11044
2014
eng
article
1
2015-02-26
--
--
Measurement invariance across chronic conditions: a systematic review and an empirical investigation of the Health Education Impact Questionnaire (heiQ™)
Background
To examine whether lack of measurement invariance (MI) influences mean comparisons among different disease groups, this paper provides (1) a systematic review of MI in generic constructs across chronic conditions and (2) an empirical analysis of MI in the Health Education Impact Questionnaire (heiQ™).
Methods
(1) We searched for studies of MI among different chronic conditions in online databases. (2) Multigroup confirmatory factor analyses were used to study MI among five chronic conditions (orthopedic condition, rheumatism, asthma, COPD, cancer) in the heiQ™ with N = 1404 rehabilitation inpatients. Impact on latent and composite mean differences was examined.
Results
(1) A total of 30 relevant studies suggested that about one in three items lacked MI. However, only four studies examined impact on latent mean differences. Scale means were only affected in one of these three studies. (2) Across the eight heiQ™ scales, seven scales had items with lack of MI in at least one disease group. However, in only two heiQ™ scales were some latent or composite mean differences affected.
Conclusions
Lack of MI among disease groups is common and may have a relevant influence on mean comparisons when using generic instruments. Therefore, when comparing disease groups, tests of MI should be implemented. More studies of MI and according impact on mean differences in generic questionnaires are needed.
10.1186/1477-7525-12-56
urn:nbn:de:bvb:20-opus-110441
In: Health and Quality of Life Outcomes 2014, 12:56. doi:10.1186/1477-7525-12-56
Michael Schuler
Gunda Musekamp
Jürgen Bengel
Sandra Nolte
Richard H. Osborne
Hermann Faller
eng
uncontrolled
Measurement invariance
eng
uncontrolled
Bias
eng
uncontrolled
Chronic disease
eng
uncontrolled
Generic questionnaire
eng
uncontrolled
Systematic review
Medizin und Gesundheit
open_access
Klinik und Poliklinik für Psychiatrie, Psychosomatik und Psychotherapie
Förderzeitraum 2014
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/11044/065_Schuler_HQLO.pdf
14607
2016
eng
55
17
article
1
2017-03-23
--
--
Evaluation of a self-management patient education program for patients with fibromyalgia syndrome: study protocol of a cluster randomized controlled trial
Background
Fibromyalgia syndrome (FMS) is a complex chronic condition that makes high demands on patients’ self-management skills. Thus, patient education is considered an important component of multimodal therapy, although evidence regarding its effectiveness is scarce. The main objective of this study is to assess the effectiveness of an advanced self-management patient education program for patients with FMS as compared to usual care in the context of inpatient rehabilitation.
Methods/Design
We conducted a multicenter cluster randomized controlled trial in 3 rehabilitation clinics. Clusters are groups of patients with FMS consecutively recruited within one week after admission. Patients of the intervention group receive the advanced multidisciplinary self-management patient education program (considering new knowledge on FMS, with a focus on transfer into everyday life), whereas patients in the control group receive standard patient education programs including information on FMS and coping with pain. A total of 566 patients are assessed at admission, at discharge and after 6 and 12 months, using patient reported questionnaires. Primary outcomes are patients’ disease- and treatment-specific knowledge at discharge and self-management skills after 6 months. Secondary outcomes include satisfaction, attitudes and coping competences, health-promoting behavior, psychological distress, health impairment and participation. Treatment effects between groups are evaluated using multilevel regression analysis adjusting for baseline values.
Discussion
The study evaluates the effectiveness of a self-management patient education program for patients with FMS in the context of inpatient rehabilitation in a cluster randomized trial. Study results will show whether self-management patient education is beneficial for this group of patients.
BMC Musculoskeletal Disorders
10.1186/s12891-016-0903-4
urn:nbn:de:bvb:20-opus-146075
BMC Musculoskeletal Disorders (2016) 17:55 DOI 10.1186/s12891-016-0903-4
Gunda Musekamp
Christian Gerlich
Inge Ehlebracht-König
Hermann Faller
Andrea Reusch
eng
uncontrolled
rheumatology
eng
uncontrolled
evaluation
eng
uncontrolled
self-management
eng
uncontrolled
patient education
eng
uncontrolled
fibromyalgia syndrome
eng
uncontrolled
cluster-RCT
eng
uncontrolled
rehabilitation
Medizin und Gesundheit
open_access
Institut für Psychotherapie und Medizinische Psychologie
Förderzeitraum 2016
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/14607/Musekamp_10.1186_s12891-016-0903-4.pdf
9685
2013
eng
article
1
--
--
--
Evaluation of a self-management patient education program for patients with chronic heart failure undergoing inpatient cardiac rehabilitation: study protocol of a cluster randomized controlled trial
Background
Chronic heart failure requires a complex treatment regimen on a life-long basis. Therefore, self-care/self-management is an essential part of successful treatment and comprehensive patient education is warranted. However, specific information on program features and educational strategies enhancing treatment success is lacking. This trial aims to evaluate a patient-oriented and theory-based self-management educational group program as compared to usual care education during inpatient cardiac rehabilitation in Germany.
