Hoekstra, Femke

English

Dit proefschrift beschrijft de landelijk uitrol van het programma ‘Revalidatie, Sport en Bewegen’ in de Nederlandse revalidatiezorg. Dit wetenschappelijk gefundeerde programma richt zich op het stimuleren van een actieve leefstijl bij mensen met een lichamelijke beperking of chronische aandoening tijdens én in de periode na revalidatie. Het proefschrift geeft inzicht in de manier waarop het programma landelijk geïmplementeerd is, de daarbij ervaren successen en belemmeringen en relevante uitkomsten op patiënt-niveau. De resultaten laten zien dat de betrokken professionals zeer positief zijn over de implementatie van het programma Revalidatie, Sport en Bewegen. Ook de patiënten zijn zeer tevreden over de begeleiding die zij hebben ontvangen. Wel is er veel variatie te zien in de manier waarop het programma geïmplementeerd en uitgevoerd is. Veelbelovend is dat bijna alle revalidatie-instellingen het programma gecontinueerd hebben na de subsidieperiode. Deze succesvolle continuering van het programma is mogelijk te verklaren door het gebruik van een intensieve, goed voorbereidde en veelzijdige implementatiestrategie in combinatie met duidelijke taakbeschrijvingen van betrokken partijen en professionals (ministerie, programma coördinatoren, professionals, onderzoekers).Bij toekomstige landelijke implementatieprocessen wordt aangeraden om de ondersteuning aan organisaties meer op maat aan te bieden door deze aan te passen aan de beginsituatie van de organisatie, de grootte van de organisatie en de huidige lokale omstandigheden. De bevindingen van dit proefschrift kunnen overheidsinstanties over de hele wereld inspireren om sport en bewegen te stimuleren bij mensen met beperking door gebruik te maken van een wetenschappelijk gefundeerde aanpak die zich richt op de ‘vindplaatsen’ van de doelgroep (bijv. revalidatiecentra en ziekenhuizen).This thesis describes the dissemination of the ‘Rehabilitation, Sports and Exercise (RSE)’ program in Dutch rehabilitation care. This evidence-informed program aims to stimulate a physically active lifestyle among people with a physical disability and/or chronic disease during and in the period after rehabilitation. This thesis provides insight into the nationwide implementation process of the program, the perceived facilitators and barriers, and relevant outcomes on patient-level. The results showed that the involved professionals were very positive about the implementation of the RSE program in their organization. Similarly, the participating patients were highly satisfied with the guidance they received as part of the program. Nevertheless, the implementation and execution of the program varied largely among organizations and patients. A promising finding is the fact that almost all organizations decided to continue the program after the funding period. A possible explanation of this successful continuation of the program is the use of an intensive, well-planned and multifaceted implementation strategy in combination with clear role descriptions of the involved stakeholders (Ministry, program coordinators, rehabilitation professionals, researchers). In future nationwide implementation processes, we suggest to apply a more tailored implementation strategy depending on organizations’ starting positions, organizations’ size and organizational circumstances.Our findings may inspire governmental agencies around the world to promote sports and physical activities among disabled populations by using an evidence-informed approach focusing on places where they can be reached easily (e.g. rehabilitation centers and hospitals)

