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309 results on '"Spauwen, P."'

30. Long-term effects of a behavioural management technique for nurses on aggressive behaviour in brain-injured patients

Author

Pouwels, C., Spauwen, P., Heugten, C., Verberne, D., Botteram, R., Winkens, I., rudolf ponds, Promovendi MHN, Psychiatrie & Neuropsychologie, RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, Section Neuropsychology, and RS: FPN NPPP I

Subjects
REHABILITATION, behavioural management technique, CHALLENGING BEHAVIOR, ABC method, CHILDREN, nursing staff, ADULTS, aggressive behaviour, AGITATION, brain injury, SCALE, STATE
Abstract

Objective: The ABC method (Antecedent events, target Behaviours, Consequent events) is a behavioural management technique developed for nurses. The objective of the present study was to examine the long-term effects of the ABC method on aggressive behaviour in 40 patients with acquired brain injury. Method: Four aggression outcome measures and a questionnaire about the implementation of the ABC method were filled out by the nursing staff in this longitudinal intervention study. Results: Contrary to expectations, a significant increase of aggression was found on two aggression measures. A possible explanation may be that the ABC method increased awareness of aggression in the nursing staff. Results of the implementation questionnaire indicated that the ABC method was not part of usual care at the long-term follow-up. Conclusions: It seems that the quality of the implementation process was insufficient to find an effect of the ABC method on aggression. Suggestions for improving the implementation process are made in this paper.

Published
2019

44. Exploring Perceived Interactions Between Consequences of Traumatic Brain Injury.

Author

den Broek, Brenda van, Spauwen, Peggy, Ponds, Rudolf, van Heugten, Caroline, and Bus, Boudewijn

Abstract

Objective: To explore the perceived interactions between consequences of traumatic brain injury (TBI). Participants: Fifteen clinicians experienced in working with patients with TBI. Methods: Participating clinicians completed an online questionnaire in which they estimated the degree to which consequences of TBI (taken from the Brief ICF Core Set for Traumatic Brain Injury) causally relate to each other. Based on these perceived interactions, a visual network was constructed and centrality measures for this network were computed. Results: The resulting network demonstrates various strong perceived causal relations between the consequences of TBI. Impairments in consciousness were perceived to most strongly cause other TBI consequences in the network. Difficulties with acquiring, keeping, and terminating a job were perceived to be most strongly caused by other TBI consequences. Difficulties in partaking in complex interpersonal interactions were also perceived to play a central role in the network. Conclusion: In the perception of clinicians, consequences of TBI interact with each other and are thus not solely a direct result of the injury. While more research is needed to map the interactions between consequences of TBI, our results could have important implications for the way we understand and treat the problems patients are faced with after TBI. [ABSTRACT FROM AUTHOR]

Published
2021
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45. Efficacy of amantadine on behavioural problems due to acquired brain injury: A systematic review

Author

Ter Mors, B J, Ter Mors, B J, Backx, A P M, Spauwen, P, Ponds, R W H M, Van Harten, P N, Van Heugten, C M, Ter Mors, B J, Ter Mors, B J, Backx, A P M, Spauwen, P, Ponds, R W H M, Van Harten, P N, and Van Heugten, C M

Abstract

Objectives: To systematically review literature on efficacy of amantadine on behavior (irritability/aggression/agitation, emotional lability, apathy, impairment of executive functioning), participation, quality-of-life (QoL), and safety, in patients with acquired brain injury (ABI). Amantadine is widely used clinically, so comprehensive information on efficacy, participation, QoL and safety is relevant. Methods: We used PRISMA Guidelines. We searched PubMed/EMBASE/CINAHL (last search 28-8-2018) Two independent reviewers performed selection and data-extraction. Quality of studies was assessed, using CONSORT and Quality Assessment Tool for Quantitative Studies (QATFQS). Results: Eleven out of 500 studies were included. Of five RCTs, two reported significant effects on irritability/aggression, and one no effect. One RCT on cognition no effect. One prospective cohort study showed a significant effect on executive functioning. One retrospective study was inconclusive. One single-case experimental design (SCED) study reported significant effect on apathy and three case-reports indicated effects on behavior. QoL and societal participation were not measured. No safety issues emerged. Conclusion: Amantadine may be efficacious on irritability and aggression after ABI. Amantadine is a safe drug in the presence of adequate creatinine clearance. Future studies should use designs, suitable for the heterogeneous ABI population, like randomized SCEDs, and should include the effect on societal participation and QoL.

Published
2019

46. Lower verbal intelligence is associated with diabetic complications and slower walking speed in people with Type 2 diabetes: the Maastricht Study

Author

Spauwen, P J J, Spauwen, P J J, Martens, Remy, Stehouwer, C D A, Verhey, F R J, Schram, M T, Sep, S J S, van der Kallen, C J H, Dagnelie, P C, Henry, R M A, Schaper, N C, van Boxtel, M P J, Spauwen, P J J, Spauwen, P J J, Martens, Remy, Stehouwer, C D A, Verhey, F R J, Schram, M T, Sep, S J S, van der Kallen, C J H, Dagnelie, P C, Henry, R M A, Schaper, N C, and van Boxtel, M P J

Abstract

AIMS: To determine the association of verbal intelligence, a core constituent of health literacy, with diabetic complications and walking speed in people with Type 2 diabetes.METHODS: This study was performed in 228 people with Type 2 diabetes participating in the Maastricht Study, a population-based cohort study. We examined the cross-sectional associations of score on the vocabulary test of the Groningen Intelligence Test with: 1) determinants of diabetic complications (HbA1c , blood pressure and lipid level); 2) diabetic complications: chronic kidney disease, neuropathic pain, self-reported history of cardiovascular disease and carotid intima-media thickness; and 3) walking speed. Analyses were performed using linear regression and adjusted in separate models for potential confounders and mediators. Significant age- and sex-adjusted associations were additionally adjusted for educational level in a separate model.RESULTS: After full adjustment, lower verbal intelligence was associated with the presence of neuropathic pain [odds ratio (OR) 1.18, 95% CI 1.02;1.36], cardiovascular disease (OR 1.14, 95% CI 1.01;1.30), and slower walking speed (regression coefficient -0.011 m/s, 95% CI -0.021; -0.002 m/s). These associations were largely explained by education. Verbal intelligence was not associated with blood pressure, glycaemic control, lipid control, chronic kidney disease or carotid intima-media thickness.CONCLUSIONS: Lower verbal intelligence was associated with the presence of some diabetic complications and with a slower walking speed, a measure of physical functioning. Educational level largely explained these associations. This implies that clinicians should be aware of the educational level of people with diabetes and should provide information at a level of complexity tailored to the patient. This article is protected by copyright. All rights reserved.

Published
2016

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