1
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Adams L, Feicke J, Eckert T, Pikkemaat R, Spörhase U, Bitzer EM, Göhner W. Development, implementation and formative evaluation of a motivational-volitional intervention to promote sustainable physical activity in breast cancer survivors. Eur J Cancer Care (Engl) 2022; 31:e13732. [PMID: 36220629 DOI: 10.1111/ecc.13732] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 09/22/2022] [Accepted: 09/27/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVE The aim of the current project was the development, implementation and evaluation of the programme, Motivational-Volitional Intervention-Movement After Breast Cancer (Mo-Vo-BnB), an intervention for the sustainable promotion of physical activity of breast cancer survivors. METHODS In a multi-stage interdisciplinary development process, the pedagogical-didactic, psychological and physical evidence-based programme was developed and implemented for women after breast cancer who were approved for medical rehabilitation and were minimally, physically active (<60 min/week). Train-the-trainer seminars were carried out for the implementation. Four sessions were implemented in two German clinics. The training quality, didactic methods and accompanying material were evaluated 6 weeks and 12 months after implementation by patients, trainers and project members (n = 127 evaluations). RESULTS The standardised and published MoVo-BnB programme can provide practical and quality training. Content and methods can be implemented according to the manual. Training quality, didactic methods, and accompanying materials were evaluated positively. CONCLUSION The results suggest that MoVo-BnB is a useful standardised intervention for promoting the physical activity of breast cancer survivors. The demonstrated process is also suitable for other projects. CLINICAL TRIAL REGISTRATION German Clinical Trials Register (DRKS): DRKS00011122; Trial registration date: 2016 October 13.
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Affiliation(s)
- Leonie Adams
- University of Education Freiburg, Freiburg, Germany
| | | | | | | | | | | | - Wiebke Göhner
- Catholic University of Applied Sciences, Freiburg, Germany
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2
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Humpert L, Meyer A, Gottschlich L, Weber M, Hambrecht A, Dierks ML, Bitzer EM. Digitale Lernmodule zur Förderung der allgemeinen
Gesundheitskompetenz und des gesundheitsbezogenen Wissens bei Studierenden und
Auszubildenden in der Pflege: Effekte unterschiedlicher
Lernsettings. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- L Humpert
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg im Breisgau, Deutschland
| | - A Meyer
- Medizinische Hochschule Hannover, Institut für Epidemiologie,
Sozialmedizin und Gesundheitssystemforschung, Hannover,
Deutschland
| | - L Gottschlich
- Medizinische Hochschule Hannover, Institut für Epidemiologie,
Sozialmedizin und Gesundheitssystemforschung, Hannover,
Deutschland
| | - M Weber
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg im Breisgau, Deutschland
| | - A Hambrecht
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg im Breisgau, Deutschland
| | - M-L Dierks
- Medizinische Hochschule Hannover, Institut für Epidemiologie,
Sozialmedizin und Gesundheitssystemforschung, Hannover,
Deutschland
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg im Breisgau, Deutschland
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3
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Telenga S, Mitschele A, Thiede M, Hollensteiner S, Bitzer EM. Implementierung eines „Strukturierten
Qualitätsdialogs (SQD)“ in der externen
Qualitätssicherung der medizinischen Rehabilitation der Deutschen
Rentenversicherung. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- S Telenga
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg im Breisgau, Deutschland
| | - A Mitschele
- DRV Bund, Dezernat 0430 Reha-Qualitätssicherung, Epidemiologie
& Statistik, Berlin, Deutschland
| | - M Thiede
- DRV Bund, Dezernat 0430 Reha-Qualitätssicherung, Epidemiologie
& Statistik, Berlin, Deutschland
| | - S Hollensteiner
- DRV Bund, Dezernat 0430 Reha-Qualitätssicherung, Epidemiologie
& Statistik, Berlin, Deutschland
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg im Breisgau, Deutschland
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4
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Sieferle K, Bitzer EM. Methodological quality of guideline development and management of
conflicts of interest in Clinical Practice Guidelines and Food-based Dietary
Guidelines in early childhood allergy prevention. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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5
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Telenga S, Haberstroh S, Bitzer EM. Akzeptanz des Ü45-Checks als eine neue Leistung der Deutschen
Rentenversicherung. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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Grepmeier EM, Pawellek M, Curbach J, von Sommoggy J, Drewitz KP, Hasenpusch C, Bitzer EM, Apfelbacher C, Matterne U. ZWEI JAHRE IN DER COVID-19-PANDEMIE: WIE IST DER FORSCHUNGSSTAND ZU
GESUNDHEITSKOMPETENZ BEI ANGEHÖRIGEN DER GESUNDHEITSBERUFE? ERGEBNISSE
EINES SCOPING REVIEWS. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- E-M Grepmeier
- Medizinische Fakultät der Otto-von-Guericke Universität
Magdeburg, Insitut für Sozialmedizin und Gesundheitssystemforschung,
Magdeburg, Deutschland
| | - M Pawellek
- Universität Regensburg, Klinik und Poliklinik für
Kinder- und Jugendmedizin (KUNO-Kliniken), Regensburg, Deutschland
| | - J Curbach
- OTH Regensburg, Fakultät für Betriebswirtschaft,
Regensburg, Deutschland
| | - J von Sommoggy
- Universität Regensburg, Institut für Epidemiologie und
Präventivmedizin, Regensburg, Deutschland
| | - K-P Drewitz
- Medizinische Fakultät der Otto-von-Guericke Universität
Magdeburg, Insitut für Sozialmedizin und Gesundheitssystemforschung,
Magdeburg, Deutschland
| | - C Hasenpusch
- Medizinische Fakultät der Otto-von-Guericke Universität
Magdeburg, Insitut für Sozialmedizin und Gesundheitssystemforschung,
Magdeburg, Deutschland
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Institut für Public
Health und Health Education, Freiburg, Deutschland
| | - C Apfelbacher
- Medizinische Fakultät der Otto-von-Guericke Universität
Magdeburg, Insitut für Sozialmedizin und Gesundheitssystemforschung,
Magdeburg, Deutschland
| | - U Matterne
- Medizinische Fakultät der Otto-von-Guericke Universität
Magdeburg, Insitut für Sozialmedizin und Gesundheitssystemforschung,
Magdeburg, Deutschland
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7
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Telenga S, Agren C, Bitzer EM. Vielfältigkeit der Modellprojekte zum Ü45-Check der
Deutschen Rentenversicherung. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753858] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- S Telenga
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg im Breisgau, Deutschland
| | - C Agren
- DRV Bund – Grundsatz- und Querschnittsbereich, Dezernat
Sozialmedizin, Berlin, Deutschland
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg im Breisgau, Deutschland
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8
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Telenga S, Agren C, Bitzer EM. Der Ü45-Check als Früherkennungsuntersuchung der
Deutschen Rentenversicherung. Das Gesundheitswesen 2022. [DOI: 10.1055/s-0042-1753857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Affiliation(s)
- S Telenga
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg, Deutschland
| | - C Agren
- DRV Bund – Grundsatz- und Querschnittsbereich, Dezernat
Sozialmedizin, Berlin, Deutschland
