Institut Spezielle Pädagogik und Psychologie

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Clinical and functional predictors of response to a comprehensive pulmonary rehabilitation in severe post-COVID-19 patients
(MDPI, 2021) Spielmanns, Marc; Buelow, Melissa Masha; Pekacka-Egli, Anna Maria; Cecon, Mikis; Spielmanns, Sabine; Windisch, Wolfram; Hermann, Matthias [in: Microorganisms]
Background: Pulmonary rehabilitation (PR) following severe and very severe COVID-19 infection is known to be effective, according to typical assessments. However, not all patients benefit from PR to the same extent. This analysis aimed to identify the impact of different factors on PR outcomes in post-COVID-19 patients. Methods: This prospective observational study included 184 post-COVID-19 patients. The achievement of the predicted reference walking distance (6 min walking distance (6-MWD)) served as a parameter with which to identify responders and non-responders to PR. Several parameters (e.g., Functional Independent Measurement (FIM); pulmonary function testing (Forced Vital Capacity, FVC); 6MWD) were assessed in order to estimate their impact on PR success. Logistic regression models and classification and regression trees were used for multivariate analysis. Results: A total of 94 patients (51%) reached their reference 6MWD by the end of PR. FVC (0.95 (0.93–0.97)), 6MWD at admission (0.99 (0.99–1.00)), and FIM motoric (0.96 (0.93–0.99)) correlated with the risk not reaching the reference distance. The most important variable was the 6MWD at admission. Classification and regression tree identified 6MWD ≥ 130 m at admission and FVC predicted of >83% as the strongest predictor for reaching predicted 6-MWD. Conclusion: Post-COVID-19 patients with lower 6MWD, lower motoric FIM scores and lower FVC at admission have a high risk of not reaching their target values of physical performance despite intensive rehabilitation. As well as identifying them, it is of utmost importance to develop optimal PR concepts for these patients.
01A - Beitrag in wissenschaftlicher Zeitschrift
Clinical effects of pulmonary rehabilitation in very old patients with COPD
(MDPI, 2023) Spielmanns, Marc; Schulze, Sofia-Theresia; Guenes, Erhan; Pekacka-Falkowska, Katarzyna; Windisch, Wolfram; Pekacka-Egli, Anna Maria [in: Journal of Clinical Medicine]
Background: Pulmonary rehabilitation (PR) improves physical and mental performance as well as quality of life in patients with chronic obstructive pulmonary disease (COPD). However, data on outcomes in very old patients are insufficient. We analyzed whether the elderly with COPD benefit in a similar way to younger patients from participation in an inpatient PR according to the assessments usually collected. Methods: Data from 3173 patients with COPD were retrospectively analyzed. Patients were referred to PR at the Zurich RehaZentren, Switzerland, between January 2013 and December 2019. PR was performed 6 days per week with an average duration of 18.85 days. Functional Independence Measurement (FIM), Feeling Thermometer (FT), and 6-Minute Walk Test (6MWT) were recorded on admission and discharge. Results: In all age groups, the 6MWT and FT improved significantly. FIM results also showed a significant increase. The results of the different age groups showed no significant differences in percentage improvements according to the assessments that were considered. Conclusions: All patient groups with COPD, even the oldest (>85 years), benefited from PR regardless of their age and according to the assessments. Prospective studies are needed to support this hypothesis.
