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C A Van Bennekom

Publications and source records attributed to C A Van Bennekom.

4 recordsLinked to original sources
PubMed1996

Introducing an innovative method in team conferences.

An innovative method to structure multidisciplinary team conferences in rehabilitation medicine was developed: Rehabilitation Activities Profile report system (RAP-TEAM). Experiences with introduction of RAP-TEAM and the study of its effects on the satisfaction of professionals are described. RAP-TEAM was introduced in three teams. RAP-TEAM did not influence the satisfaction of professionals in two teams; satisfaction in the third team even decreased. Nevertheless, professionals report more benefits than disadvantages of RAP-TEAM. Several possible explanations for these results and the methodological problems with this kind of evaluation study are discussed. The most important explanation is that introduction of an innovative method should be allowed sufficient time before it could become effective. Recommendations for a successful introduction of innovative changes are made. All people concerned must be aware that a process of change is not simple, and needs the full attention of all.

Congresses as Topic↗
PubMed1995

Inter- and intra-rater agreement of the Rehabilitation Activities Profile.

The objective of the study was to determine the inter- and intra-rater agreement of the Rehabilitation Activities Profile (RAP). The RAP is an assessment method that covers the domains of communication, mobility, personal care, occupation and relationships. Each domain consists of items which are further divided in sub-items for in-depth analysis. The RAP allows quantification of the severity of disabilities, handicaps and perceived problems of a patient with regard to the items and sub-items. For this purpose ordinal 4-point Likert scales were constructed. The RAP can be used for goal setting and evaluation of rehabilitation. Because of the broad intended use of the RAP and its construction, a special design for the reliability study was needed. The study was carried out in 5 rehabilitation facilities with the participation of various professions. The items and sub-items of the RAP were divided over these professions according to their expertise. Pairs of interviewers were formed that questioned a patient. For the determination of inter- and intra-rater agreement each pair of interviewers was allowed to question a patient only once. To establish the intra-rater agreement, video recordings were made during the interviews. The median (weighted) kappa value and percentage of agreement about the severity grading of a disability or handicap for all items and sub-items exceeded 0.84 and 81%, respectively, with regard to the inter- and intra-rater agreement. For the severity grading of perceived problems these values were 0.91 and 86%. The interpretation of kappa was hindered by two paradoxes recently described in the literature. The paradox "high agreement but low kappa" manifested itself in particular. It is concluded that inter- and intra-rater agreement of the RAP can be considered to be good to very good.

Activities of Daily Living↗
PubMedDate not supplied

Rehabilitation Activities Profile: the ICIDH as a framework for a problem-oriented assessment method in rehabilitation medicine.

The Rehabilitation Activities Profile (RAP) is an ICIDH-based assessment method that covers the domains of communication, mobility, personal care, occupation, and relationships. Disabilities and handicaps in these domains are assessed on four-point Likert scales for severity. Problems perceived by the patient associated with these disabilities or handicaps are also assessed on four-point Likert scales for severity. High scores on perceived problems represent a patient's priorities. Information is gathered through a semi-structured interview with the patient; proxies and observations can be used as additional sources of information. Assessment can be performed at two levels. The first level is a global one, serving as a screening device. If disabilities or handicaps are identified, the second level provides for an in-depth assessment of those specific disabilities and handicaps as well as the related perceived problems. The method is designed to assist screening, goal-setting, and outcome evaluation of individual patients.

Activities of Daily Living↗