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5. Psychological processing of a kidney transplantation, perceived quality of life, and immunosuppressant medication adherence

Author

Scheel J, Schieber K, Reber S, Jank S, Eckardt KU, Grundmann F, Vitinius F, de Zwaan M, Bertram A, and Erim Y

Subjects
kidney transplantation, psychological processing, Transplant Effects Questionnaire, health-related quality of life, adherence, immunosuppressant trough levels, Medicine (General), R5-920
Abstract

Jennifer Scheel,1 Katharina Schieber,1 Sandra Reber,1 Sabine Jank,2 Kai-Uwe Eckardt,2 Franziska Grundmann,3 Frank Vitinius,4 Martina de Zwaan,5 Anna Bertram,6 Yesim Erim11Department of Psychosomatic Medicine and Psychotherapy, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany; 2Department of Nephrology and Hypertension, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany; 3Department II of Internal Medicine, Nephrology, Rheumatology, Diabetes and General Internal Medicine, University Hospital of Cologne, Cologne, Germany; 4Department of Psychosomatics and Psychotherapy, University Hospital of Cologne, Cologne, Germany; 5Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Germany; 6Department of Nephrology and Hypertension, Hannover Medical School, Hanover, GermanyIntroduction: Though psychosocial well-being and quality of life generally improve after transplantation, a relevant proportion of patients suffers from psychosocial problems. Further analysis of the psychological coping after kidney transplantation is needed to identify patients at risk. The aim of this study was to examine the psychological response after kidney transplantation and its associations with health-related quality of life and immunosuppressant medication adherence.Materials and methods: The coping process after kidney transplantation was investigated with the Transplant Effects Questionnaire (TxEQ; subscales: worry, guilt, disclosure, adherence, responsibility) in 267 adult kidney transplant recipients ≥12 months post-transplantation. Furthermore, perceived health-related quality of life, self-reported immunosuppressant medication adherence, and sub-therapeutic immunosuppressant trough levels as biological markers of adherence were assessed.Results: Patients showed moderate scores concerning the subscales “worry”, “guilt”, and “responsibility” as well as high scores concerning “disclosure”. Except for “adherence”, all TxEQ subscales were associated with mental, but not with physical health-related quality of life and self-reported adherence. Sub-therapeutic immunosuppressant trough levels were significantly associated only with the TxEQ subscale “worry”.Conclusions: The present results suggest a conditional structure in which mental health-related quality of life is negatively associated with worries, guilt, and responsibility and positively with disclosure. Adherence seems to be a complex behavior, which is not necessarily directly associated with the psychological processing of organ transplantations. As mental health-related quality of life is related to this psychological processing, the TxEQ could be used as a screening tool for problematic psychological processing after kidney transplantation.Keywords: kidney transplantation, psychological processing, Transplant Effects Questionnaire, health-related quality of life, adherence, immunosuppressant trough levels

Published
2019

11. COVID-19-related consultation-liaison (CL) mental health services in general hospitals:a perspective from Europe and beyond

Author

Schaefert, R. (Rainer), Stein, B. (Barbara), Meinlschmidt, G. (Gunther), Roemmel, N. (Noa), Blanch, J. (Jordi), Boye, B. (Birgitte), Carqueja, E. (Eduardo), De Matteis, T. (Tiziano), Dineen, P. (Peter), Doherty, A. M. (Anne M.), Ferrari, S. (Silvia), Lanvin, V. (Victoria), Lee, W. (William), Lemmens, G. M. (Gilbert M. D.), Lemogne, C. (Cédric), Małyszczak, K. (Krzysztof), Mendes-Pedro, A. (António), Nejatisafa, A.-A. (Ali-Akbar), Räsänen, S. (Sami), Rosen, B. (Benjamin), do Couto, F. S. (Frederico Simões), Syngelakis, M. (Markos), Tarricone, I. (Ilaria), Van der Feltz-Cornelis, C. M. (Christina M.), Huber, C. G. (Christian G.), Fazekas, C. (Christian), Vitinius, F. (Frank), Schaefert, R. (Rainer), Stein, B. (Barbara), Meinlschmidt, G. (Gunther), Roemmel, N. (Noa), Blanch, J. (Jordi), Boye, B. (Birgitte), Carqueja, E. (Eduardo), De Matteis, T. (Tiziano), Dineen, P. (Peter), Doherty, A. M. (Anne M.), Ferrari, S. (Silvia), Lanvin, V. (Victoria), Lee, W. (William), Lemmens, G. M. (Gilbert M. D.), Lemogne, C. (Cédric), Małyszczak, K. (Krzysztof), Mendes-Pedro, A. (António), Nejatisafa, A.-A. (Ali-Akbar), Räsänen, S. (Sami), Rosen, B. (Benjamin), do Couto, F. S. (Frederico Simões), Syngelakis, M. (Markos), Tarricone, I. (Ilaria), Van der Feltz-Cornelis, C. M. (Christina M.), Huber, C. G. (Christian G.), Fazekas, C. (Christian), and Vitinius, F. (Frank)

