Zur Praxis der stationären Asthmaschulung in der Bundesrepublik Deutschland - eine bundesweite Bestandsaufnahme

Mühlig, S.; Rinne, Hanna; Mehren, F.; Petermann, Franz; Butt, U.; Worth, H. G. J.

doi:10.1055/s-2002-20556

Cited by 9 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Education programs vary in their content, often include multiple components across multiple sessions and may also include individual psychophysiological control interventions (such as relaxation, breathing techniques) and/or life style interventions (exercise, diet) (Mühlig et al, 2002). Documentation of educational content was suboptimal in many of the earlier trials (Sudre, Jacquemet, Uldry, & Perneger, 1999).…”

Section: Behavioral Medicine Treatment Approaches For Asthmamentioning

confidence: 99%

Psychosocial factors and behavioral medicine interventions in asthma.

Ritz

Meuret

Trueba

et al. 2013

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

Objective This review examines the evidence for psychosocial influences in asthma and behavioral medicine approaches to its treatment. Method We conducted a systematic review of the literature on psychosocial influences and the evidence for behavioral interventions in asthma with a focus on research in the past 10 years and clinical trials. Additional attention was directed at promising new developments in the field. Results Psychosocial factors can influence the pathogenesis and pathophysiology of asthma, either directly through autonomic, endocrine, immunological, and central nervous system mechanisms, or indirectly through lifestyle factors, health behaviors, illness cognitions, and disease management including medication adherence and trigger avoidance. The recent decade has witnessed surging interest in behavioral interventions that target the various pathways of influence. Among these, self-management training, breathing training, and exercise or physical activation programs have proven particularly useful, whereas other essential or promising interventions, such as smoking cessation, dietary programs, perception and biofeedback training, and suggestive or expressive psychotherapy, require further more rigorous evaluation. Given the high comorbidity with anxiety and mood disorders, further evaluation of illness-specific cognitive behavior therapy is of particular importance. Progress has also been made in devising community-based and culturally tailored intervention programs. Conclusion In concert with an essential medication treatment, behavioral medicine treatment of asthma is moving closer towards an integrated biopsychosocial approach to disease management.

show abstract

Section: Behavioral Medicine Treatment Approaches For Asthmamentioning

confidence: 99%

Psychosocial factors and behavioral medicine interventions in asthma.

Ritz

Meuret

Trueba

et al. 2013

Journal of Consulting and Clinical Psychology

View full text Add to dashboard Cite

show abstract

“…Finally, three educational variants were ranked according to extent and intensity (training for outpatients was considered to correspond to the basic model for inpatients): From several other studies on the structure and supply of asthma education in rehabilitation centres and outpatient settings, we found that asthma education programmes are well established and considered an essential part of pulmonary rehabilitation in Germany [24]. However, the quality of asthma education or sections of a particular programme differs from clinic to clinic.…”

Section: Interventionsmentioning

confidence: 99%

Patient satisfaction with different asthma-training variants

Vries

Mühlig

Waldmann

et al. 2008

Patient Education and Counseling

View full text Add to dashboard Cite

“…Nach einer Untersuchung von Petro [8] wurden in weniger als 20 % der befragten pneumologischen Einrichtungen evaluierte Schulungsprogramme eingesetzt, w ä hrend die ü berwiegende Mehrheit der Schuler Materialien der Pharmaindustrie oder selbst entwickelte Schulungen benutzte, deren Eff ektivit ä t wissenschaftlich nicht belegt ist. 90,8 % der befragten Klinken gaben in einer Studie von M ü hlig et al [9] an, sich bei der Schulungsdurchf ü hrung an Expertenempfehlungen zu orientieren, bei genauerer Betrachtung bestanden jedoch deutliche Defi zite bei der Umsetzung dieser Qualit ä tsstandards. Evaluierte Schulungsprogramme wurden in 50 % der befragten Kliniken eingesetzt, w ä hrend die andere H ä lfte der Einrichtungen wissenschaftlich nicht gepr ü fte Schulungen durchf ü hrte (insbesondere Eigenentwicklungen); lediglich in 19 % der F ä lle wurden Schulungen entsprechend der jeweiligen Programminstruktionen praktiziert (Treatment-Integrit ä t).…”

unclassified

“…Tab 9. Ergebnisse der Teilnehmer-Beurteilung pro Modul: Informiertheit ü ber das Thema (Prozentangaben).…”

unclassified

Patientenschulungsprogramme in der pneumologischen Rehabilitation: Ergebnisse einer Implementationsstudie

Vries¹,

Brandes²,

Krauth³

et al. 2008

Gesundheitswesen

Self Cite

View full text Add to dashboard Cite

Patient education is considered to be a major feature of medical rehabilitation in chronic disorders. While the substantial advances in the proposition of patient education programmes in in-patient health-care remain unquestioned, there are some deficits in actually performing such programmes in clinical practice. Only few clinics adhere to the protocol and recommendations for patient education. Mostly there are deviations in the actual performance of asthma education, e. g., mixing of different education schemes or using self-developed material. The reasons why clinics hesitate to use evaluated patient education programmes is still unclear. One can assume that there are problems due to organisation, structure or staff. This project aimed at observing the process of implementation of a new asthma education programme in order to identify barriers and helpful factors for the implementation. We conducted the study in three rehabilitation centres that did not use evaluated asthma education programmes. In these clinics we implemented the new education programme. After identifying the structure of the clinic before and after the implementation, interviewing the trainers and other staff members, we could assess the specific resources and barriers. We then included these aspects into recommendations for implementation. The most important barriers we found were too few staff and problems in planning the time and rooms for the programme. There was a high level of acceptance among all staff members and patients. The entire programme causes costs of 97 euro per patient. The costs at the beginning of the implementation were higher than those for the routine use.

show abstract

Zur Praxis der stationären Asthmaschulung in der Bundesrepublik Deutschland - eine bundesweite Bestandsaufnahme

Cited by 9 publications

References 5 publications

Psychosocial factors and behavioral medicine interventions in asthma.

Psychosocial factors and behavioral medicine interventions in asthma.

Patient satisfaction with different asthma-training variants

Patientenschulungsprogramme in der pneumologischen Rehabilitation: Ergebnisse einer Implementationsstudie

Contact Info

Product

Resources

About