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health &
Health Education, Freiburg, Deutschland
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Bitzer EM, Apfelbacher C, Tischer C, Tempes J. DFG-Forschungsgruppe HELICAP: Public Health Relevanz. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1731987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health & Health Education
| | | | - C Tischer
- Otto-von-Guericke-Universität Magdeburg, Institut für Sozialmedizin und Gesundheitssystemforschung
| | - J Tempes
- Pädagogische Hochschule Freiburg, Public Health & Health Education
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Drixler K, Wiedemann R, Nolte S, Osborne RH, Kayser L, Bitzer EM. Die Vorbereitung auf das digitale Zeitalter in Deutschland: Adaption des eHealth Literacy Fragebogens (eHLQ). Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- K Drixler
- Public Health & Health Education, Pädagogische Hochschule Freiburg
| | - R Wiedemann
- Public Health & Health Education, Pädagogische Hochschule Freiburg
| | - S Nolte
- Medizinische Klinik mit Schwerpunkt Psychosomatik, Charité – Universitätsmedizin
| | - RH Osborne
- Centre for Global Health and Equity, Faculty of Health, Arts and Design, Swinburne University of Technology
| | - L Kayser
- Department of Public Health, University of Copenhagen
| | - EM Bitzer
- Public Health & Health Education, Pädagogische Hochschule Freiburg
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Horenkamp-Sonntag D, Bitzer EM, Geyer S. Behandlungsfade in GKV-Routinedaten: Status-Quo der Screening-Inanspruchnahme beim Gebärmutterhalskrebs vor Einführung des HPV-Tests. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health & Health Education
| | - S Geyer
- Medizinische Hochschule Hannover, Medizinische Soziologie
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12
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Engler S, Kricheldorff C, Bitzer EM. Distance Caregiving – Möglichkeiten und Grenzen von Techniknutzung bei räumlicher Distanz sorgender Angehöriger. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S Engler
- Katholische Hochschule Freiburg, IAF
| | | | - EM Bitzer
- Freiburg im Breisgau, Pädagogische Hochschule Freiburg
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13
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Apfelbacher C, Bitzer EM, Matterne U, Egger N. Health literacy in early childhood allergy prevention: parental competencies and public health context in a shifting evidence landscape (HELICAP): Wissenschaftliche Evidenz. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1731983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- C Apfelbacher
- Medizinische Fakultät, Institut für Sozialmedizin und Gesundheitssystemforschung (ISMG), Otto-von-Guericke Universität Magdeburg
| | - EM Bitzer
- Institut für Alltagskultur, Bewegung und Gesundheit, Pädagogische Hochschule Freiburg
| | - U Matterne
- Medizinische Fakultät, Institut für Sozialmedizin und Gesundheitssystemforschung (ISMG), Otto-von-Guericke Universität Magdeburg
| | - N Egger
- Institut für Alltagskultur, Bewegung und Gesundheit, Pädagogische Hochschule Freiburg
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14
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Okan O, Bittlingmayer U, Bitzer EM, Jochimsen M, Kessl F, Lenz A, Jordan S, Pinheiro P, Wasem J, Bauer U. Der HLCA-Forschungsverbund – Health Literacy im Kindes- und Jugendalter. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | | | | | | | | | - A Lenz
- Katholische Hochschule Nordrhein-Westfalen
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15
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Adams L, Feicke J, Eckert T, Spörhase U, Göhner W, Bitzer EM. [A Motivational-Volitional Program for Women after Breast Cancer Increases Physical Activity 12 Months Post Rehabilitation - Results of a Prospective Controlled Trial]. REHABILITATION 2021; 60:110-123. [PMID: 33858020 DOI: 10.1055/a-1361-4858] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
PURPOSE To assess the effectiveness of a motivational-volitional program for women after breast cancer (MoVo-BnB) who engage less than 60 minutes per week in physical activity. METHODS This is a non-randomised, prospective bi-centered controlled trial in 2 in-patient medical rehabilitation centers. Data are assessed at 4 measurement points: at admission, discharge, 6 and 12 months post discharge. The control group (CG; n=266) has received the standard rehabilitation, and the intervention group (IG; n=279) attended additionally the group program (4 sessions lead by physiotherapeutic and health pedagogic personnel). The primary outcome is self-reported physical activity (BSA-F); secondary outcomes are health related quality of life (QLQ-C30), breast cancer specific quality of health (QLQ-BR23) and program acceptance. Analysis of change are performed by ANCOVA for each follow-up, adjusting for baseline values. RESULTS At 12 months follow up, the level of exercise in the intervention group is 22 min/week higher than in the control group (95% CI: 2,6 to 41.5; p=0.02). Further, 49.1% of the intervention group exercises for at least 60 min/week compared to 37.6% of the control group (p≤0.01). We have observed no significant differences between the groups for quality of life. The participants' evaluation of the intervention is positive and does not differ substantially between the 2 clinics (p=0.3). CONCLUSION Our findings demonstrate that a cognitive-behavioral program based on the motivation-volitional model can lead to long-term improvement in exercise behavior in breast cancer patients, who is initially minimally active. Physical activity should be encouraged after breast cancer diagnosis. The results suggest that practitioners working in cancer aftercare might like to consider using a motivational-volitional program for improving and maintaining physical activity behavior for physical sedentary target groups.
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Matterne U, Egger N, Tempes J, Tischer C, Lander J, Dierks ML, Bitzer EM, Apfelbacher C. Health literacy in the general population in the context of epidemic or pandemic coronavirus outbreak situations: Rapid scoping review. Patient Educ Couns 2021; 104:223-234. [PMID: 33109429 PMCID: PMC7547635 DOI: 10.1016/j.pec.2020.10.012] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Revised: 09/14/2020] [Accepted: 10/07/2020] [Indexed: 05/07/2023]
Abstract
OBJECTIVE The aim of this rapid scoping review, for which only studies from the general population were considered, was to describe the extent of existing research on HL in the context of previous coronavirus outbreaks (SARS-CoV-1, MERS-CoV and SARS-CoV-2). METHODS We searched major databases and included publications of quantitative and qualitative studies in English and German on any type of research on the functional, critical and communicative domains of HL conducted in the context of the three outbreaks in the general population. We extracted and tabulated relevant data and narratively reported where and when the study was conducted, the design and method used, and how HL was measured. RESULTS 72 studies were included. Three investigated HL or explicitly referred to the concept of HL, 14 were guided by health behaviour theory. We did not find any study designed to develop or psychometrically evaluate pandemic/epidemic HL instruments, or relate pandemic/epidemic or general HL to a pandemic/epidemic outcome, or any controlled intervention study. Type of assessment of the domains of HL varied widely. CONCLUSION Theory-driven observational studies and interventions, examining whether pandemic-related HL can be improved are needed. PRACTICE IMPLICATIONS The development and validation of instruments that measure pandemic-related HL is desirable.