Abstract

Objective: The COVID-19 pandemic posed new challenges for integrated health care worldwide. Our study aimed to describe newly implemented structures and procedures of psychosocial consultation and liaison (CL) services in Europe and beyond, and to highlight emerging needs for co-operation. Methods: Cross-sectional online survey from June to October 2021, using a self-developed 25-item questionnaire in four language versions (English, French, Italian, German). Dissemination was via national professional societies, working groups, and heads of CL services. Results: Of the participating 259 CL services from Europe, Iran, and parts of Canada, 222 reported COVID-19 related psychosocial care (COVID-psyCare) in their hospital. Among these, 86.5% indicated that specific COVID-psyCare co-operation structures had been established. 50.8% provided specific COVID-psyCare for patients, 38.2% for relatives, and 77.0% for staff. Over half of the time resources were invested for patients. About a quarter of the time was used for staff, and these interventions, typically associated with the liaison function of CL services, were reported as most useful. Concerning emerging needs, 58.1% of the CL services providing COVID-psyCare expressed wishes for mutual information exchange and support, and 64.0% suggested specific changes or improvements that they considered essential for the future. Conclusion: Over 80% of participating CL services established specific structures to provide COVID-psyCare for patients, their relatives, or staff. Mostly, resources were committed to patient care and specific interventions were largely implemented for staff support. Future development of COVID-psyCare warrants intensified intra- and inter-institutional exchange and co-operation.

Published
2023

12. COVID-19-related consultation-liaison (CL) mental health services in general hospitals: Results of an international survey

Author

Stein, B., Vitinius, F., Huber, C., Fazekas, C., Meinlschmidt, G., Roemmel, N., Blanch, J., Boye, B., Carqueja, E., De Matteis, T., Dineen, P., Doherty, A.M., Ferrari, S., Lanvin, V., Lee, W., Lemmens, G.M., Lemogne, C., Małyszczak, K., Mendes-Pedro, A., Nejatisafa, A.A., Räsänen, S., Rosen, B., Simões Do Couto, F., Syngelakis, M., Tarricone, I., Van Der Feltz-Cornelis, C.M., and Schaefert, R.

Published
2023
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14. Measuring self-efficacy in patient-centeredness of nurses in oncology – translation and validation of the SEPCQ-27 German version for nurses

Author

Hiltrop, K, Ernstmann, N, Karger, A, Petermann-Meyer, A, Geiser, F, Vitinius, F, Bremen, R, Ernsten, L, Kraus, D, Großsteinbeck, A, Illig, M, Kirschke, G, Marx, A, Radtke, I, and Heuser, C

Subjects
ddc: 610, Medicine and health
Abstract

Background and status of (inter)national research: The SEPCQ-27 is a validated instrument in English language to measure physicians’ self-efficacy in patient-centered communication, but is not validated for nurses in oncology in German until now. Research has confirmed that providers’ [for full text, please go to the a.m. URL]

Published
2022
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15. Psychosocial Diagnosis and Treatment Before and After Organ Transplantation.

Author

de Zwaan, M., Erim, Y., Kröncke, S., Vitinius, F., Buchholz, A., and Nöhre, M.

