@inproceedings{HorstmannshoffKieselDoeringeretal.2023, author = {Horstmannshoff, Caren and Kiesel, Theresia and D{\"o}ringer, Tobias and Voigt, Karen and Bauer, Petra and M{\"u}ller, Martin}, title = {Care pathway for evidence-based healthcare of patients with vertigo, dizziness or balance disorders in primary care. First results of the mixed-methods process evaluation}, series = {7. Forschungssymposium Physiotherapie}, booktitle = {7. Forschungssymposium Physiotherapie}, year = {2023}, abstract = {BACKGROUND Vertigo, dizziness or balance disorders (VDB) affect the mobility and participation of many older people and are also one of the most frequent reasons for visiting the general practitioner's (GP) practice due to multifactorial causes. Physiotherapy (PT) can be crucial for the complex care of people with VDB but is rarely prescribed by GPs. So we developed an evidence-based, multidisciplinary care pathway as a complex intervention following the UK Medical Research Council guideline, which was piloted and is now being evaluated for effectiveness, accompanied by a process evaluation. METHOD The care pathway of the multicentre cluster-RCT (MobilE-PHY2) included decision aids and training for PTs and GPs in the intervention group and optimised standard care in the control group. A mixed-methods process evaluation following Grant's framework for designing process evaluations examined barriers, facilitating factors and mechanisms of impact in recruiting and reaching participants, implementing the intervention and the response of all participants. Therefore, a logic model was developed illustrating the relationship between the planned work to implement the intervention, the expected mechanism of impact (based on the behaviour change wheel as a change theory), the intended results (output, outcome and impact), and categories of possible influencing factors. The underlying assumption is that a behavioural change in PT and GP is a prerequisite for a change in patient behaviour, which can lead to improved mobility and participation (outcome of MobilE-PHY2). Guided interviews were conducted with patients before the intervention and after six months and with PTs and GPs after six months. Additionally, the training evaluations, completed decision aids and structural questionnaires will be analysed from June 2023. RESULTS AND CONCLUSION At one study site, a total of 37 patients, 17 PTs and nine GPs were included. Interviews were conducted with 16 patients, six PTs and GPs. In the intervention group, 12 PTs and 18 GPs completed decision aids, 13 PTs and two GPs completed evaluation forms, and eight PTs and four GPs completed structural data. The preliminary results of the process evaluation will be reported at the Congress. The results are intended to give indications for a broad implementation of the care pathway, including and promoting physiotherapy and therefore contributing to improved evidence-based healthcare for older people with VDB.}, language = {en} } @misc{BorchersHorstmannshoffCrispinetal.2024, author = {Borchers, Peggy and Horstmannshoff, Caren and Crispin, Alexander and Kiesel, Theresia and Scheibe, Sandy and D{\"o}ringer, Tobias and Petermann, Jenny and Bauer, Petra and M{\"u}ller, Martin and Voigt, Karen}, title = {MobilE-PHY2 - Wirksamkeit eines evidenzbasierten Versorgungspfades bei {\"a}lteren Patient*innen mit Schwindel- und/oder Gleichgewichtsst{\"o}rungen in der Prim{\"a}rversorgung}, series = {58. Kongress f{\"u}r Allgemeinmedizin und Familienmedizin}, journal = {58. Kongress f{\"u}r Allgemeinmedizin und Familienmedizin}, editor = {Deutsche Gesellschaft f{\"u}r Allgemeinmedizin und Familienmedizin (DEGAM),}, doi = {10.3205/24degam200}, year = {2024}, language = {de} } @misc{ZimmerHorstmannshoffBaueretal.2024, author = {Zimmer, Viola and Horstmannshoff, Caren and Bauer, Petra and M{\"u}ller, Martin and Voigt, Karen and K{\"o}berlein-Neu, Juliane}, title = {MobilE-PHY2 - Gesundheits{\"o}konomische Evaluation eines multidisziplin{\"a}ren Versorgungspfades f{\"u}r Menschen mit Schwindel und Gleichgewichtsst{\"o}rungen}, series = {23. