Various types of psycho-oncologic interventions are associated with significant, small-to-medium effects on emotional distress and quality of life. These results should be interpreted with caution, however, because of the low quality of reporting in many of the trials.
A need for further improvement and support exists relative to the training of educators and the development of manuals as well as evaluation and publication of the programmes.
ZusammenfassungKörperliche Aktivität führt zur Verbesserung von Erkrankungsverläufen und hat daher in der stationären Rehabilitation einen hohen Stellenwert. Personen mit muskuloskelettalen Erkrankungen fällt es jedoch oft schwer, auch im Alltag aktiv zu bleiben. Um die langfristige Bewegungsaktivität im Alltag zu unterstützen, können psychologische Strategien der Verhaltensänderung eingesetzt werden. Das Team der Bewegungstherapie, welches den Transfer von Bewegungsaktivität in den Alltag unterstützt, sollte über Wissen und Kompetenzen verfügen, wirksame Strategien der Verhaltensänderung zielgerichtet und präzise einzusetzen. Bislang wurde selten systematisch evaluiert, wie diese Kompetenzförderung bezüglich der Strategien der Verhaltensänderung in Fortbildungen gelingen kann. Ziel des Beitrags ist, die inhaltliche und methodische Entwicklung einer Fortbildung mit 2 Vertiefungsformaten (arbeitsbegleitend vs. Workshop) und deren Evaluation darzustellen. Erste Ergebnisse belegen eine gute Implementation und Machbarkeit der Fortbildung sowie eine sehr gute bis gute Akzeptanz seitens des Teams der Bewegungstherapie.
Patient education has become increasingly important in medical rehabilitation in recent years. While educational programmes are often conducted under ideal circumstances during the developmental process, basic conditions may be less favourable in routine application on a daily basis. Therefore, quality requirements of patient education are needed. We have previously defined quality requirements regarding the conception of educational programmes and now propose quality criteria concerning the execution of patient education, with particular attention to inpatient medical rehabilitation of adult patients. In this report, both the procedure and the results of the process of criteria development are described. We obtained patient education experts' opinions regarding both dimensions and criteria of educational quality using the Delphi technique, which included a consensus group discussion. Final agreement was reached for eleven dimensions assessed with 59 criteria, covering the following domains: basic conditions of patient education; necessary qualifications of instructors; integration of patient education into the rehabilitation process; and quality management. The quality criteria proposed aim to increase the awareness of quality requirements and to provide a tool for improving the quality of patient education in medical rehabilitation.
In 2015 EULAR published recommendations for patient education of people with inflammatory arthritis. The recommendations included two superior principles and eight recommendations based on the level of evidence and expert knowledge. The German translation of the recommendations was evaluated by 15 German experts. Experts graded the strength of the recommendations (SOR) on an 11 point numerical rating scale (from 0 = no agreement to 10 = total agreement). The mean score was 8,8 ± 0,49.
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