TY - JOUR A1 - Busse, Theresa Sophie A1 - Nitsche, Julia A1 - Kernebeck, Sven A1 - Jux, Chantal A1 - Weitz, Jürgen A1 - Ehlers, Jan P. A1 - Bork, Ulrich T1 - Approaches to Improvement of Digital Health Literacy (eHL) in the Context of Person-Centered Care JF - International Journal of Environmental Research and Public Health N2 - The skills, knowledge and resources to search for, find, understand, evaluate and apply health information is defined as health literacy (HL). If individuals want to use health information from the Internet, they need Digital Health Literacy (eHL), which in addition to HL also includes, for example, media literacy. If information cannot be found or understood by patients due to low (e)HL, patients will not have the opportunity to make informed decisions. In addition, many health apps for self-management or prevention also require (e)HL. Thus, it follows that active participation in healthcare, in terms of Person-Centered Care (PCC) is only possible through (e)HL. Currently, there is a great need to strengthen these competencies in society to achieve increased empowerment of patients and their health. However, at the same time, there is a need to train and improve competencies in the field of healthcare professionals so that they can counsel and guide patients. This article provides an overview with a focus on HL and eHL in healthcare, shows the opportunities to adapt services and describes the possible handling of patients with low (e)HL. In addition, the opportunities for patients and healthcare professionals to improve (e)HL are highlighted. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173115 SN - 1661-7827 VL - 19 SP - 8309 ER - TY - JOUR A1 - Fiedler, Manfred A1 - Beck, Felix Hardmood A1 - Gisela, Grosse A1 - Knecht, Christiane T1 - Pflege trifft Design JF - Pflegezeitschrift Y1 - 2022 VL - 75 IS - 10 SP - 34 EP - 37 ER - TY - JOUR A1 - Gallinat, Christina A1 - Hunger, Antje A1 - Schmidt, Jennifer T1 - Symptomatik, Ätiologie und Behandlung der Trichotillomanie JF - Verhaltenstherapie & Verhaltensmedizin N2 - Trichotillomanie (TTM) ist durch repetitives Haareausreißen charakterisiert, was zu signifikantem Haarverlust, einem hohen Leidensdruck und Beeinträchtigungen in wesentlichen Lebensbereichen führt. Schätzungsweise ein bis zwei Prozent der Allgemeinbevölkerung leiden unter TTM. Gemeinsam mit anderen pathologischen körperbezogenen repetitiven Verhaltensweisen ist TTM in DSM-5 und ICD-11 dem Zwangsspektrum zugeordnet. In der Ätiologie stehen lerntheoretische Modelle im Vordergrund. Zur Behandlung wird die Kognitive Verhaltenstherapie empfohlen, wobei insbesondere Nachweise zur Effektivität des Habit-Reversal-Trainings vorliegen. Derzeit liegt keine evidenzbasierte Empfehlung für eine spezifische pharmakologische Behandlung vor. TTM ist bis heute ein wenig erforschtes und in der Praxis unzureichend bekanntes Störungsbild. Der vorliegende Beitrag liefert einen Überblick über den aktuellen Forschungsstand und allgemeine Handlungsempfehlungen für die Praxis. KW - Trichotillomanie, Haareausreißen, körperbezogenes repetitives Verhalten, Zwangsspektrum, Kognitive Verhaltenstherapie Y1 - 2022 UR - https://www.psychologie-aktuell.com/journale/verhaltenstherapie/bisher-erschienen/inhalt-lesen/2022-1-4.html SN - 1865-9985 VL - 43 IS - 1 SP - 77 EP - 96 ER - TY - JOUR A1 - Kaufeld, Mara A1 - De Coninck, Katharina A1 - Schmidt, Jennifer A1 - Hecht, Heiko T1 - Chewing gum reduces visually induced motion sickness JF - Experimental Brain Research N2 - Visually induced motion sickness (VIMS) is a common side-effect of exposure to virtual reality (VR). Its unpleasant symptoms may limit the acceptance of VR technologies for training or clinical purposes. Mechanical stimulation of the mastoid and diverting attention to pleasant stimuli-like odors or music have been found to ameliorate VIMS. Chewing gum combines both in an easy-to-administer fashion and should thus be an effective countermeasure against VIMS. Our study investigated whether gustatory-motor stimulation by chewing gum leads to a reduction of VIMS symptoms. 