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  <doc>
    <id>813</id>
    <completedYear>2016</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>189</pageFirst>
    <pageLast>196</pageLast>
    <pageNumber/>
    <edition/>
    <issue>2</issue>
    <volume>48</volume>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Toward standardized reporting for a cohort study on functioning: The Swiss Spinal Cord Injury Cohort Study</title>
    <abstract language="eng">Objective: Functioning is an important outcome to measure in cohort studies. Clear and operational outcomes are needed to judge the quality of a cohort study. This paper outlines guiding principles for reporting functioning in cohort studies and addresses some outstanding issues.&#13;
&#13;
Design: Principles of how to standardize reporting of data from a cohort study on functioning, by deriving scores that are most useful for further statistical analysis and reporting, are outlined. The Swiss Spinal Cord Injury Cohort Study Community Survey serves as a case in point to provide a practical application of these principles.&#13;
&#13;
Methods and Results: Development of reporting scores must be conceptually coherent and metrically sound. The International Classification of Functioning, Disability and Health (ICF) can serve as the frame of reference for this, with its categories serving as reference units for reporting. To derive a score for further statistical analysis and reporting, items measuring a single latent trait must be invariant across groups. The Rasch measurement model is well suited to test these assumptions.&#13;
&#13;
Conclusion: Our approach is a valuable guide for researchers and clinicians, as it fosters comparability of data, strengthens the comprehensiveness of scope, and provides invariant, interval-scaled data for further statistical analyses of functioning.</abstract>
    <parentTitle language="eng">Journal of Rehabilitation Medicine</parentTitle>
    <identifier type="url">https://doi.org/10.2340/16501977-2026</identifier>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <author>Birgit Prodinger</author>
    <author>C. S. Ballert</author>
    <author>M. Brach</author>
    <author>M. W. G. Brinkhof</author>
    <author>A. Cieza</author>
    <author>K. Hug</author>
    <author>X. Jordan</author>
    <author>M. W. M. Post</author>
    <author>A. Scheel-Sailer</author>
    <author>M. Schubert</author>
    <author>A. Tennant</author>
    <author>G. Stucki</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Comparability</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Epidemiology</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Health information systems</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Informed decision-making</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Rasch analysis</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>814</id>
    <completedYear>2015</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>108</pageFirst>
    <pageLast>114</pageLast>
    <pageNumber/>
    <edition/>
    <issue>2</issue>
    <volume>71</volume>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">The International Classification of Functioning, Disability and Health (ICF): Opportunities and Challenges to the Use of the ICF for Occupational Therapy</title>
    <abstract language="eng">The occupational therapy community has been receptive to the World Health Organisation's International Classification of Functioning, Disability and Health (ICF) published in 2001. Building upon results of a survey (2008–2009) and subsequent workshop (2010) conducted by the World Federation of Occupational Therapists on the use and utility of the ICF for occupational therapists, this paper addresses some of the opportunities and challenges to strengthening the use of the ICF in occupational therapy practice. Attaining further clarity on the relationship of occupational therapy concepts and the ICF and developing crosswalk tables to exemplify linkages between occupational therapy terminology and the ICF will strengthen utility of the ICF for occupational therapy. Enhanced clarity about the concepts within occupational therapy that correspond to the ICF will ultimately assist other professions and disciplines in their understanding about occupational therapy and occupational therapists’ roles in health and related systems.</abstract>
    <parentTitle language="eng">World Federation of Occupational Therapists Bulletin</parentTitle>
    <identifier type="url">https://doi.org/10.1179/2056607715Y.0000000003</identifier>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <author>Birgit Prodinger</author>
    <author>S. Darzins</author>
    <author>S. Magasi</author>
    <author>S. Baptiste</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>ICF</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Occupational therapy</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Standardization</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Health care terminology</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Rehabilitation</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>823</id>
