TY - GEN A1 - Horstmannshoff, Caren A1 - Hering, Thomas A1 - Thiel, Christian A1 - Müller, Martin A1 - Hermsdörfer, Joachim T1 - How accurately do activity trackers measure step count in adults with gait impairment? A systematic review with Bland-Altman meta-analysis. T2 - 7. Forschungssymposium der Deutschen Gesellschaft für Physiotherapiewissenschaft (DGPTW) KW - systematic review KW - meta-analysis KW - bland-altman KW - activity trackers KW - accuracy Y1 - 2024 U6 - https://doi.org/10.1055/s-0043-1777886 ER - TY - GEN A1 - Horstmannshoff, Caren A1 - Hering, Thomas A1 - Thiel, Christian A1 - Müller, Martin A1 - Hermsdörfer, Joachim T1 - Wie genau messen Aktivitätstracker die Schrittzahl bei erwachsenen Menschen? Ein systematisches Review mit Bland-Altman-Metaanalysen T2 - 24. Jahrestagung des Netzwerks Evidenzbasierte Medizin KW - systematic review KW - Meta-Analyse KW - Bland-Altman KW - Aktivitätstracker KW - Genauigkeit Y1 - 2024 U6 - https://doi.org/10.3205/23EBM054 ER - TY - CHAP A1 - Horstmannshoff, Caren A1 - Borchers, Peggy A1 - Lechner, Theresia A1 - Petermann, Jenny A1 - Skudlik, Stefanie A1 - Döringer, Tobias A1 - Crispin, Alexander A1 - Hermsdörfer, Joachim A1 - Köberlein-Neu, Juliane A1 - Bauer, Petra A1 - Voigt, Karen A1 - Müller, Martin T1 - Wirksamkeit und Sicherheit eines evidenzbasierten Versorgungspfades zur Verbesserung von Mobilität und Teilhabe für ältere Patient*innen mit Schwindel- und/oder Gleichgewichtsstörungen in der Primärversorgung T2 - 21. Deutscher Kongress für Versorgungsforschung (DKVF) KW - Gleichgewichtsstörung KW - Versorgungspfad KW - Komplexe Intervention KW - Schwindel KW - Mobilität KW - Multizentrische randomisierte kontrollierte Studie KW - Physiotherapie KW - Primärversorgung Y1 - 2022 UR - https://dx.doi.org/10.3205/22dkvf413 ER - TY - JOUR A1 - Seckler, Eva A1 - Regauer, Verena A1 - Krüger, Melanie A1 - Gabriel, Anna A1 - Hermsdörfer, Joachim A1 - Niemietz, Carolin A1 - Bauer, Petra A1 - Müller, Martin T1 - Improving mobility and participation of older people with vertigo, dizziness and balance disorders in primary care using a care pathway: feasibility study and process evaluation JF - BMC Family Practice N2 - Background Community-dwelling older people are frequently affected by vertigo, dizziness and balance disorders (VDB). We previously developed a care pathway (CPW) to improve their mobility and participation by offering standardized approaches for general practitioners (GPs) and physical therapists (PTs). We aimed to assess the feasibility of the intervention, its implementation strategy and the study procedures in preparation for the subsequent main trial. Methods This 12-week prospective cohort feasibility study was accompanied by a process evaluation designed according to the UK Medical Research Council’s Guidance for developing and evaluating complex interventions. Patients with VDB (≥65 years), GPs and PTs in primary care were included. The intervention consisted of a diagnostic screening checklist for GPs and a guide for PTs. The implementation strategy included specific educational trainings and a telephone helpline. Data for mixed-method process evaluation were collected via standardized questionnaires, field notes and qualitative interviews. Quantitative data were analysed using descriptive statistics, qualitative data using content analysis. Results A total of five GP practices (seven single GPs), 10 PT practices and 22 patients were included in the study. The recruitment of GPs and patients was challenging (response rates: GP practices: 28%, PT practices: 39%). Ninety-one percent of the patients and all health professionals completed the study. The health professionals responded well to the educational trainings; the utilization of the telephone helpline was low (one call each from GPs and PTs). Familiarisation with the routine of application of the intervention and positive attitudes were emphasized as facilitators of the implementation of the intervention, whereas a lack of time was mentioned as a barrier. Despite difficulties in the GPs’ adherence to the intervention protocol, the GPs, PTs and patients saw benefit in the intervention. The patients’ treatment adherence to physical therapy was good. There were minor issues in data collection, but no unintended consequences. Conclusion Although the process evaluation provided good support for the feasibility of study procedures, the intervention and its implementation strategy, we identified a need for improvement in recruitment of participants, the GP intervention part and the data collection procedures. The findings will inform the main trial to test the interventions effectiveness in a cluster