01A - Beitrag in wissenschaftlicher Zeitschrift
COVID-19 outbreak during inpatient rehabilitation
(Wolters & Kluwer, 2021) Spielmanns, Marc; Pekacka-Egli, Anna Maria; Cecon, Mikis; Witassek, Fabienne; Schoendorf, Sabine; Lutz, Dietmar; Hermann, Matthias [in: American Journal of Physical Medicine and Rehabilitation]
Objective The COVID-19 pandemic affects a large number of patients. The impact on feasibility and outcome of rehabilitation during COVID-19 actually remains unclear. Nosocomial infection of healthcare workers or hospitalized patients is common, and prevention of nosocomial infections during rehabilitation is challenging. Therefore, we analyzed a cohort of nosocomial infected COVID-19 patients in a single-center inpatient rehabilitation clinic and described performance and outcome. Design The cohort describes patients with nosocomial SARS-CoV-2 infection while participating in neuromusculoskeletal rehabilitation. Infection was caused by an initially unidentified so-called superspreader. We compared this cohort with all neuromusculoskeletal rehabilitation inpatients of 2019 (comparison group). Normally distributed continuous variables were presented as mean with standard deviation and the test was used for comparison between groups. Linear regression was used to assess the impact of COVID-19 on Functional Independence Measure at discharge. Results COVID-19 patients were mostly male (66.7%) with an age of 71.5 ± 12.3 yrs. Age, sex, and cumulated comorbidities of the comparison group were not different from the COVID-19 group. A total of 92.6% of COVID-19 patients had a mild or moderate course, two patients had to be referred to acute hospital because of respiratory failure, and one of these patients died in the acute hospital. After implementation of a strict hygiene concept, no further nosocomial COVID-19 infections were detected. The rehabilitation duration was significantly longer in the COVID-19 group (54.2 ± 23.6 days vs. 32.1 ± 17.7 days. Daily therapy duration was 132.3 ± 44 mins before SARS-CoV-2 infection and reduced to 81.9 ± 27.3 mins during COVID-19. After discontinuation of isolation measures, therapy duration increased significantly (99.3 ± 70.2 mins). The baseline Functional Independence Measure score was higher in the COVID-19 group (91.93 ± 25.64 points vs. 82.98 ± 22.73 points) and Functional Independence Measure improvements were lower in COVID-19 patients than in the 2019 comparison group (6.96 ± 8.96 points vs. 20.3 ± 15.98 pointslt; 0.001). COVID-19 infection itself had a strong negative impact on Functional Independence Measure change as identified by regression analysis. Linear regression analysis showed that COVID-19 reduced the Functional Independence Measure at discharge by 8.9 points (95% CI = −14.725 to −3.097, P = 0.003) after correction for Functional Independence Measure at admission, age, sex, and morbidity index at admission. Conclusions COVID-19 had a strong negative impact on rehabilitation benefits as assessed by Functional Independence Measure. Neuromusculoskeletal rehabilitation could be continued, but all patients received less therapy minutes during isolation. After implementation of a strict COVID-19–specific hygiene concept, no further infections were detected.
01A - Beitrag in wissenschaftlicher Zeitschrift
Differenz und Anerkennung in der Migration. Eine ethnografische Studie zu gesundheitsbezogenen Alltagspraktiken lateinamerikanischer Familien
(Stiftung Schweizer Zentrum für Heil- und Sonderpädagogik, 2018) Sahrai, Diana; Bertschi, Isabella; Bittlingmayer, Uwe H. [in: Schweizerische Zeitschrift für Heilpädagogik]
In Migrationsgesellschaften sind pädagogische, soziale und Gesundheitsinstitutionen tagtäglich mit Situationen konfrontiert, in denen kulturelle Differenzen zu Irritationen im Alltag führen. Auch wenn migrierte Personen sich die Kultur und Gesetze des Aufnahmelandes aneignen sollten, ist es aus einer menschenrechtlichen Perspektive unumgänglich, dass gleichzeitig kulturelle Differenzen anerkannt werden. Nebst der Auseinandersetzung mit diesem Spannungsfeld werden im Beitrag einige vorläufige Ergebnisse einer ethnografischen Studie vorgestellt, welche die gesundheitsbezogenen Alltagspraktiken von lateinamerikanischen Familien aus einer Differenzperspektive untersucht.
