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Mol T, Scholten E, van Bennekom C, Post M. Development of the self-regulation assessment and content validation using cognitive interviews in a multicultural post-rehabilitation population. Front Rehabil Sci 2023; 4:1085658. [PMID: 37275402 PMCID: PMC10237367 DOI: 10.3389/fresc.2023.1085658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Accepted: 04/17/2023] [Indexed: 06/07/2023]
Abstract
Aim Self-regulation is one of the main goals of medical rehabilitation. Four themes of self-regulation were identified by former patients and rehabilitation physicians in a previous study. Based on these themes, a measure for self-regulation, the self-regulation assessment (SeRA), was developed. This study aimed to establish the content validity of the SeRA in a multicultural and multi-diagnostic post-rehabilitation population. Methods The Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) methodology was applied. First, cognitive interviews were held with eight former rehabilitation patients. Feedback was obtained on relevance, comprehensibility, and comprehensiveness of the items. Items with problems were revised. Then, a second series of cognitive interviews was held with 16 former rehabilitation patients with non-Western migration backgrounds. Again, feedback was obtained on relevance, comprehensibility, and comprehensiveness of the items. Results The first series of cognitive interviews revealed good comprehensiveness, and also comprehensibility or relevance problems with 12 of the 25 items. These items were revised or deleted. Two missing concepts were identified and these were added. There was no need to revise the items based on the results of the second series of cognitive interviews. Conclusion The final version of the SeRA demonstrated content validity for the studied population. The measure is ready for psychometric analyses in subsequent validation studies.
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Affiliation(s)
- Tanja Mol
- Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht, Utrecht, Netherlands
- Department of Rehabilitation Medicine, University Medical Center Groningen, Groningen, Netherlands
| | - Eline Scholten
- Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht, Utrecht, Netherlands
| | - Coen van Bennekom
- Department of Research and Development, Rehabilitation Centre Heliomare, Wijk aan Zee, Netherlands
- Department of Public and Occupational Health, VU Medical Center, Amsterdam, Netherlands
| | - Marcel Post
- Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht, Utrecht, Netherlands
- Department of Rehabilitation Medicine, University Medical Center Groningen, Groningen, Netherlands
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Kluit L, de Wind A, Oosting I, van Velzen J, Beumer A, van Bennekom C, de Boer A. Understanding current practice, needs and expectations of discussing work with a medical specialist from a patient’s perspective: a qualitative study. Saf Health Work 2022. [DOI: 10.1016/j.shaw.2021.12.1657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Kal E, Houdijk H, van der Kamp J, Verhoef M, Prosée R, Groet E, Winters M, van Bennekom C, Scherder E. Are the effects of internal focus instructions different from external focus instructions given during balance training in stroke patients? A double-blind randomized controlled trial. Clin Rehabil 2018; 33:207-221. [DOI: 10.1177/0269215518795243] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective: This study aimed to assess if external focus instructions result in greater improvements in motor skill and automaticity compared to internal focus instructions in stroke patients. Design: Double-blind randomized controlled trial. Setting: Inpatient stroke rehabilitation unit. Subjects: A total of 63 stroke patients (Meanage = 59.6 ± 10.7 years; Meandays since stroke = 28.5 ± 16.6; MedianFunctional Ambulation Categories = 4). Interventions: Patients were randomly assigned to an internal ( N = 31) or external ( N = 32) focus instruction group. Both groups practiced a balance board stabilization task, three times per week, for three weeks. Balance performance was assessed at baseline, and after one and three weeks of practice. Main measures: Primary outcome was the threshold stiffness (Nm/rad) at which patients could stay balanced. Secondary outcomes were patients’ sway (root-mean-square error in degrees) at the baseline threshold stiffness under single- and dual-task conditions, and their performance on the Timed Up and Go Test and Utrecht Scale for Evaluation of Rehabilitation. Results: Both groups achieved similar improvements in threshold stiffness (∆= 27.1 ± 21.1 Nm/rad), and single- (∆= 1.8 ± 2.3° root-mean-square error) and dual-task sway (∆= 1.7 ± 2.1° root-mean-square error) after three weeks of practice. No differences were found in improvements in clinical tests of balance and mobility. Patients with comparatively good balance and sensory function, and low attention capacity showed greatest improvements with external focus instructions. Conclusion: External focus instructions did not result in greater improvement in balance skill in stroke patients compared to internal focus instructions. Results suggest that tailoring instructions to the individual stroke patient may result in optimal improvements in motor skill.
