Implementing Digital Trainings within Medical Rehabilitations: Improvement of Mental Health and Synergetic Outcomes with Healthcare Service

Keller, Franziska Maria; Dahmen, Alina; Kötting, Lukas; Lippke, Sonia

doi:10.3390/ijerph18178936

Cited by 5 publications

(3 citation statements)

References 45 publications

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“…In general, during periods of high infection rates or rising incidences, patients have avoided medical treatments [39]. Reasons include recommended movement restrictions, but also to avoid exposing themselves to the potential risk of infection.…”

Section: Communicationmentioning

confidence: 99%

Hygiene Behavior in Face of the Corona Pandemic: Compliance Rates and Associations With Fear, SARS-COV-2 risk, Mental Health and Disability

Lippke¹,

Keller²,

Kötting³

et al. 2021

Preprint

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Background: During the COVID-19 pandemic, hygiene behaviors such as keeping distance, avoid-ing masses, wearing face masks and adhering to hand hygiene recommendations became impera-tive. The current study aims to determine factors interrelating with hygiene behaviors. Methods: 4,049 individuals (1,305 male, 2,709 female, aged 18-80 years) were recruited from rehabilitation clinics or freely on the internet and surveyed via online questionnaire between May 2020 and August 2021. Socio-demographics, hygiene behaviors, emotions (fear), life-satisfaction, risk factors and disability as well as communication were assessed. Results: Prevalence for hygiene behaviors was: keeping the distance 84.9%, avoiding mass gatherings 84.6%, wearing face masks 96.5% and hand hygiene 80.7%. Hygiene behaviors were significantly related to fear with linear and quad-ratic associations. Conclusion: Individuals with disabilities, risk factors and psychological symp-toms are more compliant. Especially hand hygiene should be targeted to achieve higher compli-ance rates. A medium level of fear is more functional than too elevated fear. Behavioral interven-tions and targeted communication aiming at improving different behaviors in orchestration can help individuals to remain healthy and maintain a high life-satisfaction. Thereby, communication in the healthcare setting is imperative and all involved individuals should become more aware of this to ensure high hygiene standards and patient safety.

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Section: Communicationmentioning

confidence: 99%

Hygiene Behavior in Face of the Corona Pandemic: Compliance Rates and Associations With Fear, SARS-COV-2 risk, Mental Health and Disability

Lippke¹,

Keller²,

Kötting³

et al. 2021

Preprint

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“…Rehabilitation goals were measured by an 8-item scale (consisting of the possible rehabilitation goals that patients aimed to achieve during the rehabilitation) that has shown acceptable reliability and validity [ 40 ]. Sample items included “Improvement of my flexibility and endurance.” Answers were rated on a 4-point Likert scale ranging from 1 (not at all) to 4 (completely).…”

Section: Methodsmentioning

confidence: 99%

Predictors of Dropout Among Psychosomatic Rehabilitation Patients During the COVID-19 Pandemic: Secondary Analysis of a Longitudinal Study of Digital Training

Gao,

Keller,

Becker

et al. 2023

J Med Internet Res

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Background High dropout rates are a common problem reported in web-based studies. Understanding which risk factors interrelate with dropping out from the studies provides the option to prevent dropout by tailoring effective strategies. Objective This study aims to contribute an understanding of the predictors of web-based study dropout among psychosomatic rehabilitation patients. We investigated whether sociodemographics, voluntary interventions, physical and mental health, digital use for health and rehabilitation, and COVID-19 pandemic–related variables determine study dropout. Methods Patients (N=2155) recruited from 4 psychosomatic rehabilitation clinics in Germany filled in a web-based questionnaire at T1, which was before their rehabilitation stay. Approximately half of the patients (1082/2155, 50.21%) dropped out at T2, which was after the rehabilitation stay, before and during which 3 voluntary digital trainings were provided to them. According to the number of trainings that the patients participated in, they were categorized into a comparison group or 1 of 3 intervention groups. Chi-square tests were performed to examine the differences between dropout patients and retained patients in terms of sociodemographic variables and to compare the dropout rate differences between the comparison and intervention groups. Logistic regression analyses were used to assess what factors were related to study dropout. Results The comparison group had the highest dropout rate of 68.4% (173/253) compared with the intervention groups’ dropout rates of 47.98% (749/1561), 50% (96/192), and 42.9% (64/149). Patients with a diagnosis of combined anxiety and depressive disorder had the highest dropout rate of 64% (47/74). Younger patients (those aged <50 y) and patients who were less educated were more likely to drop out of the study. Patients who used health-related apps and the internet less were more likely to drop out of the study. Patients who remained in their jobs and patients who were infected by COVID-19 were more likely to drop out of the study. Conclusions This study investigated the predictors of dropout in web-based studies. Different factors such as patient sociodemographics, physical and mental health, digital use, COVID-19 pandemic correlates, and study design can correlate with the dropout rate. For web-based studies with a focus on mental health, it is suggested to consider these possible dropout predictors and take appropriate steps to help patients with a high risk of dropping out overcome difficulties in completing the study.

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“…Während die Kostenübernahme, Qualitätsstandards und Nutzungsanforderungen von digitalen Interventionen im Bereich der Reha-Nachsorge bereits festgelegt sind 6 , gibt es für die Anwendung digitaler Angebote während der medizinischen Rehabilitation derzeit noch wenige Erfahrungen und Konzepte. Einige digitale Angebote externer Anbieter sind bereits im Einsatz 7 8 9 . Schon heute ermöglichen einige dieser Anwendungen die Kommunikation zwischen RehabilitandInnen und TherapeutInnen auch während des Klinikaufenthalts.…”

Section: Digitale Interventionen Während Einer Rehabilitationunclassified

Digitale Gesundheitsanwendungen in der Rehabilitation: Eine Forschungsagenda

2022

Rehabilitation (Stuttg)

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„Für alles gibt es scheinbar eine App“Wenn es um den Begriff „Gesundheit“ geht, richtet sich unser Blick zunehmend auf Digitalisierungspotenziale, welche vielfältig in Form von webbasierten Informationsangeboten im Internet oder auch in Form von mobilen Anwendungen (Apps) zur eigenen Gesunderhaltung oder Kontrolle der eigenen Gesundheit eingesetzt werden können. Diese Angebote sind jederzeit bzw. nahezu ständig und von überall aus verfügbar und können problemlos auf mobilen und auf anderen geeigneten Endgeräten installiert werden 1. Aufgrund ihrer Flexibilität und Individualisierbarkeit erfahren sie intensiviertes Interesse, größere Aufmerksamkeit und eine immer weitere Verbreitung im Gesundheitsmarkt.

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Implementing Digital Trainings within Medical Rehabilitations: Improvement of Mental Health and Synergetic Outcomes with Healthcare Service

Cited by 5 publications

References 45 publications

Hygiene Behavior in Face of the Corona Pandemic: Compliance Rates and Associations With Fear, SARS-COV-2 risk, Mental Health and Disability

Hygiene Behavior in Face of the Corona Pandemic: Compliance Rates and Associations With Fear, SARS-COV-2 risk, Mental Health and Disability

Predictors of Dropout Among Psychosomatic Rehabilitation Patients During the COVID-19 Pandemic: Secondary Analysis of a Longitudinal Study of Digital Training

Digitale Gesundheitsanwendungen in der Rehabilitation: Eine Forschungsagenda

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