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Book ; Thesis: Menthal health during the COVID-19 pandemie in Germany

Bäuerle, Alexander

2020

Institution	Universität Duisburg-Essen
Author's details	vorgelegt von Alexander Bäuerle
Language	English
Size	77 Blätter, Illustrationen
Publishing place	Duisburg ; Essen
Publishing country	Germany
Document type	Book ; Thesis
Thesis / German Habilitation thesis	Dissertation, Universität Duisburg-Essen, 2021
HBZ-ID	HT020997717
Database	Catalogue ZB MED Medicine, Health

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Article ; Online: Exploring the Applicability of General Dietary Recommendations for People Affected by Obesity.

Marsall, Matthias / Engelmann, Gerrit / Teufel, Martin / Bäuerle, Alexander

Nutrients

2023 Volume 15, Issue 7

Abstract: 1) Obesity has emerged as a major public health challenge with increasing prevalence globally. The General Dietary Behavior Inventory (GDBI) was developed based on official dietary recommendations. However, little is known about whether general dietary ... ...

Abstract	(1) Obesity has emerged as a major public health challenge with increasing prevalence globally. The General Dietary Behavior Inventory (GDBI) was developed based on official dietary recommendations. However, little is known about whether general dietary recommendations also apply to people affected by obesity and whether the GDBI can be used appropriately. (2) A cross-sectional study was conducted. A total of 458 people meeting the inclusion criteria participated in the study. The assessment consisted of the GDBI and behavioral, dietary, and health-related variables. We used descriptive analysis to examine the item characteristics of the GDBI and inferential statistics to investigate the associations between the GDBI score and behavioral, dietary, and health-related outcomes. (3) Several items of the GDBI were concerned by ceiling effects. A higher GDBI score (indicating a higher adherence to dietary recommendations) was related to higher age, higher nutrition knowledge, more restrained eating behavior, lower impulsivity, and higher body mass index. There were no associations between the GDBI score and reported physical and mental health or quality of life. (4) The GDBI showed inconsistent relationships with the study outcomes. General dietary recommendations do not appear to be applicable to people with obesity. Hence, there is an urgent need for specific recommendations and subsequent assessments of behavioral adherence for people affected by obesity.
MeSH term(s)	Humans ; Quality of Life ; Cross-Sectional Studies ; Obesity/epidemiology ; Diet ; Body Mass Index ; Feeding Behavior
Language	English
Publishing date	2023-03-25
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu15071604
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Measuring transitional patient safety: Adaptation and validation of the German version of the Care Transitions Measure.

Marsall, Matthias / Hornung, Thorsten / Bäuerle, Alexander / Weigl, Matthias

Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen

2023 Volume 182-183, Page(s) 17–25

Abstract: Introduction: The transition between different care contexts, especially during discharge from inpatient treatment to home, is associated with risks for patient safety. Internationally established, the Care Transitions Measure (CTM) is used to assess ... ...

