12 research outputs found

    Nachnutzung der gemeinsamen JOIN2^2 –Repository-Infrastruktur für den KDSF-Objektbereich Publikation?

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    Im Rahmen des JOIN2-Projekts haben Bibliotheks- & Dokumentationseinheiten (Deutsches Elektronensynchrotron DESY Hamburg/Zeuten, Deutsches Krebsforschungszentrum DKFZ Heidelberg, Forschungszentrum Jülich, GSI Helmholtzzentrum für Schwerionenforschung Darmstadt, Maier-Leibnitz-Zentrum Garching, Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen, KIT Institut für experimentelle Kernphysik Karlsruhe) eine gemeinsame Repository-Infrastruktur für ihre Wissenschaftler und Wissenschaftlerinnen geschaffen. Das Poster dokumentiert Überlegungen, welche Anforderungen des Kerndatensatzes Forschung im Objektbereich abgebildet werden können, wo Probleme und fehlende Normierungen in der Praxis auftauchen könnten und vor allem, an welchen Stellen Kompromisse in Hinblick auf die JOIN2-Serviceorientierung für den Wissenschaftsbereich eingegangen werden müssen.Schlagwörter: Repositorium; VeröffentlichungsdatenbankSchwerpunktbereich: Identifikatoren & Anbindung von Drittsystemen, z.B. von Repositorie

    Premature termination, satisfaction with care, and shared decision-making during home treatment compared to inpatient treatment: A quasi-experimental trial

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    Abstract Background Inpatient equivalent home treatment (IEHT), implemented in Germany since 2018, is a specific form of home treatment. Between 2021 and 2022, IEHT was compared to inpatient psychiatric treatment in a 12-months follow-up quasi-experimental study with two propensity score matched cohorts in 10 psychiatric centers in Germany. This article reports results on the treatment during the acute episode and focuses on involvement in decision-making, patient satisfaction, and drop-out rates. Methods A total of 200 service users receiving IEHT were compared with 200 matched statistical “twins” in standard inpatient treatment. Premature termination of treatment as well as reasons for this was assessed using routine data and a questionnaire. In addition, we measured patient satisfaction with care with a specific scale. For the evaluation of patient involvement in treatment decisions, we used the 9-item Shared Decision Making Questionnaire (SDM-Q-9). Results Patients were comparable in both groups with regard to sociodemographic and clinical characteristics. Mean length-of-stay was 37 days for IEHT and 28 days for inpatient treatment. In both groups, a similar proportion of participants stopped treatment prematurely. At the end of the acute episode, patient involvement in decision-making (SDM-Q-9) as well as treatment satisfaction scores were significantly higher for IEHT patients compared to inpatients. Conclusions Compared to inpatient care, IEHT treatment for acute psychiatric episodes was associated with higher treatment satisfaction and more involvement in clinical decisions

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    Nachnutzung der gemeinsamen JOIN2\mathrm{JOIN^2} –Repository-Infrastruktur für den KDSF-Objektbereich Publikation?

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    Im Rahmen des JOIN2-Projekts haben Bibliotheks- & Dokumentationseinheiten (Deutsches Elektronensynchrotron DESY Hamburg/Zeuten, Deutsches Krebsforschungszentrum DKFZ Heidelberg, Forschungszentrum Jülich, GSI Helmholtzzentrum für Schwerionenforschung Darmstadt, Maier-Leibnitz-Zentrum Garching, Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen, KIT Institut für experimentelle Kernphysik Karlsruhe) eine gemeinsame Repository-Infrastruktur für ihre Wissenschaftler und Wissenschaftlerinnen geschaffen. Das Poster dokumentiert Überlegungen, welche Anforderungen des Kerndatensatzes Forschung im Objektbereich abgebildet werden können, wo Probleme und fehlende Normierungen in der Praxis auftauchen könnten und vor allem, an welchen Stellen Kompromisse in Hinblick auf die JOIN2-Serviceorientierung für den Wissenschaftsbereich eingegangen werden müssen.Schlagwörter: Repositorium; VeröffentlichungsdatenbankSchwerpunktbereich: Identifikatoren & Anbindung von Drittsystemen, z.B. von Repositorie

    Implementation, efficacy, costs and processes of inpatient equivalent home-treatment in German mental health care (AKtiV): protocol of a mixed-method, participatory, quasi-experimental trial

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    Background: Over the last decades, many high-income countries have successfully implemented assertive outreach mental health services for acute care. Despite evidence that these services entail several benefits for service users, Germany has lagged behind and has been slow in implementing outreach services. In 2018, a new law enabled national mental health care providers to implement team-based crisis intervention services on a regular basis, allowing for different forms of Inpatient Equivalent Home Treatment (IEHT). IEHT is similar to the internationally known Home Treatment or Crisis Resolution Teams. It provides acute psychiatric treatment at the user's home, similar to inpatient hospital treatment in terms of content, flexibility, and complexity. Methods/design: The presented naturalistic, quasi-experimental cohort study will evaluate IEHT in ten hospitals running IEHT services in different German regions. Within a multi-method research approach, it will evaluate stakeholders experiences of care, service use, efficacy, costs, treatment processes and implementation processes of IEHT from different perspectives. Quantitative surveys will be used to recruit 360 service users. Subsequently, 180 service users receiving IEHT will be compared with 180 matched statistical 'twins receiving standard inpatient treatment Assessments will take place at baseline as well as after 6 and 12 months. The primary outcome is the hospital re-admission rate within 12 months. Secondary outcomes include the combined readmission rate, total number of inpatient hospital days, treatment discontinuation rate, quality of life, psycho-social functioning, job integration, recovery, satisfaction with care, shared decision-making, and treatment costs. Additionally, the study will assess the burden of care and satisfaction with care among relatives or informal caregivers. A collaborative research team made up of researchers with and without lived experience of mental distress will conduct qualitative investigations with service users, caregivers and IEHT staff teams to explore critical ingredients and interactions between implementation processes, treatment processes, and outcomes from a stakeholder perspective. Discussion: By integrating outcome, process and implementation research as well as different stakeholder perspectives and experiences in one study, this trial captures the various facets of IEHT as a special form of home treatment Therefore, it allows for an adequate, comprehensive evaluation on different levels of this complex intervention
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