Richtlijnen bij kindermishandeling (Acad werkplaats).doc

Academische Werkplaats Jeugd Twente (GGD Twente/ Universiteit Twente): Research on design factors for a guideline based reminder system to support youth health care professionals in using a guideline on secondary prevention of child abuse.

Type opdracht: Ma (preferably, master thesis will be written in Dutch)

Extern (GGD Twente) Standplaats Enschede

Meerdere studenten mogelijk? Nee


Youth Healthcare Professionals (YHPs) have access to multiple clinical guidelines and protocols that support their tasks and work processes. One of these guidelines is the guideline ‘secondary prevention of child abuse’, which is designed to assist Youth Healthcare Professionals (YHPs) in the decision making process when they suspect child abuse. The guidelines consist of multiple steps for YHPs to follow within a certain time frame, e.g. interpreting signals, communication with parents and children about signs, colleague and/or expert consultation, organizing and coordinating help and/or reporting (suspected) child abuse to the Child Protection Service (CPS).

The guideline is a detailed and complex document with a lot of considerations for the YHPs. Although implemented in 2008, not every YHP uses the guideline as instructed. ‘Lack of a reminder system’ has been considered within literature as an external barrier that prevents professionals from adhering to a guideline. Reminders assist user in not forgetting important actions. Reminder systems have multiple potential benefits, such as decreased medication errors, decreased time needed for ordering appropriate treatment and improved preventive care.


The overall aim of this project is to develop a guideline based reminder system to remind YHPs of the actions recommended by the guideline ‘secondary prevention of child abuse’. This guideline based reminder system will be integrated into the electronic health record for children (Digitaal Dossier JGZ) used by YHPs in the Dutch region of Twente. YHPs use the electronic health record for all their care record activities. The department of youth health care in Twente (GGD Twente) will be the pilot organization to develop and evaluate this digital instrument.

The hypothesis is that a guideline based reminder system will positively influence adherence with a guideline regarding secondary prevention of child abuse. Better use of the guideline may improve signaling and acting (organizing and coordinating help or reporting child abuse to the Child Protection Service) in case of continuous suspicion of child abuse. This will contribute to better quality of health care.

In order to implement a guideline based reminder system, this system has to be designed in such a way YHPs will use it in their daily practice. In a second and third phase, outside the scope of this assignment, the reminder system will be built within the electronic health record for children and will be evaluated on cost-effectiveness within the same population, using a randomized controlled trial.

This research project focuses on the first phase: research on design factors for a guideline based reminder system that supports the use of guidelines in youth health care.


Literature study, interviews with youth health care professionals, observation.

Internship at youth health care department of public health service GGD Twente, Enschede

The research will be done at the public health service in Twente (GGD Twente) at the department of youth health care. The student will be introduced into the electronic health record system mlCAS.

This research is part of a PhD-project on the subject ‘Towards better prevention of child abuse in Twente’, embedded within the Academische Werkplaats Jeugd Twente: a cooperation between GGD Twente, University of Twente, UMCG and Saxion Hogescholen. Activities within this academic workplace aim to contribute to the strengthening of the care for vulnerable children within Twente (

Meer info?


  • Saskia Kelders, MSc. (GW – department of Psychology, Health and Technology)
  • Annemieke Konijnendijk, MSc (MB – department of Public Administration)
  • Dr. Magda Boere-Boonekamp (MB – department of Health Technology and Services Research)

Start datum bij voorkeur:

  • September 2012