A randomized controlled trial comparing community lifestyle interventions to improve adherence to diet and physical activity recommendations: the VitalUM study

Worldwide, adherence to national guidelines for physical activity (PA), and fruit and vegetable consumption is recommended to promote health and reduce the risk for (chronic) disease. This study reports on the effectiveness of various social-cognitive interventions to improve adherence to guidelines and the revealed adherence predictors....

How to facilitate guideline use? A bottom-up qualitative approach developing a training programme for professionals involved in work participation of people with a chronic disease

Background: A guideline for occupational health professionals (OHPs) is developed which provides them with knowledge and skills to optimize their guidance to people with a chronic disease. Objective: Developing a training programme to acquire and apply knowledge and skills provided by the guideline, through a bottom-up approach. Methods: First,...

Adherence to three different strategies to prevent early onset GBS infection in newborns

Problem: Despite the introduction of preventive guidelines, no decrease in the incidence of early onset infection was observed. Background: Early onset group B streptococcal (EOGBS) infection is an important cause of neonatal morbidity and mortality. Aim: Our study was conducted to determine adherence to three guideline-based group B...

A 7-step strategy for the implementation of worksite lifestyle interventions helpful or not

Objective: The aim of this study was to evaluate the use of and adherence to a 7-step strategy for the development, implementation, and continuation of a comprehensive, multicomponent lifestyle program. Methods: Strategy use and adherence was assessed with 12 performance indicators. Data were collected by combining onsite monitoring with semi...

Implementation of a shared care guideline for back pain: Effect on unnecessary referrals

Objective: To determine the effect of the implementation of a shared care guideline for the lumbosacral radicular syndrome (LRS) on unnecessary early referrals and the duration of the total diagnostic procedure. Design: Introduction of shared care guideline in November 2005. Pre-test in 2005 (April to October), a first post-test in 2006 (April...

Interviews for the assessment of long-term incapacity for work: A study on adherence to protocols and principles

Background. Assessments for long-term incapacity for work are performed by Social Insurance Physicians (SIPs) who rely on interviews with claimants as an important part of the process. These interviews are susceptible to bias. In the Netherlands three protocols have been developed to conduct these interviews. These protocols are expert- and...

Outcome measures in physiotherapy management of patients with stroke: A survey into self-reported use, and barriers to and facilitators for use

Objective. To investigate physiotherapists' self-reported use of outcome measures as recommended in the Dutch Clinical Practice Guideline on Physiotherapy Management of Patients with Stroke (CPGPS) and to assess perceived barriers to and facilitators for the use of outcome measures in everyday practice. Method. A 41-item survey, including the...

The diagnostic work up of growth failure in secondary health care ; An evaluation of consensus guidelines

Background: As abnormal growth might be the first manifestation of undetected diseases, it is important to have accurate referral criteria and a proper diagnostic work-up. In the present paper we evaluate the diagnostic work-up in secondary health care according to existing consensus guidelines and study the frequency of underlying medical...

Toward targeted hypertension screening guidelines

Background. Guidelines for screening and subsequent treatment of hypertension vary widely between countries. Part of this variation can be attributed to systematic differences between populations, but little is known about the way in which guidelines should be targeted to the population of interest. Optimal guidelines should have high yield and...

How general practitioners can manage work-related psychological complaints. Design and pilot of a guideline: A contribution towards solving a huge problem

Guidelines on anaemia: Effect on primary-care midwives in The Netherlands

Objective: To assess the adherence and perceived barriers for implementation of a clinical-practice guideline on anaemia, which was the first national guideline for primary-care midwifery in The Netherlands. Design: Cross-sectional survey study. Setting: Primary-care midwifery in The Netherlands. Participants: 160 Midwives (60% response rate)....

In vitro predictions of skin absorption of caffeine, testosterone, and benzoic acid: A multi-centre comparison study

To obtain better insight into the robustness of in vitro percutaneous absorption methodology, the intra- and inter-laboratory variation in this type of study was investigated in 10 European laboratories. To this purpose, the in vitro absorption of three compounds through human skin (9 laboratories) and rat skin (1 laboratory) was determined. The...

The effect of small peer group continuous quality improvement on the clinical practice of midwives in The Netherlands

Objective: To study the effects of small group continuous quality improvement (CQI) on the clinical practice of midwives in the Netherlands. Design: Randomised pre-/post-test (balanced block). Intervention: The CQI groups were assigned to either the set of peer review topics including 'perineal repair' and 'artificial rupture of the membranes ...

Do patients matter? Contribution of patient and care provider characteristics to the adherence of general practitioners and midwives to the Dutch national guidelines on imminent miscarriage

Objective - To assess the relative contribution of patient and care provider characteristics to the adherence of general practitioners (GPs) and midwives to two specific recommendations in the Dutch national guidelines on imminent miscarriage. The study focused on performing physical examinations at the first contact and making a follow up...