01A - Beitrag in wissenschaftlicher Zeitschrift
E-Inclusion – Ein interdisziplinäres, Schweizerisches Aphasie-Forschungsprojekt
(Aphasie Suisse, 2021) Widmer Beierlein, Sandra; Reymond, Claire; Kuntner, Katrin Petra; Blechschmidt, Anja; Degen, Markus; Müller, Christine; Falcón García, Noelia; Altermatt, Sven; Elsener, Claudia; Karlin, Stefan; Park, Sung Hea; Reutimann, Ricarda; Parrillo, Fabrizio; Bucheli, Sandra; Grumbinaite, Indre; Jochmann, Angela; Harvey, Morgaine; Lee, Jingyu; Loew, Joelle; Meier, Lena; Poffet, Laurent; Renner, Michael; Schiltknecht, Sarah; Shah, Ashesh; Schneider, Gerold; Strub, Alisa; Trachsel, Karen; Winkler, Manon; Wyss, Sandra; Hemm-Ode, Simone [in: Aphasie und verwandte Gebiete]
«E-Inclusion» ist ein interdisziplinäres, schweizerisches Aphasie-Forschungsprojekt mit dem Ziel einen App-Prototypen für die Benenntherapie zu entwickeln. Dazu wurden wissenschaftliche Fragestellungen zu den drei Themengebieten «Bildart», «Sprachvarietät » und «neue Technologien» in zwei Hauptstudien und fünf ergänzenden Studien untersucht. In der Hauptstudie 1 wurde bei niederfrequenten Nomen und Verben in einer Benennstudie mit Menschen mit einer Aphasie und einer Kontrollgruppe getestet, ob die Bildart (Fotografie vs. Illustration) und die Sprachvarietät (Dialekt vs. Hochdeutsch) die Benennleistung beeinflussen. In der Hauptstudie 2 wurde die mündliche Benennreaktion auf Nomen aus dem AAT (Aachener Aphasie Test) von Menschen mit Aphasie auf Wortebene gemessen, um Veränderungen beispielsweise in der Benennlatenz objektiv aufgrund akustischer Parameter messbar zu machen. Die ergänzenden Studien dienten der Überprüfung des Materials in Bezug auf das schriftliche und mündliche «Name Agreement». Ausserdem wurden Daten zu sog. subjektiven Frequenzen erhoben, um beispielsweise logopädisches Therapie- und Diagnostikmaterial in der Schweiz besser psycholinguistisch kontrollieren zu können. Eine weitere Studie widmete sich der Einschätzung von Sprachkenntnissen im Dialekt und Hochdeutschen sowie dem Gebrauch der Varietäten in verschiedenen Kontexten und Modalitäten. Die Ergebnisse dieser Studien wurden in einer Prototypen-App zusammengeführt.
01B - Beitrag in Magazin oder Zeitung
Effects of a comprehensive pulmonary rehabilitation in severe post-COVID-19 patients
(MDPI, 2021) Spielmanns, Marc; Pekacka-Egli, Anna Maria; Schoendorf, Sabine; Windisch, Wolfram; Hermann, Matthias [in: International Journal of Environmental Research and Public Health]
Background: Severe COVID-19 infection often leads to impairments requiring pulmonary rehabilitation (PR) following the acute phase. Little is known about the efficacy of PR in these patients. We therefore compared post-COVID-19 patients (PG) referred to PR patients with other lung diseases (LG). Methods: 99 PG were admitted to PR. In a prospective design, the results of PG were collected and compared to the results of LG of 2019 (n = 419) according to Functional Independence Measurement (FIM), Cumulative Illness Rating Scale (CIRS), 6-min walk test (6-MWT), duration of PR, and Feeling Thermometer (FT). Results: According to age, sex, and CIRS, both groups showed no significant differences. The improvements in the 6-MWT in the pre to post comparison were on average 180 (±101) meters for PG and 102 (±89) meters for LG (p < 0.001). FT showed a significant enhancement for PG of 21 (±14) points and for LG of 17 (±16) points (p < 0.039), while FIM significantly increased by 11 (±10) points in PG and 7 (±8) points in LG (p < 0.001). Conclusions: Comprehensive PR in PG is very effective according to the results in FIM, 6-MWT and FT. Therefore, we recommend PR following severe post-COVID-19 infections.