Methods/Design
The study is a multicenter cluster randomized controlled trial in four cardiac rehabilitation clinics. Clusters are patient education groups that comprise HF patients recruited within 2 weeks after commencement of inpatient cardiac rehabilitation. Cluster randomization was chosen for pragmatic reasons, i.e. to ensure a sufficient number of eligible patients to build large-enough educational groups and to prevent contamination by interaction of patients from different treatment allocations during rehabilitation. Rehabilitants with chronic systolic heart failure (n = 540) will be consecutively recruited for the study at the beginning of inpatient rehabilitation. Data will be assessed at admission, at discharge and after 6 and 12 months using patient questionnaires. In the intervention condition, patients receive the new patient-oriented self-management educational program, whereas in the control condition, patients receive a short lecture-based educational program (usual care). The primary outcome is patients’ self-reported self-management competence. Secondary outcomes include behavioral determinants and self-management health behavior (symptom monitoring, physical activity, medication adherence), health-related quality of life, and treatment satisfaction. Treatment effects will be evaluated separately for each follow-up time point using multilevel regression analysis, and adjusting for baseline values.
Discussion
This study evaluates the effectiveness of a comprehensive self-management educational program by a cluster randomized trial within inpatient cardiac rehabilitation in Germany. Furthermore, subgroup-related treatment effects will be explored. Study results will contribute to a better understanding of both the effectiveness and mechanisms of a self-management group program as part of cardiac rehabilitation.
BMC Cardiovascular Disorders
10.1186/1471-2261-13-60
http://www.biomedcentral.com/1471-2261/13/60
urn:nbn:de:bvb:20-opus-96852
In: BMC Cardiovascular Disorders (2013) 13: 60, doi:10.1186/1471-2261-13-60
Karin Meng
Gunda Musekamp
Bettina Seekatz
Johannes Glatz
Gabriele Karger
Ulrich Kiwus
Ernst Knoglinger
Rainer Schubmann
Ronja Westphal
Hermann Faller
eng
uncontrolled
Chronic heart failure
eng
uncontrolled
Patient education
eng
uncontrolled
Self-management
eng
uncontrolled
Evaluation
eng
uncontrolled
Cluster-RCT
eng
uncontrolled
Cardiac rehabilitation
Medizin und Gesundheit
open_access
Institut für Psychotherapie und Medizinische Psychologie
Förderzeitraum 2013
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/9685/Meng_1471-2261-13-60.pdf
15750
2017
eng
51
17
article
1
2018-02-12
--
--
Does improvement in self-management skills predict improvement in quality of life and depressive symptoms? A prospective study in patients with heart failure up to one year after self-management education
Background:
Heart failure (HF) patient education aims to foster patients’ self-management skills. These are assumed to bring about, in turn, improvements in distal outcomes such as quality of life. The purpose of this study was to test the hypothesis that change in self-reported self-management skills observed after participation in self-management education predicts changes in physical and mental quality of life and depressive symptoms up to one year thereafter.
Methods:
The sample comprised 342 patients with chronic heart failure, treated in inpatient rehabilitation clinics, who received a heart failure self-management education program. Latent change modelling was used to analyze relationships between both short-term (during inpatient rehabilitation) and intermediate-term (after six months) changes in self-reported self-management skills and both intermediate-term and long-term (after twelve months) changes in physical and mental quality of life and depressive symptoms.
Results:
Short-term changes in self-reported self-management skills predicted intermediate-term changes in mental quality of life and long-term changes in physical quality of life. Intermediate-term changes in self-reported self-management skills predicted long-term changes in all outcomes.
BMC Cardiovascular Disorders
10.1186/s12872-017-0486-5
urn:nbn:de:bvb:20-opus-157501
BMC Cardiovascular Disorders (2017) 17:51. DOI: 10.1186/s12872-017-0486-5
CC BY: Creative-Commons-Lizenz: Namensnennung 4.0 International
Gunda Musekamp
Michael Schuler
Bettina Seekatz
Jürgen Bengel
Hermann Faller
Karin Meng
eng
uncontrolled
patient education
eng
uncontrolled
chronic heart failure
eng
uncontrolled
self-management
eng
uncontrolled
quality of life
eng
uncontrolled
latent change
eng
uncontrolled
cardiac rehabilitation
Medizin und Gesundheit
open_access
Institut für Klinische Epidemiologie und Biometrie
Förderzeitraum 2017
Universität Würzburg
https://opus.bibliothek.uni-wuerzburg.de/files/15750/Musekamp_BMC_Cardiovascular_Disorders.pdf