a heterogeneous picture in all aspects of the projects' indicators. Data from desk research and follow-up interviews partly lacked information on outcome and performance, which limited the comparison between practices. Conclusion: Applying a comprehensive set of indicators in a multi-method approach to assess the projects included in this research study did not reveal any obvious commonalities which might serve as a blueprint for future IT-supported ICP projects. Instead, an unexpected high degree of heterogeneity was observed, that may reflect diverse local implementation requirements e.g. specificities of the local healthcare system, local regulations, or preexisting structures used for the project setup. Improving the definition of and reporting on project outcomes could help advance research on and implementation of effective integrated care solutions for chronic disease management across Europe.
The world's population is rapidly aging, which affects healthcare budgets, resources, pension... more The world's population is rapidly aging, which affects healthcare budgets, resources, pensions and social security systems. Although most older adults prefer to live independently in their own home as long as possible, smart living solutions to support elderly people at home did not reach mass adoption, yet. To support people age-in-place a Living Lab is established in one of the metropolitan areas in the Netherlands. The main goal of the Living Lab is to develop an online health and wellbeing platform that matches service providers, caretakers and users and to implement that platform in one particular city district. In this paper we describe the narrative of the action design research process that will give researchers insight how to deal with complex multi-stakeholder design projects as well as cooperation issues to develop an artifact in a real-life setting. 1 Introduction An aging population can be explained by the increasing life expectancy due to improved public health and...
Personal informatics apps that promote healthy consumption share similar aims, but vary in the me... more Personal informatics apps that promote healthy consumption share similar aims, but vary in the means they adopt to meet them. The adopted means reflect different stances. Stances are the positions that designers implicitly take on a range of issues, such as personal information, freedom of choice and responsibility. Judgments on values such as privacy, autonomy and accountability underlie these stances. We argue for the use of stances as a tool to design personal informatics apps for healthy consumption. Making stances explicit and exploring alternate stances can help designers and stakeholders analyze means and their consequences, and identify and explore alternative approaches. This can better align app’s approaches with users' values, improving ethical acceptability, adoption and long-term use. We examine a number of apps, identify the implicit stances they take, and propose next steps toward using stances as a design tool.
ABSTRACT Ageing of society makes a paradigm shift in western care systems necessary. To be sustai... more ABSTRACT Ageing of society makes a paradigm shift in western care systems necessary. To be sustainable, new care systems have to be implemented to integrate medical and social aspects involving formal and informal caregivers. The use of technology becomes indispensible in this setting to facilitate self-management and cost-effective service delivery. Care@Home takes an innovative approach to the design of a service delivery platform that aims at supporting the elderly people’s wellbeing and independence in their homes. With participatory and value sensitive design we ensure that the needs, concerns and values of the elderly but also of all other stakeholders are accounted for.
ABSTRACT Note: MACVIALR (contre les maladies chroniques pour un vieillissement actif en Languedoc... more ABSTRACT Note: MACVIALR (contre les maladies chroniques pour un vieillissement actif en Languedoc Roussillon), reference Site of the European Innovation Parternship on Active and Healthy Ageing (EIP on AHA), EIP on AHA Reference Site Network, European Union Geriatric Medicine Society (EUGMS), International Association of Gerontology and Geriatrics (IAGG), Groupe de recherche (GDR) français sur la longévité et le vieillissement, ECHAlliance, Healthy Ageing Research Center (HARC). Abstract: The broad concept of Active and Healthy Ageing was proposed by WHO as the process of optimizing opportunities for health to enhance quality of life as people age. It applies to both individuals and population groups. A universal active and healthy ageing definition is not available and may differ depending on the purpose of the definition and/or the questions raised. The European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) has had a major impact but a definition of Active and Healthy Ageing is urgently needed. A meeting was organised in Montpellier October 2021, 2014 as the annual conference of the EIP on AHA Reference Site MACVIALR (contre les maladies chroniques pour un vieillissement actif en Languedoc Roussillon). The goal of the meeting was to propose an operational definition of Active and Healthy Ageing and tools that may be used for this definition. The current paper gives a summary of the plenary presentations that were given during the meeting.
ABSTRACT This paper presents Care@Home, a smartTV platform integrating assistive living services ... more ABSTRACT This paper presents Care@Home, a smartTV platform integrating assistive living services for elderly in their homes. The SmartTV is acting as a user-centered ‘hub’ providing communication that connects the elderly to their formal care network, family, friends, communities, and provides services including household help, healthcare, exercise programmes and entertainment. The paper highlights Care@Home as a low-cost, personalized and open platform that is flexible and easy-to-use. We describe the human-centered design and first results from user studies.