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Affiliation(s)
- Uwe Matterne
- Institute of Social Medicine and Health Systems Research, Medical Faculty, Otto Von Guericke University, Magdeburg, Germany.
| | - Nina Egger
- Department of Public Health and Health Education, Freiburg University of Education, Freiburg, Germany
| | - Jana Tempes
- Department of Public Health and Health Education, Freiburg University of Education, Freiburg, Germany
| | - Christina Tischer
- Institute of Social Medicine and Health Systems Research, Medical Faculty, Otto Von Guericke University, Magdeburg, Germany
| | - Jonas Lander
- Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover, Germany
| | - Marie-Luise Dierks
- Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover, Germany
| | - Eva-Maria Bitzer
- Department of Public Health and Health Education, Freiburg University of Education, Freiburg, Germany
| | - Christian Apfelbacher
- Institute of Social Medicine and Health Systems Research, Medical Faculty, Otto Von Guericke University, Magdeburg, Germany; Family Medicine and Primary Care, Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, Singapore
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Beckmann A, Bitzer EM, Lederle M, Ihle P, Walker J, Marshall U, Horenkamp-Sonntag D, Schneider S, Zeymer U. Health Care Analysis on Myocardial Revascularization in Patients with Chronic Coronary Artery Disease: The Multicenter REVASK Study: Design and Protocol. Thorac Cardiovasc Surg 2020; 69:599-606. [PMID: 33339068 PMCID: PMC8519729 DOI: 10.1055/s-0040-1721391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Abstract
Coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are available for revascularization of coronary artery disease (CAD) with the aims to reduce cardiovascular morbidity and mortality and to improve disease-related quality of life in particular. The German National Care Guideline (NVL-cKHK) on chronic CAD recommends the establishment of so-called heart teams for decision making in myocardial revascularization to improve the quality of care. Preferred recommendations for PCI or CABG are given for different patient subgroups depending on patient characteristics, concomitant diseases, and coronary morphology. The myocardial revascularization study (REVASK) is a noninterventional cohort study on care of patients undergoing PCI or CABG based on retrospective statutory health insurance (SHI) routine data, registry data from the German Cardiac Society (DGK) resp., the German Society for Thoracic and Cardiovascular Surgery (DGTHG), combined with prospective primary data collection from health care providers and patients. The primary goal is to investigate whether and to which extent heart teams, consisting of cardiologists and cardiac surgeons, increase guideline adherence in decision making for myocardial revascularization. Ultimately the study project aims to improve patient care in terms of decision making for appropriate myocardial revascularization. Through the consistent implementation of the German National Care Guideline on chronic Coronary Artery Disease (NVL-cKHK) and the European Guidelines on myocardial revascularization, the reduction of morbidity, mortality and the reduced need for subsequent revascularization procedures are also desirable from a health economics perspective.
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Affiliation(s)
- Andreas Beckmann
- German Society for Thoracic and Cardiovascular Surgery (GSTCVS), Berlin, Germany
| | | | | | - Peter Ihle
- PMV research group, University of Cologne, Cologne, Germany
| | - Jochen Walker
- Institute for Applied Health Research Berlin GmbH (InGef), Berlin, Germany
| | | | | | - Steffen Schneider
- Institut für Herzinfarktforschung Ludwigshafen, Ludwigshafen, Germany
| | - Uwe Zeymer
- Institut für Herzinfarktforschung Ludwigshafen, Ludwigshafen, Germany
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Lander J, Drixler K, Dierks ML, Bitzer EM. Evidence-based reporting, methods and content of allergy-specific digital training programs. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.702] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The World Allergy Organization frames allergies as a “major global public health issue”, due to the consistently high prevalence of, e.g., allergic rhinitis (up to 30%). Digital training programs (DTPs) may help fostering self-management and provide allergy-specific information, given, for instance, their good accessibility. We aimed to assess an exploratory sample of allergy-specific, interactive and feedback-oriented DTPs towards the extent to which these tools meet established criteria for the reporting, methods, and content of evidence-based (digital) health information.
Methods
We searched for DTPs via scientific databases and online sources and developed a checklist from established scientific guidelines for digital health information. The checklist contained 44 items covering 11 domains related to content (e.g. evidence-base), structure (e.g. trainer qualification) and impact (e.g. user perspective).
Results
15 DTPs covered an average of 37% of the items (score 33/88). Items relating to intervention (58%), content (49%), and data safety (60%) were frequently considered, as opposed to user safety (10%), qualification of staff (10%), effectiveness (16%), and user perspective (45%). In 13 of 15 DTPs, a minimum of 3 domains were not covered at all. Regarding evidence-based content, 46% scored on use of scientific research, 53% on regular information update, and 33% on provision of references.
Conclusions
Allergy-specific DTPs conform only partly to established criteria for evidence-based (digital) health information and education. The named methodological and content-wise shortcomings pose considerable obstacles for users. While there have been related, general criticisms earlier, this study provides empirical evidence via the example of allergy-specific DTPs.
Key messages
For DTPs to add value, service providers and health information experts need to cooperate much closer to reduce the 'reporting vs. requirements' gap. Cooperation is also needed to agree essential methodological and content-wise features of DTPs and similar services.
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Affiliation(s)
- J Lander
- Institute for Epidemiology, Hannover Medical School, Hannover, Germany
| | - K Drixler
- Public Health Education, Freiburg University of Education, Freiburg, Germany
| | - M L Dierks
- Institute for Epidemiology, Hannover Medical School, Hannover, Germany
| | - E M Bitzer
- Public Health Education, Freiburg University of Education, Freiburg, Germany
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Drixler K, Luntz E, Wiedemann R, Lander J, Schäfer I, Schmitt J, Dierks ML, Bitzer EM. [What motivates patients with atopic diseases to search the internet-a focus group study on expectations and demands]. Hautarzt 2019; 69:832-838. [PMID: 30105503 DOI: 10.1007/s00105-018-4241-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
BACKGROUND People affected by allergies with mild-to-moderate symptoms are often not treated adequately, despite the availability of prevention and self-therapy measures. Given their good and quick accessibility when seeking information, evidence- and web-based services that are user-friendly may strengthen a more independent way of handling an allergy and may also increase health literacy. In order for such services to be found and read, developers and providers need to know about information needs, demands and users' behavior. OBJECTIVES On which occasions does the target group search for allergy-specific information? Which preferences and demands do affected persons have regarding a web-based service? MATERIALS AND METHODS Three individual interviews and four focus groups with 37 participants (19-81 years; hay fever, n = 30; asthma, n = 17; eczema, n = 15) were conducted in four German cities. These were recorded and transcribed verbatim. A multiprofessional team developed a system for coding the texts (two independent encoders, MAXQDA analysis software). RESULTS Those who are affected usually seek information only in case of a concrete need for action. Impulses are, among others, symptoms, suggestions from the social environment, the beginning of the allergy season or an allergy-related contact with the health system. A web-based service should primarily include information about treatment options, provide individualized support for everyday life action strategies, and promote adequate self-management skills. DISCUSSION In order to promote self-management skills, a web-based service should focus on allergy symptoms, treatment options and day-to-day help.
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Affiliation(s)
- K Drixler
- Public Health & Health Education, Pädagogische Hochschule Freiburg, Kunzenweg 21, 79117, Freiburg, Deutschland
| | - E Luntz
- Zentrum für Evidenzbasierte Gesundheitsversorgung, Medizinische Fakultät, Carl Gustav Carus der Technischen Universität Dresden, Dresden, Deutschland
| | - R Wiedemann
- Public Health & Health Education, Pädagogische Hochschule Freiburg, Kunzenweg 21, 79117, Freiburg, Deutschland
| | - J Lander
- Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover, Hannover, Deutschland
| | - I Schäfer
- Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP), Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland
| | - J Schmitt
- Zentrum für Evidenzbasierte Gesundheitsversorgung, Medizinische Fakultät, Carl Gustav Carus der Technischen Universität Dresden, Dresden, Deutschland
| | - M-L Dierks
- Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover, Hannover, Deutschland
| | - E M Bitzer
- Public Health & Health Education, Pädagogische Hochschule Freiburg, Kunzenweg 21, 79117, Freiburg, Deutschland.
