Indebted documents: Empirical research on the comprehensibility of the reminder and the court summons indebt collection cases. Every day, thousands of households receive documents concerning debt collection. Unsurprisingly, these documents have a great impact on the lives of many. Do these documents inform readers properly about basics such as the claim, the claimant and what to do when one disagrees? Which literacy skills predict success in understanding this information and how are these results linked to document and task characteristics? In this study two debt collecting documents were examined, the non-judicial reminder and the legal court summons informing the defendant about the claim, about the claimant and about the legal procedure. 83 respondents answered questions about these documents. Their scores have been related to reader characteristics, document characteristics and task characteristics. The reminder was understood by a great majority of the participants. Comprehending information was easy because the document was suitable for the task. In contrast, the court summons enabled readers to understand less than half of the information. This document is characterized by a substantial volume, a style and structure not helping participants to understand basic information. A higher education and a larger vocabulary predicted better success, but prior knowledge about legal debt collection did not help participants to perform better.
Indebted documents: Empirical research on the comprehensibility of the reminder and the court summons indebt collection cases. Every day, thousands of households receive documents concerning debt collection. Unsurprisingly, these documents have a great impact on the lives of many. Do these documents inform readers properly about basics such as the claim, the claimant and what to do when one disagrees? Which literacy skills predict success in understanding this information and how are these results linked to document and task characteristics? In this study two debt collecting documents were examined, the non-judicial reminder and the legal court summons informing the defendant about the claim, about the claimant and about the legal procedure. 83 respondents answered questions about these documents. Their scores have been related to reader characteristics, document characteristics and task characteristics. The reminder was understood by a great majority of the participants. Comprehending information was easy because the document was suitable for the task. In contrast, the court summons enabled readers to understand less than half of the information. This document is characterized by a substantial volume, a style and structure not helping participants to understand basic information. A higher education and a larger vocabulary predicted better success, but prior knowledge about legal debt collection did not help participants to perform better.
Introduction: Integrating web-based or mobile components and face-to-face components within a treatment process is called blended care. As part of the participatory development of a blended physiotherapeutic intervention for patients with low back pain (e-Exercise LBP), a proof of concept study was carried out and showed promising results.Objective: To investigate the feasibility of the e-Exercise LBP prototype for patients and physiotherapists to improve the intervention.Methods: A mixed methods study was executed, embedded in the development phase of e-Exercise LBP. 21 physiotherapists treated 41 patients with e-Exercise LBP. Quantitative data consisted of: patients’ satisfaction on a five-point Likert Scale; patients’ and physiotherapists’ experienced usability of the web-based application (System Usability Scale) and; patients’ experiences with e-Exercise LBP (closed-ended questions and statements related to the elements and goals of e-Exercise LBP). Semi-structured interviews about experiences with e-Exercise LBP were conducted with seven patients and seven physiotherapists. Qualitative data were analyzed by a phenomenological approach. Quantitative data were analyzed with descriptive statistics.Results: Patients were satisfied with e-Exercise LBP (mean: 4.0; SD:0.8; range: extreme dissatisfaction (1)-extreme satisfaction (5)). Usability of the web-based application was acceptable (patients: mean: 73.2 (SD:16.3); physiotherapists: mean: 63.3 (SD:12.0); range: 0–100). Interviews revealed that physiotherapists’ training is essential to successfully integrate the web-based application and face-to-face sessions within physiotherapy treatment. Also, patients addressed the need of reminder messages to support long-term (exercise) adherence.Conclusion: e-Exercise LBP appeared to be feasible. However, various prerequisites and points of improvement were mentioned to improve physiotherapists’ training and the prototype.
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De beroepsgroep van diëtisten staat voor de uitdaging om de bijdrage van diëtistische zorg in de behandeling transparanter te maken. Het aantonen van (kosten)effectiviteit van de behandeling wordt door de beroepsgroep gezien als een urgente en noodzakelijke voorwaarde voor de continuïteit van de bedrijfsvoering en als wapen tegen dreigende bezuinigingen door overheid en zorgverzekeraars. Diëtisten hebben bovendien te maken met de toegenomen marktwerking in de zorg. De afgelopen jaren hebben steeds meer organisaties voor Thuiszorg afdelingen diëtetiek afgestoten en zijn diëtisten als zelfstandig ondernemer verder gegaan. Meer dan ooit wordt de noodzaak gevoeld om de toegevoegde waarde van de diëtist inzichtelijk te kunnen maken in onderhandelingen met zorgverzekeraars en zorggroepen. Zoals een diëtist het verwoordt: ?Zorgverzekeraars zullen in toenemende mate eisen stellen aan het aantonen van meerwaarde van dieet-behandeling en willen resultaat zien.? Van daaruit ontstaat vanuit de beroepspraktijk de vraag: ?Hoe kunnen we de meerwaarde van de diëtist aantonen op het niveau van de eigen praktijk én als beroepsgroep als geheel?? Eenduidige registratie en evaluatie van doelen van dieetbehandeling is een voorwaarde om uiteindelijk de (kosten)effectiviteit van de dieetbehandeling te kunnen aantonen. Op dit moment wordt binnen diëtistenpraktijken niet eenduidig geregistreerd, gemeten en geëvalueerd. Diëtisten zijn zich hiervan bewust en hebben de wens geuit op niveau van eigen praktijk, groepspraktijk en zelfs landelijk te willen komen tot een afstemming over registratie van data (welke data, op welk meetmoment en op welke manier). In diverse kleine voortrajecten hebben diëtisten uit het werkveld, samen met het lectoraat Voeding in relatie tot Sport en Gezondheid (VSG) van de HAN, toegewerkt naar een keuze voor doelen, meetinstrumenten en meetmomenten voor dieetbegeleiding bij cardiovasculair risicomanagement (CVRM). Een belangrijke en nog te beantwoorden vraag is of de gekozen methoden werkbaar en inpasbaar zijn in de dagelijkse praktijkvoering.