{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T09:49:50Z","timestamp":1773913790394,"version":"3.50.1"},"reference-count":57,"publisher":"BMJ","issue":"1","funder":[{"name":"Joannes de Deo Foundation"},{"name":"Mother Catharina Fund"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,11,23]]},"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effectiveness of a nurse-supported self-management programme to improve social participation of dual sensory impaired older adults in long-term care homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cluster randomised controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Thirty long-term care homes across the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Long-term care homes were randomised into intervention clusters (n=17) and control clusters (n=13), involving 89 dual sensory impaired older adults and 56 licensed practical nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Nurse-supported self-management programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>Effectiveness was evaluated by the primary outcome social participation using a participation scale adapted for visually impaired older adults distinguishing four domains: instrumental activities of daily living, social-cultural activities, high-physical-demand and low-physical-demand leisure activities. A questionnaire assessing hearing-related participation problems was added as supportive outcome. Secondary outcomes were autonomy, control, mood and quality of life and nurses\u2019 job satisfaction. For effectiveness analyses, linear mixed models were used. Sampling and intervention quality were analysed using descriptive statistics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Self-management did not affect all four domains of social participation; however. the domain \u2018instrumental activities of daily living\u2019 had a significant effect in favour of the intervention group (P=0.04; 95%\u2009CI 0.12 to 8.5). Sampling and intervention quality was adequate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A nurse-supported self-management programme was effective in empowering the dual sensory impaired older adults to address the domain \u2018instrumental activities of daily living\u2019, but no differences were found in addressing the other three participation domains. Self-management showed to be beneficial for managing practical problems, but not for those problems requiring behavioural adaptations of other persons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"NCT01217502\" ext-link-type=\"clintrialgov\">NCT01217502<\/jats:ext-link>\n                      ; Results.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-016674","type":"journal-article","created":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T08:55:13Z","timestamp":1516870513000},"page":"e016674","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Effectiveness of a nurse-supported self-management programme for dual sensory impaired older adults in long-term care: a cluster randomised controlled trial"],"prefix":"10.1136","volume":"8","clinical-trial-number":[{"clinical-trial-number":"nct01217502","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Lieve M","family":"Roets-Merken","sequence":"first","affiliation":[{"name":"Radboud University Medical Center, Donders Center for Cognition, Brain and Behavior, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands"},{"name":"Kalorama Foundation, Beek-Ubbergen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sytse U","family":"Zuidema","sequence":"additional","affiliation":[{"name":"Department of General Practice and Elderly Care Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myrra J F J","family":"Vernooij-Dassen","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center, Donders Center for Cognition, Brain and Behavior, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands"},{"name":"Radboud University Medical Center, IQ Healthcare, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Teerenstra","sequence":"additional","affiliation":[{"name":"Department for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pieter G J M","family":"Hermsen","sequence":"additional","affiliation":[{"name":"Severinus Foundation, Veldhoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gertrudis I J M","family":"Kempen","sequence":"additional","affiliation":[{"name":"Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maud J L","family":"Graff","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center, Donders Center for Cognition, Brain and Behavior, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands"},{"name":"Radboud University Medical Center, IQ Healthcare, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,1,24]]},"reference":[{"key":"2025121220381206000_8.1.e016674.1","first-page":"1459","article-title":"[Combined vision and hearing impairment in an estimated 30,000-35,000 people aged 55 years or over in The Netherlands]","volume":"151","author":"Vaal","year":"2007","journal-title":"Ned Tijdschr Geneeskd"},{"key":"2025121220381206000_8.1.e016674.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2014.05.012"},{"key":"2025121220381206000_8.1.e016674.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2012.02.004"},{"key":"2025121220381206000_8.1.e016674.4","doi-asserted-by":"crossref","first-page":"217","DOI":"10.2147\/JMDH.S58461","article-title":"Sensory impairments in community health care: a descriptive study of hearing and vision among elderly Norwegians living at home","volume":"7","author":"Haanes","year":"2014","journal-title":"J Multidiscip Healthc"},{"key":"2025121220381206000_8.1.e016674.5","unstructured":"M\u00f6ller K . The impact of combined vision and hearing impairment and of deafblindness. In: Stephens DJ , ed. Impact of Genetic Hearing Impairment. London: Whurr Publisher, 2005:140\u20132."