@article{CurbachLanderDierksetal., author = {Curbach, Janina and Lander, Jonas and Dierks, Marie-Luise and Grepmeier, Eva-Maria and von Sommoggy, Julia}, title = {How do health professionals translate evidence on early childhood allergy prevention into health literacy-responsive practice?}, series = {BMJ OPEN}, volume = {11}, journal = {BMJ OPEN}, publisher = {BMJ}, doi = {10.1136/bmjopen-2020-047733}, pages = {1 -- 8}, abstract = {Introduction Paediatricians, general practitioners (GPs) and midwives in primary care are important sources of information for parents on early childhood allergy prevention (ECAP). Research has shown that preventive counselling by health professionals can be effective in improving patients' health literacy (HL) and health behaviour. Providing effective advice relies on two factors. First, health professionals need be up-to-date with research evidence on ECAP, to consider popular misconceptions and fears and to translate this knowledge into clear recommendations for parents (knowledge translation). Second, they need to know and apply counselling techniques and create a practice setting which accommodates parental HL needs (health literacy-responsive care). The objective of this study is to explore and assess how German health professionals take up and translate ECAP evidence into appropriate recommendations for parents, how they consider HL in counselling and practice organisation and what barriers and enablers they find in their performance of HL-responsive ECAP. Methods and analysis The study has a sequential mixed-method design, in two phases. In the first phase, qualitative semi-structured expert interviews will be conducted with health professionals (paediatricians, GPs and midwives) at primary care level and professional policy level. Data collection is ongoing until January 2022. In the second phase, based on the qualitative results, a standardised questionnaire will be developed, and pilot-tested in a wider population of German health professionals. The findings of both phases will be integrated. Ethics and dissemination The study has received ethical approval from the Ethics Committee of the University of Regensburg (18-1205-101). The results will be published in international peer-reviewed open access journals and via presentations at scientific conferences. The results will also be shared with German health professionals, decision-makers and potential funders of interventions.}, language = {en} } @article{SommoggyGrepmeierCurbach, author = {Sommoggy, Julia von and Grepmeier, Eva-Maria and Curbach, Janina}, title = {Health Literacy-Sensitive Counselling on Early Childhood Allergy Prevention}, series = {International Journal of Environmental Research and Public Health}, volume = {19}, journal = {International Journal of Environmental Research and Public Health}, number = {7}, publisher = {MDPI}, address = {Basel}, doi = {10.3390/ijerph19074182}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:355-epub-520757}, pages = {1 -- 16}, abstract = {In Germany, midwives are involved in extensive antenatal and postnatal care. As health professionals, they can play a key role in strengthening health literacy (HL) of parents on how to prevent chronic allergic diseases in their children. The objective of this study is to explore midwives' perspectives regarding HL-sensitive counselling in early childhood allergy prevention (ECAP). Twenty-four qualitative semi-structured interviews were conducted with midwives, and data were analyzed using qualitative content analysis. Only a small number of study participants were aware of HL as a concept. However, most of these use screening and counselling strategies which consider individual information needs and which support parental HL. HL sensitivity in counselling is largely based on the midwives' "gut feelings" and counselling experience, rather than on formal education. The midwives were largely aware of evidence-based ECAP recommendations; however, allergy prevention was not seen as a stand-alone topic but as part of their general counselling on infant feeding and hygiene. They found parents to be more open to receiving complex prevention information during antenatal counselling. In order to strengthen midwives' roles in HL-sensitive ECAP counselling, their formal education should provide them with explicit HL knowledge and counselling skills. ECAP should be an inherent part of antenatal care.}, language = {en} } @article{CurbachvonSommoggyGrepmeier, author = {Curbach, Janina and von Sommoggy, Julia and Grepmeier, Eva-Maria}, title = {Nachhaltige Gesundheitsversorgung - Gesundheitskompetenz st{\"a}rken durch Gesundheitsfachkr{\"a}fte}, series = {Public Health Forum : Forschung - Lehre - Praxis}, volume = {30}, journal = {Public Health Forum : Forschung - Lehre - Praxis}, number = {2}, publisher = {De Gruyter}, issn = {1876-4851}, doi = {10.1515/pubhef-2022-0013}, pages = {105 -- 107}, abstract = {Das Gesundheitssystem beeinflusst die Gesundheitskompetenz (GK) und Gesundheitschancen von Patienten. Gesundheitsfachkr{\"a}fte k{\"o}nnen die GK von Patienten st{\"a}rken, indem sie GK-orientierte Beratungsmethoden einsetzen, wie z.B. das Verwenden von einfacher Sprache. Um dieses Potenzial besser zu nutzen, m{\"u}sste die Ausbildung von Gesundheitsfachkr{\"a}ften zu GK-orientierter Versorgung ausgeweitet werden. Dies zeigt auch eine aktuelle Studie mit P{\"a}diatern und Hebammen im deutschen Versorgungskontext.}, language = {de} } @article{SommoggyGrepmeierApfelbacheretal., author = {Sommoggy, Julia and Grepmeier, Eva-Maria and Apfelbacher, Christian and Brandstetter, Susanne and Curbach, Janina}, title = {Pediatricians' experiences of managing outpatient care during the COVID-19 pandemic: A qualitative study in Germany}, series = {Frontiers in Pediatrics}, volume = {11}, journal = {Frontiers in Pediatrics}, publisher = {frontiers}, doi = {10.3389/fped.2023.1127238}, pages = {11}, abstract = {Background: Pediatricians are important sources of information for parents regarding their children's health. During the COVID-19 pandemic, pediatricians faced a variety of challenges regarding information uptake and transfer to patients, practice organization and consultations for families. This qualitative study aimed at shedding light on German pediatricians' experiences of providing outpatient care during the first year of the pandemic. Methods: We conducted 19 semi-structured, in-depth interviews with pediatricians in Germany from July 2020 to February 2021. All interviews were audio recorded, transcribed, pseudonymized, coded, and subjected to content analysis. Results: Pediatricians felt able to keep up to date regarding COVID-19 regulations. However, staying informed was time consuming and onerous. Informing the patients was perceived as strenuous, especially when political decisions had not been officially communicated to pediatricians or if the recommendations were not supported by the professional judgment of the interviewees. Some felt that they were not taken seriously or adequately involved in political decisions. Parents were reported to consider pediatric practices as sources of information also for non-medical inquiries. Answering these questions was time consuming for the practice personnel and involved non-billable hours. Practices had to adapt their set-up and organization immediately to the new circumstances of the pandemic, which proved costly and laborious as well. Some changes in the organization of routine care, such as the separation of appointments for patients with acute infection from preventive appointments, were perceived as positive and effective by some study participants. Telephone and online consultations were established at the beginning of the pandemic and considered helpful for some situations, whereas for others these methods were deemed insufficient (e.g. for examinations of sick children). All pediatricians reported reduced utilization mainly due to a decline in acute infections. However, preventive medical check-ups and immunization appointments were reported to be mostly attended. Conclusion: Positive experiences of reorganizing pediatric practice should be disseminated as "best practices" in order to improve future pediatric health services. Further research could show how some of these positive experiences in reorganizing care during the pandemic are to be maintained by pediatricians in the future.}, language = {en} }