RCT. Trial registration Projektdatenbank Versorgungsforschung Deutschland (German registry Health Services Research) VfD_MobilE-PHY_17_003910, date of registration: 30.11.2017; Deutsches Register Klinischer Studien (German Clinical Trials Register) DRKS00022918, date of registration: 03.09.2020 (retrospectively registered). KW - Critical pathways KW - Primary health care KW - General practitioners KW - Aged KW - Vertigo KW - Dizziness KW - Physical therapy modalities KW - Implementation science KW - Feasibility studies Y1 - 2021 UR - https://doi.org/10.1186/s12875-021-01410-2 VL - 22 SP - 62 ER - TY - JOUR A1 - Horstmannshoff, Caren A1 - Skudlik, Stefanie A1 - Petermann, Jenny A1 - Kiesel, Theresia A1 - Döringer, Tobias A1 - Crispin, Alexander A1 - Hermsdörfer, Joachim A1 - Köberlein‑Neu, Juliane A1 - Jahn, Klaus A1 - Schädler, Stefan A1 - Bauer, Petra A1 - Voigt, Karen A1 - Müller, Martin T1 - Effectiveness of an evidence-based care pathway to improve mobility and participation in older patients with vertigo and balance disorders in primary care (MobilE-PHY2): study protocol for a multicentre cluster-randomised controlled trial JF - BMC Trials N2 - Background Vertigo, dizziness or balance disorders (VDB) are common leading symptoms in older people, which can have a negative impact on their mobility and participation in daily live, yet, diagnosis is challenging and specific treatment is often insufficient. An evidence-based, multidisciplinary care pathway (CPW) in primary care was developed and pilot tested in a previous study. The aim of the present study is to evaluate the effectiveness and safety of the CPW in terms of improving mobility and participation in community-dwelling older people with VDB in primary care. Methods For this multicentre cluster randomised controlled clinic trial, general practitioners (GP) will be recruited in two regions of Germany. A total of 120 patients over 60 years old with VDB will be included. The intervention is an algorithmized CPW. GPs receive a checklist for standardise clinical decision making regarding diagnostic screening and treatment of VDB. Physiotherapists (PT) receive a decision tree for evidence-based physiotherapeutic clinical reasoning and treatment of VDB. Implementation strategies comprises educational trainings as well as a workshop to give a platform for exchange for the GPs and PTs, an information meeting and a pocket card for home care nurses and informal caregivers and telephone peer counselling to give all participants the capability, opportunity and the motivation to apply the intervention. In order to ensure an optimised usual care in the control group, GPs get an information meeting addressing the national guideline. The primary outcome is the impact of VDB on participation and mobility of patients after 6 month follow-up, assessed using the Dizziness Handicap Inventory (DHI) questionnaire. Secondary outcomes are physical activity, static and dynamic balance, falls and fear of falling as well as quality of life. We will also evaluate safety and health economic aspects of the intervention. Behavioural changes of the participants as well as barriers, facilitating factors and mechanisms of impact of the implementation will be investigated with a comprehensive process evaluation in a mixed-methods design. Discussion With our results, we aim to improve evidence-based health care of community-dwelling older people with VDB in primary care. KW - Dizziness KW - Vertigo KW - Balance disorder KW - Complex intervention KW - Primary care KW - Care pathway KW - Multicentre cluster randomised controlled trial KW - Mobility KW - Physiotherapy Y1 - 2023 UR - https://doi.org/10.1186/s13063-022-07017-x VL - 24 SP - 91 ER - TY - CHAP A1 - Horstmannshoff, Caren A1 - Schmidle, Stephanie A1 - Bauer, Petra A1 - Müller, Martin A1 - Hermsdörfer, Joachim T1 - Ändert sich die körperliche Aktivität bei Patient*innen mit Schwindel und Gleichgewichtsstörungen durch einen Versorgungspfad in der Primärversorgung? T2 - 8. Forschungssymposium der Deutschen Gesellschaft für Physiotherapiewissenschaft (DGPTW) KW - Schwindel KW - Aktivitätstracking KW - Versorgungspfad KW - Primärversorgung KW - Mobilität KW - Cluster-RCT Y1 - 2024 ER - TY - CHAP A1 - Horstmannshoff, Caren A1 - Schmidle, Stephanie A1 - Crispin, Alexander A1 - Bauer, Petra A1 - Müller, Martin A1 - Hermsdörfer, Joachim T1 - Ändert sich das Aktivitätsverhalten bei Patient*innen mit Schwindel und Gleichgewichtsstörungen durch einen Versorgungspfad? T2 - 10. Gemeinsame Jahrestagung der DGNR e.V. und DGNKN e.V. KW - Schwindel KW - Aktivitätstracking KW - Versorgungspfad KW - Primärversorgung KW - Mobilität KW - Cluster-RCT Y1 - 2025 ER -