Measurement invariance across chronic conditions: a systematic review and an empirical investigation of the Health Education Impact Questionnaire (heiQ™).

To examine whether lack of measurement invariance (MI) influences mean comparisons among different disease groups, this paper provides (1) a systematic review of MI in generic constructs across chronic conditions and (2) an empirical analysis of MI in the Health Education Impact Questionnaire (heiQ™)

Determination of the s‐phase formation coefficient of plasma nitrided austenitic steel

Plasma nitriding is an effective surface hardening treatment for austenitic stainless steels. During plasma nitriding, s‐phase formation takes place which is not only responsible for high hardness and wear resistance but also for good corrosion resistance. In order to estimate the thickness of the s‐phase for austenitic stainless steel in a plasma nitriding process, an empirical model is devised. A number of plasma nitriding processes of austenitic stainless steel (304 L) were carried out with varying treatment temperature from 360 °C to 450 °C and process duration ranging from 10 hours to 24 hours with constant pressure, voltage, pulse‐to‐pause‐ratio and gas mixture. A time‐temperature dependent s‐phase formation coefficient is determined by measuring the thickness of the s‐phase using a scanning electron microscope (SEM) and glow discharge optical emission spectroscopy (GDOES). The developed model is verified by three controlled experiments. This model fits the thickness of the s‐phase with an error of less than 6 %

Evaluation of a self-management patient education program for patients with fibromyalgia syndrome: study protocol of a cluster randomized controlled trial

Background Fibromyalgia syndrome (FMS) is a complex chronic condition that makes high demands on patients’ self-management skills. Thus, patient education is considered an important component of multimodal therapy, although evidence regarding its effectiveness is scarce. The main objective of this study is to assess the effectiveness of an advanced self-management patient education program for patients with FMS as compared to usual care in the context of inpatient rehabilitation. Methods/Design We conducted a multicenter cluster randomized controlled trial in 3 rehabilitation clinics. Clusters are groups of patients with FMS consecutively recruited within one week after admission. Patients of the intervention group receive the advanced multidisciplinary self-management patient education program (considering new knowledge on FMS, with a focus on transfer into everyday life), whereas patients in the control group receive standard patient education programs including information on FMS and coping with pain. A total of 566 patients are assessed at admission, at discharge and after 6 and 12 months, using patient reported questionnaires. Primary outcomes are patients’ disease- and treatment-specific knowledge at discharge and self-management skills after 6 months. Secondary outcomes include satisfaction, attitudes and coping competences, health-promoting behavior, psychological distress, health impairment and participation. Treatment effects between groups are evaluated using multilevel regression analysis adjusting for baseline values. Discussion The study evaluates the effectiveness of a self-management patient education program for patients with FMS in the context of inpatient rehabilitation in a cluster randomized trial. Study results will show whether self-management patient education is beneficial for this group of patients