Development and evaluation of a patient passport to promote self-management in patients with heart diseases

BACKGROUND: Patients with cardiovascular diseases (CVD) are treated over a long period of time by physicians and therapists from various institutions collaborating within a multidisciplinary team. Usually, medical records detailing the diagnoses and treatment regimens are long and extensive. Brief overviews of relevant diagnostic and treatment data in the form of a patient passport are currently missing in routine care for patients with CVD. This study aimed to develop and evaluate a patient passport (the Kardio-Pass) based on the needs of patients who had undergone cardiac rehabilitation, and of healthcare professionals. METHODS: A mixed method design was adopted consisting of an explorative qualitative phase followed by a quantitative evaluation phase. Interviews with patients and experts were conducted to develop the Kardio-Pass. CVD rehabilitees (N = 150) were asked to evaluate the passport using a semi-standardized written questionnaire. RESULTS: Patients and experts who were interviewed in the qualitative study phase considered the following passport contents to be particularly important: documentation of findings and diagnoses, cardiac diagnostics and intervention, medication plan, risk factors for heart disease, signs of a heart attack and what to do in an emergency. During the evaluation phase, 93 rehabilitees (response rate: 62%) completed the questionnaire. The Kardio-Pass achieved high overall approval: All respondents considered the information contained in the passport to be trustworthy. The professionalism and the design of the passport were rated very highly by 93 and 92% of participants, respectively. Use of the Kardio-Pass prompted 53% of participants to regularly attend follow-up appointments. The most common reasons for non-use were a lack of support from the attending doctor, failure by the patient to make entries in the passport, and loss of the passport. CONCLUSIONS: By documenting the course of cardiac diseases, the patient passport pools all medical data-from diagnosis to treatment and aftercare-in a concise manner. Rehabilitees who used the cardiac passport rated it as a helpful tool for documenting follow-up data. However, with regard to this explorative study there is a need for further research, particularly on whether the patient passport can improve heart patient care

Die Messung von nachhaltigem Konsumbewusstsein

Nachhaltigkeit wird häufig als Gleichgewicht von ökologischen, sozialen und ökonomischen Bedingungen gedacht, die zur Zukunftssicherung erforderlich sind. Um diesen Anspruch auch im Konsum zu verankern, braucht es bei Verbrauchern ein ganzheitliches Nachhaltigkeitsbewusstsein – und entsprechende Messansätze, die über das Umweltbewusstsein hinausgehen

One More Awareness Gap? The Behaviour–Impact Gap Problem

Preceding research has made hardly any attempt to measure the ecological impacts of pro-environmental behaviour in an objective way. Those impacts were rather supposed or calculated. The research described herein scrutinized the ecological impact reductions achieved through pro-environmental behaviour and raised the question how much of a reduction in carbon footprint can be achieved through voluntary action without actually affecting the socio-economic determinants of life. A survey was carried out in order to measure the difference between the ecological footprint of “green” and “brown” consumers. No significant difference was found between the ecological footprints of the two groups—suggesting that individual pro-environmental attitudes and behaviour do not always reduce the environmental impacts of consumption. This finding resulted in the formulation of a new proposition called the BIG (behaviour–impact gap) problem, which is an interesting addition to research in the field of environmental awareness gaps

Energy Saving on Campus: A comparison of students' attitudes and reported behaviours in the UK and Portugal

Energy saving on campus is an increasingly important part of universities’ responses to climate change, but can only be fully realised through a partnership between institutions and students. This study explores similarities and differences between students’ energy-related attitudes and reported behaviours, as well as their perceptions of their institution’s energy saving efforts using data from two universities in the United Kingdom (UK) and one in Portugal. The results indicate that there are differences between the students’ responses at the selected universities which appear to reflect the national context and diverse institutional priorities. Key differences include the variation between students’ perceptions of individual agency and their university’s environmental practices (stronger in the UK) and students’ sense of collective agency and trust in the government and business (stronger in Portugal). The study is the first to attempt a comparison between students from institutions in different countries in relation to energy saving. It provides a foundation to extend the comparison to other institutions and other countries, and to expand the research to encompass actual energy use, in relation to perceived energy use

Key determinants of willingness to support policy measures on recycling: a case study in Hong Kong

2015-2016 > Academic research: refereed > Publication in refereed journa

Grundgedanken zur Bedeutung und Entwicklung von Leitbildern fuer Staedte

Available from Bibliothek des Instituts fuer Weltwirtschaft, ZBW, Duesternbrook Weg 120, D-24105 Kiel C 201074 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman

Das Image von Potsdam aus der Sicht lokaler Unternehmer

Available from Bibliothek des Instituts fuer Weltwirtschaft, ZBW, Duesternbrook Weg 120, D-24105 Kiel C 189689 / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEDEGerman

A Social Marketing Approach to Voluntary Simplicity: Communicating to Consume Less

Higher eco-efficiency will not be enough to slow global warming caused by climate change. To keep global warming to 2 degrees, people also need to reduce their consumption. At present, however, many who would be able to do so seem unwilling to comply. Given the threats of a runaway climate change, urgent measures are needed to promote less personal consumption. This study, therefore, examines whether social marketing consume-less appeals can be used to encourage consumers to voluntarily abstain from consumption. As part of an online experiment with nearly 2000 randomly sampled users of an online platform for sustainable consumption, we tested the effectiveness of five different “consume-less” appeals based on traditional advertising formats (including emotional, informational, and social claims). The study shows that consume-less appeals are capable of limiting personal desire to buy. However, significant differences in the effectiveness of the appeal formats used in this study were observed. In addition, we found evidence of rebound effects, which leads us to critically evaluate the overall potential of social marketing to promote more resource-conserving lifestyles. While commercial consumer-free appeals have previously been studied (e.g., Patagonia’s “Don’t Buy This Jacked”), this study on the effectiveness of non-commercial consume-free appeals is novel and provides new insights