Abstract	Introduction: The transition between different care contexts, especially during discharge from inpatient treatment to home, is associated with risks for patient safety. Internationally established, the Care Transitions Measure (CTM) is used to assess the quality and safety of this transition from the patients' perspective. A systematic and standardized assessment of quality and safety in the discharge process from the patients' perspective has not been possible in German-speaking countries due to the lack of a German adaptation and validation of the CTM. This study aims to translate, adapt, and validate the CTM for use in German-speaking countries METHODS: The German version of the CTM was developed based on internationally accepted recommendations for translating and adapting questionnaires. Patients of all departments (except pediatric departments) of a German university hospital who were discharged home after at least three days of inpatient treatment received the questionnaire by mail between May and August 2022. A total of 806 patients participated in the survey. The validity of the CTM was tested by factor analyses. For this purpose, different factor models were compared. In addition, the measurement invariance of the instrument was examined. Results: The construct validity of the long version of the CTM (15items) with a two-factorial model structure was confirmed with good model fit indices. The two subscales had excellent internal consistency. In addition, the one short version with four items achieved excellent model fit indices and high internal consistency. For the long version of the CTM, measurement invariance was confirmed for all sociodemographic, care-related, and survey response characteristics examined. The measurement invariance of the short version was only partially confirmed. Discussion: The validity and reliability of the German version of the CTM were confirmed. In its long version, the instrument is measurement invariant across various characteristics and thus allows valid interpretation of group differences. The short version is partially measurement invariant and is suitable as a screening instrument for assessing the quality and safety of discharge processes due to its high validity and reliability. Conclusions: With a validated and standardized German version of the CTM, an instrument is now available to assess the quality and safety of the discharge process from the patients' perspective. Thus, this study provides an essential tool for systematically investigating and optimizing patient safety in the discharge process.
MeSH term(s)	Child ; Humans ; Patient Transfer ; Reproducibility of Results ; Psychometrics ; Germany ; Surveys and Questionnaires
Language	English
Publishing date	2023-11-10
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2412512-X
ISSN	2212-0289 ; 1865-9217
ISSN (online)	2212-0289
ISSN	1865-9217
DOI	10.1016/j.zefq.2023.10.002
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Article ; Online: Assessing Electronic Health Literacy in Individuals With the Post-COVID-19 Condition Using the German Revised eHealth Literacy Scale: Validation Study.

Marsall, Matthias / Dinse, Hannah / Schröder, Julia / Skoda, Eva-Maria / Teufel, Martin / Bäuerle, Alexander

JMIR formative research

2024 Volume 8, Page(s) e52189

Abstract: Background: The eHealth Literacy Scale (eHEALS) is a widely used instrument for measuring eHealth literacy (eHL). However, little is known so far about whether the instrument is valid for the assessment of eHL in persons who are affected by the post- ... ...

Abstract	Background: The eHealth Literacy Scale (eHEALS) is a widely used instrument for measuring eHealth literacy (eHL). However, little is known so far about whether the instrument is valid for the assessment of eHL in persons who are affected by the post-COVID-19 condition. This is particularly important as people with the post-COVID-19 condition are frequently affected by false information from the internet. Objective: The objective of our study was to evaluate the validity and reliability of the German Revised eHealth Literacy Scale (GR-eHEALS) in individuals with the post-COVID-19 condition. Methods: A cross-sectional study was conducted from January to May 2022. The self-assessment survey consisted of the GR-eHEALS, health status- and internet use-related variables, sociodemographic data, and (post)-COVID-19-related medical data. Confirmatory factor analysis (CFA), correlational analyses, and tests of measurement invariance were deployed. Results: In total, 330 participants were included in the statistical analyses. CFA revealed that the 2-factor model reached an excellent model fit (comparative fit index=1.00, Tucker-Lewis index=0.99, root mean square error of approximation=0.036, standardized root mean square residual=0.038). Convergent validity was confirmed by significant positive correlations between eHL and knowledge of internet-based health promotion programs, experience in using these programs, and the duration of private internet use. In addition, a significantly negative relationship of eHL with internet anxiety supported convergent validity. Further, significant relationships of eHL with mental health status and internal health locus of control confirmed the criterion validity of the instrument. However, relationships of eHL with physical health status and quality of life could not be confirmed. The 2-factor model was fully measurement invariant regarding gender. Regarding age and educational level, partial measurement invariance was confirmed. The subscales as well as the overall GR-eHEALS reached good-to-excellent reliability (Cronbach α≥.86). Conclusions: The GR-eHEALS is a reliable and largely valid instrument for assessing eHL in individuals with the post-COVID-19 condition. Measurement invariance regarding gender was fully confirmed and allows the interpretation of group differences. Regarding age and educational level, group differences should be interpreted with caution. Given the high likelihood that individuals with the post-COVID-19 condition will be confronted with misinformation on the Internet, eHL is a core competency that is highly relevant in this context, in both research and clinical practice. Therefore, future research should also explore alternative instruments to capture eHL to overcome shortcomings in the validity of the GR-eHEALS.
Language	English
Publishing date	2024-04-25
Publishing country	Canada
Document type	Journal Article
ISSN	2561-326X
ISSN (online)	2561-326X
DOI	10.2196/52189
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: E-Mental-Health in der Psychoonkologie: ein multizentrisches Projekt