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Schwendimann R, Fakler A, Bitzer EM. [Content validity of a culturally adapted checklist for self-assessment of critical incident reporting system audit teams in a Swiss university hospital]. Z Evid Fortbild Qual Gesundhwes 2019; 141-142:11-17. [PMID: 30935787 DOI: 10.1016/j.zefq.2019.03.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Revised: 02/20/2019] [Accepted: 03/05/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND Critical Incident Reporting Systems (CIRS) support the analysis of critical incidents and foster quality improvement in healthcare. The analysis of CIRS reports by designated CIRS teams enable organizational learning. To maintain a constructive work flow CIRS teams should be able to self-assess their work. We adapted the checklist used by the Dutch Healthcare Inspectorate to judge the quality of sentinel event analysis reports provided by hospitals. METHOD The 26 items of the Dutch checklist were translated into German and culturally adapted to be used in a Swiss university hospital. Relevance and comprehensibility were rated by experts applying the Content Validity Index on item level (I-CVI) and on the checklist level (S-CVI). Five CIRS team members tested the usefulness of the revised checklist and provided feedback which we used to further revise the checklist. RESULTS Comprehensibility of the 19 items ranged from 58.3 % to 100 %, and the I-CVI ranged between 0.17 and 1.0. The S-CVI achieved a good 0.80. For reasons of clarity we modified, deleted and added items. CIRS team members regarded this further adapted 15-item checklist to be of limited utility. DISCUSSION The adapted checklist for self-assessment of the CIRS teams' work flow received good ratings for content validity but its usefulness for CIRS teams was found to be limited. The checklist may benefit from further development.
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Affiliation(s)
- René Schwendimann
- Abteilung für Patientensicherheit, Universitätsspital Basel, Basel, Schweiz
| | - Anna Fakler
- Akademie für medizinische Berufe, Universitätsklinikum Freiburg, Freiburg, Deutschland
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Lederle M, Bitzer EM. A close look at lay-led self-management programs for chronic diseases and health care utilisation: A systematic review and meta-analysis. Ger Med Sci 2019; 17:Doc03. [PMID: 31148954 PMCID: PMC6533545 DOI: 10.3205/000269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Revised: 09/11/2018] [Indexed: 01/08/2023]
Abstract
Introduction: Chronically ill people are confronted with significant challenges when dealing with health care services. Lay-led self-management programs aim to improve self-management skills and might enable patients to make appropriate decisions as to when to use health care services. Contrary to the general attitude that self-management programs reduce health care utilisation, we suspect that better self-management skills lead to increased or possibly more appropriate health care utilisation. Our review and meta-analysis sheds light on the relationship between lay-led self-management programs and health care utilisation. Methods: In March 2017, we searched 7 databases (CDSR, DARE, HTA, Medline, CINAHL, PsycInfo, and SSCI) to perform a systematic review and meta-analysis to identify studies that reported empirical data on lay-led self-management programs and health care utilisation. We extracted the characteristics of all primary studies and the data of four indicators of utilisation (physician visits, emergency department visits, hospital admissions, and length of stay in hospital), and analysed the role of health care utilisation in these studies. We present the results in frequency tables and as a conventional meta-analysis with the standardized mean difference (SMD), 95% confidence intervals (CI), and pooled overall effect sizes using RevMan 5.3.5. The manuscript follows the PRISMA checklist. Results: Overall, we include 49 primary studies; 10 studies provided sufficient data for the meta-analysis. Health care utilisation played a different role in the studies; 15 studies reported a clear explicit hypothesis on the influence of a lay-led self-management program on health care utilisation, and 17 studies assumed an implicit assumption. 8 studies discussed the possibility that a lay-led self-management program could lead to more appropriate health care utilisation. The meta-analysis showed mixed results, and many effect sizes were not statistically significant. The participants of a lay-led self-management program had fewer emergency department visits (SMD: -0.08; 95% CI: -0.15 to -0.01; p=0.02) than the control group. Conclusion: Although the statistically significant effects of the meta-analysis are low, our overall findings show that only a small number of the included studies tackled the task of comprehensively investigating self-management skills in the context of health care utilisation. This fails to do justice to the potential of self-management programs. It is essential to consider the appropriateness of health care utilisation. We propose the term self-management-sensitive utilisation for this purpose.
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Kuntz L, Flaig S, Schwendemann H, Bleckmann P, Mößle T, Bitzer EM. Longitudinal studies in kindergartens and elementary schools: Who participates? Eur J Public Health 2018. [DOI: 10.1093/eurpub/cky212.642] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- L Kuntz
- University of Education, Public Health and Health Education, Freiburg, Germany
| | - S Flaig
- University of Education, Public Health and Health Education, Freiburg, Germany
| | - H Schwendemann
- University of Education, Public Health and Health Education, Freiburg, Germany
| | - P Bleckmann
- Alanus University of Arts and Social Sciences, Educational Sciences/Media Pedagogy, Alanus, Germany
| | - T Mößle
- State Police College Baden-Württemberg, Villingen-Schwenningen, Germany
| | - EM Bitzer
- University of Education, Public Health and Health Education, Freiburg, Germany
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Drixler K, Wiedemann R, Luntz E, Lander J, Dierks ML, Bitzer EM. Allergiespezifische Gesundheitsinformationen im Internet – was motiviert Betroffene zur Suche und welche Anforderungen stellen sie an eine internetbasierte Intervention? Ergebnisse einer Fokusgruppen-Studie. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- K Drixler
- Pädagogische Hochschule Freiburg, Public Health & Health Education, Freiburg, Deutschland
| | - R Wiedemann
- Pädagogische Hochschule Freiburg, Public Health & Health Education, Freiburg, Deutschland
| | - E Luntz
- Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Zentrum für evidenzbasierte Gesundheitsversorgung (ZEGV), Dresden, Deutschland
| | - J Lander
- Medizinische Hochschule Hannover, Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Hannover, Deutschland
| | - ML Dierks
- Medizinische Hochschule Hannover, Institut für Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Hannover, Deutschland
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health & Health Education, Freiburg, Deutschland
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Lander J, Drixler K, Dierks ML, Bitzer EM. Inwiefern berücksichtigen allergiespezifische Online Coaches Qualitätsstandards für die Entwicklung und Vermittlung von internetbasierten Gesundheitsinformationen? Ergebnisse einer kriteriengeleiteten Auswertung. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- J Lander
- Medizinische Hochschule Hannover, Hannover, Deutschland
| | - K Drixler
- Pädagogische Hochschule Freiburg, Freiburg, Deutschland
| | - ML Dierks
- Medizinische Hochschule Hannover, Hannover, Deutschland
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Freiburg, Deutschland
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Ralf L, Göhner W, Feicke J, Spörhase U, Bitzer EM. Erste Ergebnisse des MoVo-BnB Programms für Frauen nach Brustkrebs zu den Prozesskriterien Handlungsplanung und Selbstwirksamkeit. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667643] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- L Ralf
- Pädagogische Hochschule Freiburg, Public Health & Health Education, Freiburg, Deutschland
| | - W Göhner
- Katholische Hochschule Freiburg, Freiburg, Deutschland
| | - J Feicke
- Pädagogische Hochschule Freiburg, Institut für Biologie und ihre Didaktik, Freiburg, Deutschland
| | - U Spörhase
- Pädagogische Hochschule Freiburg, Institut für Biologie und ihre Didaktik, Freiburg, Deutschland
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health & Health Education, Freiburg, Deutschland
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Flaig S, Kuntz L, Schwendemann H, Bleckmann P, Mößle T, Bitzer EM. Längsschnittliche Elternbefragung im Setting Kindergarten und Grundschule – Wer beteiligt sich? Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1667663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- S Flaig
- PH Freiburg, Public Health & Health Education, Freiburg, Deutschland
| | - L Kuntz
- PH Freiburg, Public Health & Health Education, Freiburg, Deutschland
| | - H Schwendemann
- PH Freiburg, Public Health & Health Education, Freiburg, Deutschland
| | | | - T Mößle
- Hochschule für Polizei, Villingen-Schwenningen, Deutschland
| | - EM Bitzer
- PH Freiburg, Public Health & Health Education, Freiburg, Deutschland
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Abstract
Purpose
The purpose of this paper is twofold: first, to introduce MEDIA PROTECT, a multi-modal intervention for parents and teachers with six components preventing problematic, and in the long run addictive, use of screen media by children; second, to present results of a formative evaluation of the teacher training, an important component of the intervention.
