VHLE-Study: Efficiency intensive rehabilitation

Clinical research

Ruth van Nispen and Hilde van der Aa are working on this project titled “Progress measurements for clients in intensive rehabilitation – High efficiency for clients”. This study  is conducted at Royal Dutch Visio – Het Loo Erf at Apeldoorn. Clinical physicist Ton Roelofs from Royal Dutch Visio is the project leader.


Ruth van Nispen & Hilde van der Aa




Novum/Koninklijke Visio



VHLE-Study: Efficiency intensive rehabilitation

Why are we doing this study?

Intensive visual rehabilitation trajectories at Visio het Loo Erf (VHLE) are trajectories for people with (often complex) requests for help in multiple ICF life areas. These trajectories require an average of 500 treatment hours, are multidisciplinary highly intensive and take a long time to complete. Staying at the location is an essential part of these trajectories. The client, but also practitioners and health insurers, would benefit from highly efficient trajectories. In order to be able to determine and possibly improve its efficiency, it is necessary to be able to periodically measure the progress on various rehabilitation dimensions during the trajectories.

It is hypothesized that these measurements extends beyond the usual tracking of (un)achieved goals. These goals mainly concern practical sub-skills and lack reflecting their integration in a few essential areas of life. It is expected that periodic measurements will enable us to better adjust individual rehabilitation trajectories. Based on progress measurements for larger numbers of trajectories, we can also determine factors that are associated with a typical course of (phases in) trajectories, or with an increase or decrease in their duration or efficiency. This increases the insight into, and the predictability and plannability of the rehabilitation trajectories. Finally, we can provide insight into the typical elements in the rehabilitation process, including phases of rapid progress, stagnation or relapse.

What is the aim of this study?

  • To determine how we can measure rehabilitation progress of clients during intensive visual rehabilitation
  • To determine which personal and external factors influence the rehabilitation progress and how these factors relate to chosen trajectory parameters, such as trajectory duration, nature and amount of care required, intensity, etcetera
  • To set up structural measurements of rehabilitation progress for clients who go through intensive visual rehabilitation

How do we conduct the study? 

In order to achieve our goals, a literature study is conducted and an inventory is made among other healthcare organizations, and practitioners and (ex)-clients of VHLE. Thereafter, the measuring instruments are determined, implemented and tested in practice. Interviews will be conducted to collect feedback and evaluate its implementation.