},{"key":"2025121220381206000_8.1.e016674.6","unstructured":"Pavey S , Patel M , Hodges L , et al . The identification and assessment of the needs of older people with combined hearing and sight loss in residential homes. https:\/\/www.birmingham.ac.uk\/Documents\/college-social-sciences\/education\/victar\/bupa-final-report-november-2011.pdf."},{"key":"2025121220381206000_8.1.e016674.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.d4163"},{"key":"2025121220381206000_8.1.e016674.8","unstructured":"Deafblind International. Proceedings of the Third European Conference of Deafblind International\u2019s Acquired Deafblindness Network 1998 2-7. Osimo Italy: \u00a0Marcelli di Numana: Grafiche Scarponi, Osimo, 1998."},{"key":"2025121220381206000_8.1.e016674.9","doi-asserted-by":"publisher","DOI":"10.1177\/0269215514542639"},{"key":"2025121220381206000_8.1.e016674.10","doi-asserted-by":"crossref","first-page":"1913","DOI":"10.1111\/j.1365-2702.2012.04128.x","article-title":"Visual functioning in nursing home residents: information in client records","volume":"21","author":"Sinoo","year":"2012","journal-title":"J Clin Nurs"},{"key":"2025121220381206000_8.1.e016674.11","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnu032"},{"key":"2025121220381206000_8.1.e016674.12","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1080\/14417040500337047","article-title":"Evaluating communication for resident participation in an aged care facility","volume":"7","author":"Hickson","year":"2005","journal-title":"Advances in Speech Language Pathology"},{"key":"2025121220381206000_8.1.e016674.13","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr112"},{"key":"2025121220381206000_8.1.e016674.14","doi-asserted-by":"crossref","first-page":"e166","DOI":"10.1097\/AUD.0000000000000153","article-title":"Effects of a dual sensory loss protocol on hearing aid outcomes: a randomized controlled trial","volume":"36","author":"Vreeken","year":"2015","journal-title":"Ear Hear"},{"key":"2025121220381206000_8.1.e016674.15","doi-asserted-by":"crossref","first-page":"e153","DOI":"10.1097\/AUD.0000000000000038","article-title":"Improving access to \u201chearing services for people with low vision: piloting a hearing screening and education model\u201d of intervention","volume":"35","author":"Schneider","year":"2014","journal-title":"Ear Hear"},{"key":"2025121220381206000_8.1.e016674.16","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182a95dd1"},{"key":"2025121220381206000_8.1.e016674.17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2013.01.022"},{"key":"2025121220381206000_8.1.e016674.18","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.120.11.1477"},{"key":"2025121220381206000_8.1.e016674.19","doi-asserted-by":"publisher","DOI":"10.1080\/14992020500060453"},{"key":"2025121220381206000_8.1.e016674.20","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-1313.2006.00424.x"},{"key":"2025121220381206000_8.1.e016674.21","doi-asserted-by":"publisher","DOI":"10.1037\/h0031360"},{"key":"2025121220381206000_8.1.e016674.22","doi-asserted-by":"publisher","DOI":"10.1207\/S15324796ABM2601_01"},{"key":"2025121220381206000_8.1.e016674.23","unstructured":"Beroepsvereniging Verpleegkundigen en Verzorgenden Nederland [Professional Association Nurses and Nurse Assistants The Netherlands]. Zorgleefplanwijzer [Care plan index]. https:\/\/www.zorgleefplanwijzer.nl\/zlp-informatie\/wat-is-een-zlp.html (accessed 10 May 2017)."},{"key":"2025121220381206000_8.1.e016674.24","unstructured":"Peters F , Westerbeek A , Tji S . De kern van de verpleegkundige en verzorgende beroepen [The key of nurses\u2019 and nurse assistants\u2019 profession]. Nijmegen: Kenniscentrum Beroepsonderwijs Arbeidsmarkt, 2014."},{"key":"2025121220381206000_8.1.e016674.25","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2006.01.012"},{"key":"2025121220381206000_8.1.e016674.26","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.12.1.40"},{"key":"2025121220381206000_8.1.e016674.27","unstructured":"Baum CM , Edwards D . Activity card sort. 2nd edn. Bethesda (MD): AOTA Press; Pittsburgh, 2008."},{"key":"2025121220381206000_8.1.e016674.28","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6215-14-321"},{"key":"2025121220381206000_8.1.e016674.29","unstructured":"World Health Organisation. Hearing impairment grades, 2016. http:\/\/www.who.int.pbd\/deafness\/hearingimpairmentgrades (Accessed 10 May 2017)."},{"key":"2025121220381206000_8.1.e016674.30","first-page":"1502","article-title":"[Referral for rehabilitation in case of permanent visual handicap; guideline of the dutch society of ophthalmology]","volume":"149","author":"de Boer","year":"2005","journal-title":"Ned Tijdschr Geneeskd"},{"key":"2025121220381206000_8.1.e016674.31","unstructured":"Bakker-de Pree B . Constructionele gedragstherapie [Constructional behavioral therapy]. Deventer, The Netherlands: Dekker-Van de Vegt, 1987."},{"key":"2025121220381206000_8.1.e016674.32","doi-asserted-by":"crossref","first-page":"S57","DOI":"10.5694\/j.1326-5377.2004.tb05948.x","article-title":"What drives change? Barriers to and incentives for achieving evidence-based practice","volume":"180","author":"Grol","year":"2004","journal-title":"Med J Aust"},{"key":"2025121220381206000_8.1.e016674.33","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2008.147538"},{"key":"2025121220381206000_8.1.e016674.34","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.3109\/09638288.2011.647232","article-title":"The Dutch Activity Card Sort institutional version was reproducible, but biased against women","volume":"34","author":"Jong","year":"2012","journal-title":"DisDabil Rehabil"},{"key":"2025121220381206000_8.1.e016674.35","doi-asserted-by":"crossref","first-page":"1943","DOI":"10.3109\/09638288.2015.1107779","article-title":"The construct validity of the Dutch version of the