Abstract

Background: This new clinical practice guideline concerns the psychosocial diagnosis and treatment of patients before and after organ transplantation. Its objective is to establish standards and to issue evidence-based recommendations that will help to optimize decision making in psychosocial diagnosis and treatment. Methods: For each key question, the literature was systematically searched in at least two databases (Medline, Ovid, Cochrane Library, and CENTRAL). The end date of each search was between August 2018 and November 2019, depending on the question. The literature search was also updated to capture recent publications, by using a selective approach. Results: Lack of adherence to immunosuppressant drugs can be expected in 25-30% of patients and increases the odds of organ loss after kidney transplantation (odds ratio 7.1). Psychosocial interventions can significantly improve adherence. Metaanalyses have shown that adherence was achieved 10-20% more frequently in the intervention group than in the control group. 13-40% of patients suffer from depression after transplantation; mortality in this group is 65% higher. The guideline group therefore recommends that experts in psychosomatic medicine, psychiatry, and psychology (mental health professionals) should be involved in patient care throughout the transplantation process. Conclusion: The care of patients before and after organ transplantation should be multidisciplinary. Nonadherence rates and comorbid mental disorders are common and associated with poorer outcomes after transplantation. Interventions to improve adherence are effective, although the pertinent studies display marked heterogeneity and a high risk of bias. [ABSTRACT FROM AUTHOR]

Published
2023
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17. Measuring self-efficacy in patient-centeredness of physicians in oncology - translation and validation of the SEPCQ-27 German version for physicians

Author

Heuser, C, Ernstmann, N, Karger, A, Petermann-Meyer, A, Geiser, F, Vitinius, F, Kraus, D, Bremen, R, Ernsten, L, Großsteinbeck, A, Illig, M, Kirschke, G, Marx, A, Radtke, I, Hiltrop, K, Heuser, C, Ernstmann, N, Karger, A, Petermann-Meyer, A, Geiser, F, Vitinius, F, Kraus, D, Bremen, R, Ernsten, L, Großsteinbeck, A, Illig, M, Kirschke, G, Marx, A, Radtke, I, and Hiltrop, K

Published
2022

18. Implementierung und Evaluation eines Decision Coaching Programms für gesunde BRCA1/2 Mutationsträgerinnen - Ergebnisse der randomisierten kontrollierten EDCP-BRCA

Author

Isselhard, A, Töpper, M, Lautz, Z, Vitinius, F, Fischer, H, Berger-Höger, B, Steckelberg, A, Beifus, K, Köberlein-Neu, J, Rhiem, K, Schmutzler, RK, Stock, S, Isselhard, A, Töpper, M, Lautz, Z, Vitinius, F, Fischer, H, Berger-Höger, B, Steckelberg, A, Beifus, K, Köberlein-Neu, J, Rhiem, K, Schmutzler, RK, and Stock, S

Published
2022

19. Additional file 1 of Family doctors’ attitudes toward peer support programs for type 2 diabetes and/or coronary artery disease: an exploratory survey among German practitioners

Author

Majjouti, K., Küppers, L., Thielmann, A., Redaélli, M., Vitinius, F., Funke, C., van der Arend, I., Pilic, L., Hessbrügge, M., Stock, S., Weltermann, B., and Wild, D.

Abstract

Additional file 1: Table S1. Important aspects before recommending a PSP; “I am most likely to recommend the programme if…”. Table S2. What should be considered as most important in the composition of PSGs?. Table S3. PSG composition regarding organisational, medical and social factors. Table S4. Key characteristics of PSG-L. Table S5. Additional information FDs would like to have about the PSPs: Freetext answers (N = 90). Supplementary Table S6. Survey.

Published
2022
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20. Entwicklung der deutschen Version des Stanford Integrated Psychosocial Assessment for Transplant (SIPAT)

Author

Vitinius, F, Günther, A, Henning, M, Kurschat, C, Wahba, R, Stippel, D, Hellmich, M, and Langenbach, M

Subjects
ddc: 610, Medicine and health
Abstract

Hintergrund und Stand (inter)nationaler Forschung: Die psychosoziale Evaluation von Transplantationskandidaten erfolgt weltweit sehr heterogen. Eine Standardisierung der Evaluation ist anzustreben, um einheitlichere Kriterien z.B. für passagere Kontraindikationen zu ermöglichen. Falls die [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Published
2021
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21. Peer-Support-Programme: Einstellungen von Hausärzten zu einem laiengestützten Versorgungskonzept in der Region Nordrhein