    <completedYear>2012</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>369</pageFirst>
    <pageLast>377</pageLast>
    <pageNumber/>
    <edition/>
    <issue>4</issue>
    <volume>41</volume>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Directions for advancing the study of work transitions in the 21st century</title>
    <abstract language="eng">Objectives: The purpose of this article is to share the details, outcomes and deliverables from an international workshop on work transitions in London, Ontario, Canada. Participants: Researchers, graduate students, and community group members met to identity ways to advance the knowledge base of strategies to enhance work participation for those in the most disadvantaged groups within society.&#13;
&#13;
Methods: A participatory approach was used in this workshop with presentations by researchers and graduate students. This approach included dialogue and discussion with community members. In addition, small group dialogue and debate, world cafe discussions, written summaries of group discussion and reflection boards were used to bring new ideas to the discussion and to build upon what we know.&#13;
&#13;
Findings: Two research imperatives and six research recommendations were identified to advance global dialogue on work transitions and to advance the knowledge base. Occupational justice can be used to support future research directions in the study of work transitions.&#13;
&#13;
Conclusions: Moving forward requires a commitment of community of researchers, clinicians and stakeholders to address work disparities and implement solutions to promote participation in work.</abstract>
    <parentTitle language="eng">Work</parentTitle>
    <identifier type="url">https://doi.org/10.3233/WOR-2012-1438</identifier>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <author>L. Shaw</author>
    <author>K. Jacobs</author>
    <author>D. Rudmann</author>
    <author>L. Magalhaes</author>
    <author>S. Huot</author>
    <author>Birgit Prodinger</author>
    <author>A. Mandich</author>
    <author>C. Hocking</author>
    <author>V. Akande</author>
    <author>C. Backmann</author>
    <author>A. Bossers</author>
    <author>M. Bragg</author>
    <author>M. Bryson</author>
    <author>J. Cowls</author>
    <author>S. D. Stone</author>
    <author>E. Dawe</author>
    <author>S. Dennhardt</author>
    <author>D. Dennis</author>
    <author>J. Foster</author>
    <author>M. Friesen</author>
    <author>S. Galheigo</author>
    <author>J. Gichuri</author>
    <author>I. Hughes</author>
    <author>A. Isaac</author>
    <author>T. Jarus</author>
    <author>A. Kinsella</author>
    <author>L. Klinger</author>
    <author>R. Leyshon</author>
    <author>R. Lysaght</author>
    <author>E. McKay</author>
    <author>T. Orchard</author>
    <author>S. Phelan</author>
    <author>M. Ravenek</author>
    <author>K. R. Gruhl</author>
    <author>L. Robb</author>
    <author>R. Stadnyk</author>
    <author>T. Sumsion</author>
    <author>M. Suto</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Work disparities</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>occupational justice</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Occupational transitions</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>810</id>
    <completedYear>2016</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>131</pageFirst>
    <pageLast>140</pageLast>
    <pageNumber/>
    <edition/>
    <issue>2</issue>
    <volume>48</volume>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Setting up a cohort study of functioning: From classification to measurement</title>
    <abstract language="eng">Objective: Cohort studies are an appropriate method for the collection of population-based longitudinal data to track people's health and functioning over time. However, describing and understanding functioning in its complexity with all its determinants is one of the biggest challenges faced by clinicians and researchers.&#13;
&#13;
Design: This paper focuses on the development of a cohort study on functioning, outlining the relevant steps and related methods, and illustrating these with reference to the Swiss Spinal Cord Injury Cohort Study (SwiSCI).&#13;
&#13;
Methods and results: In setting up a cohort study the initial step is to specify which variables are to be included, i.e. what to assess. The International Classification of Functioning, Disability and Health (ICF) is valuable in this process. The second step is to identify how to assess the specified ICF categories. Existing instruments and assessments can then be linked to the ICF.&#13;
&#13;
Conclusion: The methods outlined here enable the development of a cohort study to be based on a comprehensive perspective of health, operationalized through functioning as conceptualized and classified in the ICF, yet to remain efficient and feasible to administer.</abstract>
    <parentTitle language="eng">Journal of Rehabilitation Medicine</parentTitle>
    <identifier type="url">https://doi.org/10.2340/16501977-2030</identifier>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <author>Birgit Prodinger</author>
    <author>C. S. Ballert</author>