activity card sort","volume":"38","author":"Poerbodipoero","year":"2016","journal-title":"Disabil Rehabil"},{"key":"2025121220381206000_8.1.e016674.36","doi-asserted-by":"publisher","DOI":"10.1080\/14992020400050014"},{"key":"2025121220381206000_8.1.e016674.37","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.03.010"},{"key":"2025121220381206000_8.1.e016674.38","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"2025121220381206000_8.1.e016674.39","doi-asserted-by":"publisher","DOI":"10.2307\/2136319"},{"key":"2025121220381206000_8.1.e016674.40","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(98)00097-3"},{"key":"2025121220381206000_8.1.e016674.41","unstructured":"Landeweerd J , Boumans N , Nissen J . Bedrijfsgezondheidszorg Studies 11. De Maastrichtse arbeidssatisfactie schaal voor de gezondheidszorg (Industrial health care studies 11. The Maastricht Job Satisfaction Scale for Health Care). Maastricht, The Netherlands: Maastricht University, 1996."},{"key":"2025121220381206000_8.1.e016674.42","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-0009.2007.00478.x"},{"key":"2025121220381206000_8.1.e016674.43","doi-asserted-by":"crossref","first-page":"488.e1","DOI":"10.1016\/j.jamda.2012.03.006","article-title":"Process evaluation to explore internal and external validity of the \u201cAct in Case of Depression\u201d care program in nursing homes","volume":"13","author":"Leontjevas","year":"2012","journal-title":"J Am Med Dir Assoc"},{"key":"2025121220381206000_8.1.e016674.44","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-013122","article-title":"Evaluation of nurses' changing perceptions when trained to implement a self-management programme for dual sensory impaired older adults in long-term care: a qualitative study","volume":"6","author":"Roets-Merken","year":"2016","journal-title":"BMJ Open"},{"key":"2025121220381206000_8.1.e016674.45","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0173601","article-title":"Problems identified by dual sensory impaired older adults in long-term care when using a self-management program: a qualitative study","volume":"12","author":"Roets-Merken","year":"2017","journal-title":"PLoS One"},{"key":"2025121220381206000_8.1.e016674.46","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2006.00881.x"},{"key":"2025121220381206000_8.1.e016674.47","doi-asserted-by":"crossref","first-page":"1434","DOI":"10.1016\/j.ijnurstu.2014.02.006","article-title":"Screening for hearing, visual and dual sensory impairment in older adults using behavioural cues: a validation study","volume":"51","author":"Roets-Merken","year":"2014","journal-title":"Int J Nurs Stud"},{"key":"2025121220381206000_8.1.e016674.48","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1186\/s13063-015-0720-3","article-title":"Successful knowledge translation intervention in long-term care: final results from the vitamin D and osteoporosis study (ViDOS) pilot cluster randomized controlled trial","volume":"16","author":"Kennedy","year":"2015","journal-title":"Trials"},{"key":"2025121220381206000_8.1.e016674.49","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60590-5"},{"key":"2025121220381206000_8.1.e016674.50","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1186\/s12877-015-0077-1","article-title":"Participation needs of older adults having disabilities and receiving home care: met needs mainly concern daily activities, while unmet needs mostly involve social activities","volume":"15","author":"Turcotte","year":"2015","journal-title":"BMC Geriatr"},{"key":"2025121220381206000_8.1.e016674.51","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/48.6.793"},{"key":"2025121220381206000_8.1.e016674.52","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1111\/hex.12346","article-title":"Self-management support from the perspective of patients with a chronic condition: a thematic synthesis of qualitative studies","volume":"19","author":"Dwarswaard","year":"2016","journal-title":"Health Expect"},{"key":"2025121220381206000_8.1.e016674.53","doi-asserted-by":"crossref","first-page":"1571","DOI":"10.1037\/dev0000349","article-title":"Getting together: social contact frequency across the life span","volume":"53","author":"Sander","year":"2017","journal-title":"Dev Psychol"},{"key":"2025121220381206000_8.1.e016674.54","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2014-007413","article-title":"Who is in control? Clinicians\u2019 view on their role in self-management approaches: a qualitative metasynthesis","volume":"5","author":"Mudge","year":"2015","journal-title":"BMJ Open"},{"key":"2025121220381206000_8.1.e016674.55","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1001\/jamainternmed.2013.1868","article-title":"Hearing loss and cognitive decline in older adults","volume":"173","author":"Lin","year":"2013","journal-title":"JAMA Intern Med"},{"key":"2025121220381206000_8.1.e016674.56","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glv036"},{"key":"2025121220381206000_8.1.e016674.57","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1186\/1748-5908-8-131","article-title":"Determinants for the effectiveness of implementing an occupational therapy intervention in routine dementia care","volume":"8","author":"D\u00f6pp","year":"2013","journal-title":"Implement Sci"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2017-016674","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,13]],"date-time":"2025-12-13T04:38:20Z","timestamp":1765600700000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2017-016674"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":57,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,1,24]]},"published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1136\/bmjopen-2017-016674"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2017-016674","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}