Design/methodology/approach
In presenting the intervention, the authors used a common framework to describe complex interventions systematically. For the evaluation, participants were recruited from German schools and kindergarten for a cluster-controlled trial. As part of a formative evaluation, the participants completed written questionnaires to determine the importance of different components of the intervention in addition to their overall satisfaction. Additional qualitative interviews with teachers were conducted.
Findings
The authors recruited n=50 kindergartens and n=9 schools; n=30 received the intervention. N=222 teachers participated in the training and n=192 completed the questionnaire (86 per cent). Seven qualitative interviews were conducted. Participants exhibited high levels of overall satisfaction with the training, considered it moderately to highly relevant to their work, and exhibited varying satisfaction levels with different components and multipliers. The qualitative data support these findings.
Originality/value
Few interventions to date have pursued a universal approach to the prevention of problematic screen media use. This evaluation of MEDIA PROTECT is the most recent study in Germany, which involves a complex programme through which teachers are taught ways to promote the age-adequate use of screen media in the family, parents are provided with guidance and healthy leisure time activities for children are fostered.
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Archer E, Bitzer EM, Van Heerden BB. Interrogating patient-centredness in undergraduate medical education using an integrated behaviour model. S Afr Fam Pract (2004) 2017. [DOI: 10.4102/safp.v59i6.4730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Background: Patient-centredness, an approach that puts the patient at the centre of the consultation, thus focusing on patients instead of on his/her diseases, has been identified by most medical schools as a desired core competence of their graduates. Despite some curriculum initiatives, medical students often display a lack of patient-centredness upon graduation. This bears reason for concern and it was thus deemed important to explore possible factors that influence the teaching and learning of patient-centredness in an undergraduate medical curriculum. The article suggests a framework that can assist programme developers to conceptualise the teaching and learning of patient-centredness across an undergraduate curriculum.
Methods: A qualitative exploratory case study design was used for the study with final-year medical students. Themes of meaning were deduced from the data by employing components of an Integrated Behavior Model (IBM) of Fishbein.
Results: The findings of the study revealed that seven factors play a role: background characteristics of students, attitudinal factors, subjective norms (the hidden curriculum), student self-efficacy, acquired skills and knowledge, the environment or context within which patient-centredness is taught and learnt, as well as assessment of learning.
Conclusions: Patient-centredness is a complex construct and authors often write about only one of its components. This paper attempts to consider the total undergraduate medical curriculum students are exposed to when they learn about being patient-centred. The teaching and learning of such a multidimensional construct require a comprehensive approach in order to be effective and the IBM seems to be a useful and applicable theoretical model to apply.
(Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp)
S Afr Fam Pract 2017; DOI: 10.1080/20786190.2017.1386869
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Bitzer EM, Schwendemann H, Stiller A, Bleckmann P, Mößle T. The Media Protect project: first results of the process evaluation. Eur J Public Health 2017. [DOI: 10.1093/eurpub/ckx187.549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- EM Bitzer
- University of Education Freiburg, Public Health & Health Education, Freiburg, Germany
| | - H Schwendemann
- University of Education Freiburg, Public Health & Health Education, Freiburg, Germany
| | - A Stiller
- Criminological Research Institute of Lower Saxony, Hannover, Germany
| | - P Bleckmann
- Alanus University of Arts and Social Sciences, Educational Sciences/Media Pedagogy, Alfter, Germany
| | - T Mößle
- Criminological Research Institute of Lower Saxony, Hannover, Germany
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30
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Archer E, Bitzer EM, van Heerden BB. Interrogating patient-centredness in undergraduate medical education using an integrated behaviour model. S Afr Fam Pract (2004) 2017. [DOI: 10.1080/20786190.2017.1386869] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Affiliation(s)
- E Archer
- Centre for Health Professions Education, Stellenbosch University, Cape Town, South Africa
| | - EM Bitzer
- Centre for Higher and Adult Education, Stellenbosch University, Cape Town, South Africa
| | - BB van Heerden
- Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
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Worringen U, Meng K, Bitzer EM, Brandes I, Faller H. Entwicklung und aktueller Stand des Gesundheitstrainingsprogramms der Deutschen Rentenversicherung Bund. REHABILITATION 2017; 56:232-239. [DOI: 10.1055/s-0042-124380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
ZusammenfassungDas Gesundheitstrainingsprogramm der DRV Bund umfasst 27 zumeist indikationsbezogene Curricula. Ziel des Gesundheitstrainingsprogramms ist die Unterstützung der Rehabilitationspraxis bei der Durchführung patientenorientierter Patientenschulung. Einzelne Curricula des Programms wurden in kontrollierten Studien evaluiert. Hinsichtlich ihrer Wirksamkeit sind indikationsbezogene Unterschiede festzustellen, grundsätzlich aber kann von wissenschaftlicher Seite der Einsatz der evaluierten Curricula empfohlen werden. Die Schulungen stellen einen bedeutsamen Baustein im Gesamtkonzept der Rehabilitationseinrichtungen dar, werden aber zumeist in abgewandelter Form umgesetzt. Insbesondere die ärztlichen Schulungsmodule werden häufig nur in Großgruppen angeboten. Wie die klinischen Bedingungen sich in der Qualitätssicherung der Rentenversicherung und einem trägerübergreifendem Rahmenkonzept widerspiegeln könnten, steht zur Diskussion.