    <author>A. Cieza</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Disability and health</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Cohort study</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Epidemiology</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>International classification of functioning</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Standardized Reporting</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>800</id>
    <completedYear>2019</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>584</pageFirst>
    <pageLast>600</pageLast>
    <pageNumber/>
    <edition/>
    <issue>5</issue>
    <volume>41</volume>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Using the refined ICF Linking Rules to compare the content of existing instruments and assessments: a systematic review and exemplary analysis of instruments measuring participation.</title>
    <abstract language="eng">Background: Existing instruments measuring participation may vary with respect to various aspects. This study aimed to examine the comparability of existing instruments measuring participation based on the International Classification of Functioning, Disability and Health (ICF) by considering aspects of content, the perspective adopted and the categorization of response options.&#13;
Methods: A systematic literature review was conducted to identify instruments that have been commonly used to measure participation. Concepts of identified instruments were then linked to the ICF following the refined ICF Linking Rules. Aspects of content, perspective adopted and categorization of response options were documented.&#13;
Results: Out of 315 instruments identified in the full-text screening, 41 instruments were included. Concepts of six instruments were linked entirely to the ICF component Activities and Participation; of 10 instruments still 80% of their concepts. A descriptive perspective was adopted in most items across instruments (75%), mostly in combination with an intensity rating. An appraisal perspective was found in 18% and questions from a need or dependency perspective were least frequent (7%).&#13;
Conclusion: Accounting for aspects of content, perspective and categorization of responses in the linking of instruments to the ICF provides detailed information for the comparison of instruments and guidance on narrowing down the choices of suitable instruments from a content point of view.&#13;
&#13;
Implications for Rehabilitation&#13;
For clinicians and researchers who need to identify a specific instrument for a given purpose, the findings of this review can serve as a screening tool for instruments measuring participation in terms of the following:&#13;
• Their content covered based on the ICF.&#13;
• The perspective adopted in the instrument (e.g., descriptive, need/dependency or appraisal).&#13;
• The categorization of their response options (e.g., intensity or frequency).</abstract>
    <parentTitle language="eng">Disability and Rehabilitation</parentTitle>
    <identifier type="url">https://doi.org/10.1080/09638288.2016.1198433</identifier>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <author>C.S. Ballert</author>
    <author>M. Hopfe</author>
    <author>M. Kus</author>
    <author>L. Mader</author>
    <author>Birgit Prodinger</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Comparability</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>International Classification of Functioning</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Disability and health</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Outcome measures</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>680</id>
    <completedYear>2004</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>contributiontoperiodical</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-04-26</completedDate>
    <publishedDate>2018-06-04</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Economic Evaluation of Varicella Vaccination Programmes: A Review of the Literature</title>
    <abstract language="eng">Chickenpox infections are generally mild but due to their very high incidence among healthy children they give rise to considerable morbidity and occasional mortality. With the development of a varicella vaccine in the early 1970s and its progressive licensing in many countries, interest in the efficiency of varicella immunisation programmes grew. The objective of this review was to discuss the methodological aspects and results of published economic evaluations of varicella vaccination. From this, we attempted to make recommendations.&#13;
A computerised search was carried out; 17 full economic evaluations of varicella vaccination were retrieved. The review identified the methodological divergences and similarities between the articles in four areas: study design, epidemiological data, economic data and model characteristics. We assessed to what extent the applied methods conform to general guidelines for the economic evaluation of healthcare interventions and compared the studies’ results.&#13;
