Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation

S. De Groot; G. Bevers; M. W.M. Post; F. Woldring; G. A. Mulder; L. H.V. Van Der Woude

doi:10.3233/978-1-60750-080-3-39

Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation

S. De Groot^*, G. Bevers, M. W.M. Post, F. Woldring, G. A. Mulder, L. H.V. Van Der Woude

^*Corresponding author for this work

Research output: Chapter in Book / Report / Conference proceeding › Conference contribution › Academic

Abstract

The purpose of this study was to evaluate the implementation of standardized physical and functional tests to individually monitor patients with a spinal cord injury (SCI) in 8 rehabilitation centers and to analyze enablers and barriers of the implementation process. A prospective effect- and process evaluation was performed. Team members responded to mailed questionnaires at the start (n=115) and end (n=82) of the one-year implementation period. Furthermore, a questionnaire was administered to managers (n=8), coordinators (n=8) and 32 persons with SCI in 4 centers. Outcome of the effect evaluation was the phase of implementation of standardized testing in each center. The process evaluation analyzed enablers and barriers of the implementation process. After a year of implementation, half of the centers shifted to higher implementation phases. None of the centers was classified in the highest phase. Enablers were the positive attitude of the team members regarding standardized testing and an encouraging local coordinator. Most important barrier was lack of time to implement standardized testing. It can be concluded that there is a large support for implementing standardized tests to monitor functioning of patients with SCI. During a year a positive shift was visible in the extent of implementation. Successful implementation of patient monitoring requires substantial amounts of time and effort of the rehabilitation centers involved.

Original language	English
Title of host publication	Rehabilitation
Subtitle of host publication	Mobility, Exercise and Sports. 4th International State-of-theArt Congress
Editors	L.H.V. van der Woude, S. de Groot, F.J. Hettinga, F. Hoekstra, K.E. Bijker, T.W.J. Janssen, J.H.P. Houdijk, R. Dekker, P.C.T. van Aanholt
Pages	39-41
Number of pages	3
DOIs	https://doi.org/10.3233/978-1-60750-080-3-39
Publication status	Published - 2010

Publication series

Name	Assistive Technology Research Series
Volume	26
ISSN (Print)	1383-813X
ISSN (Electronic)	1879-8071

Keywords

outcome and process assessment (Health Care)
program evaluation
questionnaires
spinal cord injury

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10.3233/978-1-60750-080-3-39

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De Groot, S., Bevers, G., Post, M. W. M., Woldring, F., Mulder, G. A., & Van Der Woude, L. H. V. (2010). Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation. In L. H. V. van der Woude, S. de Groot, F. J. Hettinga, F. Hoekstra, K. E. Bijker, T. W. J. Janssen, J. H. P. Houdijk, R. Dekker, & P. C. T. van Aanholt (Eds.), Rehabilitation: Mobility, Exercise and Sports. 4th International State-of-theArt Congress (pp. 39-41). (Assistive Technology Research Series; Vol. 26). https://doi.org/10.3233/978-1-60750-080-3-39

De Groot, S. ; Bevers, G. ; Post, M. W.M. et al. / Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation. Rehabilitation: Mobility, Exercise and Sports. 4th International State-of-theArt Congress. editor / L.H.V. van der Woude ; S. de Groot ; F.J. Hettinga ; F. Hoekstra ; K.E. Bijker ; T.W.J. Janssen ; J.H.P. Houdijk ; R. Dekker ; P.C.T. van Aanholt. 2010. pp. 39-41 (Assistive Technology Research Series).

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title = "Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation",

abstract = "The purpose of this study was to evaluate the implementation of standardized physical and functional tests to individually monitor patients with a spinal cord injury (SCI) in 8 rehabilitation centers and to analyze enablers and barriers of the implementation process. A prospective effect- and process evaluation was performed. Team members responded to mailed questionnaires at the start (n=115) and end (n=82) of the one-year implementation period. Furthermore, a questionnaire was administered to managers (n=8), coordinators (n=8) and 32 persons with SCI in 4 centers. Outcome of the effect evaluation was the phase of implementation of standardized testing in each center. The process evaluation analyzed enablers and barriers of the implementation process. After a year of implementation, half of the centers shifted to higher implementation phases. None of the centers was classified in the highest phase. Enablers were the positive attitude of the team members regarding standardized testing and an encouraging local coordinator. Most important barrier was lack of time to implement standardized testing. It can be concluded that there is a large support for implementing standardized tests to monitor functioning of patients with SCI. During a year a positive shift was visible in the extent of implementation. Successful implementation of patient monitoring requires substantial amounts of time and effort of the rehabilitation centers involved.",

keywords = "outcome and process assessment (Health Care), program evaluation, questionnaires, spinal cord injury",

