TY - JOUR A1 - Weber, Franziska A1 - Müller, Carsten A1 - Bahns, Carolin A1 - Kopkow, Christian A1 - Färber, Francesca A1 - Gellert, Paul A1 - Otte, Ina A1 - Vollmar, Horst Christian A1 - Brannath, Werner A1 - Diederich, Freya A1 - Kloep, Stephan A1 - Rothgang, Heinz A1 - Dieter, Valerie A1 - Krauß, Inga A1 - Kloek, Corelien A1 - Veenhof, Cindy A1 - Collisi, Sandra A1 - Repschläger, Ute A1 - Böbinger, Hannes A1 - Grüneberg, Christian A1 - Thiel, Christian A1 - Peschke, Dirk T1 - Smartphone-assisted training with education for patients with hip and/or knee osteoarthritis (SmArt-E): study protocol for a multicentre pragmatic randomized controlled trial JF - BMC Musculoskeletal Disorders N2 - Introduction Hip and knee osteoarthritis are associated with functional limitations, pain and restrictions in quality of life and the ability to work. Furthermore, with growing prevalence, osteoarthritis is increasingly causing (in)direct costs. Guidelines recommend exercise therapy and education as primary treatment strategies. Available options for treatment based on physical activity promotion and lifestyle change are often insufficiently provided and used. In addition, the quality of current exercise programmes often does not meet the changing care needs of older people with comorbidities and exercise adherence is a challenge beyond personal physiotherapy. The main objective of this study is to investigate the short- and long-term (cost-)effectiveness of the SmArt-E programme in people with hip and/or knee osteoarthritis in terms of pain and physical functioning compared to usual care. Methods This study is designed as a multicentre randomized controlled trial with a target sample size of 330 patients. The intervention is based on the e-Exercise intervention from the Netherlands, consists of a training and education programme and is conducted as a blended care intervention over 12 months. We use an app to support independent training and the development of self-management skills. The primary and secondary hypotheses are that participants in the SmArt-E intervention will have less pain (numerical rating scale) and better physical functioning (Hip Disability and Osteoarthritis Outcome Score, Knee Injury and Osteoarthritis Outcome Score) compared to participants in the usual care group after 12 and 3 months. Other secondary outcomes are based on domains of the Osteoarthritis Research Society International (OARSI). The study will be accompanied by a process evaluation. Discussion After a positive evaluation, SmArt-E can be offered in usual care, flexibly addressing different care situations. The desired sustainability and the support of the participants’ behavioural change are initiated via the app through audio-visual contact with their physiotherapists. Furthermore, the app supports the repetition and consolidation of learned training and educational content. For people with osteoarthritis, the new form of care with proven effectiveness can lead to a reduction in underuse and misuse of care as well as contribute to a reduction in (in)direct costs. Trial registration German Clinical Trials Register, DRKS00028477. Registered on August 10, 2022. KW - Telerehabilitation KW - Osteoarthritis KW - Physical therapy modalities KW - Exercise therapy KW - Education KW - Combined modality therapy Y1 - 2023 UR - https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/s12891-023-06255-7 U6 - http://dx.doi.org/10.1186/s12891-023-06255-7 IS - 24 SP - 1 EP - 23 ER - TY - CHAP A1 - Kernebeck, Sven A1 - Redaelli, Marcus A1 - Kramer, Ursula A1 - Vollmar, Horst Christian T1 - Wie sollen digitale Gesundheitsanwendungen durch die Versorgungsforschung evaluiert werden? T2 - 18. Deutscher Kongress für Versorgungsforschung (DKVF). Berlin, 09.-11.10.2019 Y1 - 2019 U6 - http://dx.doi.org/10.3205/19dkvf029 ER - TY - CHAP A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Kramer, Ursula A1 - Redaelli, Marcus A1 - Ehlers, Jan Peter A1 - Vollmar, Horst Christian T1 - Pandemie-Management und Digital Health - Merkmale und Qualität von Smartphone-Apps im Kontext der COVID-19 Pandemie T2 - 19. Deutscher Kongress für Versorgungsforschung, September 2020, online Y1 - 2020 U6 - http://dx.doi.org/10.3205/20dkvf036 ER - TY - CHAP A1 - Kernebeck, Sven A1 - Redaelli, Marcus. A1 - Kramer, Ursula A1 - Vollmar, Horst Christian T1 - Frameworks und Reporting Guidelines und Digital Health - Merkmale und Anwendungsmöglichkeiten verfügbarer Frameworks und Reporting Guidelines für Studien zu Gesundheits- und