ABSTRACT Current AAL solutions are often rejected by senior end-users, who do not perceive their ... more ABSTRACT Current AAL solutions are often rejected by senior end-users, who do not perceive their benefits or themselves as the target group. This is due to the prevailing technology-driven design process that does not account for human needs. To shift the focus from the technology to the human, involvement of stakeholders in the design process is crucial. In this paper we outline some issues with involvement and continuous engagement of seniors and propose the concept of community-based co-creation as a way forward. Key is the facilitation of long-term collaboration of a community comprised of stakeholders including among others seniors, caregivers and researchers. Their neighborhoods serve as a natural context for designing and implementing their own solutions. We raise several points for consideration and first steps to be discussed.
In order to become more innovative, companies
that operate in the Smart Living domain increasing... more In order to become more innovative, companies
that operate in the Smart Living domain increasingly initiate
and participate in networked business environments that transcend industry boundaries. Inter-organizational collaboration
is often characterized by conflicting strategic interests and
incoherent operational business processes and procedures.
Although many scholars and practitioners use stakeholder
analysis to gain insight into the actors’ relationships and
interactions, existing literature on stakeholder analysis focuses
mainly on high-level strategic analysis, often limited to a
conceptual and static understanding of stakeholder interests.
In this paper, it is argued that a ‘true’ understanding of stakeholders
can be achieved by looking at their interactions and
interdependencies at a more detailed level. This study uses a
conceptual framework from the service innovation and business
model domain, the VIP framework, to extend stakeholder
analysis by including an analysis of their dynamic interactions
and processes. The qualitative evaluation of the framework’s
application in illustrative design cases shows that this extension provides additional insights into stakeholders, and
their potential operational conflicts and critical dependencies.
By making these conflicts and interdependencies explicit,
products and services are potentially easier to implement and
commercialize.
<b>Copyright information:</b>Taken from "Testing the proficiency to distinguish ... more <b>Copyright information:</b>Taken from "Testing the proficiency to distinguish locations with elevated plantar pressure within and between professional groups of foot therapists"BMC Musculoskeletal Disorders 2006;7():93-93.Published online 1 Dec 2006PMCID:PMC1698918.ured with the pressure platform (Gold Standard).
Background: Hip fracture patients often have an impaired nutritional status at the time of fractu... more Background: Hip fracture patients often have an impaired nutritional status at the time of fracture, which can result in a higher complication rate, prolonged rehabilitation time and increased mortality. A study was designed to evaluate the effect of nutritional intervention on nutritional status, functional status, total length of stay, postoperative complications and cost-effectiveness. Methods: Open-labelled, multi-centre, randomized controlled trial in hip fracture patients aged 55 years and above. The intervention group receives dietetic counselling (by regular home visits and telephone calls) and oral nutritional supplementation for three months after surgery. The control group receives usual dietetic care as provided by the hospital. Outcome assessment is performed at three and six months after hip fracture. Discussion: Patient recruitment has started in July 2007 and has ended in December 2009. First results are expected in
Affiliations: 1 MACVIA-France (Contre les Maladies Chroniques pour un Vieillissement Actif en Fra... more Affiliations: 1 MACVIA-France (Contre les Maladies Chroniques pour un Vieillissement Actif en France) European Innovation Partnership on Active and Healthy Ageing Reference Site @ERSpublications mHealth is promising but the human factors for its design, development and evaluation need to be considered http://ow.ly/cEhN30an6TK Cite this article as: Bousquet J, Chavannes NH, Guldemond N, et al. Realising the potential of mHealth to improve asthma and allergy care: how to shape the future. Eur Respir J 2017; 49: 1700447 [https://doi.
