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  1. Book ; Thesis: Querschnitterhebung zur Einnahme von Schilddrüsenhormonen

    Viniol, Annika Susann

    2011  

    Author's details vorgelegt von Annika Susann Viniol
    Language German
    Size 90 S., graph. Darst.
    Publishing country Germany
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Marburg, Univ., Diss., 2012
    HBZ-ID HT017338148
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Physical activity for chronic back pain: qualitative interview study with patients and GPs in German primary care.

    Lindner, Nicole / Kornder, Nele / Heisig, Julia / van der Wardt, Veronika / Viniol, Annika

    The British journal of general practice : the journal of the Royal College of General Practitioners

    2023  Volume 73, Issue 733, Page(s) e623–e633

    Abstract: Background: Chronic back pain (CBP) is common among patients in primary care and is associated with significant personal and socioeconomic burden. Research has shown that physical activity (PA) is one of the most effective therapies to reduce pain; ... ...

    Abstract Background: Chronic back pain (CBP) is common among patients in primary care and is associated with significant personal and socioeconomic burden. Research has shown that physical activity (PA) is one of the most effective therapies to reduce pain; however, for GPs it remains challenging to advise and encourage individuals with CBP to exercise regularly.
    Aim: To provide insight into the views and experiences of PA in individuals with CBP, along with those of GPs, and to reveal the facilitators and barriers to engaging in, and maintaining, PA.
    Design and setting: Qualitative semi-structured interviews with individuals with CBP and GPs recruited via the local research practice network (Famprax) in Hessen, western-central Germany between June and December 2021.
    Method: Interviews were coded separately by consensus and analysed thematically. Findings of the two groups (GPs and patients with CBP) were compared and summarised.
    Results: A total of 14 patients (
    Conclusion: To the best of the authors' knowledge, this is the first qualitative study exploring opinion and experience of PA in individuals with CBP and GPs in parallel. This study reveals a complex doctor- patient relationship and provides an important insight to motivation for, and adherence to, PA in individuals with CBP.
    MeSH term(s) Male ; Female ; Humans ; General Practitioners ; Physician-Patient Relations ; Attitude of Health Personnel ; Qualitative Research ; Exercise ; Back Pain/therapy ; Primary Health Care
    Language English
    Publishing date 2023-07-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1043148-2
    ISSN 1478-5242 ; 0035-8797 ; 0960-1643
    ISSN (online) 1478-5242
    ISSN 0035-8797 ; 0960-1643
    DOI 10.3399/BJGP.2022.0215
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Mapping the methodological diversity of published drug discontinuation studies-a scoping review of study topics, objectives, and designs.

    Grede, Nina / Kuss, Katrin / Staudt, Ina / Donner-Banzhoff, Norbert / Viniol, Annika

    Trials

    2023  Volume 24, Issue 1, Page(s) 58

    Abstract: Background: Trials evaluating drug discontinuation (drug discontinuation trials, DDTs) show a broad methodological spectrum. There are several specific methodological aspects in drug discontinuation trials (e.g., determination of research question; ... ...

    Abstract Background: Trials evaluating drug discontinuation (drug discontinuation trials, DDTs) show a broad methodological spectrum. There are several specific methodological aspects in drug discontinuation trials (e.g., determination of research question; configuration of intervention; definition of outcomes). To verify this specifies, we did a scoping review about the study designs of drug discontinuation trials.
    Methods: A systematic literature search in Medline (PubMed), The Cochrane Library, EMBASE, CINAHL, Web of Science, and PsycINFO was performed. In a two-step selection process, we identified DDTs, which evaluate the discontinuation of one or more long-term medication as the investigated intervention, by two independent reviewers. Besides bibliographic data, we extracted several parameters to describe the used study design of the included DDTs: motivation for DDT, initially treatment aim of the discontinued medication, study design, methods of discontinuation, follow-up times, number of study participants, and outcome parameter.
    Results: Out of 12,132 records, we included 581 DDTs. The most common motivation for doing a DDT were expected side effects (48.8%), the motivation of proving the efficacy of medication (21.6%), or doubts on the expected benefit of the used medication (13.8%). The majority of the discontinued medication was initially prescribed to improve the prognosis of a chronic disease (60.4%) or to relieve symptoms (31%). The study designs of the trials showed a broad methodological spectrum. The minority of the drug discontinuation trials were randomized controlled trials (34%).
    Conclusion: The results of this scoping review illustrates the need for an evidence-based methodological standard for planning and conducting drug discontinuation trials.
    MeSH term(s) Humans ; Randomized Controlled Trials as Topic ; Withholding Treatment ; Pharmaceutical Preparations/administration & dosage
    Chemical Substances Pharmaceutical Preparations
    Language English
    Publishing date 2023-01-26
    Publishing country England
    Document type Journal Article ; Systematic Review
    ZDB-ID 2040523-6
    ISSN 1745-6215 ; 1468-6694 ; 1745-6215
    ISSN (online) 1745-6215
    ISSN 1468-6694 ; 1745-6215
    DOI 10.1186/s13063-023-07105-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Conference proceedings: Studienassistenz in der allgemeinmedizinischen Forschung – ein unverzichtbares Berufsbild, um nachhaltige Forschung zu gewährleisten