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF)}, journal = {23. Deutscher Kongress f{\"u}r Versorgungsforschung (DKVF)}, organization = {Bergische Universit{\"a}t Wuppertal, Bergisches Kompetenzzentrum f{\"u}r Gesundheits{\"o}konomik und Versorgungsforschung}, doi = {10.3205/24dkvf306}, year = {2024}, language = {de} } @inproceedings{HorstmannshoffKieselBorchersetal.2023, author = {Horstmannshoff, Caren and Kiesel, Theresia and Borchers, Peggy and D{\"o}ringer, Tobias and Bauer, Petra and Voigt, Karen and M{\"u}ller, Martin}, title = {Wirksamkeit und Sicherheit eines evidenzbasierten Versorgungspfades zur Verbesserung von Mobilit{\"a}t und Partizipation f{\"u}r {\"a}ltere Patient*innen mit Schwindel und Gleichgewichtsst{\"o}rungen (VDB) in der Prim{\"a}rversorgung: Eine multizentrische cluster-randomisierte kontrollierte Studie}, series = {Tag der Forschung TH Rosenheim}, booktitle = {Tag der Forschung TH Rosenheim}, year = {2023}, language = {de} } @misc{KieselHorstmannshoffSchaedleretal.2023, author = {Kiesel, Theresia and Horstmannshoff, Caren and Sch{\"a}dler, Stefan and D{\"o}ringer, Tobias and Voigt, Karen and M{\"u}ller, Martin and Bauer, Petra}, title = {Beeinflussende Faktoren in der Umsetzung einer evidenzbasierten Handlungsempfehlung in der physiotherapeutischen Versorgung von {\"a}lteren Menschen mit Schwindel und/oder Gleichgewichtsst{\"o}rungen: eine qualitative Auswertung im Rahmen von MobilE-PHY2}, series = {7. Forschungssymposium der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft (DGPTW)}, journal = {7. Forschungssymposium der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft (DGPTW)}, doi = {10.1055/s-0043-1777918}, year = {2023}, language = {de} } @inproceedings{HorstmannshoffBorchersCrispinetal.2024, author = {Horstmannshoff, Caren and Borchers, Peggy and Crispin, Alexander and Kiesel, Theresia and D{\"o}ringer, Tobias and Scheibe, Sandy and Bauer, Petra and Voigt, Karen and M{\"u}ller, Martin}, title = {Wirksamkeit eines evidenzbasierten Versorgungspfades zur Verbesserung von Mobilit{\"a}t und Partizipation bei {\"a}lteren Patient*innen mit Schwindel und Gleichgewichtsst{\"o}rungen in der Prim{\"a}rversorgung}, series = {Abschlusssymposium des M{\"u}nchner Netzwerk Versorgungsforschung (Mobile-Net)}, booktitle = {Abschlusssymposium des M{\"u}nchner Netzwerk Versorgungsforschung (Mobile-Net)}, year = {2024}, language = {de} } @inproceedings{HorstmannshoffSchmidleBaueretal.2024, author = {Horstmannshoff, Caren and Schmidle, Stephanie and Bauer, Petra and M{\"u}ller, Martin and Hermsd{\"o}rfer, Joachim}, title = {{\"A}ndert sich die k{\"o}rperliche Aktivit{\"a}t bei Patient*innen mit Schwindel und Gleichgewichtsst{\"o}rungen durch einen Versorgungspfad in der Prim{\"a}rversorgung?}, series = {8. Forschungssymposium der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft (DGPTW)}, booktitle = {8. Forschungssymposium der Deutschen Gesellschaft f{\"u}r Physiotherapiewissenschaft (DGPTW)}, year = {2024}, language = {de} } @inproceedings{HorstmannshoffSchmidleCrispinetal.2024, author = {Horstmannshoff, Caren and Schmidle, Stephanie and Crispin, Alexander and Bauer, Petra and M{\"u}ller, Martin and Hermsd{\"o}rfer, Joachim}, title = {{\"A}ndert sich das Aktivit{\"a}tsverhalten bei Patient*innen mit Schwindel und Gleichgewichtsst{\"o}rungen durch einen Versorgungspfad?}, series = {10. Gemeinsame Jahrestagung der DGNR e.V. und DGNKN e.V.}, booktitle = {10. Gemeinsame Jahrestagung der DGNR e.V. und DGNKN e.V.}, year = {2024}, language = {de} } @inproceedings{BorchersHorstmannshoffKatzenbergeretal.2024, author = {Borchers, Peggy and Horstmannshoff, Caren and Katzenberger, Benedict and Petermann, Jenny and Bauer, Petra and Kiesel, Theresia and M{\"u}ller, Martin and Sanftenberger, Linda and Voigt, Karen}, title = {Haus{\"a}rztliche Verordnung und patientenseitige Inanspruchnahme von Physiotherapie bei Schwindel- und/oder Gleichgewichtsst{\"o}rungen - Ergebnisse der Kohortenstudie MobilE-TRA}, series = {Abschlusssymposium des M{\"u}nchner Netzwerk Versorgungsforschung (Mobile-Net)}, booktitle = {Abschlusssymposium des M{\"u}nchner Netzwerk Versorgungsforschung (Mobile-Net)}, year = {2024}, language = {de} } @inproceedings{HorstmannshoffKieselPetermannetal.2024, author = {Horstmannshoff, Caren and Kiesel, Theresia and Petermann, Jenny and Bauer, Petra and Voigt, Karen and M{\"u}ller, Martin}, title = {Ein evidenzbasierter Versorgungspfad zur Verbesserung von Mobilit{\"a}t und Partizipation f{\"u}r {\"a}ltere Patient*innen mit Schwindel und Gleichgewichtsst{\"o}rungen in der Prim{\"a}rversorgung}, series = {Abschlusssymposium des M{\"u}nchner Netzwerk Versorgungsforschung (Mobile-Net)}, booktitle = {Abschlusssymposium des M{\"u}nchner Netzwerk Versorgungsforschung (Mobile-Net)}, year = {2024}, language = {de} } @misc{HorstmannshoffSchmidleBaueretal.2025, author = {Horstmannshoff, Caren and Schmidle, Stephanie and Bauer, Petra and M{\"u}ller, Martin}, title = {Impact of an evidence-based care pathway on the physical activity level in older adults with vertigo, dizziness, and balance disorders}, doi = {10.3205/25ebm053}, year = {2025}, language = {en} } @misc{SecklerKronastBaueretal.2019, author = {Seckler, Eva and Kronast, Verena and Bauer, Petra and M{\"u}ller, Martin}, title = {Barriers and Facilitators of multi-disciplinary care pathways in primary care: A Systematic Review}, year = {2019}, language = {en} }