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Affiliation(s)
| | - Karin Meng
- Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg
| | - Eva-Maria Bitzer
- Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg
| | - Iris Brandes
- Institut für Alltagskultur, Bewegung und Gesundheit, Pädagogische Hochschule Freiburg
| | - Hermann Faller
- Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg
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Schwendemann H, Anja S, Bleckmann P, Mößle T, Bitzer EM. Akzeptanz von MEDIA PROTECT – einer Intervention zur Prävention von problematischem Bildschirmmedienkonsum bei Kindern zwischen 4 – 7 Jahren. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - S Anja
- Kriminologisches Forschungsinstitut Niedersachsen, Hannover
| | - P Bleckmann
- Alanus Hochschule für Kunst und Gesellschaft, Fachbereich Bildungswissenschaft, Alfter
| | - T Mößle
- Alanus Hochschule für Kunst und Gesellschaft, Fachbereich Bildungswissenschaft, Alfter
- Hochschule für Polizei, Villingen-Schwenningen
| | - EM Bitzer
- PH Freiburg, Public Health & Health Education, Freiburg
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Lederle M, Weltzien D, Bitzer EM. Führt die Steigerung von Gesundheitskompetenz und Selbstmanagement zu einer angemesseneren Inanspruchnahme gesundheitlicher Leistungen? Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- M Lederle
- Pädagogische Hochschule Freiburg, Public Health and Health Education, Freiburg
| | - D Weltzien
- Evangelische Hochschule Freiburg, Pädagogik und Supervision, Freiburg
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health and Health Education, Freiburg
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Ralf L, Feicke J, Eckert T, Göhner W, Spörhase U, Bitzer EM. MoVo-BnB – eine motivational volitionale Intervention zur Bewegungsförderung nach Brustkrebs. Das Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1605930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- L Ralf
- Pädagogische Hochschule Freiburg, Public Health & Health Education, Freiburg
| | - J Feicke
- Pädagogische Hochschule Freiburg, Public Health & Health Education, Freiburg
| | - T Eckert
- Agaplesion Bethanien Krankenhaus, Heidelberg
| | - W Göhner
- Katholische Hochschule Freiburg, Freiburg
| | - U Spörhase
- Pädagogische Hochschule Freiburg, Public Health & Health Education, Freiburg
| | - EM Bitzer
- Pädagogische Hochschule Freiburg, Public Health & Health Education, Freiburg
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35
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Bröder J, Okan O, Bauer U, Bruland D, Schlupp S, Bollweg TM, Saboga-Nunes L, Bond E, Sørensen K, Bitzer EM, Jordan S, Domanska O, Firnges C, Carvalho GS, Bittlingmayer UH, Levin-Zamir D, Pelikan J, Sahrai D, Lenz A, Wahl P, Thomas M, Kessl F, Pinheiro P. Erratum to: Health literacy in childhood and youth: a systematic review of definitions and models. BMC Public Health 2017; 17:419. [PMID: 28486939 PMCID: PMC5423414 DOI: 10.1186/s12889-017-4365-x] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2017] [Accepted: 05/04/2017] [Indexed: 11/10/2022] Open
Affiliation(s)
- Janine Bröder
- Centre for Prevention and Intervention in Childhood and Adolescence CPI, Bielefeld University, Bielefeld, Germany.
| | - Orkan Okan
- Centre for Prevention and Intervention in Childhood and Adolescence CPI, Bielefeld University, Bielefeld, Germany
| | - Ullrich Bauer
- Centre for Prevention and Intervention in Childhood and Adolescence CPI, Bielefeld University, Bielefeld, Germany
| | - Dirk Bruland
- Centre for Prevention and Intervention in Childhood and Adolescence CPI, Bielefeld University, Bielefeld, Germany
| | - Sandra Schlupp
- Centre for Prevention and Intervention in Childhood and Adolescence CPI, Bielefeld University, Bielefeld, Germany
| | - Torsten M Bollweg
- Centre for Prevention and Intervention in Childhood and Adolescence CPI, Bielefeld University, Bielefeld, Germany
| | - Luis Saboga-Nunes
- National School of Public Health, Universidade NOVA de Lisboa, Lisbon, Portugal
| | | | | | | | | | | | | | - Graça S Carvalho
- CIEC, Institute of Education, University of Minho, Braga, Portugal
| | | | | | - Jürgen Pelikan
- Austrian Public Health Institute, Gesundheit Österreich GmbH, Wien, Austria
| | | | - Albert Lenz
- Katholische Hochschule Nordrhein-Westfalen, Paderborn, Germany
| | - Patricia Wahl
- Katholische Hochschule Nordrhein-Westfalen, Paderborn, Germany
| | - Malcolm Thomas
- School of Education and Lifelong Learning, Aberystwyth University, Aberystwyth, UK
| | | | - Paulo Pinheiro
- Centre for Prevention and Intervention in Childhood and Adolescence CPI, Bielefeld University, Bielefeld, Germany
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Bäuerle K, Feicke J, Scherer W, Spörhase U, Bitzer EM. Evaluation of a standardized patient education program for inpatient asthma rehabilitation: Impact on patient-reported health outcomes up to one year. Patient Educ Couns 2017; 100:957-965. [PMID: 27993435 DOI: 10.1016/j.pec.2016.11.023] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/02/2016] [Revised: 11/21/2016] [Accepted: 11/27/2016] [Indexed: 06/06/2023]
Abstract
OBJECTIVES To modify and evaluate a patient education program for adult asthma patients in consideration of quality criteria for teaching. METHODS This was a prospective single-center controlled trial in an inpatient rehabilitation center. The control group (n=215) received the usual lecture-based education program, and the intervention group (n=209) the modified patient education program. Data were assessed at admission, discharge, 6 and 12 months post discharge. The primary outcome was asthma control, the secondary outcomes were asthma knowledge, quality of life, and program acceptance. Analysis of change was performed by ANCOVA for each follow-up, adjusting for baseline values. RESULTS Statistically significant increases in all health outcomes and in asthma control were maintained in both groups at 12 months: CG: +1.9 (95%-CI 1.3-2.6) IG: +1.6 (95%-CI 0.8-2.3). We observed no significant differences between the programs for asthma control and quality of life. Regarding practical asthma knowledge, after 12 months, a group*time interaction emerged with a small effect size (P=0.06, η2=0.01). CONCLUSION The modified program was not superior to traditional patient education concerning asthma control. It permanently increased self-management knowledge. PRACTICAL IMPLICATIONS Structured and behavioral patient education fosters patient's disease management ability. Possible ways of improving asthma control need to be explored.
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Affiliation(s)
- Kathrin Bäuerle
- Department of Everyday Culture, Exercise and Health, University of Education, Freiburg, Germany.
| | - Janine Feicke
- Department of Biology and its Didactics, University of Education, Freiburg, Germany
| | | | - Ulrike Spörhase
- Department of Biology and its Didactics, University of Education, Freiburg, Germany
| | - Eva-Maria Bitzer
- Department of Everyday Culture, Exercise and Health, University of Education, Freiburg, Germany
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Lederle M, Kotzjan PS, Niehues C, Brüggemann S, Bitzer EM. [Medical Rehabilitation as an Attractive Field of Work for Medical Doctors? - A Qualitative Survey]. REHABILITATION 2017; 56:344-350. [PMID: 28359111 DOI: 10.1055/s-0043-100013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
In the German Health system there is an increasing competition in the recruitment of specialised staff, especially for rehabilitation centres, which are deemed less attractive. Therefore, this study examines the attractiveness of the field of medical rehabilitation from the point of view of medical professionals. We conducted 16 semi-structured interviews with doctors from 7 rehabilitation centres with different medical specialisations. The interviews were digitized and transcribed. A structured content analysis was carried out using the software MAXQDA 11. 745 codes were identified and assigned to the categories "attractiveness", "unfavourable aspects" and "special features" of rehabilitation. Regarding medical rehabilitation, the interviewees appreciated especially the predictable, flexible working environment with little time pressure. Other than working with rehabilitative patients working as part of an interdisciplinary team was of high importance for the interviewees. Among the special features of rehabilitation in comparison with acute care were the higher relevance of the bio-psycho-social model of health and illness as well as the higher proportion of communication and organisation. Medical rehabilitation in Germany is an attractive field of work for medical doctors. This fact should be considered more with regards to rehabilitation's public image.