Introduction: Integrated Care Pathways (ICPs) are a method for the mutual decision-making and org... more Introduction: Integrated Care Pathways (ICPs) are a method for the mutual decision-making and organization of care for a well-defined group of patients during a well-defined period. The aim of a care pathway is to enhance the quality of care by improving patient outcomes, promoting patient safety, increasing patient satisfaction, and optimizing the use of resources. To describe this concept, different names are used, e.g. care pathways and integrated care pathways. Modern information technologies (IT) can support ICPs by enabling patient empowerment, better management, and the monitoring of care provided by multidisciplinary teams. This study analyses ICPs across Europe, identifying commonalities and success factors to establish good practices for IT-supported ICPs in diabetes care. Methods: A mixed-method approach was applied, combining desk research on 24 projects from the European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) with follow-up interviews of project participants, and a non-systematic literature review. We applied a Delphi technique to select process and outcome indicators, derived from different literature sources which were compiled and applied for the identification of successful good practices. Results: Desk research identified sixteen projects featuring IT-supported ICPs, mostly derived from the EIP on AHA, as good practices based on our criteria. Follow-up interviews were then conducted with representatives from 9 of the 16 projects to gather information not publicly available and understand how these projects were meeting the identified criteria. In parallel, the non-systematic literature review of 434 PubMed search results revealed a total of eight relevant projects. On the basis of the selected EIP on AHA project data and non-systematic literature review, no commonalities with regard to defined process or outcome indicators could be identified through our approach. Conversely, the research produced a heterogeneous picture in all aspects of the projects' indicators. Data from desk research and follow-up interviews partly lacked information on outcome and performance, which limited the comparison between practices. Conclusion: Applying a comprehensive set of indicators in a multi-method approach to assess the projects included in this research study did not reveal any obvious commonalities which might serve as a blueprint for future IT-supported ICP projects. Instead, an unexpected high degree of heterogeneity was observed, that may reflect diverse local implementation requirements e.g. specificities of the local healthcare system, local regulations, or preexisting structures used for the project setup. Improving the definition of and reporting on project outcomes could help advance research on and implementation of effective integrated care solutions for chronic disease management across Europe.
The world's population is rapidly aging, which affects healthcare budgets, resources, pension... more The world's population is rapidly aging, which affects healthcare budgets, resources, pensions and social security systems. Although most older adults prefer to live independently in their own home as long as possible, smart living solutions to support elderly people at home did not reach mass adoption, yet. To support people age-in-place a Living Lab is established in one of the metropolitan areas in the Netherlands. The main goal of the Living Lab is to develop an online health and wellbeing platform that matches service providers, caretakers and users and to implement that platform in one particular city district. In this paper we describe the narrative of the action design research process that will give researchers insight how to deal with complex multi-stakeholder design projects as well as cooperation issues to develop an artifact in a real-life setting. 1 Introduction An aging population can be explained by the increasing life expectancy due to improved public health and...
Personal informatics apps that promote healthy consumption share similar aims, but vary in the me... more Personal informatics apps that promote healthy consumption share similar aims, but vary in the means they adopt to meet them. The adopted means reflect different stances. Stances are the positions that designers implicitly take on a range of issues, such as personal information, freedom of choice and responsibility. Judgments on values such as privacy, autonomy and accountability underlie these stances. We argue for the use of stances as a tool to design personal informatics apps for healthy consumption. Making stances explicit and exploring alternate stances can help designers and stakeholders analyze means and their consequences, and identify and explore alternative approaches. This can better align app’s approaches with users' values, improving ethical acceptability, adoption and long-term use. We examine a number of apps, identify the implicit stances they take, and propose next steps toward using stances as a design tool.
ABSTRACT Ageing of society makes a paradigm shift in western care systems necessary. To be sustai... more ABSTRACT Ageing of society makes a paradigm shift in western care systems necessary. To be sustainable, new care systems have to be implemented to integrate medical and social aspects involving formal and informal caregivers. The use of technology becomes indispensible in this setting to facilitate self-management and cost-effective service delivery. Care@Home takes an innovative approach to the design of a service delivery platform that aims at supporting the elderly people’s wellbeing and independence in their homes. With participatory and value sensitive design we ensure that the needs, concerns and values of the elderly but also of all other stakeholders are accounted for.
ABSTRACT Note: MACVIALR (contre les maladies chroniques pour un vieillissement actif en Languedoc... more ABSTRACT Note: MACVIALR (contre les maladies chroniques pour un vieillissement actif en Languedoc Roussillon), reference Site of the European Innovation Parternship on Active and Healthy Ageing (EIP on AHA), EIP on AHA Reference Site Network, European Union Geriatric Medicine Society (EUGMS), International Association of Gerontology and Geriatrics (IAGG), Groupe de recherche (GDR) français sur la longévité et le vieillissement, ECHAlliance, Healthy Ageing Research Center (HARC). Abstract: The broad concept of Active and Healthy Ageing was proposed by WHO as the process of optimizing opportunities for health to enhance quality of life as people age. It applies to both individuals and population groups. A universal active and healthy ageing definition is not available and may differ depending on the purpose of the definition and/or the questions raised. The European Innovation Partnership on Active and Healthy Ageing (EIP on AHA) has had a major impact but a definition of Active and Healthy Ageing is urgently needed. A meeting was organised in Montpellier October 2021, 2014 as the annual conference of the EIP on AHA Reference Site MACVIALR (contre les maladies chroniques pour un vieillissement actif en Languedoc Roussillon). The goal of the meeting was to propose an operational definition of Active and Healthy Ageing and tools that may be used for this definition. The current paper gives a summary of the plenary presentations that were given during the meeting.