77 subjects were assigned to three experimental groups (control, peppermint gum, and ginger gum) and completed a 15-min virtual helicopter flight, using a VR head-mounted display. Before and after VR exposure, we assessed VIMS with the Simulator Sickness Questionnaire (SSQ), and during the virtual flight once every minute with the Fast Motion Sickness Scale (FMS). Chewing gum (peppermint gum: M = 2.44, SD = 2.67; ginger gum: M = 2.57, SD = 3.30) reduced the peak FMS scores by 2.05 (SE = 0.76) points as compared with the control group (M = 4.56, SD = 3.52), p < 0.01, d = 0.65. Additionally, taste ratings correlated slightly negatively with both the SSQ and the peak FMS scores, suggesting that pleasant taste of the chewing gum is associated with less VIMS. Thus, chewing gum may be useful as an affordable, accepted, and easy-to-access way to mitigate VIMS in numerous applications like education or training. Possible mechanisms behind the effect are discussed. Y1 - 2022 UR - https://link.springer.com/article/10.1007%2Fs00221-021-06303-5 U6 - http://dx.doi.org/10.1007/s00221-021-06303-5 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Busse, Theresa Sophie A1 - Jux, Chantal A1 - Dreier, Larissa Alice A1 - Meyer, Dorothee A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Evaluation of an Electronic Medical Record Module for Nursing Documentation in Paediatric Palliative Care: Involvement of Nurses with a Think-Aloud Approach JF - International Journal of Environmental Research and Public Health N2 - Background: Paediatric palliative care (PPC) is a noncurative approach to the care of children and adolescents with life-limiting and life-threatening illnesses. Electronic medical records (EMRs) play an important role in documenting such complex processes. Despite their benefits, they can introduce unintended consequences if future users are not involved in their development. Aim: The aim of this study was to evaluate the acceptance of a novel module for nursing documentation by nurses working in the context of PPC. Methods: An observational study employing concurrent think-aloud and semi-structured qualitative interviews were conducted with 11 nurses working in PPC. Based on the main determinants of the unified theory of acceptance and use of technology (UTAUT), data were analysed using qualitative content analysis. Results: The main determinants of UTAUT were found to potentially influence acceptance of the novel module. Participants perceived the module to be self-explanatory and intuitive. Some adaptations, such as the reduction of fragmentation in the display, the optimization of confusing mouseover fields, and the use of familiar nursing terminology, are reasonable ways of increasing software adoption. Conclusions: After adaptation of the modules based on the results, further evaluation with the participation of future users is required. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173137 SN - 1661-7827 VL - 19 SP - 3637 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Jux, Chantal A1 - Busse, Theresa Sophie A1 - Meyer, Dorothee A1 - Dreier, Larissa Alice A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians JF - Children N2 - Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user’s perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories “performance expectancies” and “effort expectancies”. Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173146 SN - 2227-9067 VL - 9 SP - 82 ER - TY - JOUR A1 - Kernebeck, Sven A1 - Jux, Chantal A1 - Busse, Theresa Sophie A1 - Meyer, Dorothee A1 - Dreier, Larissa Alice A1 - Zenz, Daniel A1 - Zernikow, Boris A1 - Ehlers, Jan Peter T1 - Participatory Design of a Medication Module in an Electronic Medical Record for Paediatric Palliative Care: A Think-Aloud Approach with Nurses and Physicians JF - Children N2 - Background: Electronic medical records (EMRs) play a key role in improving documentation and quality of care in paediatric palliative care (PPC). Inadequate EMR design can cause incorrect prescription and administration of medications. Due to the fact of complex diseases and the resulting high level of medical complexity, patients in PPC are vulnerable to medication errors. Consequently, involving users in the development process is important. Therefore, the aim of this study was to evaluate the acceptance of a medication module from the perspective of potential users in PPC and to involve them in the development process. Methods: A qualitative observational study was conducted with 10 nurses and four physicians using a concurrent think-aloud protocol and semi-structured qualitative interviews. A qualitative content analysis was applied based on a unified theory of acceptance and use of technology. Results: Requirements from the user’s perspective could be identified as possible influences on acceptance and actual use. Requirements were grouped into the categories “performance expectancies” and “effort expectancies”. Conclusions: The results serve as a basis for further development. Attention should be given to the reduction of display fragmentation, as it decreases cognitive load. Further approaches to evaluation should be taken. Y1 - 2022 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173158 SN - 2227-9067 VL - 9 SP - 82 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 - JOUR A1 - Knecht, C. A1 - Winkelheide, M. A1 - Fiedler, M. T1 - Soziale Unterstützung für gesunde Geschwister – eine Frage der Perspektive JF - JuKiP Y1 - 2022 VL - 4 IS - 11 SP - 160 EP - 172 ER -