Faszination Glas : historisches und modernes Glas aus der Tschechischen Republik : Ausstellung im Gewerbemuseum Winterthur, 8. Mai bis 4. Juli 1993

Die Sammlung des Kunstgewerbemuseums Winterthur enthält neben Schmiedeeisen, Zinn, Textilien und Keramik auch historisches und zeitgenössisches Glas. Insbesondere die letzte Kategorie konnte durch eine private Schenkung zu Beginn der 90er Jahre des letzten Jahrhunderts bedeutend erweitert werden. Einen Schwerpunkt bildeten dabei böhmische Gläser des 19. Jahrhunderts. Ausgehend von dieser Schenkung wurde das Kunstgewerbemuseum Prag angefragt, diese Gläser durch Objekte aus der eigenen Sammlung zu ergänzen. Mit dieser Ausstellung mit Leihgaben des Kunstgewerbemuseums Prag kann gezeigt werden, dass die qualitativ hochstehende Glasherstellung in Böhmen auf eine lange Tradition zurückblicken kann, die bis ins Mittelalter reicht

Motivational training improves self-efficacy but not short-term adherence with asthma self-management: a randomized controlled trial

Background: Adherence to self-management in asthma is poor. Aim: To investigate the effect of disease-unspecific motivational training on self-management adherence in addition to asthma-specific patient education. Methods: We randomized patients with partly controlled asthma to asthma education, with or without the Zurich Resource Model (ZRM) training. Main elements of the ZRM training are development of action-oriented personal goals and activation of resources to achieve and practice them in daily life. The primary outcome was adherence to self-monitoring and to a written personal action plan during three months. Secondary outcomes included patient-reported self-efficacy. Results: As control patients (n=30) were younger, mostly male and had better asthma control compared with the intervention group (n=30), we adjusted the analyses for these imbalances. Both groups showed excellent adherence to self-monitoring over three months [27 patients (90.0%) in intervention and 25 patients (83.3%) in control group, adjusted odds ratio: 1.28 (0.24-6.78), P=0.78)]. Patients in the ZRM group tended to adjust their medication more often [median 36% days with action (IQR 11-62%)] than control patients [9% (0-43), P=0.18]. In both groups, actions were rarely in accordance with the action plan [median 20% of actions appropriate (IQR 0-37) in intervention and 11% (IQR 0-56) in control group, P=0.92]. After three months, self-efficacy was significantly better with ZRM (adjusted difference on self-efficacy scale 2.31, 95% CI 0.31-4.31, P=0.02). Conclusion: Unspecific self-management training had no short-term effect on self-management adherence in asthma patients. Self-efficacy improved, but it is uncertain whether this translates into better long-term outcome

Motivational training improves self-efficacy but not short-term adherence with asthma self-management: a randomized controlled trial

Background: Adherence to self-management in asthma is poor. Aim: To investigate the effect of disease-unspecific motivational training on self-management adherence in addition to asthma-specific patient education. Methods: We randomized patients with partly controlled asthma to asthma education, with or without the Zurich Resource Model (ZRM) training. Main elements of the ZRM training are development of action-oriented personal goals and activation of resources to achieve and practice them in daily life. The primary outcome was adherence to self-monitoring and to a written personal action plan during three months. Secondary outcomes included patient-reported self-efficacy. Results: As control patients (n=30) were younger, mostly male and had better asthma control compared with the intervention group (n=30), we adjusted the analyses for these imbalances. Both groups showed excellent adherence to self-monitoring over three months [27 patients (90.0%) in intervention and 25 patients (83.3%) in control group, adjusted odds ratio: 1.28 (0.24-6.78), P=0.78)]. Patients in the ZRM group tended to adjust their medication more often [median 36% days with action (IQR 11-62%)] than control patients [9% (0-43), P=0.18]. In both groups, actions were rarely in accordance with the action plan [median 20% of actions appropriate (IQR 0-37) in intervention and 11% (IQR 0-56) in control group, P=0.92]. After three months, self-efficacy was significantly better with ZRM (adjusted difference on self-efficacy scale 2.31, 95% CI 0.31-4.31, P=0.02). Conclusion: Unspecific self-management training had no short-term effect on self-management adherence in asthma patients. Self-efficacy improved, but it is uncertain whether this translates into better long-term outcomes