Teilhabebefähigung und Gesundheitskompetenz in der medizinischen Rehabilitation – Empfehlungen zur Stärkung von Patientenschulungen

Bitzer, EM; Dierks, Marie‐Luise; Heine, W.; Becker, Pascale De; Vogel, Howard S.; Beckmann, Ulrike; Butsch, Russell L. C.; Dorning, Holly; Brüggemann, S.

doi:10.1055/s-0029-1231060

Cited by 19 publications

(6 citation statements)

References 4 publications

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“…In the context of medical rehabilitation in Germany, many patient education programs aiming at patients’ empowerment and self‐management have been developed and evaluated in the last decade. These programs include illness and treatment‐related information, skills training (i.e., self‐management skills), motivation to establish a healthy lifestyle, stress management, and psychological elements (Bitzer et al., ) and, therefore, present a good opportunity for the explicit inclusion of illness representation interventions. In patients with chronic back pain, the delivery of such an intervention in a rehabilitation context was seen as promising (Glattacker, Heyduck, & Meffert, ).…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation use in multiple sclerosis: Do illness representations matter?

et al. 2018

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ObjectivesMultidisciplinary rehabilitation improves illness outcomes and is recommended in clinical guidelines for multiple sclerosis (MS). However, many people with MS do not make use of rehabilitation. We do not know much about the barriers to the use of rehabilitation in MS, but in other patient groups, illness representations have proven to be predictors of service utilization. Therefore, the aim of our study was to explore whether, in patients with MS, illness representations are associated with self‐reports of rehabilitation use in the past and the intention to use rehabilitation in the future, beyond sociodemographic and illness‐related factors.Materials and MethodsPatients were recruited in a cross‐sectional nationwide online survey in Germany. Hierarchical binary logistic regression analysis was used to analyze whether illness representations are associated with the use of rehabilitation in the past and the intention to use rehabilitation in the future, over and above socio‐demographic and illness‐related variables.ResultsThere were 590 patients, who had MS, participating in the study. Illness representations were correlated to both outcome variables beyond sociodemographic and illness‐related factors: The probabilities of having the intention to use rehabilitation and of making using of rehabilitation were higher in patients who believed that their MS was controllable by treatment and perceived that their MS would have severe consequences.ConclusionsOur data suggest that addressing patients’ illness representations may facilitate the intention to use and the use of multimodal rehabilitation, contributing to better illness outcomes.

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Section: Discussionmentioning

confidence: 99%

Rehabilitation use in multiple sclerosis: Do illness representations matter?

et al. 2018

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“…Hier geht es um die För-derung der Partizipation. Ausgefeilte Konzepte guter Patientenschulungsprogramme (zum Beispiel [25]) tragen zur individuellen Befähigung (Empowerment [26], vergleiche auch [27]) bei. Im Sinne der partizipativen Entscheidungsfindung sollen die Betroffenen von Anfang an bei Fragen, die ihren Umgang mit ihrer Gesundheit beziehungsweise Krankheit betreffen, beteiligt werden.…”

Section: Berufliche Orientierung Der Medizinischen Rehabilitationunclassified

Veränderungstrends in der medizinischen Rehabilitation der gesetzlichen Rentenversicherung

Buschmann-Steinhage

Brüggemann

2011

Bundesgesundheitsbl.

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Veränderungstrends in der medizinischen Rehabilitation der gesetzlichen RentenversicherungLeitthema: Innovative Entwicklungen in der Rehabilitation Hintergrund Um aktuelle Trends beziehungsweise Veränderungen in der medizinischen Rehabilitation in ihrer Bedeutung würdigen zu können, ist es notwendig, diese vor dem Hintergrund ihrer Entwicklung und Rahmenbedingungen in Deutschland zu betrachten. Im folgenden Abschnitt wird dieser Kontext dargestellt.

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“…Außerdem korrelieren diese überwiegend nicht signifikant mit dem Gesundheitsstatus (SF-12) und psychischen Beeinträchtigungen (BSI-Skalen), womit Erkenntnisse aus anderen Studien bestätigt werden [18,21,23]. Die Lebenszufriedenheit (LZI) ist dagegen mit allen 5 Skalen signifikant assoziiert, am stärksten davon zur Skala "Patientenaktivierung durch den Arzt" (r = 0,26 [39]. Hierzu erscheint sowohl die rehabilitative wie auch die psychiatrisch / psychotherapeutische Versorgung durch den hohen Anteil an Patientenedukation geradezu prädestiniert.…”

Section: Interkorrelation Der Pics-d-und Kpf-skalenunclassified