01A - Beitrag in wissenschaftlicher Zeitschrift
ELMi's Swiss partner project. Similarities and differences
(03/2016) Bertschi, Isabella; Sahrai, Diana
06 - Präsentation
Ethnohraphic insights into health literacy as social practice in vulnerable families in Switzerland
(11/2016) Bertschi, Isabella; Sahrai, Diana
06 - Präsentation
Everyday life and health practice of Latin American immigrant families residing in Switzerland. An exploratory ethnographic study
(10/2017) Bertschi, Isabella
06 - Präsentation
Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature
(BioMed Central, 2018) Okan, Orkan; Lopes, Ester; Bollweg, Torsten M.; Bröder, Janine; Messer, Melanie; Bruland, Dirk; Bond, Emma; Carvalho, Graça S.; Sørensen, Kristine; Saboga-Nunes, Luis; Levin-Zamir, Diane; Sahrai, Diana; Bittlingmayer, Uwe H.; Pelikan, Jürgen; Thomas, Malcolm; Bauer, Ullrich; Pinheiro, Paulo [in: BMC Public Health]
Background: Health literacy is an important health promotion concern and recently children and adolescents have been the focus of increased academic attention. To assess the health literacy of this population, researchers have been focussing on developing instruments to measure their health literacy. Compared to the wider availability of instruments for adults, only a few tools are known for younger age groups. The objective of this study is to systematically review the field of generic child and adolescent health literacy measurement instruments that are currently available. Method: A systematic literature search was undertaken in five databases (PubMed, CINAHL, PsycNET, ERIC, and FIS) on articles published between January 1990 and July 2015, addressing children and adolescents ≤18 years old. Eligible articles were analysed, data was extracted, and synthesised according to review objectives. Results: Fifteen generic health literacy measurement instruments for children and adolescents were identified. All, except two, are self-administered instruments. Seven are objective measures (performance-based tests), seven are subjective measures (self-reporting), and one uses a mixed-method measurement. Most instruments applied a broad and multidimensional understanding of health literacy. The instruments were developed in eight different countries, with most tools originating in the United States (n = 6). Among the instruments, 31 different components related to health literacy were identified. Accordingly, the studies exhibit a variety of implicit or explicit conceptual and operational definitions, and most instruments have been used in schools and other educational contexts. While the youngest age group studied was 7-year-old children within a parent-child study, there is only one instrument specifically designed for primary school children and none for early years. Conclusions: Despite the reported paucity of health literacy research involving children and adolescents, an unexpected number of health literacy measurement studies in children’s populations was found. Most instruments tend to measure their own specific understanding of health literacy and not all provide sufficient conceptual information. To advance health literacy instruments, a much more standardised approach is necessary including improved reporting on the development and validation processes. Further research is required to improve health literacy instruments for children and adolescents and to provide knowledge to inform effective interventions.
