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Final report PoInts

 

Contact

Dipl.-Psych. Matthias Romppel
HTWK Leipzig
Fakultät Sozialwesen
PF 301166
04251 Leipzig
Tel.: 0341-30764717
E-Mail:

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Patient-oriented intervention on lifestyle modification in CHD – Subjective concepts on contents, methods and setting of sustainable secondary prevention in everyday life (PoInts)

Project leader:

Prof. Dr. Gesine Grande

Contactadress:

Hochschule für Technik, Wirtschaft und Kultur Leipzig

Fakultät Angewandte Sozialwissenschaften

Postfach 301166

04251 Leipzig

E-Mail:

Running time:

1.5.2008-30.4.2011

Co-worker:

Matthias Romppel

 

Background and aims

Changing one's lifestyle for the secondary prevention of CHD is frequently unsuccessful in practice in the long term. The lack of needs-orientation of previous intervention approaches with regard to subjective expectations, concepts and subjective need is seen as a factor for this low sustainability. The project aim was to measure subjective concepts of needs-oriented interventions for purposes of lifestyle modifications under conditions of everyday life. The results should lead to suggestions for innovative intervention approaches, which contribute to improving the needs orientation of care and consequently the sustainability of successes.

 

Methods

In a first, qualitative study phase, in focus groups with patients and their family members, experiences of previous attempts to change the lifestyle and subjective concepts regarding helpful interventions for lifestyle modification from the perspectives of those surveyed were examined. The focus group sessions were recorded, fully transcribed and evaluated using qualitative content analysis.

From the qualitative evaluation, a list of 65 support offers emerged, which should be evaluated in a second, quantitative study phase in a written survey of patients in terms of their suitability for a sustainable implementation of behavioural changes in everyday life. The items covered aspects of medical care, rather holistic, comprehensive offers as well as specific offers on individual areas of lifestyle. Moreover, factors were measured which, from the participants' perspective, foster the implementation of lifestyle changes.


The patients came from three different care settings (acute care following a cardiac event, cardiac rehabilitation measure following a cardiac event and outpatient GP or specialist care at least six months after a cardiac event).

 

Results

In the conducted focus groups, the participants discussed impeding and supporting factors for a successful lifestyle modification on various levels (personal, situational, social, care-related and societal factors). Noticeable were the lack of ideas regarding innovative, not yet existing support possibilities, lacking information about the availability of concrete offers locally and prejudices against the utilisation of psychological help. The possibility for exchange (above all long-term) with others equally affected was generally seen as helpful. The ideas regarding helpful offers were in many cases oriented towards already known care models, although the participants did also discuss several suggestions for innovative intervention offers.


In the questionnaire investigation, as important conducive factors, besides a better medical care, the support by partners and family and an improved mental equilibrium were rated. Assessed as particularly helpful offers were regular medical follow-up examinations, the clarification and information by doctors and physiotherapists as well as sport offers, which are offered locally, cost-effectively, are diverse in nature, flexible and are monitored by physicians. The GP as a contact person, who takes time for the patients and makes recommendations regarding offers, is also seen as particularly helpful.


Due to the needs discerned in the project, an overview of regional support offers for CHD patients was compiled. Based on the project results, two intervention concepts were developed, one of which is currently being implemented and evaluated.

 

Further information

http://www.rehaforschung.de/points/




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