The desirability of a universal vaccination programme depends on whose perspective is taken. Despite variability in data and model assumptions, the studies suggest that universal vaccination of infants is attractive to society because large savings occur from averted unproductive days for parents. For the healthcare payer, universal vaccination of infants does not generate savings. Vaccination of susceptible adolescents has been proposed by some authors as a viable alternative; the attractiveness of this is highly dependent on the negative predictive value of anamnestic screening. Targeted vaccination of healthcare workers and immunocompromised individuals appears relatively cost effective. Findings for other target groups are either contradictory or provide insufficient evidence for any unequivocal recommendations to be made. High sensitivity to vaccine price was reported in most studies.&#13;
This review highlights that some aspects of these studies need to be further improved before final recommendations can be made. First, more transparency, completeness and compliance to general methodological guidelines are required. Second, because of the increasing severity of varicella with age, it is preferable and in some cases essential to use dynamic models for the assessment of universal vaccination strategies. Third, most studies focused on the strategy of vaccinating children only while their results depended heavily on disputable assumptions (regarding vaccine effectiveness and impact on herpes zoster). Since violation of these assumptions could have important adverse public health effects, we suggest pre-adolescent vaccination as a more secure alternative. This option deserves more attention in future analyses.</abstract>
    <parentTitle language="eng">Pharmaco Economics</parentTitle>
    <enrichment key="review.accepted_by">2</enrichment>
    <author>Thomas Hammerschmidt</author>
    <author>K. Banz</author>
    <author>S. Wagenpfeil</author>
    <author>A. Neiss</author>
    <author>P. Wutzler</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Herpes Zoster</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Healthcare Worker</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Varicella Zoster Virus</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Chickenpox</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Healthcare Payer</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>692</id>
    <completedYear>2011</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-05-03</completedDate>
    <publishedDate>2018-06-04</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Multimorbidity and successful aging: the population-based KORA-Age study</title>
    <abstract language="eng">Background&#13;
Multimorbidity in the older population is well acknowledged to negatively affect health-related quality of life (HRQL). Several studies have examined the independent effects of single diseases; however, little research has focused on interaction between diseases. The purpose of this study was to assess the impact of six self-reported major conditions and their combinations on HRQL measured by the EQ-5D.&#13;
Methods&#13;
The EQ-5D was administered in the population-based KORA-Age study of 4,565 Germans aged 65 years or older. A generalised additive regression model was used to assess the effects of chronic conditions on HRQL and to account for the nonlinear associations with age and body mass index (BMI). Disease interactions were identified by a forward variable selection method.&#13;
Results&#13;
The conditions with the greatest negative impact on the EQ-5D index were the history of a stroke (regression coefficient -11.3, p &lt; 0.0001) and chronic bronchitis (regression coefficient -8.1, p &lt; 0.0001). Patients with both diabetes and coronary disorders showed more impaired HRQL than could be expected from their separate effects (coefficient of interaction term -8.1, p &lt; 0.0001). A synergistic effect on HRQL was also found for the combination of coronary disorders and stroke. The effect of BMI on the mean EQ-5D index was inverse U-shaped with a maximum at around 24.8 kg/m2.&#13;
Conclusions&#13;
There are important interactions between coronary problems, diabetes mellitus, and the history of a stroke that negatively affect HRQL in the older German population. Not only high but also low BMI is associated with impairments in health status.</abstract>
    <parentTitle language="eng">Zeitschrift für Gerontologie und Geriatrie</parentTitle>
    <enrichment key="review.accepted_by">2</enrichment>
    <author>Martin Müller</author>
    <author>A. Peters</author>
    <author>A. Doring</author>
    <author>K.-H. Ladwig</author>
    <author>R. Holle</author>
    <author>C. Meisinger</author>
    <author>B. Linkohr</author>
    <author>C. Autenrieth</author>
    <author>S. Baumeister</author>
    <author>J. Behr</author>
    <author>A. Bergner</author>
    <author>H. Bickel</author>
    <author>M. Bidlingmaier</author>
    <author>A. Dias</author>
    <author>R.T. Emeny</author>
    <author>B. Fischer</author>
    <author>E. Grill</author>
    <author>L. Gorzelniak</author>
    <author>H. Hansch</author>
    <author>S. Heidbreder</author>
    <author>M. Heier</author>