author = "{De Groot}, S. and G. Bevers and Post, {M. W.M.} and F. Woldring and Mulder, {G. A.} and {Van Der Woude}, {L. H.V.}",

year = "2010",

doi = "10.3233/978-1-60750-080-3-39",

language = "English",

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editor = "{van der Woude}, L.H.V. and {de Groot}, S. and F.J. Hettinga and F. Hoekstra and K.E. Bijker and T.W.J. Janssen and J.H.P. Houdijk and R. Dekker and {van Aanholt}, P.C.T.",

booktitle = "Rehabilitation",

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De Groot, S, Bevers, G, Post, MWM, Woldring, F, Mulder, GA & Van Der Woude, LHV 2010, Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation. in LHV van der Woude, S de Groot, FJ Hettinga, F Hoekstra, KE Bijker, TWJ Janssen, JHP Houdijk, R Dekker & PCT van Aanholt (eds), Rehabilitation: Mobility, Exercise and Sports. 4th International State-of-theArt Congress. Assistive Technology Research Series, vol. 26, pp. 39-41. https://doi.org/10.3233/978-1-60750-080-3-39

Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation. / De Groot, S.; Bevers, G.; Post, M. W.M. et al.
Rehabilitation: Mobility, Exercise and Sports. 4th International State-of-theArt Congress. ed. / L.H.V. van der Woude; S. de Groot; F.J. Hettinga; F. Hoekstra; K.E. Bijker; T.W.J. Janssen; J.H.P. Houdijk; R. Dekker; P.C.T. van Aanholt. 2010. p. 39-41 (Assistive Technology Research Series; Vol. 26).

Research output: Chapter in Book / Report / Conference proceeding › Conference contribution › Academic

TY - GEN

T1 - Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation

AU - De Groot, S.

AU - Bevers, G.

AU - Post, M. W.M.

AU - Woldring, F.

AU - Mulder, G. A.

AU - Van Der Woude, L. H.V.

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N2 - The purpose of this study was to evaluate the implementation of standardized physical and functional tests to individually monitor patients with a spinal cord injury (SCI) in 8 rehabilitation centers and to analyze enablers and barriers of the implementation process. A prospective effect- and process evaluation was performed. Team members responded to mailed questionnaires at the start (n=115) and end (n=82) of the one-year implementation period. Furthermore, a questionnaire was administered to managers (n=8), coordinators (n=8) and 32 persons with SCI in 4 centers. Outcome of the effect evaluation was the phase of implementation of standardized testing in each center. The process evaluation analyzed enablers and barriers of the implementation process. After a year of implementation, half of the centers shifted to higher implementation phases. None of the centers was classified in the highest phase. Enablers were the positive attitude of the team members regarding standardized testing and an encouraging local coordinator. Most important barrier was lack of time to implement standardized testing. It can be concluded that there is a large support for implementing standardized tests to monitor functioning of patients with SCI. During a year a positive shift was visible in the extent of implementation. Successful implementation of patient monitoring requires substantial amounts of time and effort of the rehabilitation centers involved.

AB - The purpose of this study was to evaluate the implementation of standardized physical and functional tests to individually monitor patients with a spinal cord injury (SCI) in 8 rehabilitation centers and to analyze enablers and barriers of the implementation process. A prospective effect- and process evaluation was performed. Team members responded to mailed questionnaires at the start (n=115) and end (n=82) of the one-year implementation period. Furthermore, a questionnaire was administered to managers (n=8), coordinators (n=8) and 32 persons with SCI in 4 centers. Outcome of the effect evaluation was the phase of implementation of standardized testing in each center. The process evaluation analyzed enablers and barriers of the implementation process. After a year of implementation, half of the centers shifted to higher implementation phases. None of the centers was classified in the highest phase. Enablers were the positive attitude of the team members regarding standardized testing and an encouraging local coordinator. Most important barrier was lack of time to implement standardized testing. It can be concluded that there is a large support for implementing standardized tests to monitor functioning of patients with SCI. During a year a positive shift was visible in the extent of implementation. Successful implementation of patient monitoring requires substantial amounts of time and effort of the rehabilitation centers involved.

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De Groot S, Bevers G, Post MWM, Woldring F, Mulder GA, Van Der Woude LHV. Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation. In van der Woude LHV, de Groot S, Hettinga FJ, Hoekstra F, Bijker KE, Janssen TWJ, Houdijk JHP, Dekker R, van Aanholt PCT, editors, Rehabilitation: Mobility, Exercise and Sports. 4th International State-of-theArt Congress. 2010. p. 39-41. (Assistive Technology Research Series). doi: 10.3233/978-1-60750-080-3-39

Effect and process evaluation of implementing patient monitoring in spinal cord injury rehabilitation

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