Graf, Johanna / Bäuerle, Alexander / Erim, Yesim / Teufel, Martin

PiD - Psychotherapie im Dialog

(Psychoonkologie)

2023 Volume 24, Issue 01, Page(s) 78–81

Abstract: Bisher wird eine adäquate psychoonkologische Behandlung noch nicht flächendeckend angeboten. Um die Versorgungslücke zu schließen, können E-Mental-Health-Interventionen eingesetzt werden In diesem Beitrag wird eine aktuelle E-Mental-Health-Intervention ... ...

Series title	Psychoonkologie
Abstract	Bisher wird eine adäquate psychoonkologische Behandlung noch nicht flächendeckend angeboten. Um die Versorgungslücke zu schließen, können E-Mental-Health-Interventionen eingesetzt werden In diesem Beitrag wird eine aktuelle E-Mental-Health-Intervention in der Psychoonkologie vorgestellt.:
Language	German
Publishing date	2023-02-20
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	2015119-6
ISSN	1439-913X ; 1438-7026
ISSN (online)	1439-913X
ISSN	1438-7026
DOI	10.1055/a-1838-8586
Database	Thieme publisher's database

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Article ; Online: Needs and Demands for e-Health Interventions in Patients Attending a Psychosomatic Outpatient Clinic: A Baseline Assessment for a User-Centered Design Approach.

Jansen, Christoph / Bäuerle, Alexander / Jahre, Lisa Maria / Kocol, Dilara / Krakowczyk, Julia / Geiger, Sheila / Dörrie, Nora / Skoda, Eva-Maria / Teufel, Martin

Telemedicine journal and e-health : the official journal of the American Telemedicine Association

2024

Abstract: Objective: ...

Abstract	Objective:
Language	English
Publishing date	2024-03-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2035659-6
ISSN	1556-3669 ; 1530-5627
ISSN (online)	1556-3669
ISSN	1530-5627
DOI	10.1089/tmj.2023.0360
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Article: E-Mental-Health in der Psychoonkologie

Graf, Johanna / Bäuerle, Alexander / Erim, Yesim / Teufel, Martin

PiD - Psychotherapie im Dialog

Ein multizentrisches Projekt

2023 Volume 24, Issue 1, Page(s) 78–81

Abstract: Bisher wird eine adäquate psychoonkologische Behandlung noch nicht flächendeckend angeboten. Um die Versorgungslücke zu schließen, können E-Mental-Health-Interventionen eingesetzt werden. In diesem Beitrag wird eine aktuelle E-Mental-Health-Intervention ... ...

Title translation	E-mental health in psychooncology: A multicenter project
Abstract	Bisher wird eine adäquate psychoonkologische Behandlung noch nicht flächendeckend angeboten. Um die Versorgungslücke zu schließen, können E-Mental-Health-Interventionen eingesetzt werden. In diesem Beitrag wird eine aktuelle E-Mental-Health-Intervention in der Psychoonkologie vorgestellt. (c) Thieme. All rights reserved.
Keywords	Internetbasierte Therapie ; Intervention ; Krebskrankheit ; Mobile Applications ; Mobile Apps ; Mobile Gesundheitsangebote ; Mobile Health ; Neoplasms ; Oncology ; Onkologie ; Online Therapy
Language	German
Document type	Article
ZDB-ID	2015119-6
ISSN	1439-913X ; 1438-7026
ISSN (online)	1439-913X
ISSN	1438-7026
DOI	10.1055/a-1838-8586
Database	PSYNDEX

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Article: Efficacy of eHealth interventions to reduce depression symptoms in individuals with obesity: a systematic review of randomized controlled trials.