    <author>A. Horsch</author>
    <author>D. Huber</author>
    <author>R.M. Huber</author>
    <author>R.A. Jorres</author>
    <author>S. Kaab</author>
    <author> Karrasch</author>
    <author> Kirchberger</author>
    <author> Klug</author>
    <author> Kranz</author>
    <author> Kruch</author>
    <author> Lacruz</author>
    <author> Lang</author>
    <author> Mielk</author>
    <author> Nowak</author>
    <author> Schneider</author>
    <author> Schulz</author>
    <author> Seidel</author>
    <author> Strobl</author>
    <author> Thorand</author>
    <author> Wende</author>
    <author> Weidenhammer</author>
    <author> Zimmermann</author>
    <author> Wichmann</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Body Mass Index</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Chronic Condition</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Questionnaire Respondent</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Disease Interaction</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Coronary Problem</value>
    </subject>
    <collection role="ddc" number="30">Sozialwissenschaften, Soziologie</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>598</id>
    <completedYear>2014</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Men benefit more from midlife leisure-time physical activity than women regarding the development of late-life disability--results of the KORA-Age study</title>
    <abstract language="eng">Objective&#13;
Encouraging physical activity is an important public health measure to reduce disability prevalence in the aged. The aims of this study were to determine the association between midlife physical activity and late-life disability and to investigate gender-specific differences.&#13;
Method&#13;
This data originates from the KORA-Age cohort, a follow-up in 2008 of the MONICA (Multinational Monitoring of Trends and Determinants in Cardiovascular Diseases)/KORA (Cooperative Health Research in the Region of Augsburg) S1–S4 surveys (1984–2001) situated in Augsburg, a city in Southern Germany. We applied a multivariable hurdle model to investigate the association of physical activity and disability.&#13;
Results&#13;
We analysed 3333 persons with a mean follow-up of 18 ± 5.5 years. Using hurdle models, moderate activity and high activity had a protective effect on the occurrence of disability (OR (odds ratio) = 0.80 and 0.73), but not on severity (i.e. number of limitations). We observed a strong gender-specific difference in this association, with men benefitting more from exercise.&#13;
Conclusion&#13;
Elevated physical activity reduces the risk of becoming disabled and postpones the onset of disability by several years, but we could not show an effect on the severity of disability. In addition, men seem to benefit more from leisure-time physical activity than women</abstract>
    <parentTitle language="eng">science direct</parentTitle>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <enrichment key="review.accepted_by">2</enrichment>
    <author>R. Strobl</author>
    <author>Martin Müller</author>
    <author>B. Thorand</author>
    <author>B. Linkohr</author>
    <author>C. S. Autenrieth</author>
    <author>A. Peters</author>
    <author>E. Grill</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Aged</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Aged 80 and over</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>physical activity</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Disability evaluation</value>
    </subject>
    <collection role="ddc" number="30">Sozialwissenschaften, Soziologie</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>613</id>
    <completedYear>2011</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume/>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Multimorbidity and successful aging: the population-based KORA-Age study</title>
    <abstract language="eng">Background&#13;
Multimorbidity in the older population is well acknowledged to negatively affect health-related quality of life (HRQL). Several studies have examined the independent effects of single diseases; however, little research has focused on interaction between diseases. The purpose of this study was to assess the impact of six self-reported major conditions and their combinations on HRQL measured by the EQ-5D.&#13;
&#13;
Methods&#13;
The EQ-5D was administered in the population-based KORA-Age study of 4,565 Germans aged 65 years or older. A generalised additive regression model was used to assess the effects of chronic conditions on HRQL and to account for the nonlinear associations with age and body mass index (BMI). Disease interactions were identified by a forward variable selection method.&#13;
Results&#13;
The conditions with the greatest negative impact on the EQ-5D index were the history of a stroke (regression coefficient -11.3, p &lt; 0.0001) and chronic bronchitis (regression coefficient -8.1, p &lt; 0.0001). Patients with both diabetes and coronary disorders showed more impaired HRQL than could be expected from their separate effects (coefficient of interaction term -8.1, p &lt; 0.0001). A synergistic effect on HRQL was also found for the combination of coronary disorders and stroke. The effect of BMI on the mean EQ-5D index was inverse U-shaped with a maximum at around 24.8 kg/m2.&#13;
