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Motivational interviewing (MI) may be an effective intervention to improve medication adherence in patients with schizophrenia. However, for this patient group, mixed results have been found in randomized controlled trials. Furthermore, the process of becoming (more) motivated for long-term medication adherence in patients with schizophrenia is largely unexplored
Process Mining can roughly be defined as a data-driven approach to process management. The basic idea of process mining is to automatically distill and to visualize business processes using event logs from company IT-systems (e.g. ERP, WMS, CRM etc.) to identify specific areas for improvement at an operational level. An event log can be described as a database entry that signifies a specific action in a software application at a specific time. Simple examples of these actions are customer order entries, scanning an item in a warehouse, and registration of a patient for a hospital check-up.Process mining has gained popularity in the logistics domain in recent years because of three main reasons. Firstly, the logistics IT-systems' large and exponentially growing amounts of event data are being stored and provide detailed information on the history of logistics processes. Secondly, to outperform competitors, most organizations are searching for (new) ways to improve their logistics processes such as reducing costs and lead time. Thirdly, since the 1970s, the power of computers has grown at an astonishing rate. As such, the use of advance algorithms for business purposes, which requires a certain amount of computational power, have become more accessible.Before diving into Process Mining, this course will first discuss some basic concepts, theories, and methods regarding the visualization and improvement of business processes.
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Physical rehabilitation programs revolve around the repetitive execution of exercises since it has been proven to lead to better rehabilitation results. Although beginning the motor (re)learning process early is paramount to obtain good recovery outcomes, patients do not normally see/experience any short-term improvement, which has a toll on their motivation. Therefore, patients find it difficult to stay engaged in seemingly mundane exercises, not only in terms of adhering to the rehabilitation program, but also in terms of proper execution of the movements. One way in which this motivation problem has been tackled is to employ games in the rehabilitation process. These games are designed to reward patients for performing the exercises correctly or regularly. The rewards can take many forms, for instance providing an experience that is engaging (fun), one that is aesthetically pleasing (appealing visual and aural feedback), or one that employs gamification elements such as points, badges, or achievements. However, even though some of these serious game systems are designed together with physiotherapists and with the patients’ needs in mind, many of them end up not being used consistently during physical rehabilitation past the first few sessions (i.e. novelty effect). Thus, in this project, we aim to 1) Identify, by means of literature reviews, focus groups, and interviews with the involved stakeholders, why this is happening, 2) Develop a set of guidelines for the successful deployment of serious games for rehabilitation, and 3) Develop an initial implementation process and ideas for potential serious games. In a follow-up application, we intend to build on this knowledge and apply it in the design of a (set of) serious game for rehabilitation to be deployed at one of the partners centers and conduct a longitudinal evaluation to measure the success of the application of the deployment guidelines.
Kansen voor circulaire beademingszorg De gezondheidszorg is verantwoordelijk voor 7% van de totale Nederlandse CO2-uitstoot. Eén van de meest materiaal intensieve afdelingen in een ziekenhuis is de intensive care. Patiënten op een intensive care worden beademd en ontvangen daarbij zogenaamde beademingszorg. Tijdens beademingszorg wordt gemaakt van hulpmiddelen zoals beademingsslangen, uitzuigslangen, filters en materialen ter infectiepreventie. De meeste hulpmiddelen worden na gebruik weggegooid. Om de zorg te verduurzamen zijn in de Green Deal doelstellingen geformuleerd om grondstoffenverbruik te verminderen in 2030 en uiteindelijk toe te werken naar circulaire zorg 2050. Er is op dit moment echter weinig kennis over de milieubelasting van gebruikte hulpmiddelen tijdens beademingszorg en de mogelijkheden om circulaire strategieën toe te passen. Dit project heeft als doel om een inventarisatie te maken van de milieubelasting en de afvalstromen van hulpmiddelen rondom beademingszorg. Daarbij is het project ook gericht op een inventarisatie van de mate waarin milieubelasting een overweging is bij de besluitvorming door betrokken stakeholders. Vervolgens zal in kaart worden gebracht welke mogelijkheden er zijn om via circulaire strategieën een bijdrage te leveren om de milieubelasting van hulpmiddelen rondom beademingszorg te verminderen. Voor de uitvoering van dit project zijn unieke deskundigheidsgebieden samengebracht in een consortium. De praktijkpartners hebben expertise in zorgverlening op de intensive care afdeling (AmsterdamUMC) en afvalstromen in ziekenhuizen (adviesbureau Innomax). De betrokken kennisinstellingen hebben expertise in onderwijs- en onderzoek rondom duurzaamheid (de Hogeschool van Amsterdam, Technische Universiteit Delft en Radboudumc). Dit consortium is een unieke samenwerking waarbij om kennis van zorgprocessen, afvalstromen en de milieubelasting van de zorgverlening op de intensive care worden gebundeld om de kansen voor duurzame beademingszorg te inventariseren. De resultaten van dit project zullen een praktijkverandering in gang zetten op intensive care afdelingen van AmsterdamUMC en Radboudumc en vervolgens ook verspreid worden via de landelijke en internationale netwerken.
A feeling of worry, anxiety, loneliness and anticipation are commonplace in both medical and non-medical arenas such as elderly care. An innovative solution such as the ‘simple and effective’ comfyhand would offer better patient care and improved care efficiency with a high chance of long-term, economic efficiency. ComfyHand is a start-up in the healthcare sector that aims to develop sustainable products to improve patient wellbeing in healthcare settings. It does this by emulating the experience of holding a hand which gives the person comfort and support in moments where real human contact is not possible. Right now the comfyhand is in the development phase, working on several prototypes for test trials in elderly care and hospitals. In this project we want to explore the use of 3D printing for producing a comfyhand. Desired properties for the prototype include optimal heat transfer, softness, regulation of sweat, durability and sustainability. The goal of this study is to develop a prototype to test in a trial with patients within Envida, a care centre. The trial itself is out of scope of this project. This proposal focuses on researching the material of choice and the processability. Building on knowledge gained in a previous Kiem GoChem project and a Use Case (Shape3Dup) of a currently running Raak MKB project (Enlighten) on 3D printing of breast prostheses, several materials, designs and printing parameters will be tested.