@article{HodelEhrmannScheelSaileretal.2021, author = {Hodel, Jsabel and Ehrmann, Cristina and Scheel-Sailer, Anke and Stucki, Gerold and Bickenbach, Jerome E. and Prodinger, Birgit}, title = {Identification of Classes of Functioning Trajectories and Their Predictors in Individuals With Spinal Cord Injury Attending Initial Rehabilitation in Switzerland}, series = {Archives of Rehabilitation Research and Clinical Translation}, volume = {3}, journal = {Archives of Rehabilitation Research and Clinical Translation}, number = {2}, pages = {100121}, year = {2021}, abstract = {Objectives: To identify classes of functioning trajectories in individuals with spinal cord injury (SCI) undergoing initial rehabilitation after injury and to examine potential predictors of class membership to inform clinical planning of the rehabilitation process. Design: Longitudinal analysis of the individual's rehabilitation stay using data from the Inception Cohort of the Swiss Spinal Cord Injury Cohort Study (SwiSCI). Setting: Initial rehabilitation in specialized centers in Switzerland. Participants: Individuals with newly acquired SCI (N=748; mean age, 54.66±18.38y) who completed initial rehabilitation between May 2013 and September 2019. The cohort was primarily composed of men (67.51\%), persons with paraplegia (56.15\%), incomplete injuries (67.51\%), and traumatic etiologies (55.48\%). Interventions: Not applicable. Main Outcome Measures: Functioning was operationalized with the interval-based sum score of the Spinal Cord Independence Measure version III (SCIM III). For each individual, the SCIM III sum score was assessed at up to 4 time points during rehabilitation stay. The corresponding time of assessment was recorded by the difference in days between the SCIM III assessment and admission to the rehabilitation program. Results: Latent process mixed model analysis revealed 4 classes of functioning trajectories within the present sample. Class-specific predicted mean functioning trajectories describe stable high functioning (n=307; 41.04\%), early functioning improvement (n=39; 5.21\%), moderate functioning improvement (n=287; 38.37\%), and slow functioning improvement (n=115; 15.37\%), respectively. Out of 12 tested factors, multinomial logistic regression showed that age, injury level, injury severity, and ventilator assistance were robust predictors that could distinguish between identified classes of functioning trajectories in the present sample. Conclusions: The current study establishes a foundation for future research on the course of functioning of individuals with SCI in initial rehabilitation by identifying classes of functioning trajectories. This supports the development of specifically tailored rehabilitation programs and prediction models, which can be integrated into clinical rehabilitation planning.}, language = {en} } @article{HodelStuckiProdinger2021, author = {Hodel, Jsabel and Stucki, Gerold and Prodinger, Birgit}, title = {The potential of prediction models of functioning remains to be fully exploited: A scoping review in the field of spinal cord injury rehabilitation}, series = {Journal of Clinical Epidemiology}, volume = {139}, journal = {Journal of Clinical Epidemiology}, pages = {177 -- 190}, year = {2021}, abstract = {Objective: The study aimed to explore existing prediction models of functioning in spinal cord injury (SCI). Study design and setting: The databases PubMed, EBSCOhost CINAHL Complete, and IEEE Xplore were searched for relevant literature. The search strategy included published search filters for prediction model and impact studies, index terms and keywords for SCI, and relevant outcome measures able to assess functioning as reflected in the International Classification of Functioning, Disability and Health (ICF). The search was completed in October 2020. Results: We identified seven prediction model studies reporting twelve prediction models of functioning. The identified prediction models were mainly envisioned to be used for rehabilitation planning, however, also other possible applications were stated. The method predominantly used was regression analysis and the investigated predictors covered mainly the ICF components of body functions and activities and participation, next to characteristics of the health condition and health interventions. Conclusion: Findings suggest that the development of prediction models of functioning for use in clinical practice remains to be fully exploited. By providing a comprehensive overview of what has been done, this review informs future research on prediction models of functioning in SCI and contributes to an efficient use of research evidence.}, language = {en} } @misc{SkudlikHirtDoeringeretal.2022, author = {Skudlik, Stefanie and Hirt, Julian and D{\"o}ringer, Tobias and Thalhammer, Regina and L{\"u}ftl, Katharina and Prodinger, Birgit and M{\"u}ller, Martin}, title = {Challenges and care strategies during the transition to nursing home in Germany: A scoping review. European Nursing Kongress am 5. Oktober 2022, online}, year = {2022}, language = {de} } @misc{SkudlikHirtDoeringeretal.2023, author = {Skudlik, Stefanie and Hirt, Julian and D{\"o}ringer, Tobias and Thalhammer, Regina and L{\"u}ftl, Katharina and Prodinger, Birgit and M{\"u}ller, Martin}, title = {Herausforderungen und Versorgungsstrategien im Kontext von Pflegeheimeinz{\"u}gen in Deutschland: Ein Scoping Review. Poster f{\"u}r den EbM-Kongress vom 22.-24. M{\"a}rz 2023 in Potsdam}, year = {2023}, language = {de} } @article{SkudlikHirtDoeringeretal.2023, author = {Skudlik, Stefanie and Hirt, Julian and D{\"o}ringer, Tobias and Thalhammer, Regina and L{\"u}ftl, Katharina and Prodinger, Birgit and M{\"u}ller, Martin}, title = {Challenges and care strategies associated with the admission to nursing homes in Germany: a scoping review}, series = {BMC Nursing}, volume = {22}, journal = {BMC Nursing}, doi = {10.1186/s12912-022-01139-y}, year = {2023}, abstract = {Background The admission to a nursing home is a critical life-event for affected persons as well as their families. Admission related processes are lacking adequate participation of older people and their families. To improve transitions to nursing homes, context- and country-specific knowledge about the current practice is needed. Hence, our aim was to summarize available evidence on challenges and care strategies associated with the admission to nursing homes in Germany. Methods We conducted a scoping review and searched eight major international and German-specific electronic databases for journal articles and grey literature published in German or English language since 1995. Further inclusion criteria were focus on challenges or care strategies in the context of nursing home admissions of older persons and comprehensive and replicable information on methods and results. Posters, only-abstract publications and articles dealing with mixed populations including younger adults were excluded. Challenges and care strategies were identified and analysed by structured content analysis using the TRANSCIT model. Results Twelve studies of 1,384 records were finally included. Among those, seven were qualitative studies, three quantitative observational studies and two mixed methods studies. As major challenges neglected participation of older people, psychosocial burden among family caregivers, inadequate professional cooperation and a lack of shared decision-making and evidence-based practice were identified. Identified care strategies included strengthening shared decision-making and evidence-based practice, improvement in professional cooperation, introduction of specialized transitional care staff and enabling participation for older people. Conclusion Although the process of nursing home admission is considered challenging and tends to neglect the needs of older people, little research is available for the German health care system. The perspective of the older people seems to be underrepresented, as most of the studies focused on caregivers and health professionals. Reported care strategies addressed important challenges, however, these were not developed and evaluated in a comprehensive and systematic way. Future research is needed to examine perspectives of all the involved groups to gain a comprehensive picture of the needs and challenges. Interventions based on existing care strategies should be systematically developed and evaluated to provide the basis of adequate support for older persons and their informal caregivers.}, language = {en} }