Author

Majjouti, K, Wild, D, Thielmann, A, Küppers, L, Funke, C, Heßbrügge, M, Vitinius, F, Redaélli, M, Stock, S, and Weltermann, B

Subjects
ddc: 610, Medicine and health
Abstract

Hintergrund: Unter dem Titel P-SUP (Personalisiertes Selbstmanagement-Unterstützungsprogramm) wird derzeit ein innovatives Peer-Support Programm (PSP) für Patienten mit Typ-2-Diabetes (DM2) und Koronarer Herzkrankheit (KHK) in Nordrhein implementiert. Solche Versorgungskonzepte zum Lernen [zum vollständigen Text gelangen Sie über die oben angegebene URL]

Published
2021
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23. Personalisiertes Selbstmanagement Unterstützungsprogramm (P-SUP) für Patient*innen mit Diabetes mellitus Typ 2 und/oder koronarer Herzkrankheit

Author

Könnecke, H, additional, Giesen, L, additional, Goetz, J, additional, Redaèlli, M, additional, Konerding, U, additional, van der Arend, I, additional, Heßbrügge, M, additional, Biallas, B, additional, Wilm, S, additional, Vitinius, F, additional, Nacak, Y, additional, Lehmann, L, additional, and Stock, S, additional

Published
2021
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25. Personalisiertes Selbstmanagement Unterstützungsprogramm (P-SUP) für chronisch Kranke zur Steigerung der Gesundheitskompetenz und langfristigen Verhaltensänderung

Author

Giesen, L, Könnecke, H, Goetz, J, Simic, D, Stock, S, van der Arend, I, Funke, C, Pilic, L, Heßbrügge-Bekas, M, Majjouti, K, Vitinius, F, Sönnichsen, A, Lendt, C, Kleinert, J, Konerding, U, and Redaèlli, M

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Hintergrund/Fragestellung: Mit den Disease-Management-Programmen (DMP) wurden flächendeckend die evidenzbasierten Nationalen Versorgungsleitlinien (NVL) in die Regelversorgung implementiert und somit die Ergebnisqualität verbessert. Im Bereich des Selbstmanagements und bei Unterstützungsangeboten[zum vollständigen Text gelangen Sie über die oben angegebene URL], Who cares? – EbM und Transformation im Gesundheitswesen; 22. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin

Published
2021
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35. Studienprotokoll zur Evaluation eines Decision Coaching Programms zur strukturierten Entscheidungsunterstützung bei präferenzsensiblen Entscheidungen im Rahmen der risikoadaptierten Prävention bei BRCA1/2 Mutationsträgerinnen (EDCP-BRCA)

Author

Isselhard, A, Stock, S, Schmutzler, R, Rhiem, K, Steckelberg, A, Vitinius, F, and Köberlein-Neu, J

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Hintergrund: In zirka 30% der jährlich an Brustkrebs oder Eierstockkrebs erkrankten Frauen liegt eine familiäre Häufung für Brust- und Eierstockkrebs vor. Bei ca. 25 % dieser familiär gehäuften Fälle besteht eine pathogene BRCA1- oder BRCA2-Mutation. Für[zum vollständigen Text gelangen Sie über die oben angegebene URL], 17. Deutscher Kongress für Versorgungsforschung (DKVF)

Published
2018
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36. Mobile Technology Affinity in Renal Transplant Recipients

Author

Reber, S., Scheel, J., Stoessel, L., Schieber, K., Jank, S., Luker, C., Vitinius, F., Grundmann, F., Eckardt, K-U., Prokosch, H-U., Erim, Y., Reber, S., Scheel, J., Stoessel, L., Schieber, K., Jank, S., Luker, C., Vitinius, F., Grundmann, F., Eckardt, K-U., Prokosch, H-U., and Erim, Y.