01A - Beitrag in wissenschaftlicher Zeitschrift
Gesundheit als soziale Kosntruktion und als gesellschaftliches Phänomen
(Barbara Budrich, 2017) Sahrai, Diana; Bittlingmayer, Uwe H.; Budde, Jürgen; Dlugosch, Andrea; Sturm, Tanja [in: (Re-)Konstruktive Inklusionsforschung. Differenzlinien – Handlungsfelder – Empirische Zugänge]
04A - Beitrag Sammelband
Health as lived cultural practice in everyday life of Hispano- American immigrants to Switzerland
(11/2017) Bertschi, Isabella; Sahrai, Diana
06 - Präsentation
Health inequalities, health promotion and health literacy in vulnerable families. A health-related explorative ethnographic study
(09/2016) Bertschi, Isabella; Sahrai, Diana
06 - Präsentation
Health literacy - the necessity for a ethnological perspective
(2016) Sahrai, Diana; Bittlingmayer, Uwe H.; Saboga-Nunes, Luis
06 - Präsentation
Health Literacy and Health Behavior among Women in Ghazni, Afghanistan
(2018) Harsch, Stefanie; Asadullah, Jawid; Saboga-Nunes, Luis; Bittlingmayer, Uwe H.; Sahrai, Diana; Sørensen, Kristine; Ebrahim, Jawid [in: Woman and Health]
01A - Beitrag in wissenschaftlicher Zeitschrift
Health Literacy and Health Practices in Afghanistan Surprising findings from a Survey in Ghazni
(2018) Harsch, Stefanie; Bittlingmayer, Uwe H.; Asadullah, Jawid; Saboga-Nunes, Luis; Sahrai, Diana; Sahrai, Elias; Sørensen, Kristine
06 - Präsentation
Health literacy in childhood and youth: a systematic review of definitions and models
(BioMed Central, 2017) Bröder, Janine; Okan, Orkan; Bauer, Ullrich; Bruland, Dirk; Schlupp, Sandra; Bollweg, Torsten M.; Saboga-Nunes, Luis; Bond, Emma; Sørensen, Kristine; Bitzer, Eva-Maria; Jordan, Susan; Domanska, Olga; Firnges, Christine; Carvalho, Graça S.; Bittlingmayer, Uwe H.; Levin-Zamir, Diane; Pelikan, Jürgen; Sahrai, Diana; Lenz, Albert; Wahl, Patricia; Thomas, Malcolm; Kessl, Fabian; Pinheiro, Paulo [in: BMC Public Health]
Background: Children and young people constitute a core target group for health literacy research and practice: during childhood and youth, fundamental cognitive, physical and emotional development processes take place and health-related behaviours and skills develop. However, there is limited knowledge and academic consensus regarding the abilities and knowledge a child or young person should possess for making sound health decisions. The research presented in this review addresses this gap by providing an overview and synthesis of current understandings of health literacy in childhood and youth. Furthermore, the authors aim to understand to what extent available models capture the unique needs and characteristics of children and young people. Method: Six databases were systematically searched with relevant search terms in English and German. Of the n = 1492 publications identified, N = 1021 entered the abstract screening and N = 340 full-texts were screened for eligibility. A total of 30 articles, which defined or conceptualized generic health literacy for a target population of 18 years or younger, were selected for a four-step inductive content analysis. Results: The systematic review of the literature identified 12 definitions and 21 models that have been specifically developed for children and young people. In the literature, health literacy in children and young people is described as comprising variable sets of key dimensions, each appearing as a cluster of related abilities, skills, commitments, and knowledge that enable a person to approach health information competently and effectively and to derive at healthpromoting decisions and actions. Discussion: Identified definitions and models are very heterogeneous, depicting health literacy as multidimensional, complex construct. Moreover, health literacy is conceptualized as an action competence, with a strong focus on personal attributes, while also recognising its interrelatedness with social and contextual determinants. Life phase specificities are mainly considered from a cognitive and developmental perspective, leaving children’s and young people’s specific needs, vulnerabilities, and social structures poorly incorporated within most models. While a critical number of definitions and models were identified for youth or secondary school students, similar findings are lacking for children under the age of ten or within a primary school context.
01A - Beitrag in wissenschaftlicher Zeitschrift
Health Literacy von Migranten in der Schweiz. Ein ethnologischer Zugang
(03/2017) Sahrai, Diana; Bertschi, Isabella
06 - Präsentation
Health Literacy von MigrantInnen in der Schweiz. EIn ethnologischer Zugang
(2017) Bertschi, Isabella; Sahrai, Diana; Willim, Britta [in: www.armut-und-gesundheit.de]
10 - Elektronische-/ Webpublikation
Health-related practices in Latin American families residing in Switzerland. Preliminary findings from a ethnographic study
(09/2017) Bertschi, Isabella; Sahrai, Diana
06 - Präsentation

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Auflistung Institut Spezielle Pädagogik und Psychologie nach Schlagwort "610 - Medizin und Gesundheit"

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