Kocol, Dilara / Bäuerle, Alexander / Schadendorf, Theresa / Geiger, Sheila / Krakowczyk, Julia Barbara / Skoda, Eva-Maria / Teufel, Martin

Frontiers in psychiatry

2024 Volume 15, Page(s) 1296433

Abstract: Introduction: Obesity and depression are inter-related health concerns, demanding a high level of treatment and costs in the health care system. The development of eHealth interventions that simultaneously address obesity and mental health can be ... ...

Abstract	Introduction: Obesity and depression are inter-related health concerns, demanding a high level of treatment and costs in the health care system. The development of eHealth interventions that simultaneously address obesity and mental health can be supportive in this regard. However, evidence of the efficacy of eHealth interventions in the treatment of depression symptoms in individuals with obesity is lacking. The aim of this systematic literature review is to evaluate the efficacy of existing eHealth interventions for individuals with obesity that target depression symptoms. Methods: We systematically searched electronic databases (Cochrane Library, PubMed, Scopus) to identify studies published in English between January 2016 and January 2023, that focused on eHealth interventions, targeting depression symptoms in individuals with obesity people. Exclusion criteria were study objectives that (1) focused specifically on one or more metabolic comorbidities of individuals with obesity, e.g., hypertension, hyperlipidemia, diabetes; (2) focused specifically on eating disorders comorbidities e.g., binge eating disorder, and (3) focused specifically on patients before or after bariatric surgery. Results: The database search identified 214 records. Six articles were included in this review. Sample sizes ranged from 70 to 1267 participants of ages 18-60 years. All included studies were randomized controlled trials. Two of the six included studies were web-based interventions guided either by medical doctors or psychologists. All interventions included video, printed materials, and interactive parts of which two studies integrated elements of Cognitive Behavioural Therapy and Social Cognitive Therapy. The findings showed that eHealth treatment services, supported and guided throughout the intervention had high acceptance and efficacy in the reduction of depression symptoms among individuals with obesity. Conclusion: EHealth interventions that address and target both mental and physical health with interactive strategies calls for better efficacy in the reduction of depression symptoms. Future eHealth interventions that target depression symptoms in individuals with obesity should integrate digital strategies that address both mental and physical health through interactive modules.
Language	English
Publishing date	2024-03-07
Publishing country	Switzerland
Document type	Systematic Review
ZDB-ID	2564218-2
ISSN	1664-0640
ISSN	1664-0640
DOI	10.3389/fpsyt.2024.1296433
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Article ; Online: Beneficial impacts of physical activity on heart rate variability: A systematic review and meta-analysis.

El-Malahi, Ouahiba / Mohajeri, Darya / Mincu, Raluca / Bäuerle, Alexander / Rothenaicher, Korbinian / Knuschke, Ramtin / Rammos, Christos / Rassaf, Tienush / Lortz, Julia

PloS one

2024 Volume 19, Issue 4, Page(s) e0299793

Abstract: Background: Cardiovascular diseases (CVD) are the leading causes of morbidity and mortality. Heart rate variability (HRV) represents the modulatory capacity of the autonomous nervous system and influences mortality. By surveying this meta-analysis, we ... ...