Medizin-Apps T2 - 19. Deutscher Kongress für Versorgungsforschung, 30.09. - 01.10.2020, digital Y1 - 2020 U6 - http://dx.doi.org/10.3205/20dkvf286 ER - TY - CHAP A1 - Kernebeck, Sven A1 - Vollmar, Horst Christian T1 - Qualität von Gesundheits- und Fitnessapps T2 - Telemedizin und eHealth Y1 - 2021 SN - 978-3-437-23545-0 ER - TY - JOUR A1 - Busse, Theresa Sophie A1 - Jux, Chantal A1 - Laser, Johannes A1 - Rasche, Peter A1 - Vollmar, Horst Christian A1 - Ehlers, Jan P A1 - Kernebeck, Sven T1 - Involving Health Care Professionals in the Development of Electronic Health Records: Scoping Review JF - JMIR Human Factors N2 - Electronic health records (EHRs) are a promising approach to document and map (complex) health information gathered in health care worldwide. However, possible unintended consequences during use, which can occur owing to low usability or the lack of adaption to existing workflows (eg, high cognitive load), may pose a challenge. To prevent this, the involvement of users in the development of EHRs is crucial and growing. Overall, involvement is designed to be very multifaceted, for example, in terms of the timing, frequency, or even methods used to capture user preferences. Setting, users and their needs, and the context and practice of health care must be considered in the design and subsequent implementation of EHRs. Many different approaches to user involvement exist, each requiring a variety of methodological choices. The aim of the study was to provide an overview of the existing forms of user involvement and the circumstances they need and to provide support for the planning of new involvement processes. We conducted a scoping review to provide a database for future projects on which design of inclusion is worthwhile and to show the diversity of reporting. Using a very broad search string, we searched the PubMed, CINAHL, and Scopus databases. In addition, we searched Google Scholar. Hits were screened according to scoping review methodology and then examined, focusing on methods and materials, participants, frequency and design of the development, and competencies of the researchers involved. In total, 70 articles were included in the final analysis. There was a wide range of methods of involvement. Physicians and nurses were the most frequently included groups and, in most cases, were involved only once in the process. The approach of involvement (eg, co-design) was not specified in most of the studies (44/70, 63%). Further qualitative deficiencies in the reporting were evident in the presentation of the competences of members of the research and development teams. Think-aloud sessions, interviews, and prototypes were frequently used. This review provides insights into the diversity of health care professionals’ involvement in the development of EHRs. It provides an overview of the different approaches in various fields of health care. However, it also shows the necessity of considering quality standards in the development of EHRs together with future users and the need for reporting this in future studies. Y1 - 2023 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173050 VL - 10 SP - e45598 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Scheibe, Madlen A1 - Sinha, Monika A1 - Fischer, Florian A1 - Knapp, Andreas A1 - Timpel, Patrick A1 - Harst, Lorenz A1 - Reininghaus, Ulrich A1 - Vollmar, Horst Christian T1 - Digitale Gesundheitsinterventionen entwickeln, evaluieren und implementieren Teil II – Diskussionspapier der Arbeitsgruppe Digital Health des Deutschen Netzwerk Versorgungsforschung (DNVF) JF - Das Gesundheitswesen N2 - Abstract The methodological challenges of evaluating digital interventions (DI) for health services research are omnipresent. The Digital Health Working Group of the German Network for Health Services Research (DNVF) presented and discussed these challenges in a two-part discussion paper. The first part addressed challenges in definition, development and evaluation of DI. In this paper, which represents the second part, the definition of outcomes, reporting of results, synthesis of evidence, and implementation are addressed as methodological challenges of DI. Potential solutions are presented and the need to address these challenges in future research are discussed. Y1 - 2022 U6 - http://dx.doi.org/10.1055/a-1915-4371 SN - 0941-3790 VL - 85 SP - 65 EP - 70 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Scheibe, Madlen A1 - Sinha, Monika A1 - Fischer, Florian A1 - Knapp, Andreas