Dissertations of the University of Groningen

   University of GroningenReSpAct: Rehabilitation, Sports and Active LifestyleHoekstra, FemkeIMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite fromit. Please check the document version below.Document VersionPublisher's PDF, also known as Version of recordPublication date:2017Link to publication in University of Groningen/UMCG research databaseCitation for published version (APA):Hoekstra, F. (2017). ReSpAct: Rehabilitation, Sports and Active Lifestyle: An implementation-study onphysical activity promotion in rehabilitation care. [Thesis fully internal (DIV), University of Groningen].Rijksuniversiteit Groningen.CopyrightOther than for strictly personal use, it is not permitted to download or to forward/distribute the text or part of it without the consent of theauthor(s) and/or copyright holder(s), unless the work is under an open content license (like Creative Commons).The publication may also be distributed here under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license.More information can be found on the University of Groningen website: https://www.rug.nl/library/open-access/self-archiving-pure/taverne-amendment.Take-down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons thenumber of authors shown on this cover page is limited to 10 maximum.Download date: 28-12-2022ReSpAct: Rehabilitation, Sports and Active LifestyleAn implementation-study on physical activity promotion in rehabilitation careFemke HoekstraThis dissertation is a product of the Rehabilitation, Sports and Active Lifestyle (ReSpAct) study. The ReSpAct-study is a collaboration between: - Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen- Department of Rehabilitation, Center for Rehabilitation, University Medical Center Groningen - Hanze University of Applied SciencesThe ReSpAct-study was funded by the Dutch Ministry of Health, Welfare and Sports and supported by the Knowledge Center of Sport Netherlands and Stichting Special Heroes Nederland (before January 2016: Stichting Onbeperkt Sportief).  PhD training was facilitated by the Research Institute SHARE of the Graduate School for Medical Sciences and within the research programs Smart Movements (SMART) and Extremities Pain and Disability (EXPAND). The printing of this dissertation was financially supported by:- University of Groningen - University Medical Center Groningen - Center for Rehabilitation, University Medical Center Groningen   - Research Institute SHARE- Stichting Beatrixoord Noord-Nederland Cover design: Nina Kleingeld, www.stikstofstudio.nl Printing and layout by: Drukkerij Mostert, www.drukkerijmostert.nl  ISBN: 978-94-034-0079-2 (printed version) ISBN: 978-94-034-0078-5 (electronic version) Paranimfen: Rolinde Alingh & Trynke Hoekstra © Femke Hoekstra, 2017 All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or any information storage or retrieval system, without written permission form the author.ReSpAct: Rehabilitation, Sports and Active LifestyleAn implementation-study on physical activity promotion in rehabilitation careProefschriftter verkrijging van de graad van doctor aan de Rijksuniversiteit Groningen op gezag van de rector magnificus prof. dr. E. Sterken en volgens besluit van het College voor Promoties.De openbare verdediging zal plaatsvinden opmaandag 16 oktober 2017 om 14.30 uurdoorFemke Hoekstrageboren op 17 februari 1987 te Seria, BruneiPromotores Prof. dr. L.H.V. van der Woude  Prof. dr. C.P. van der Schans  Copromotores Dr. R. Dekker  Dr. F.J. HettingaBeoordelingscommissie Prof. dr. M.M.R. Vollenbroek-Hutten  Prof. dr. M.W.M. Post  Prof. dr. K. BreedveldTable of contents Chapter Title PageChapter 1 General introduction  7Chapter 2 Design of a process evaluation of the implementation of a physical activity and sports stimulation program in Dutch rehabilitation setting: ReSpAct27Chapter 3 The current implementation status of the integration of sports and physical activity into Dutch rehabilitation care 55Chapter 4 Professionals’ perceptions of factors affecting implemen-tation and continuation of a physical activity promotion program in rehabilitation: a qualitative study 75Chapter 5 The implementation of a physical activity counseling program in rehabilitation care: findings from ReSpAct 105Chapter 6 Implementation fidelity trajectories of a health promo-tion program in multidisciplinary settings: managing tensions in rehabilitation care  139Chapter 7 National approaches to promote sports and physical ac-tivity in adults with disabilities: examples from the Neth-erlands and Canada 173Chapter 8 Summary, discussion and conclusion 205Appendices Nederlandse samenvatting 240Dankwoord 254About the author 257List of publications 258Research institute SHARE 262

ReSpAct: Rehabilitation, Sports and Active Lifestyle:An implementation-study on physical activity promotion in rehabilitation care

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ReSpAct: Rehabilitation, Sports and Active Lifestyle:An implementation-study on physical activity promotion in rehabilitation care

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