Abstract	Background: Cardiovascular diseases (CVD) are the leading causes of morbidity and mortality. Heart rate variability (HRV) represents the modulatory capacity of the autonomous nervous system and influences mortality. By surveying this meta-analysis, we investigated the impact of physical activity on HRV. Methods: Databases, online journal libraries and clinical trial registries were searched for publications of randomized controlled and non-randomized controlled trials concerning adults with coronary artery disease (CAD)/ischemic heart disease (IHD), congestive heart failure (CHF), peripheral arterial disease (PAD) or after acute coronary syndrome (ACS) joining an intervention group with physical activity or a control group with usual care or no intervention. Extracted time-domain and frequency-domain parameter of HRV were analyzed in a meta-analysis using a random effect model. Subgroup analyses concerning intervention type, study design and type of heart disease and sensitivity analysis were performed. Results: Significant results were obtained for RR-Interval (p = 0.05) and standard deviation of Normal-to-Normal intervals (SDNN) (p = 0.01) for short-term assessment and for the ratio of low-frequency power (LF) to high-frequency power (HF) (p = 0.05) for 24-hour assessment. Subgroup analyses also resulted significant: root-mean-square difference of successive normal R-R intervals (RMSSD) (p = 0.01), SDNN (p = 0.02) and HF (p < 0.01) concerning CHF. Conclusion: We were able to demonstrate the positive impact of physical activity on HRV, especially in patients with CHF. Cardiac rehabilitation exercise programs need to be individualized to identify the most beneficial method of training for improving the prognosis of patients with CVD.
MeSH term(s)	Adult ; Humans ; Heart Rate/physiology ; Coronary Artery Disease ; Myocardial Ischemia ; Heart Failure ; Randomized Controlled Trials as Topic
Language	English
Publishing date	2024-04-05
Publishing country	United States
Document type	Clinical Trial ; Controlled Clinical Trial ; Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0299793
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Article ; Online: Evaluation of a manualised neurofeedback training in psychosomatic-psychotherapeutic outpatient treatment (Neuro-pp-out): study protocol for a clinical mixed-methods pilot study.

Schmidt, Kira Leandra / Kowalski, Axel / Schweda, Adam / Dörrie, Nora / Skoda, Eva Maria / Bäuerle, Alexander / Teufel, Martin

BMJ open

2024 Volume 14, Issue 4, Page(s) e079098

Abstract: Introduction: Electroencephalographic neurofeedback (NFB), as a non-invasive form of brainwave training, has been shown to be effective in the treatment of various mental health disorders. However, only few results regarding manualised and standardised ... ...

Abstract	Introduction: Electroencephalographic neurofeedback (NFB), as a non-invasive form of brainwave training, has been shown to be effective in the treatment of various mental health disorders. However, only few results regarding manualised and standardised NFB trainings exist. This makes comparison as well as replication of studies difficult. Therefore, we developed a standard manual for NFB training in patients with mental health disorders attending a psychosomatic outpatient clinic. The current study aims at investigating the conduction of a standardised manual for NFB training in patients with mental health disorders. If successful, the study provides new opportunities to investigate NFB in a more controlled and comparable manner in clinical practice. Methods and analysis: 30 patients diagnosed with a mental health disorder will be included. After the educational interview, patients will undergo baseline diagnostics (T0). The subsequent intervention consists of 10 sessions of NFB training aiming at increasing sensorimotor rhythm and alpha-frequency amplitudes and decreasing theta-frequency and high beta-frequency amplitudes to induce relaxation and decrease subjective stress. All patients will undergo a post-treatment diagnostic assessment (T1) and a follow-up assessment 8 weeks following the closing session (T2). Changes in amplitude bands (primary outcome) will be recorded with electroencephalography during pre-assessments, post-assessments and follow-up assessments and during NFB sessions. Physiological (respiratory rate, blood volume pulse, muscle tension) and psychometric parameters (distress, perceived stress, relaxation ability, depressive and anxiety symptoms, insomnia, self-efficacy and quality of life) will be assessed at T0, T1 and T2. Moreover, satisfaction, acceptance and usability will be assessed at T1 after NFB training. Further, qualitative interviews about the experiences with the intervention will be conducted with NFB practitioners 6 months after the study starts. Quantitative data will be analysed using repeated measures analysis of variance as well as mediation analyses on mixed linear models. Qualitative data will be analysed using Mayring's content analysis. Ethics and dissemination: The study was approved by the ethics committee of the Medical Faculty of the University of Duisburg-Essen (23-11140-BO) and patient enrolment began in April 2023. Before participation, written informed consent by each participant will be required. Results will be published in peer-reviewed journals and conference presentations. Trial registration number: Prospectively registered on 28 March 2023 in the German clinical trials register, DRKS00031497.
MeSH term(s)	Humans ; Neurofeedback/methods ; Pilot Projects ; Quality of Life ; Outpatients ; Electroencephalography/methods
Language	English
Publishing date	2024-04-17
Publishing country	England
Document type	Journal Article
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2023-079098
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