@article{LukasczikGerlichSchuleretal.2015,
  author    = {Lukasczik, Matthias and Gerlich, Christian and Schuler, Michael and Neuderth, Silke and Dlugosch, Gabriele and Faller, Hermann},
  title     = {Stress and resources in women attending an inpatient prevention/rehabilitation measure for parents: Secondary analysis of quality assurance data},
  series = {Open Journal of Medical Psychology},
  volume    = {4},
  journal   = {Open Journal of Medical Psychology},
  doi       = {10.4236/ojmp.2015.42003},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-125316},
  pages     = {23-34},
  year      = {2015},
  abstract  = {Questionnaire data from two projects on the development of quality assurance instruments for an inpatient rehabilitation/prevention program for parents were used for a secondary analysis. In this analysis, the associations of gains in a psychosocial resource (parenting self-efficacy) and two types of stressors experienced by mothers at the start of treatment (parenting hassles, depressive symptoms) with general life satisfaction and satisfaction with health at the end of treatment were explored. Structural equation modeling was applied to data from N = 1724 female patients. Potential resource-stressor interactions were tested using the Latent Moderated Structural Equations approach. Results showed that parenting hassles were negatively associated with general life satisfaction and satisfaction with health while self-efficacy gains were weakly positively correlated with both variables. No interaction of parenting hassles and self-efficacy gains was found. Depressive symptoms were negatively associated with both satisfaction measures. In these models, self-efficacy gains were not substantially correlated with life satisfaction, but showed a small association with satisfaction with health. There was no significant interaction of depressive symptoms and self-efficacy gains. The findings imply that interventions for distressed mothers—as exemplarily illustrated by this inpatient setting—should focus on identifying and reducing initial stressors as these may continue to impair mothers' subjective health despite gains in parenting-related resources.},
  language  = {en}
}
@article{StrahlGerlichAlpersetal.2018,
  author    = {Strahl, Andr{\´e} and Gerlich, Christian and Alpers, Georg W. and Ehrmann, Katja and Gehrke, J{\"o}rg and M{\"u}ller-Garnn, Annette and Vogel, Heiner},
  title     = {Development and evaluation of a standardized peer-training in the context of peer review for quality assurance in work capacity evaluation},
  series = {BMC Medical Education},
  volume    = {18},
  journal   = {BMC Medical Education},
  number    = {135},
  doi       = {10.1186/s12909-018-1233-z},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-175738},
  year      = {2018},
  abstract  = {Background: The German quality assurance programme for evaluating work capacity is based on peer review that evaluates the quality of medical experts' reports. Low reliability is thought to be due to systematic differences among peers. For this purpose, we developed a curriculum for a standardized peer-training (SPT). This study investigates, whether the SPT increases the inter-rater reliability of social medical physicians participating in a cross-institutional peer review. Methods: Forty physicians from 16 regional German Pension Insurances were subjected to SPT. The three-day training course consist of nine educational objectives recorded in a training manual. The SPT is split into a basic module providing basic information about the peer review and an advanced module for small groups of up to 12 peers training peer review using medical reports. Feasibility was tested by assessing selection, comprehensibility and subjective use of contents delivered, the trainers' delivery and design of training materials. The effectiveness of SPT was determined by evaluating peer concordance using three anonymised medical reports assessed by each peer. Percentage agreement and Fleiss' kappa (κ\(_m\)) were calculated. Concordance was compared with review results from a previous unstructured, non-standardized peer-training programme (control condition) performed by 19 peers from 12 German Pension Insurances departments. The control condition focused exclusively on the application of peer review in small groups. No specifically training materials, methods and trainer instructions were used. Results: Peer-training was shown to be feasible. The level of subjective confidence in handling the peer review instrument varied between 70 and 90\%. Average percentage agreement for the main outcome criterion was 60.2\%, resulting in a κ\(_m\) of 0.39. By comparison, the average percentage concordance was 40.2\% and the κ\(_m\) was 0.12 for the control condition. Conclusion: Concordance with the main criterion was relevant but not significant (p = 0.2) higher for SPT than for the control condition. Fleiss' kappa coefficient showed that peer concordance was higher for SPT than randomly expected. Nevertheless, a score of 0.39 for the main criterion indicated only fair inter-rater reliability, considerably lower than the conventional standard of 0.7 for adequate reliability.},
  language  = {en}
}