    Feil, Elke / Joos, Stefanie / Gágyor, Ildikó / Maun, Andy / Wagner, Christiane / Scheeser, Karin / Viniol, Annika

    2023  , Page(s) WS–17–01

    Event/congress 57. Kongress für Allgemeinmedizin und Familienmedizin; Berlin; Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin; 2023
    Keywords Medizin, Gesundheit
    Publishing date 2023-09-27
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/23degam301
    Database German Medical Science

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  5. Article ; Online: Mapping the methodological diversity of published drug discontinuation studies—a scoping review of study topics, objectives, and designs

    Nina Grede / Katrin Kuss / Ina Staudt / Norbert Donner-Banzhoff / Annika Viniol

    Trials, Vol 24, Iss 1, Pp 1-

    2023  Volume 9

    Abstract: Abstract Background Trials evaluating drug discontinuation (drug discontinuation trials, DDTs) show a broad methodological spectrum. There are several specific methodological aspects in drug discontinuation trials (e.g., determination of research ... ...

    Abstract Abstract Background Trials evaluating drug discontinuation (drug discontinuation trials, DDTs) show a broad methodological spectrum. There are several specific methodological aspects in drug discontinuation trials (e.g., determination of research question; configuration of intervention; definition of outcomes). To verify this specifies, we did a scoping review about the study designs of drug discontinuation trials. Methods A systematic literature search in Medline (PubMed), The Cochrane Library, EMBASE, CINAHL, Web of Science, and PsycINFO was performed. In a two-step selection process, we identified DDTs, which evaluate the discontinuation of one or more long-term medication as the investigated intervention, by two independent reviewers. Besides bibliographic data, we extracted several parameters to describe the used study design of the included DDTs: motivation for DDT, initially treatment aim of the discontinued medication, study design, methods of discontinuation, follow-up times, number of study participants, and outcome parameter. Results Out of 12,132 records, we included 581 DDTs. The most common motivation for doing a DDT were expected side effects (48.8%), the motivation of proving the efficacy of medication (21.6%), or doubts on the expected benefit of the used medication (13.8%). The majority of the discontinued medication was initially prescribed to improve the prognosis of a chronic disease (60.4%) or to relieve symptoms (31%). The study designs of the trials showed a broad methodological spectrum. The minority of the drug discontinuation trials were randomized controlled trials (34%). Conclusion The results of this scoping review illustrates the need for an evidence-based methodological standard for planning and conducting drug discontinuation trials.
    Keywords Drug discontinuation ; Withdrawal ; Scoping review ; Polypharmacy ; PRISMA-ScR ; Medicine (General) ; R5-920
    Subject code 610
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Promoting physical activity in primary care: a systematic review and meta-analysis.

    van der Wardt, Veronika / di Lorito, Claudio / Viniol, Annika

    The British journal of general practice : the journal of the Royal College of General Practitioners

    2021  Volume 71, Issue 706, Page(s) e399–e405

    Abstract: Background: Promoting physical activity is an important part of patient care in primary care and has been investigated in many studies with a wide range of intervention characteristics, often including external support. It is unclear, however, if ... ...

    Abstract Background: Promoting physical activity is an important part of patient care in primary care and has been investigated in many studies with a wide range of intervention characteristics, often including external support. It is unclear, however, if promoting physical activity is effective.
    Aim: To investigate the effectiveness of behaviour change interventions to promote physical activity in primary care.
    Design and setting: This is a systematic review and meta-analysis to evaluate physical activity promotion in a primary care setting.
    Method: EMBASE, MEDLINE, PsycInfo, and the Joanna Briggs Institute Database were searched for 'physical activity', 'interview', 'motivation', 'primary care', and equivalent words to identify randomised controlled trials with physical activity as the outcome at patient level.
    Results: The review identified 25 eligible studies. The quality appraisal showed that most studies reported insufficient details regarding randomisation, group allocation, blinding, and fidelity of intervention delivery. The included studies reported a wide range of interventions with varying numbers of follow-up visits or phone calls. The overall effect size for interventions with a 6-month follow-up interval was 0.04 (95% confidence interval [CI] = -0.06 to 0.14), and for interventions with a 12-month follow-up interval it was 0.20 (95% CI = 0.04 to 0.36). Only one intervention based on three motivational interviewing sessions achieved a moderate effect.
    Conclusion: Counselling to promote physical activity in primary care has a limited effect on patients' behaviour and it might not, on its own, be enough to change physical activity behaviour.
    MeSH term(s) Exercise ; Humans ; Motivational Interviewing ; Primary Health Care
    Language English
    Publishing date 2021-04-29
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 1043148-2
    ISSN 1478-5242 ; 0035-8797 ; 0960-1643
    ISSN (online) 1478-5242
    ISSN 0035-8797 ; 0960-1643
    DOI 10.3399/BJGP.2020.0817
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  7. Article ; Online: Patients' perspectives on a patient-oriented electronic decision support tool to reduce overuse of proton pump inhibitors (arriba-PPI): a qualitative study in primary care.

