The aim of this project is therefore to measure the effect of the neuro visual rehabilitation and to (re)organize the care from Visio based on the client's request for help and condition.
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
Visuele klachten n.a.v. Niet-aangeboren hersenaandoeningen
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary parameters will include variations in lead time. Lead time is defined
as the duration between the initial intake and the onset of the rehabilitation
trajectory. The transition from the research to the rehabilitation phase can be
readily identified through the first and second multidisciplinary meetings (MD1
and MD2).
In the first multidisciplinary meeting (MD1), the framework and assessments for
the research trajectory are established in order to address the rehabilitation
needs of the client. Typically scheduled one week after the intake, MD1 marks
the initiation of the research trajectory. The second multidisciplinary meeting
(MD2) takes place upon the completion of the research trajectory. During this
meeting, the training sessions are precisely defined in terms of their nature
and quantity, based on the rehabilitation needs and insights gathered from the
research trajectory. MD2 therefore signifies the commencement of the
rehabilitation trajectory.
Secondary outcome
Questionnaires are administered to clients (before and after the rehabilitation
trajectory), and the answers will be compared. Depending on the rehabilitation
needs, one or more questionnaires are administered in one of the following
categories:
- Communication
- Orientation and Mobilization
- ICT
- Household
- Light and discomfort glare
- Psychosocial
- Managing of energy balance
- Leisure activity
- Self-care.
Furthermore, the following parameters are also taken into account: customer
satisfaction, waiting list time, treatment outcomes, understanding of condition
and limitation, and quality of life.
Background summary
The diagnosis of visual functions in people with acquired brain injury and
visual problems (hereafter referred to as ABI clients) has significantly
improved in recent years, leading to a sharp increase in the number of ABI
clients seen by Visio annually. However, the diagnostic process that begins
after the intake is completed can be long and arduous, particularly for newly
referred clients who may be in poor condition and unable to sustain a lengthy
process. These clients are often fatigued, both physically and mentally, which
can make it difficult for them to process information. Therefore, it is crucial
to balance what is feasible for the client with what is necessary for
identifying their possibilities and limitations. By doing so, the client's
efforts and questions can be balanced with the amount of diagnostics and the
duration of the rehabilitation trajectory, without compromising the treatment
outcome. This approach enables targeted, efficient, and faster rehabilitation,
which prioritizes the client's needs and improves the overall effectiveness of
the organization.
Study objective
The aim of this project is therefore to measure the effect of the neuro visual
rehabilitation and to (re)organize the care from Visio based on the client's
request for help and condition.
Study design
This research project employs an experimental study design to investigate the
effects of adjustments to the current rehabilitation process for ABI clients at
Royal Visio. The study involves two research groups, with the first group
serving as a control and already approved as a non-WMO application (2022.0495).
The second group involves a rehabilitation trajectorie with specific
adjustments:
- Research group 2: Visual Function Assessment (VFO) tailored to the specific
needs of the client, with the application of guidelines for determining the
need for Neuropsychological Assessment (NPO).
The NAH clients will be distributed across these two groups and compared using
lead time (primary study parameter) and different questionnaires (secondary
parameter). The specific questionnaire administered will depend on the
rehabilitation question identified during the intake at Koninklijke Visio.
These rehabilitation questions can be broadly divided into nine categories,
with a PROM questionnaire developed for each category to assess changes in
health or quality of life during the rehabilitation process at Visio. The
duration of the study will depend on the length of the rehabilitation process
for the client, plus an additional 15-30 minutes before and after the process
to complete the questionnaires.
RECRUITEMENT
Upon registration with Koninklijke Visio (prior to the intake process), clients
have provided given their written consent or objection to receiving information
or being contacted in relation to potential participation in scientific
research. Clients who have given permission for researchers to be contacted
about participating in scientific research will be both assessed for
eligibility and contacted by the researcher. During this telephone
conversation, participation in the study will be clearly explained. In this
conversation it will be clearly emphasized that the research is about
shortening the research process. The advantages (shortened waiting list and a
less strenuous research trajectory tailored to their specific needs) and the
disadvantages (if in-depth research is necessary, a second appointment will
have to be scheduled) will also be presented to the clients.
When the client is interested in participation, an information letter and
consent form will be sent. Sufficient time (minimum of one week) will be given
for clients to review and sign these. They will be contacted by telephone 1-2
weeks before their first appointment at Royal Dutch Visio to conduct the
questionnaires. Before the start of the questionnaires, there will also be an
opportunity given to ask any remaining questions.
Study burden and risks
The risks of this study are minimal. Of course, participation means that this
will require time and energy from the participant. It is up to the participants
to estimate whether participation is feasible for them. Additionally,
participants can always end their participation if they want to. The
researchers will make the participants aware of this. Furthermore, if deemed
necessary or when the request for help is altered/expanded, the participant can
always return to research trajectory for additional research. Therefore, the
quality of care will not be altered through this research.
Hettenheuvelweg 41-43
Amsterdam 1101BM
NL
Hettenheuvelweg 41-43
Amsterdam 1101BM
NL
Listed location countries
Age
Inclusion criteria
- Older than 18 years
- Good understanding of the Dutch or English language
- Clients of Royal Visio with visual impairment (through acquired brain injury)
Exclusion criteria
- Clients who do not have any form of acquired brain injury.
- Clients with complex psychiatric complaints
- Clients with extremely low strain capacity. An indication for this is them
not being able to complete a 60 min interview/intake on the telephone.
- Limited life expectancy, for example those with terminal sickness or
palliative care.
- Severe cognitive impairment: I.e. incapable to answer for oneself (without
help); hetero anamnesis; incapacitated; severe anosognosia.
- Severe aphasia
- Psychiatric disorders
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL82600.018.23 |