Abstract

Background. Medication nonadherence is a common problem in renal transplant recipients (RTRs). Mobile health approaches to improve medication adherence are a current trend, and several medication adherence apps are available. However, it is unknown whether RTRs use these technologies and to what extent. In the present study, the mobile technology affinity of RTRs was analyzed. We hypothesized significant age differences in mobile technology affinity and that mobile technology affinity is associated with better cognitive functioning as well as higher educational level. Methods. A total of 109 RTRs (63% male) participated in the cross-sectional study, with an overall mean age of 51.8 +/- 14.2 years. The study included the Technology Experience Questionnaire (TEQ) for the assessment of mobile technology affinity, a cognitive test battery, and sociodemographic data. Results. Overall, 57.4% of the patients used a smartphone or tablet and almost 45% used apps. The TEQ sum score was 20.9 in a possible range from 6 (no affinity to technology) to 30 (very high affinity). Younger patients had significantly higher scores in mobile technology affinity. The only significant gender difference was found in having fun with using electronic devices: Men enjoyed technology more than women did. Mobile technology affinity was positively associated with cognitive functioning and educational level. Conclusions. Young adult patients might profit most from mobile health approaches. Furthermore, high educational level and normal cognitive functioning promote mobile technology affinity. This should be kept in mind when designing mobile technology health (mHealth) interventions for RTRs. For beneficial mHealth interventions, further research on potential barriers and desired technologic features is necessary to adapt apps to patients' needs.

Published
2018

38. Correlation Between the Transplant Evaluation Rating Scale (TERS) and Medical Outcomes in Living-Donor Kidney Transplant Recipients: A Retrospective Analysis

Author

Dieplinger, G., Mokhaberi, N., Wahba, R., Peltzer, S., Buchner, D., Schloesser, H. A., Ditt, V, von Borstel, A., Bauerfeind, U., Lange, U., Arns, W., Kurschat, C., Stippel, H. A., Vitinius, F., Dieplinger, G., Mokhaberi, N., Wahba, R., Peltzer, S., Buchner, D., Schloesser, H. A., Ditt, V, von Borstel, A., Bauerfeind, U., Lange, U., Arns, W., Kurschat, C., Stippel, H. A., and Vitinius, F.

Abstract

Background. Pretransplant psychosocial evaluation of living-donor kidney transplantation (LDKT) candidates identifies recipients with potentially inferior posttransplant outcomes. Rating instruments, based on semi-standardized interviews, help to improve and standardize psychosocial evaluation. The goal of this study was to retrospectively investigate the correlation between the Transplant Evaluation Rating Scale (TERS) and transplant outcome in LDKT recipients. Methods. TERS scores were retrospectively generated by 2 raters based on comprehensive interviews of 146 LDKT recipients conducted by mental health professionals (interrater reliability, 0.8-0.9). All patients were eligible for transplantation according to pretransplant psychosocial evaluation. Patients were classified into 2 groups according to their TERS scores, in either two thirds excellent risk (TERS <29) and one third at least moderate risk (TERS >= 29) candidates. Analyzed medical parameters were change in estimated glomerular filtration rate and acute rejection (AR) episodes within the first year posttransplant. In addition, a subgroup of 65 patients was tested for de novo donor-specific HLA antibodies (DSA) posttransplant. Results. There was no significant difference between the excellent (n = 97) and at least moderate (n = 49) risk candidates according to TERS in terms of organ function (estimated glomerular filtration rate decline >25%: 17 of 97 vs 11 of 49; P = .51) and episodes of AR (19 of 97 vs 15 of 49; P = .15). Patients developing de novo DSA (n = 18 [28%]) did not have higher pretransplant TERS scores (DSA positive, 11 of 42 vs 7 of 23; P = .78). Conclusions. Classifying LDKT recipients according to TERS score did not predict medical outcome at 1 year posttransplant or the occurrence of de novo DSA.

Published
2018

39. INFLUENCE OF HAND-ASSISTED RETROPERITONEOSCOPIC DONOR NEPHRECTOMY (HARP) ON HEALTH-RELATED QUALITY OF LIFE AFTER LIVING DONATION - FIRST RESULTS OF THE QOLID-STUDY

Author

Wahba, R., Vitinius, F., Dieplinger, G., Kleinert, R., Buchner, D., Heiermann, N., Walczuch, B., Datta, R., Schloesser, H. A., Hellmich, M., Kurschat, C., Stippel, D. L., Wahba, R., Vitinius, F., Dieplinger, G., Kleinert, R., Buchner, D., Heiermann, N., Walczuch, B., Datta, R., Schloesser, H. A., Hellmich, M., Kurschat, C., and Stippel, D. L.