ABSTRACT This paper presents Care@Home, a smartTV platform integrating assistive living services ... more ABSTRACT This paper presents Care@Home, a smartTV platform integrating assistive living services for elderly in their homes. The SmartTV is acting as a user-centered ‘hub’ providing communication that connects the elderly to their formal care network, family, friends, communities, and provides services including household help, healthcare, exercise programmes and entertainment. The paper highlights Care@Home as a low-cost, personalized and open platform that is flexible and easy-to-use. We describe the human-centered design and first results from user studies.
ABSTRACT Current AAL solutions are often rejected by senior end-users, who do not perceive their ... more ABSTRACT Current AAL solutions are often rejected by senior end-users, who do not perceive their benefits or themselves as the target group. This is due to the prevailing technology-driven design process that does not account for human needs. To shift the focus from the technology to the human, involvement of stakeholders in the design process is crucial. In this paper we outline some issues with involvement and continuous engagement of seniors and propose the concept of community-based co-creation as a way forward. Key is the facilitation of long-term collaboration of a community comprised of stakeholders including among others seniors, caregivers and researchers. Their neighborhoods serve as a natural context for designing and implementing their own solutions. We raise several points for consideration and first steps to be discussed.
In order to become more innovative, companies
that operate in the Smart Living domain increasing... more In order to become more innovative, companies
that operate in the Smart Living domain increasingly initiate
and participate in networked business environments that transcend industry boundaries. Inter-organizational collaboration
is often characterized by conflicting strategic interests and
incoherent operational business processes and procedures.
Although many scholars and practitioners use stakeholder
analysis to gain insight into the actors’ relationships and
interactions, existing literature on stakeholder analysis focuses
mainly on high-level strategic analysis, often limited to a
conceptual and static understanding of stakeholder interests.
In this paper, it is argued that a ‘true’ understanding of stakeholders
can be achieved by looking at their interactions and
interdependencies at a more detailed level. This study uses a
conceptual framework from the service innovation and business
model domain, the VIP framework, to extend stakeholder
analysis by including an analysis of their dynamic interactions
and processes. The qualitative evaluation of the framework’s
application in illustrative design cases shows that this extension provides additional insights into stakeholders, and
their potential operational conflicts and critical dependencies.
By making these conflicts and interdependencies explicit,
products and services are potentially easier to implement and
commercialize.
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Papers by Nick Guldemond
that operate in the Smart Living domain increasingly initiate
and participate in networked business environments that transcend industry boundaries. Inter-organizational collaboration
is often characterized by conflicting strategic interests and
incoherent operational business processes and procedures.
Although many scholars and practitioners use stakeholder
analysis to gain insight into the actors’ relationships and
interactions, existing literature on stakeholder analysis focuses
mainly on high-level strategic analysis, often limited to a
conceptual and static understanding of stakeholder interests.
In this paper, it is argued that a ‘true’ understanding of stakeholders
can be achieved by looking at their interactions and
interdependencies at a more detailed level. This study uses a
conceptual framework from the service innovation and business
model domain, the VIP framework, to extend stakeholder
analysis by including an analysis of their dynamic interactions
and processes. The qualitative evaluation of the framework’s
application in illustrative design cases shows that this extension provides additional insights into stakeholders, and
their potential operational conflicts and critical dependencies.
By making these conflicts and interdependencies explicit,
products and services are potentially easier to implement and
commercialize.
that operate in the Smart Living domain increasingly initiate
and participate in networked business environments that transcend industry boundaries. Inter-organizational collaboration
is often characterized by conflicting strategic interests and
incoherent operational business processes and procedures.
Although many scholars and practitioners use stakeholder
analysis to gain insight into the actors’ relationships and
interactions, existing literature on stakeholder analysis focuses
mainly on high-level strategic analysis, often limited to a
conceptual and static understanding of stakeholder interests.
In this paper, it is argued that a ‘true’ understanding of stakeholders
can be achieved by looking at their interactions and
interdependencies at a more detailed level. This study uses a
conceptual framework from the service innovation and business
model domain, the VIP framework, to extend stakeholder
analysis by including an analysis of their dynamic interactions
and processes. The qualitative evaluation of the framework’s
application in illustrative design cases shows that this extension provides additional insights into stakeholders, and
their potential operational conflicts and critical dependencies.
By making these conflicts and interdependencies explicit,
products and services are potentially easier to implement and
commercialize.