Working together on the path to better home‑based stroke rehabilitation

Tuesday 7 April 2026, 2:30 pm
A Smooth Drive: Development and implementation of Home-Based Stroke Rehabilitation using Participatory Action Research
PhD candidate
D.J. van der Veen
Promotor(s)
prof. dr. P.J. van der Wees, prof. dr. M.J.L. Graff
Co-promotor(s)
dr. P.C. Siemonsma, dr. A.J.H. Satink
Location
Aula

This dissertation demonstrates that home‑based stroke rehabilitation (HBSR) holds strong potential as a client‑centred and cost‑effective alternative to inpatient rehabilitation. In practice, however, several essential conditions are lacking, including visible professional expertise, well‑organised interprofessional collaboration, and an appropriate, stable funding structure. An important component of HBSR is the early involvement of the (broader) social network, yet professionals make limited use of strategies to engage network members due to unclear roles, time constraints, and reimbursement issues. Regional projects show that Participatory Action Research (PAR) can support the development of practical solutions, such as collaboration agreements, network structures, and the organisation of care coordination. Successful implementation of HBSR requires a central coordinator, adequate technical and financial conditions, and the engagement of key stakeholders. Moreover, the development of an interprofessional identity appears crucial for sustainable collaboration. PAR therefore provides valuable guidance for further shaping regional home‑based stroke rehabilitation.

Dinja van der Veen studied Occupational Therapy and completed a Master’s in Sociology, specializing in Health, Care and Well‑being in 2011. She worked as an occupational therapist and researcher at Radboudumc on dementia care and autonomy in nursing homes. Since 2013 she contributed to neurorehabilitation research at HAN. Her NWO funded PhD began in 2020, alongside bachelor’s and master’s teaching.