Pro-amateur information space: www.bildungsgeschichte.ch

The paper discusses the possibilities and prospects of a disciplinary search portal for sources and data on the history of education in Switzerland called “Bildungsgeschichte Schweiz” (www.bildungsgeschichte.ch). The open-access and multilingual portal offers a combined full-text and metadata search of historic holdings from different collections and providers. In the context of increasing digitisation and public accessibility of historical materials and the ongoing digital transformation of the humanities, the goal is to create a user-friendly “information space” for researchers and non-researchers alike. The paper focuses on the ideas behind building up this information space and on the possibilities that are given with the application of a search function to a large and diverse data basis. Particular attention is paid to the reuse of research data in the light of current open research data strategies. (DIPF/Orig.)Die Webpräsenz „Bildungsgeschichte Schweiz“ (bildungsgeschichte.ch) zielt darauf ab, Quellen und Daten in großer Vielfalt nicht nur Forschenden, sondern auch einer größeren Öffentlichkeit zur Verfügung zu stellen. Die Kernfunktion dieser Internetseite ist die Möglichkeit einer kombinierten Volltext- und Metadatensuche in mehreren digitalen Beständen. (DIPF/Orig.

Pro-amateur information space: www.bildungsgeschichte.ch

The paper discusses the possibilities and prospects of a disciplinary search portal for sources and data on the history of education in Switzerland called “Bildungsgeschichte Schweiz” (www.bildungsgeschichte.ch). The open-access and multilingual portal offers a combined full-text and metadata search of historic holdings from different collections and providers. In the context of increasing digitisation and public accessibility of historical materials and the ongoing digital transformation of the humanities, the goal is to create a user-friendly “information space” for researchers and non-researchers alike. The paper focuses on the ideas behind building up this information space and on the possibilities that are given with the application of a search function to a large and diverse data basis. Particular attention is paid to the reuse of research data in the light of current open research data strategies

Outpatient psychotherapy for home-living vulnerable older adults with depression: study protocol of the PSY-CARE trial

Background: There is a need to improve psychotherapeutic approaches to treatment for vulnerable older adults with depression in terms of both clinical practice and health care supply. Against this background, PSY-CARE is testing the feasibility and effectiveness of outpatient psychotherapy for home-living older adults in need of care with depression in Berlin, Germany, and neighboring suburban areas. Methods: In a two-arm single-center pragmatic randomized controlled trial (RCT), manual-guided outpatient psychotherapy will be compared to brief psychosocial counseling. The study population will be compromised of older adults with clinically significant depressive symptoms who have a long-term care grade, as assessed by the German compulsory state nursing care insurance. In the intervention group, individual cognitive-behavioral psychotherapy tailored to the specific needs of this population will be offered by residential psychotherapists as part of the regular healthcare service. In the active control group, participants will receive individual psychosocial telephone counselling and a self-help guide. The planned sample size is N = 130 (n = 65 participants per group). The reduction of depressive symptoms (primary outcome) as well as the maintaining of activities of daily living, quality of life, and functioning will be assessed with questionnaires provided at baseline, after the end of the intervention and after three months. Feasibility and process evaluation will be conducted qualitatively based on documentation and interviews with psychotherapists, gatekeepers and the participants. Discussion: PSY-CARE investigates the potentials and limitations of providing outpatient psychotherapeutic treatment meeting the demands of vulnerable home-living older adults with depression under the real conditions of the health care system. The study will provide practical implications to improve access to and quality of outpatient psychotherapy for this poorly supplied population. Trial registration: The trial is registered at ISRCTN55646265; February 15, 2019

Concordance of self- and informant-rated depressive symptoms in nursing home residents with Dementia: cross-sectional findings

Background: Depression is highly prevalent in nursing home residents living with moderate to severe dementia. However, assessing depressive symptoms in residents with dementia can be challenging and may vary by rater perspective. We aimed to investigate the concordance of, and factors associated with self- and informant-rated depressive symptoms in nursing home residents with dementia. Methods: Cross-sectional data was collected from N= 162 nursing home residents with dementia (age: 53-100; 74% women). Self-ratings were assessed with the Geriatric Depression Scale, while the depression and anxiety items of the Neuropsychiatric Inventory were used for informant-ratings. Cohen's Kappa was calculated to determine the concordance of both measures and of each with antidepressant medication. Multivariate associations with sociodemographic variables, self- and informant-rated quality of life, dementia stage, neuropsychiatric symptoms, functional status and antidepressant medication were analysed with linear mixed models and generalized estimating equations. Results: Concordance between self- and single item informant-rated depressive symptoms was minimal (Cohen's Kappa = .22, p= .02). No concordance was found for self-reported depressive symptoms and the combined informant-rated depression-anxiety score. Self-reported depression was negatively associated with self-rated quality of life (beta=-.32; 95%CI: -.45 to -.19, p< .001), informant-rated quality of life (beta=-.25; 95%CI: -.43 to -.07, p= .005) and functional status (beta=-.16; 95%CI: -.32 to -.01, p= .04), whilst single item informant-rated depression revealed negative associations with informant-rated quality of life (beta =-.32; 95%CI: -.52 to .13, p=.001) and dementia stage (beta=-.31; 95%CI: -.52 to -.10, p = .004). The combined informant-rated depression-anxiety score showed negative associations with self-rated quality of life (beta=-.12; 95%CI: -.22 to -.03, p = .01) and dementia stage (beta = -.37; 95%CI: -.67 to -.07, p= .02) and a positive association with neuropsychiatric symptoms (beta = .30; 95%CI: .10 to .51, p= .004). No concordance was found with antidepressant medication. Conclusions: In line with our expectations, low agreement and unique association patterns were found for both measures. These findings indicate that both instruments address different aspects of depression and underline the need for comprehensive approaches when it comes to detecting signs of clinically relevant depressive symptoms in dementia