A1 - Timpel, Patrick A1 - Harst, Lorenz A1 - Reininghaus, Ulrich A1 - Vollmar, Horst Christian T1 - Digitale Gesundheitsinterventionen entwickeln, evaluieren und implementieren (Teil I) – Diskussionspapier der Arbeitsgruppe Digital Health des Deutschen Netzwerk Versorgungsforschung (DNVF) JF - Das Gesundheitswesen N2 - Abstract The development and application of digital interventions in health-related topics are gaining momentum in health service research. Digital interventions are often complex and need to be evaluated and implemented in complex settings. Due to their characteristics, this poses methodological challenges for health services research that have to be identified and addressed. Hence, the Working Group on Digital Health of the German Network for Health Services Research (DNVF) has prepared a discussion paper. This paper discusses methodological, practical and theoretical challenges associated with the development and evaluation of digital interventions from the perspective of health services research. Possible solutions are suggested and future research needs to address these methodological challenges are identified. Y1 - 2022 U6 - http://dx.doi.org/10.1055/a-1933-2779 SN - 0941-3790 VL - 85 SP - 58 EP - 64 ER - TY - CHAP A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Vollmar, Horst Christian T1 - E-Health-Ökonomie II, Evaluation und Implementierung T2 - E-Health-Ökonomie II, Evaluation und Implementierung N2 - Eine intransparente, unvollständige und unpräzise Berichtserstattung von Forschungsergebnissen ist ein beständiges Problem in der Bio-Medizinischen Forschung. Dies führt zu einer eingeschränkten Nachvollziehbarkeit von Forschungsergebnissen und schränkt die Übertragbarkeit der Ergebnisse deutlich ein. Auch bei Studien zu digitalen Interventionen im Bereich Electronic-Health (E-Health) ist die intransparente, unvollständige und unpräzise Berichtserstattung von Forschungsergebnissen zunehmend in der Diskussion. Dieser Beitrag verfolgt drei wesentliche Ziele: Es wird dargestellt, warum ein qualitativ hochwertiges Reporting von Studienergebnissen zu digitalen Interventionen von hoher Relevanz ist. Auf dieser Basis werden ausgewählte Reporting Guidelines und Frameworks beschrieben, die für das Berichten von Studienergebnissen zu digitalen Interventionen entwickelt wurden. Zudem werden weitere Elemente beschrieben, die die Berichterstattung unterstützen können, wie etwa ein Evidenzkonzept und allgemeine Entwicklungsmodelle digitaler Interventionen. Y1 - 2022 SN - 9783658356903 U6 - http://dx.doi.org/10.1007/978-3-658-35691-0_4 SP - 47 EP - 69 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Ehlers, Jan Peter A1 - Vollmar, Horst Christian T1 - Adhärenz digitaler Interventionen im Gesundheitswesen: Definitionen, Methoden und offene Fragen JF - Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz N2 - AbstractMany digital interventions rely on the participation of their users to have a positive impact. In various areas it can be observed that the use of digital interventions is often reduced or fully discontinued by the users after a short period of time. This is seen as one of the main factors that can limit the effectiveness of digital interventions. In this context, the concept of adherence to digital interventions is becoming increasingly important. Adherence to digital interventions is roughly defined as “the degree to which the user followed the program as it was designed,” which can also be paraphrased as “intended use” or “use as it is designed.” However, both the theoretical–conceptual and practical discussions regarding adherence to digital interventions still receive too little attention.The aim of this narrative review article is to shed more light on the concept of adherence to digital interventions and to distinguish it from related concepts. It also discusses the methods and metrics that can be used to operationalize adherence and the predictors that positively influence adherence. Finally, needs for action to better address adherence are considered critically. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173188 SN - 1436-9990 VL - 64 SP - 1278 EP - 1284 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Kramer, Ursula A1 - Redaelli, Marcus A1 - Vollmar, Horst Christian T1 - Bewerten, aber wie? – Kriterien für die Evaluation und das Reporting von Studien zu Gesundheits- und Medizin-Apps JF - Monitor Versorgungsforschung Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173256 VL - 14 IS - 2 ER -