Published
2018

40. Das CoTrain-Kommunikationstraining für die Hausarztpraxis - ein einführender Workshop

Author

Leve, V., Reddemann, O., Steinhausen, S., Wilm, S., Vitinius, F., Bödecker, A.-W., Pfaff, H., and Neugebauer, E.

Subjects
Gespräch in der Hausarztpraxis, ddc: 610, Gesprächstechniken, Kommunikation, 610 Medical sciences, Medicine
Abstract

Hintergrund: In der hausärztlichen Praxis ist das Gespräch mit Patienten/innen ein zentrales Element. Im Praxisalltag erschweren allerdings unterschiedliche Faktoren immer wieder Gespräche. Nicht selten führen bspw. „Türklinken-Gespräche“ oder vielschichtige,[zum vollständigen Text gelangen Sie über die oben angegebene URL], 51. Kongress für Allgemeinmedizin und Familienmedizin

Published
2017

42. Correlation Between the Transplant Evaluation Rating Scale (TERS) and Medical Outcomes in Living-Donor Kidney Transplant Recipients: A Retrospective Analysis

Author

Dieplinger, G., primary, Mokhaberi, N., additional, Wahba, R., additional, Peltzer, S., additional, Buchner, D., additional, Schlösser, H.A., additional, Ditt, V., additional, von Borstel, A., additional, Bauerfeind, U., additional, Lange, U., additional, Arns, W., additional, Kurschat, C., additional, Stippel, H.A., additional, and Vitinius, F., additional

Published
2018
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47. Mobile Technology Affinity in Renal Transplant Recipients

Author

Reber, S., primary, Scheel, J., additional, Stoessel, L., additional, Schieber, K., additional, Jank, S., additional, Lüker, C., additional, Vitinius, F., additional, Grundmann, F., additional, Eckardt, K.-U., additional, Prokosch, H.-U., additional, and Erim, Y., additional

Published
2018
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49. Anwendungsbezug des CoTrain Kommunikationstrainings - Erfahrungen aus dem hausärztlichen Praxisalltag

Author

Leve, V., Steinhausen, S., Wilm, S., Vitinius, F., Langenbach, M., Bödecker, A.-W., Alich, M., Pfaff, H., and Neugebauer, E.A.M.

Subjects
ddc: 610, Kommunikationstraining, Hausarzt-Patienten-Kommunikation, 610 Medical sciences, Medicine
Abstract

Hintergrund: In der hausärztlichen Praxis ist das Gespräch mit Patienten/innen ein zentrales Element patientenorientierter Versorgung. Für die hausärztliche Versorgungsituation in Deutschland wurde aus diesem Grund ein Kommunikationstraining basierend auf dem Four Habits Modell[zum vollständigen Text gelangen Sie über die oben angegebene URL], 50. Kongress für Allgemeinmedizin und Familienmedizin

Published
2016

50. Was erwarten Patientinnen und Patienten von Gesprächen mit ihren Hausärztinnen und Hausärzten? Ergebnisse aus Fokusgruppen im Rahmen der CoTrain-Studie

Author

Steinhausen, S, Leve, V, Wilm, S, Vitinius, F, Langenbach, M, Bödecker, AW, Pfaff, H, Becker, U, and Neugebauer, E

Subjects
ddc: 610, 610 Medical sciences, Medicine
Abstract

Hintergrund: In der Hausarztpraxis ist eine gelungene Kommunikation wesentlich für eine vertrauensvolle Patient-Arzt-Beziehung und orientiert sich idealerweise am einzelnen Patienten. Dieses DFG-geförderte Forschungsprojekt zielt auf die Entwicklung eines Trainings ab, das Hausärzte/innen[zum vollständigen Text gelangen Sie über die oben angegebene URL], Gemeinsam informiert entscheiden; 17. Jahrestagung des Deutschen Netzwerks Evidenzbasierte Medizin

Published
2016
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