    Schmidt, Alexandra / Bücker, Bettina / Maas, Michaela / Löscher, Susanne / Becker, Annette / Viniol, Annika / Heisig, Julia / Wilm, Stefan / Barzel, Anne

    BMC primary care

    2023  Volume 24, Issue 1, Page(s) 33

    Abstract: Background: To evaluate patients' perspectives and their experiences with a consultation involving a computer-assisted and patient-centered discontinuation strategy (arriba-PPI tool) as part of a German multicenter study on reducing the prescription of ... ...

    Abstract Background: To evaluate patients' perspectives and their experiences with a consultation involving a computer-assisted and patient-centered discontinuation strategy (arriba-PPI tool) as part of a German multicenter study on reducing the prescription of proton pump inhibitors (PPIs).
    Methods: Qualitative in-depth telephone interviews on proton pump inhibitors with patients who had received an arriba-PPI tool-based counseling by their general practitioner (GP). A random sample of 30 patients was taken from study participants. Interviews were conducted in 2020 and analyzed using a thematic qualitative text analysis.
    Results: Although this was meant to be the key to shared decision making with regard to PPI reduction, study participants mostly did not recall the visual features of the tool. However, a few patients remembered them very clearly. Above all, patients appreciated a trustful relationship with the GP as well as comprehensive, individualized counseling.
    Conclusion: Application of the arriba-PPI tool can support the decision process but can also hinder the consultation process if the tool is not properly embedded in the consultation. GPs using the arriba-PPI tool to support the shared decision-making process should consider the patients' and their own expectations on the benefit of the visual representation of the tool.
    MeSH term(s) Humans ; Proton Pump Inhibitors/therapeutic use ; General Practitioners ; Decision Making, Shared ; Primary Health Care
    Chemical Substances Proton Pump Inhibitors
    Language English
    Publishing date 2023-01-25
    Publishing country England
    Document type Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2731-4553
    ISSN (online) 2731-4553
    DOI 10.1186/s12875-023-01991-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Experiencing COVID-19, home isolation and primary health care: A mixed-methods study.

    Parisi, Sandra / Lehner, Nina / Schrader, Hanna / Kierer, Leonard / Fleischer, Anna / Miljukov, Olga / Borgulya, Gabor / Rüter, Gernot / Viniol, Annika / Gágyor, Ildikó

    Frontiers in public health

    2023  Volume 10, Page(s) 1023431

    Abstract: Objectives: Although the vast majority of COVID-19 cases are treated in primary care, patients' experiences during home isolation have been little studied. This study aimed to explore the experiences of patients with acute COVID-19 and to identify ... ...

    Abstract Objectives: Although the vast majority of COVID-19 cases are treated in primary care, patients' experiences during home isolation have been little studied. This study aimed to explore the experiences of patients with acute COVID-19 and to identify challenges after the initial adaptation of the German health system to the pandemic (after first infection wave from February to June 2020).
    Methods: A mixed-method convergent design was used to gain a holistic insight into patients experience. The study consisted of a cross-sectional survey, open survey answers and semi-structured telephone interviews. Descriptive analysis was performed on quantitative survey answers. Between group differences were calculated to explore changes after the first infection wave. Qualitative thematic analysis was conducted on open survey answers and interviews. The results were then compared within a triangulation protocol.
    Results: A total of 1100 participants from all German states were recruited by 145 general practitioners from August 2020 to April 2021, 42 additionally took part in qualitative interviews. Disease onset varied from February 2020 to April 2021. After the first infection wave, more participants were tested positive during the acute disease (88.8%; 95.2%;
    Conclusions: Our study highlights that home isolation of individuals with COVID-19 requires a holistic approach that considers all aspects of patient care and effective coordination between different care providers.
    MeSH term(s) Humans ; Patient Isolation ; Cross-Sectional Studies ; Referral and Consultation ; COVID-19/epidemiology ; Telephone ; Primary Health Care
    Language English
    Publishing date 2023-01-10
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2022.1023431
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Conference proceedings: Interviewstudie zu Bewegung bei chronischen Rückenschmerzen

    Lindner, Nicole / Heisig, Julia / van der Wardt, Veronika / Viniol, Annika

    2021  , Page(s) V–13–01

    Event/congress 55. Kongress für Allgemeinmedizin und Familienmedizin; Lübeck; Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin; 2021
    Keywords Medizin, Gesundheit
    Publishing date 2021-09-17
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/21degam070
    Database German Medical Science

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  10. Conference proceedings: Strategien zur Bewegungsmotivation bei chronischen Rückenschmerzen: ein systematisches Review

    Heisig, Julia / Lindner, Nicole / Viniol, Annika / van der Wardt, Veronika

    2021  , Page(s) OS–02–07

    Event/congress 55. Kongress für Allgemeinmedizin und Familienmedizin; Lübeck; Deutsche Gesellschaft für Allgemeinmedizin und Familienmedizin; 2021
    Keywords Medizin, Gesundheit
    Publishing date 2021-09-17
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/21degam241
    Database German Medical Science

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