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Affiliation(s)
| | | | - Christiane Niehues
- Geschäftsbereich Sozialmedizin und Rehabilitation, Deutsche Rentenversicherung Bund, Berlin
| | - Silke Brüggemann
- Geschäftsbereich Sozialmedizin und Rehabilitation, Deutsche Rentenversicherung Bund, Berlin
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Auras S, Ostermann T, de Cruppé W, Bitzer EM, Diel F, Geraedts M. Patient satisfaction with ambulatory care in Germany: effects of patient- and medical practice-related factors. Int J Qual Health Care 2016; 28:808-815. [PMID: 27655791 DOI: 10.1093/intqhc/mzw114] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Accepted: 08/30/2016] [Indexed: 11/13/2022] Open
Abstract
Objective The study aimed to illustrate the effect of the patients' sex, age, self-rated health and medical practice specialization on patient satisfaction. Design Secondary analysis of patient survey data using multilevel analysis (generalized linear mixed model, medical practice as random effect) using a sequential modelling strategy. We examined the effects of the patients' sex, age, self-rated health and medical practice specialization on four patient satisfaction dimensions: medical practice organization, information, interaction, professional competence. Setting The study was performed in 92 German medical practices providing ambulatory care in general medicine, internal medicine or gynaecology. Participants In total, 9888 adult patients participated in a patient survey using the validated 'questionnaire on satisfaction with ambulatory care-quality from the patient perspective [ZAP]'. Main outcome measure(s) We calculated four models for each satisfaction dimension, revealing regression coefficients with 95% confidence intervals (CIs) for all independent variables, and using Wald Chi-Square statistic for each modelling step (model validity) and LR-Tests to compare the models of each step with the previous model. Results The patients' sex and age had a weak effect (maximum regression coefficient 1.09, CI 0.39; 1.80), and the patients' self-rated health had the strongest positive effect (maximum regression coefficient 7.66, CI 6.69; 8.63) on satisfaction ratings. The effect of medical practice specialization was heterogeneous. Conclusions All factors studied, specifically the patients' self-rated health, affected patient satisfaction. Adjustment should always be considered because it improves the comparability of patient satisfaction in medical practices with atypically varying patient populations and increases the acceptance of comparisons.
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Affiliation(s)
- Silke Auras
- Department of Medicine, Institute for Health Systems Research, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, D-58448 Witten, Germany
| | - Thomas Ostermann
- Department of Psychology, Chair of Research Methodology and Statistics in Psychology, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, D-58448 Witten, Germany
| | - Werner de Cruppé
- Department of Medicine, Institute for Health Systems Research, Witten/Herdecke University, Alfred-Herrhausen-Straße 50, D-58448 Witten, Germany
| | - Eva-Maria Bitzer
- Department of Public Health and Health Education, University of Education, Kunzenweg 21, D-79117 Freiburg, Germany
| | - Franziska Diel
- Department for Cross-Sectoral Quality Improvement, National Association of Statutory Health Insurance Physicians (NASHIP), Herbert-Lewin-Platz 2, D-10623 Berlin, Germany
| | - Max Geraedts
- Faculty of Medicine, Institute for Health Services Research and Clinical Epidemiology, Philipps-University Marburg, Karl-von-Frisch-Straße 4, D-35043 Marburg, Germany
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Bitzer EM, Schwendemann H, Stiller A, Bleckmann P, Mößle T. Current approaches to measure ehealth literacy with special attention to children and adolescents. Eur J Public Health 2016. [DOI: 10.1093/eurpub/ckw165.071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Schäfer T, Lorenz C, Priess HW, Bitzer EM. Sterberisiko eines Herzinfarktpatienten nach Geschlecht, Alter und Indikatoren der Versorgung vor und nach dem Infarkt. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Bitzer EM, Lorenz C, Priess HW, Schäfer T. Korornare Revaskularisation nach Myokardinfarkt in vulnerablen Versichertengruppen – ein kasssenübergreifende Analyse von GKV-Routinedaten. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schwendemann H, Stiller A, Bleckmann P, Mößle T, Bitzer EM. Wer beteiligt sich an kontrollierten Studien im Bereich der Prävention im Setting Kindergarten? Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Bitzer EM, Bäuerle K, Kotzjan P, Schäfer J, Spörhase U. MAuI „Mein Asthma und Ich“ – asthmaspezifische Gesundheitskompetenz erfassen. Instrumentenmodifikation, Pretest und Pilotierung. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ralf L, Bäuerle K, Göhner W, Feicke J, Spörhase U, Bitzer EM. Wie körperlich aktiv sind Frauen nach Brustkrebs? Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schwendemann H, Kuttler H, Reis O, Bitzer EM. Entwicklungsgefährdungen bei Jugendlichen nach Alkoholintoxikation – ein Vergleich mit repräsentativen Bevölkerungsgruppen. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1586647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Swart E, Bitzer EM, Gothe H, Harling M, Hoffmann F, Horenkamp-Sonntag D, Maier B, March S, Petzold T, Röhrig R, Rommel A, Schink T, Wagner C, Wobbe S, Schmitt J. [A Consensus German Reporting Standard for Secondary Data Analyses, Version 2 (STROSA-STandardisierte BerichtsROutine für SekundärdatenAnalysen)]. Gesundheitswesen 2016; 78:e161. [PMID: 27428525 DOI: 10.1055/s-0042-112008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- E Swart
- Medizinische Fakultät, Institut für Sozialmedizin und Gesundheitsökonomie, Otto-von-Guericke-Universität Magdeburg, Magdeburg
| | - E M Bitzer
- Public Health & Health Education, Pädagogische Hochschule Freiburg, Freiburg
| | - H Gothe
- UMIT-Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik GmbH, Department für Public Health & Health Technology Assessment, Hall i.T., Austria
| | | | - F Hoffmann
- Department für Versorgungsforschung, Carl von Ossietzky Universität Oldenburg, Oldenburg
| | | | - B Maier
- Berliner Herzinfarktregister am Fachgebiet Management im Gesundheitswesen, TU Berlin
| | - S March
- Medizinische Fakultät, Institut für Sozialmedizin und Gesundheitsökonomie, Otto-von-Guericke-Universität Magdeburg, Magdeburg
| | - T Petzold
- Zentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden
| | - R Röhrig
- Department für Versorgungsforschung, Carl von Ossietzky Universität Oldenburg, Oldenburg
| | - A Rommel
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert-Koch-Institut, Berlin
| | - T Schink
- Leibniz-Institut für Präventionsforschung und Epidemiologie-BIPS, Fachgruppe Arzneimittelrisikoforschung, Bremen
| | | | | | - J Schmitt
- Zentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden
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Swart E, Bitzer EM, Gothe H, Harling M, Hoffmann F, Horenkamp-Sonntag D, Maier B, March S, Petzold T, Röhrig R, Rommel A, Schink T, Wagner C, Wobbe S, Schmitt J. A Consensus German Reporting Standard for Secondary Data Analyses, Version 2 (STROSA-STandardisierte BerichtsROutine für SekundärdatenAnalysen). Gesundheitswesen 2016; 78:e145-e160. [PMID: 27351686 DOI: 10.1055/s-0042-108647] [Citation(s) in RCA: 65] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Although secondary data analyses have been established in recent years in health research, explicit recommendations for standardized, transparent and complete reporting of secondary data analyses do not exist as yet. Therefore, between 2009 and 2014, a first proposal for a specific reporting standard for secondary data analysis was developed (STROSA 1). Parallel to this national process in Germany, an international reporting standard for routine data analysis was initiated in 2013 (RECORD). Nevertheless, because of the specific characteristics of the German health care system as well as specific data protection requirements, the need for a specific German reporting standard for secondary data analyses became evident. Therefore, STROSA was revised and tested by a task force of 15 experts from the working group Collection and Use of Secondary Data (AGENS) of the German Society for Social Medicine and Prevention (DGSMP) and the German Society for Epidemiology (DGEpi) as well as from the working group Validation and Linkage of Secondary Data of the German Network for Health Services Research (DNVF). The consensus STROSA-2 checklist includes 27 criteria, which should be met in the reporting of secondary data analysis from Germany. The criteria have been illustrated and clarified with specific explanations and examples of good practice. The STROSA reporting standard aims at stimulating a wider scientific discussion on the practicability and completeness of the checklist. After further discussions and possibly resulting modifications, STROSA shall be implemented as a reporting standard for secondary data analyses from Germany. This will guarantee standardized and complete information on secondary data analyses enabling assessment of their internal and external validity.
