TY - CHAP A1 - Bauer, Petra A1 - Krewer, Carmen A1 - Golaszweski, Stefan A1 - König, Eberhard A1 - Müller, Friedemann T1 - Functional electrical stimulation assisted cycling – Therapeutic effects on patients with subacute hemiparesis after stroke T2 - Paracelsus Universität Salzburg, Science get together, Juni 2012 KW - Functional Electrical Stimulation KW - Therapeutic Effects KW - Assisted Active Cycling KW - Hemiparesis Y1 - 2012 ER - TY - JOUR A1 - Bauer, Petra A1 - Ittlinger, Sabine T1 - Physiotherapieschüler im Team mit Kollegiaten. Umsetzung des Lernfeldes »Der Jugendliche« am Gesundheitstag der neunten Klassen eines Gymnasiums JF - Zeitschrift für Physiotherapeuten KW - Physiotherapie KW - Ausbildung Physiotherapie Y1 - 2013 IS - 04/2013 PB - Pflaum Verlag CY - München ER - TY - JOUR A1 - Bauer, Petra A1 - Krewer, Carmen A1 - Michaela, Coenen T1 - Beschreibung der Funktionsfähigkeit einer Patientin mit MS: Diskussion der Ergebnisse der Expertenbefragung am Beispiel von Frau W. JF - Zeitschrift für Physiotherapeuten KW - Funktionsfähigkeit mit MS KW - Expertenbefragung KW - Multiple Sklerose Y1 - 2012 IS - 03/2012 PB - Pflaum Verlag CY - München 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 - Regauer, Verena A1 - Seckler, Eva A1 - Grill, Eva A1 - Ippisch, Richard A1 - Jahn, Klaus A1 - Bauer, Petra A1 - Müller, Martin T1 - Development of a complex intervention to improve mobility and participation of older people with vertigo, dizziness and balance disorders in primary care: a mixed methods study JF - BMC Family Practice N2 - Background Vertigo, dizziness and balance disorders (VDB) are common in older people and cause restrictions in mobility and social participation. Due to a multifactorial aetiology, health care is often overutilised, but many patients are also treated insufficiently in primary care. The purpose of this study was to develop a care pathway as a complex intervention to improve mobility and participation in older people with VDB in primary care. Methods The development process followed the UK Medical Research Council guidance using a mixed-methods design with individual and group interviews carried out with patients, physical therapists (PTs), general practitioners (GPs), nurses working in community care and a multi-professional expert panel to create a first draft of a care pathway (CPW) and implementation strategy using the Consolidated Framework of Implementation Research and the Expert recommendations for Implementing Change. Subsequently, small expert group modelling of specific components of the CPW was carried out, with GPs, medical specialists and PTs. The Behaviour Change Wheel was applied to design the intervention´s approach to behaviour change. To derive theoretical assumptions, we adopted Kellogg´s Logic Model to consolidate the hypothesized chain of causes leading to patient-relevant outcomes. Results Individual interviews with patients showed that VDB symptoms need to be taken more seriously by GPs. Patients demanded age-specific treatment offers, group sessions or a continuous mentoring by a PT. GPs required a specific guideline for diagnostics and treatment options including psychosocial interventions. Specific assignment to and a standardized approach during physical therapy were desired by PTs. Nurses favoured a multi-professional documentation system. The structured three-day expert workshop resulted in a first draft of CPW and potential implementation strategies. Subsequent modelling resulted in a CPW with components and appropriate training materials for involved health professionals. A specific implementation strategy is now available. Conclusion A mixed-methods design was suggested to be a suitable approach to develop a complex intervention and its implementation strategy. We will subsequently test the intervention for its acceptability and feasibility in a feasibility study accompanied by a comprehensive process evaluation to inform a subsequent effectiveness trial. Trial Registration The research project is registered in “Projektdatenbank Versorgungsforschung Deutschland” (Project-ID: VfD_MobilE-PHY_17_003910; date of registration: 30.11.2017). KW - Critical Pathways KW - Implementation Science KW - Primary Health Care KW - Aged KW - Vertigo KW - Dizziness KW - General Practitioners KW - Physical Therapy Modalities Y1 - 2021 UR - https://doi.org/10.1186/s12875-021-01441-9 VL - 22 SP - 89 ER - TY - JOUR A1 - Regauer, Verena A1 - Seckler, Eva A1 - Campbell, Craig A1 - Phillips, Amanda A1 - Rotter, Thomas A1 - Bauer, Petra A1 - Müller, Martin