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Affiliation(s)
- Elmar Kal
- Research & Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
- Clinical Neuropsychology Section, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Han Houdijk
- Research & Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - John van der Kamp
- Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Manon Verhoef
- Research & Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
| | - Rens Prosée
- Research & Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
| | - Erny Groet
- Research & Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
| | - Marinus Winters
- Research Unit for General Practice in Aalborg, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
| | - Coen van Bennekom
- Research & Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
- Academic Medical Centre, Coronel Institute for Occupational Health, Amsterdam, The Netherlands
| | - Erik Scherder
- Clinical Neuropsychology Section, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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Kal E, van den Brink H, Houdijk H, van der Kamp J, Goossens PH, van Bennekom C, Scherder E. How physical therapists instruct patients with stroke: an observational study on attentional focus during gait rehabilitation after stroke. Disabil Rehabil 2017. [DOI: 10.1080/09638288.2017.1290697] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Elmar Kal
- Research and Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
- Department of Clinical Neuropsychology, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Amsterdam, The Netherlands
- Research Institute MOVE, Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Amsterdam, The Netherlands
| | - Henrieke van den Brink
- Research and Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
| | - Han Houdijk
- Research and Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
- Research Institute MOVE, Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Amsterdam, The Netherlands
| | - John van der Kamp
- Research Institute MOVE, Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Amsterdam, The Netherlands
- Institute of Human Performance, University of Hong Kong, Hong Kong
| | - Paulien Helena Goossens
- Rijnlands Rehabilitation Centre, Leiden, The Netherlands
- Sophia Rehabilitation Centre, The Hague, The Netherlands
| | - Coen van Bennekom
- Research and Development, Heliomare Rehabilitation Centre, Wijk aan Zee, The Netherlands
- Coronel Institute for Occupational and Environmental Health, Academic Medical Centre, Amsterdam, The Netherlands
| | - Erik Scherder
- Department of Clinical Neuropsychology, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, Amsterdam, The Netherlands
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Ten Brink AF, Hajos TRS, van Bennekom C, Nachtegaal J, Meulenbelt HEJ, Fleuren JFM, Kouwenhoven M, Luijkx MM, Wijffels MP, Post MWM. Predictors of physical independence at discharge after stroke rehabilitation in a Dutch population. Int J Rehabil Res 2016; 40:37-45. [PMID: 27749516 DOI: 10.1097/mrr.0000000000000198] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The aim of this study was to identify predictors, available at admission, of physical independence at discharge from inpatient rehabilitation. Secondary aims were to identify predictors of functional gain and length of stay (LOS). We included 1310 adult stroke patients who were admitted for inpatient rehabilitation in five Dutch rehabilitation centres. Data on the Utrecht Scale for Evaluation of Clinical Rehabilitation at admission and discharge (physical and cognitive independence, mood, pain and fatigue), age, sex and in a subsample stroke characteristics as well were collected. A prediction model was created using random coefficient analysis. None of the stroke characteristics were independently associated with physical independence or functional gain at discharge, or LOS. Higher physical and cognitive independence scores and severe pain at admission were predictors of higher physical independence scores at discharge. Furthermore, lower physical independence scores, higher cognitive independence scores, less pain at admission and younger age predicted more functional gain. Finally, lower physical and cognitive independence scores at admission and younger age predicted longer LOS. Physical independence at admission was the most robust predictor for rehabilitation outcome in a Dutch rehabilitation setting. To a lesser extent, age, cognitive independence and pain predicted rehabilitation outcome after stroke. Treatment of cognition and pain should be taken into account during rehabilitation. Further work needs to be carried out to establish whether focusing on these factors improves outcome after rehabilitation.
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Affiliation(s)
- Antonia F Ten Brink
- aCenter of Excellence in Rehabilitation Medicine, Brain Center Rudolf Magnus, University Medical Center Utrecht, and De Hoogstraat Rehabilitation, Utrecht bDepartment of Research and Development, Heliomare Rehabilitation Center, Wijk aan Zee cCoronel Institute for Occupational and Environmental Health, Academic Medical Center, University of Amsterdam, Amsterdam dUniversity of Groningen, University Medical Center Groningen, Department of Rehabilitation Medicine, Groningen eRoessingh Rehabilitation Center, Enschede fRevant Rehabilitation Center Breda, Breda gRijndam Rehabilitation Centre, Rotterdam, The Netherlands
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te Velde AF, van der Kamp J, Becher JG, van Bennekom C, Savelsbergh GJP. Planning and control in a manual collision avoidance task by children with hemiparesis. Motor Control 2006; 9:417-38. [PMID: 16333146 DOI: 10.1123/mcj.9.4.417] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
We examined whether deficits in planning and control during a manual collision avoidance task in children with hemiparesis are associated with damage to the left or right hemisphere (LHD and RHD). Children pushed a doll across a scale-size road between two approaching toy cars. Movement onset and velocity served as indicators of planning and control. In Experiment 1, children with hemiparesis collided more frequently, and controlled velocity less appropriately compared to typically-developing children. Children with LHD initiated their movement later than children with RHD. Experiment 2 compared the preferred and non-preferred hand of children with LHD and RHD. Children with RHD crossed less with their non-preferred hand, while children with LHD initiated later than children with RHD. Moreover, the groups showed differences in velocity control. It is argued that planning deficits may be related to LHD. The hypothesized association between control deficits and RHD, however, was not confirmed.
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Affiliation(s)
- Arenda F te Velde
- Perceptual Motor Control: Development, Learning and Performance; Institute for Fundamental and Clinical Human Movement Sciences, Faculty of Human Movement Sciences, Brije Universiteit, Amsterdam, the Netherlands
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