Ant T Lettinga

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Epidermolysis Bullosa (EB) is a rare genetic blistering-skin disorder with varying degrees of severity, ranging from mild forms to severe forms, with chronic progression. The aim of this study was to identify and specify the problems of parents of a child with EB. Qualitative research methodology was used, comprising a series of semistructured interviews(More)
The objective of this study was to identify and specify the problems of children with epidermolysis bullosa. The questions explored were: (i) What do children with epidermolysis bullosa experience as the most difficult problems; (ii) What is the impact of these problems on their daily life; and (iii) Do these experiences differ between mildly and severely(More)
BACKGROUND A divide is experienced between producers and users of evidence in prosthetic rehabilitation. OBJECTIVE To discuss the complexity inherent in establishing evidence-based practice in a prosthetic rehabilitation team illustrated by the case of prosthetic prescription for elderly dysvascular transfemoral amputee patients. STUDY DESIGN A(More)
BACKGROUND Illness perceptions have been shown to predict patient activities. Therefore, studies of the effectiveness of a targeted illness-perception intervention on chronic nonspecific low back pain (CLBP) are needed. OBJECTIVE The purpose of this study was to compare the effectiveness of treatment of illness perceptions against a waiting list for(More)
PURPOSE To demonstrate, with the help of an example of cognitive treatment for patients with chronic low back pain, how a systematic description of the content and theoretical underpinnings of treatment can help to improve clinical practice. METHODS A conceptual analysis, two types of theories, and a programme-theory framework were instrumental in(More)
BACKGROUND Evidence-based treatment is not effective for all patients. Research must therefore be carried out to help clinicians to decide for whom and under what circumstances certain treatment is effective. Treatment theory can assist in designing research that will provide results on which clinical decision-making can be based. OBJECTIVE To illustrate(More)
BACKGROUND An editorial by Wade (Clinical Rehabilitation 2005; 19: 811-18) suggested a method for describing rehabilitation interventions. OBJECTIVE To review the editorial critically, and to suggest a more complete theory. EDITORIAL: The editorial develops a model identifying factors that should be considered when analysing a complex rehabilitation(More)
OBJECTIVE To examine functional performance, participation and autonomy after discharge from prosthetic rehabilitation and to identify the barriers and facilitators affecting these outcomes. DESIGN Concurrent mixed-methods design. Quantitative and qualitative data were collected at discharge from rehabilitation, and 3 and 6 months later. The data were(More)
BACKGROUND In improvement of clinical practice, unidirectional approaches of translating evidence into clinical practice have been pinpointed as main obstacles. The concept of engaged scholarship has been introduced to guide knowledge-to-action (KTA) processes, in which research knowledge and practical knowledge derived from therapists, patients, and(More)
PURPOSE To increase understanding of stroke survivor's needs to successfully re-establish attachment to meaningful places at home and in the community. METHODS Qualitative research methodology including in-depth interviews with stroke survivors in the clinical, post-discharge and reintegration phases of the Rehabilitation process. RESULTS Participants(More)