T1 - German translation and pre-testing of Consolidated Framework for Implementation Research (CFIR) and Expert Recommendations for Implementing Change (ERIC) JF - Implementation Science Communications N2 - Background Implementation frameworks may support local implementation strategies with a sound theoretical foundation. The Consolidated Framework for Implementation Research (CFIR) facilitates identification of contextual barriers and facilitators, and the Expert Recommendations for Implementing Change (ERIC) allows identifying adequate implementation strategies. Both instruments are already used in German-speaking countries; however, no standardised and validated translation is available thus far. The aim of this study was to translate the CFIR and ERIC framework into German, in order to increase the use of these frameworks and the adherence to evidence-based implementation efforts in German-speaking countries. Methods The translation of the original versions of the CFIR and ERIC framework was guided by the World Health Organisation’s recommendations for the process of translating and adapting both conceptual frameworks. Accordingly, a four-step process was employed: first, forward translation from English into German was conducted by a research team of German native speakers with fluent knowledge of the English language. Second, a bilingual expert panel comprising one researcher with German as his mother tongue and expert command of the English language and one English language expert and university teacher reviewed the translation and discussed inconsistencies with the initial translators. Third, back-translation into English was conducted by an English native speaking researcher. The final version was pre-tested with 12 German researchers and clinicians who were involved in implementation projects using cognitive interviews. Results The translation and review process revealed some inconsistencies between the original version and the German translations. All issues could be solved by discussion. Central aspects of the items were confirmed in 60 to 70% of the items, and modifications were proposed in 30% of the items. Finally, we revised one CFIR-item heading after pre-testing. The final version was given consent by all involved parties. Conclusions Now, two validated and tested implementation frameworks to guide implementation efforts are available in the German language and can be used to increase the application of agreed-on implementation strategies into practice. KW - Implementation science KW - Implementation strategies KW - Knowledge translation strategies KW - Consolidated Framework for Implementation Research KW - Expert Recommendations for Implementing Change Y1 - 2021 UR - https://doi.org/10.1186/s43058-021-00222-w VL - 2 SP - 120 ER - TY - JOUR A1 - Pott, Claudia A1 - Dreischulte, Tobias A1 - Koller, Daniela A1 - Fegl, Marlene A1 - Langemeyer, Jürgen A1 - Bauer, Petra T1 - Development of an interprofessional diagnostic toolkit to enhance outside walking gait-related participation of people after stroke in Germany: study protocol of an ongoing multi-methods study JF - BMJ Open N2 - Introduction: Persons after stroke experience limitations in activities of daily living even in the chronic phase. Many patients who had a stroke report mobility limitations with loss of social roles such as reduced gait- related participation. International best- practice recommendations for patients who had a stroke include interprofessional diagnostics as a core element for goal setting and intervention planning to improve social participation. Interprofessional diagnostics has not yet been implemented in Germany. Methods and analysis: The aim is to develop an interprofessional diagnostic toolkit. This will be done in a multi- step process: first, an integrative review is conducted to synthesise the literature. Second, the experiences regarding diagnostics and walking outside is captured in focus groups with persons after stroke, relatives and health professionals. Third, a toolkit for the interprofessional diagnostic process of gait- related- participation will be developed based on the results of the previous steps in a future workshop. Fourth, the results of each work package will be integrated into the iterative development process for evaluation and implementation. All steps will be performed in accordance with the respective reporting guidelines. Ethics and dissemination: This study has been approved by the ethics committee at the Ludwig Maximilians University (LMU), Germany and is overseen