&#13;
Conclusions&#13;
There are important interactions between coronary problems, diabetes mellitus, and the history of a stroke that negatively affect HRQL in the older German population. Not only high but also low BMI is associated with impairments in health status.</abstract>
    <parentTitle language="eng">Health and quality of life outcomes</parentTitle>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <enrichment key="review.accepted_by">2</enrichment>
    <author>A. Peters</author>
    <author>A. Doring</author>
    <author>K.-H. Ladwig</author>
    <author>C. Meisinger</author>
    <author>B. Linkohr</author>
    <author>C. Autenrieth</author>
    <author>S.E. Baumeister</author>
    <author>J. Behr</author>
    <author>A. Bergner</author>
    <author>H. Bickel</author>
    <author>M. Bidlingmaier</author>
    <author>A. Dias</author>
    <author>R.T. Emeny</author>
    <author>B. Fischer</author>
    <author>E. Grill</author>
    <author>L. Gorzelniak</author>
    <author>H. Hansch</author>
    <author>S. Heidbreder</author>
    <author>M. Heier</author>
    <author>A. Horsch</author>
    <author>D. Huber</author>
    <author>Huber R. M.</author>
    <author>R.A. Jorres</author>
    <author>S. Kaab</author>
    <author>S. Karrasch</author>
    <author>I. Kirchberger</author>
    <author>G. Klug</author>
    <author>B. Kranz</author>
    <author>B. Kuch</author>
    <author>M.E. Lacruz</author>
    <author>O. Lang</author>
    <author>A. Mielck</author>
    <author>D. Nowak</author>
    <author>S. Perz</author>
    <author>A. Schneider</author>
    <author>H. Schulz</author>
    <author>Martin Müller</author>
    <author>H. Seidl</author>
    <author>R. Strobl</author>
    <author>B. Thorand</author>
    <author>R. Wende</author>
    <author>W. Weidenhammer</author>
    <author>A.-K. Zimmermann</author>
    <author>H.-E. Wichmann</author>
    <author>R. Holle</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Aging</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Multimorbidity</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>KORA Study</value>
    </subject>
    <collection role="ddc" number="30">Sozialwissenschaften, Soziologie</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
  <doc>
    <id>831</id>
    <completedYear>2009</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>21</pageFirst>
    <pageLast>28</pageLast>
    <pageNumber/>
    <edition/>
    <issue>1</issue>
    <volume>61</volume>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2018-06-04</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Identification of relevant concepts of functioning in daily life in people with systematic Lupus Erythematosus: A patient Delphi exercise</title>
    <abstract language="eng">Objective&#13;
To identify the most important and relevant concepts of daily functioning from the perspective of patients with systemic lupus erythematosus (SLE). &#13;
&#13;
Methods&#13;
We conducted a consensus‐building, 3‐round, electronic mail survey with SLE patients using the Delphi technique. The Delphi technique is a structured communication process with 4 key characteristics: anonymity, iteration with controlled feedback, statistical group response, and informed input. The concepts contained in the answers of the patients were extracted and linked to the International Classification of Functioning, Disability and Health (ICF). &#13;
&#13;
Results&#13;
Of the total 225 participants, 194 (86.2%) completed the questionnaires from all 3 Delphi rounds. In total, after the third Delphi round, 307 concepts were identified. Ninety concepts (55 in the domain body functions and structures, 16 in activities and participation, and 19 in environmental factors) were considered relevant by at least 50% of the participants in the third round and linked to the ICF. Twelve concepts were considered important by at least 75% of the participants.&#13;
 &#13;
Conclusion&#13;
The high number of concepts resulting from this large‐scale patient Delphi approach underlines the great variety of SLE patients' problems in daily functioning. The results of this patient Delphi project supplement the findings of our focus‐group study in establishing a comprehensive overview of the patient perspective in SLE.</abstract>
    <parentTitle language="eng">Arthritis Care &amp; Research</parentTitle>
    <identifier type="url">https://doi.org/10.1002/art.24165</identifier>
    <enrichment key="PeerReviewed">Ja</enrichment>
    <author>B. Bauernfeind</author>
    <author>M. Aringer</author>
    <author>Birgit Prodinger</author>
    <author>I. Kirchberger</author>
    <author>K. Machold</author>
    <author>J. Smolen</author>
    <author>T. Stamm</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Systemic lupus erythematosus</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Patient Delphi exercise</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Functioning in daily life</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
</export-example>