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Affiliation(s)
- E Swart
- Medizinische Fakultät, Institut für Sozialmedizin und Gesundheitsökonomie, Otto-von-Guericke-Universität Magdeburg, Magdeburg
| | - E M Bitzer
- Public Health & Health Education, Pädagogische Hochschule Freiburg, Freiburg
| | - H Gothe
- UMIT-Private Universität für Gesundheitswissenschaften, Medizinische Informatik und Technik GmbH, Department für Public Health & Health Technology Assessment, Hall i.T., Austria
| | | | - F Hoffmann
- Department für Versorgungsforschung, Carl von Ossietzky Universität Oldenburg, Oldenburg
| | | | - B Maier
- Berliner Herzinfarktregister am Fachgebiet Management im Gesundheitswesen, TU Berlin
| | - S March
- Medizinische Fakultät, Institut für Sozialmedizin und Gesundheitsökonomie, Otto-von-Guericke-Universität Magdeburg, Magdeburg
| | - T Petzold
- Zentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden
| | - R Röhrig
- Department für Versorgungsforschung, Carl von Ossietzky Universität Oldenburg, Oldenburg
| | - A Rommel
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert-Koch-Institut, Berlin
| | - T Schink
- Leibniz-Institut für Präventionsforschung und Epidemiologie-BIPS, Fachgruppe Arzneimittelrisikoforschung, Bremen
| | | | | | - J Schmitt
- Zentrum für Evidenzbasierte Gesundheitsversorgung, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden
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Frank F, Wilk J, Kriston L, Meister R, Shimodera S, Hesse K, Bitzer EM, Berger M, Hölzel LP. Effectiveness of a brief psychoeducational group intervention for relatives on the course of disease in patients after inpatient depression treatment compared with treatment as usual--study protocol of a multisite randomised controlled trial. BMC Psychiatry 2015; 15:259. [PMID: 26497218 PMCID: PMC4619254 DOI: 10.1186/s12888-015-0633-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Accepted: 10/02/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Relapses and rehospitalisations are common after acute inpatient treatment in depressive disorders. Interventions for stabilising treatment outcomes are urgently needed. Psychoeducational group interventions for relatives were shown to be suitable for improving the course of disease in schizophrenia and bipolar disorders. A small Japanese monocentre randomised controlled trial also showed promising results for depressive disorders. However, the evidence regarding psychoeducation for relatives of patients with depressive disorders is unclear. METHODS/DESIGN The study is conducted as a two-arm multisite randomised controlled trial to evaluate the incremental effect of a brief psychoeducational group intervention for relatives as a maintenance treatment on the course of disease compared to treatment as usual. Primary outcome is the estimated number of depression-free-days in patients within one year after discharge from inpatient treatment. 180 patients diagnosed with unipolar depressive disorders as well as one key relative per patient will be included during inpatient treatment and randomly allocated to the conditions at discharge. In the intervention group, relatives will participate in a brief psychoeducational group intervention following the patient's discharge. The intervention consists of four group sessions lasting 90 to 120 min each. Every group session contains informational parts as well as structured training in problem-solving. In both study conditions, patients will receive treatment as usual. Patients as well as relatives will be surveyed by means of questionnaires at discharge and three, six, nine and twelve months after discharge. In addition to the primary outcome, several patient-related and relative-related secondary outcomes will be considered and health economics will be investigated. DISCUSSION Our study will provide evidence on the incremental effect of a brief psychoeducational intervention for relatives as a maintenance treatment after inpatient depression treatment. Positive results may have a major impact on health care for depression. TRIAL REGISTRATION German Clinical Trials Register (DRKS): DRKS00006819; Trial registration date: 2014 Oktober 31; Universal Trial Number (UTN): U1111-1163-5391.
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Affiliation(s)
- Fabian Frank
- Department of Psychiatry and Psychotherapy, Research Group Psychotherapy and Health Services Research, Medical Center - University of Freiburg, Hauptstraße 5, D-79104, Freiburg, Germany.
- Department of Public Health and Health Education, University of Education Freiburg, Kunzenweg 21, D-79117, Freiburg, Germany.
| | - Juliette Wilk
- Department of Psychiatry and Psychotherapy, Research Group Psychotherapy and Health Services Research, Medical Center - University of Freiburg, Hauptstraße 5, D-79104, Freiburg, Germany.
| | - Levente Kriston
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, D-20246, Hamburg, Germany.
| | - Ramona Meister
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, D-20246, Hamburg, Germany.
| | - Shinji Shimodera
- Department of Neuropsychiatry, Kochi Medical School, Kohasu, Okoh-cho, Nankokushi, Kochi, 783-8505, Japan.
| | - Klaus Hesse
- Department of Psychiatry and Psychotherapy, University Medical Center Tübingen, Calwerstraße 14, D-72072, Tübingen, Germany.
| | - Eva-Maria Bitzer
- Department of Public Health and Health Education, University of Education Freiburg, Kunzenweg 21, D-79117, Freiburg, Germany.
| | - Mathias Berger
- Department of Psychiatry and Psychotherapy, Research Group Psychotherapy and Health Services Research, Medical Center - University of Freiburg, Hauptstraße 5, D-79104, Freiburg, Germany.
| | - Lars P Hölzel
- Department of Psychiatry and Psychotherapy, Research Group Psychotherapy and Health Services Research, Medical Center - University of Freiburg, Hauptstraße 5, D-79104, Freiburg, Germany.
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Bäuerle K, Feicke J, Spörhase U, Scherer W, Bitzer EM. Akzeptanz und Verständlichkeit der pädagogisch-didaktischen Weiterentwicklung des Curriculums Asthma bronchiale der DRV Bund. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1562966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Schwendemann H, Kuttler H, Bitzer EM. Zur prognostischen Relevanz von Entwicklungsgefährdungen und familialen Schutzfaktoren bei Jugendlichen mit stationär behandelter Alkoholintoxikation. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1563254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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