by LMU-Medical Institutional Review Board. Written informed consent will be obtained from all participants. Results will be disseminated through knowledge exchange with stakeholders and in peer- reviewed journal publications, scientific conferences, formal and informal reports. Stakeholders, patients and providers will be involved in most steps of the development from the beginning, which will facilitate later implementation at a larger scale. Trial registration number: German Register Clinical Trials/Deutsches Register Klinischer Studien DRKS00032389. KW - Stroke KW - Interprofessional Collaboration KW - Diagnostic techniques and procedures KW - Community-Based Participatory Research KW - Patient-Centered Care Y1 - 2024 U6 - https://doi.org/10.1136/bmjopen-2024-084316 N1 - Wir danken Denise Leonhardt für Ihre Unterstützung. VL - 14 IS - 9 ER - TY - GEN A1 - Borchers, Peggy A1 - Horstmannshoff, Caren A1 - Crispin, Alexander A1 - Kiesel, Theresia A1 - Scheibe, Sandy A1 - Döringer, Tobias A1 - Petermann, Jenny A1 - Bauer, Petra A1 - Müller, Martin A1 - Voigt, Karen ED - Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin (DEGAM), T1 - MobilE-PHY2 - Wirksamkeit eines evidenzbasierten Versorgungspfades bei älteren Patient*innen mit Schwindel- und/oder Gleichgewichtsstörungen in der Primärversorgung T2 - 58. Kongress für Allgemeinmedizin und Familienmedizin KW - Schwindel KW - Primärversorgung KW - Cluster-RCT KW - Wirksamkeit KW - Versorgungspfad Y1 - 2025 U6 - https://doi.org/10.3205/24degam200 ER - TY - GEN A1 - Zimmer, Viola A1 - Horstmannshoff, Caren A1 - Bauer, Petra A1 - Müller, Martin A1 - Voigt, Karen A1 - Köberlein-Neu, Juliane T1 - MobilE-PHY2 – Gesundheitsökonomische Evaluation eines multidisziplinären Versorgungspfades für Menschen mit Schwindel und Gleichgewichtsstörungen T2 - 23. Deutscher Kongress für Versorgungsforschung (DKVF) KW - Gesundheitsökonomie KW - Schwindel Y1 - 2024 U6 - https://doi.org/10.3205/24dkvf306 ER - TY - JOUR A1 - Pott, Claudia A1 - Bauer, Petra A1 - Dreischulte, Tobias A1 - Leonhardt, Denise A1 - Fegl, Marlene A1 - Koller, Daniela T1 - PARTICIPATE-MOB: Ambulante interprofessionelle Diagnostik der außerhäuslichen gehbezogenen Teilhabe von Personen nach Schlaganfall – Integratives Review JF - ergoscience N2 - Einleitung: Menschen nach einem Schlaganfall erfahren gehbezogene Teilhabe-Beeinträchtigungen. Die Diagnostik gehbezogener Teilhabe ist weder konzeptionell fundiert, noch werden entsprechende Instrumente standardisiert und professionsübergreifend eingesetzt. Ziel des Reviews ist es, die in der Literatur beschriebenen und empfohlenen Vorgehensweisen zu identifizieren, um basierend darauf ein interprofessionelles Toolkit zu entwickeln. Methode: Im Rahmen eines integrativen Reviews erfolgte eine standardisierte Qualitätsbeurteilung und modellbasierte qualitative Inhaltsanalyse mit deduktiv-induktiver Kategorienbildung in Anlehnung an Mayring. Die Kategorienbildung erfolgte unter Verwendung des Modells des außerhäuslichen Gehens, das die Theorie des geplanten Verhaltens sowie die ICF integriert und das Determinanten-Modell der interprofessionellen Zusammenarbeit berücksichtigt. Ergebnisse: Es wurden acht empirische Studien, drei Reviews, eine Meta-Ethnografie und eine Leitlinie (N = 13) mit mittlerer bis hoher Qualität eingeschlossen. Sie adressieren das (nicht einheitlich defi- nierte) Konzept der gehbezogenen Teilhabe, berichten über den Zu- sammenhang zwischen Gehverhalten, Selbstwirksamkeit, Balance und Stürzen, Bewältigungsstrategien und Umweltfaktoren. Darüber hinaus werden die Orthesen-gestützte Geh-Rehabilitation, der Einsatz von (digitalen) Beurteilungsinstrumenten und die Integration der Zugehörigen thematisiert. Eine interprofessionelle Diagnostik der gehbezogenen Teilhabe wird nicht beschrieben. Schlussfolgerung: Die interprofessionelle ambulante Diagnostik gehbezogener Teilhabe erfordert ein gemeinsames Konzeptverständnis, eine teambasierte Teilhabe-Definition, die Integration digitaler Bewegungsmessinstrumente und Assessments zur Beurteilung verhaltensbezogener Faktoren wie Selbstwirksamkeit und Autonomie. Ergotherapeut*innen können die interprofessionelle Diagnostik durch Evaluation im außerhäuslichen Setting unterstützen. KW - Schlaganfall | interprofessionelle Zusammenarbeit | ambulante Versorgung | Mobilität | Teilhabe; Stroke | interprofessional relations | outpatient care | mobility, | participation Y1 - 2025 U6 - https://doi.org/10.2443/skv-s-2025-54020250302 VL - 20 IS - 20(3) SP - 101 EP - 108 PB - Schulz-Kirchner Verlag CY - Idstein ER -