E-Bibliothek Gesundheitskompetenz des DNGK
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applied%20initially%20within%20the%20Neuromedical%20Center%3A%20We%20implemented%20the%20patient%20activation%20campaign%2C%20trained%2089%25%20of%20physicians%20%28N%20%3D%2056%29%2C%20developed%2012%20patient%20decision%20aids%20and%20educated%20two%20decision%20coaches.%20Physicians%20adjusted%20the%20patients%26%23039%3B%20pathways%20to%20facilitate%20the%20use%20of%20decision%20aids.%20To%20maintain%20the%20initial%20implementation%2C%20the%20departments%20took%20care%20that%20new%20staff%20members%20received%20training%20and%20decision%20aids%20were%20updated.%20The%20patient%20activation%20campaign%20was%20continued.%20To%20determine%20the%20sustainability%20of%20the%20initial%20intervention%2C%20the%20SDM%20level%20after%20a%20maintenance%20phase%20of%206%5Cu201318%20months%20was%20compared%20to%20the%20baseline%20level%20before%20implementation.%20Therefore%2C%20in-%20and%20outpatients%20received%20a%20questionnaire%20via%20mail%20after%20discharge.%20The%20primary%20endpoint%20was%20the%20%5Cu201cPatient%20Decision%20Making%5Cu201d%20subscale%20of%20the%20Perceived%20Involvement%20in%20Care%20Scale%20%28PICSPDM%29.%20Secondary%20endpoints%20were%20an%20additional%20scale%20measuring%20SDM%20%28CollaboRATE%29%2C%20and%20the%20PrepDM%20scale%2C%20which%20determines%20patients%26%23039%3B%20perceived%20health%20literacy%20while%20preparing%20for%20decision%20making.%20Mean%20scale%20scores%20were%20compared%20using%20t-tests.ResultsPatients%20reported%20a%20significantly%20increased%20SDM%20level%20%28PICSPDMp%20%3D%200.02%3B%20Hedges%26%23039%3B%20g%20%3D%200.33%3B%20CollaboRATE%20p%20%3D%200.05%3B%20Hedges%26%23039%3B%20g%20%3D%200.26%29%20and%20improved%20preparation%20for%20decision%20making%20%28PrepDM%20p%20%3D%200.001%3B%20Hedges%26%23039%3B%20g%20%3D%200.34%29%206%5Cu201318%20months%20after%20initial%20implementation%20of%20S2C.DiscussionThe%20S2C%20program%20demonstrated%20its%20sustainability%20within%20the%20Neuromedical%20Center%20at%20UKSH%20Kiel%20in%20terms%20of%20increased%20SDM%20and%20health%20literacy.%20Maintaining%20the%20SDM%20implementation%20required%20a%20fraction%20of%20the%20initial%20intensity.%20The%20departments%20took%20on%20the%20responsibility%20for%20maintenance.%20Meanwhile%2C%20an%20additional%20health%20insurance-based%20reimbursement%20for%20S2C%20secures%20the%20continued%20application%20of%20the%20program.ConclusionSHARE%20TO%20CARE%20promises%20to%20be%20suitable%20for%20long-lasting%20implementation%20of%20SDM%20in%20hospitals.%22%2C%22date%22%3A%222022%22%2C%22section%22%3A%22%22%2C%22partNumber%22%3A%22%22%2C%22partTitle%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22citationKey%22%3A%22%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.frontiersin.org%5C%2Farticles%5C%2F10.3389%5C%2Ffneur.2022.1037447%22%2C%22PMID%22%3A%22%22%2C%22PMCID%22%3A%22%22%2C%22ISSN%22%3A%221664-2295%22%2C%22language%22%3A%22en%22%2C%22collections%22%3A%5B%22ZFT52UPQ%22%2C%2246NNKHWR%22%2C%223L4EXKAR%22%2C%22J987ELTY%22%2C%22SPWXRLZV%22%2C%226DCTQ3Z4%22%2C%22ZKMQLZWF%22%2C%22QXIGN3AI%22%2C%22P9CVNWVH%22%2C%22ERQ322N6%22%2C%22WK7W2JLX%22%5D%2C%22dateModified%22%3A%222024-05-26T15%3A46%3A05Z%22%7D%7D%2C%7B%22key%22%3A%22RXFIT4N3%22%2C%22library%22%3A%7B%22id%22%3A6298796%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Uncovska%20et%20al.%22%2C%22parsedDate%22%3A%222023-01-27%22%2C%22numChildren%22%3A1%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20padding-left%3A%201em%3B%20text-indent%3A-1em%3B%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%26gt%3BUncovska%2C%20Marie%2C%20Bettina%20Freitag%2C%20Sven%20Meister%2C%20and%20Leonard%20Fehring.%20%26%23x201C%3BPatient%20Acceptance%20of%20Prescribed%20and%20Fully%20Reimbursed%20mHealth%20Apps%20in%20Germany%3A%20An%20UTAUT2-Based%20Online%20Survey%20Study.%26%23x201D%3B%20%26lt%3Bi%26gt%3BJournal%20of%20Medical%20Systems%26lt%3B%5C%2Fi%26gt%3B%2047%2C%20no.%201%20%28January%2027%2C%202023%29%3A%2014.%20%26lt%3Ba%20class%3D%26%23039%3Bzp-DOIURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs10916-023-01910-x%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fdoi.org%5C%2F10.1007%5C%2Fs10916-023-01910-x%26lt%3B%5C%2Fa%26gt%3B.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Patient%20Acceptance%20of%20Prescribed%20and%20Fully%20Reimbursed%20mHealth%20Apps%20in%20Germany%3A%20An%20UTAUT2-based%20Online%20Survey%20Study%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Marie%22%2C%22lastName%22%3A%22Uncovska%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Bettina%22%2C%22lastName%22%3A%22Freitag%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Sven%22%2C%22lastName%22%3A%22Meister%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Leonard%22%2C%22lastName%22%3A%22F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