The Experts below are selected from a list of 174 Experts worldwide ranked by ideXlab platform
Matthias Bethge - One of the best experts on this subject based on the ideXlab platform.
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Preferences and willingness to wait for a work-related medical rehabilitation program amongst participants in cancer rehabilitation
2019Co-Authors: Julian Wienert, Matthias BethgeAbstract:Objectives To explore the preferences and willingness of cancer patient to wait for work-related components in a medical rehabilitation program. Methods The study explored cancer patients’ preferences and willingness to wait for work-related components in a medical rehabilitation program using a discrete choice experiment. Participants were asked to indicate preferences regarding Social Counseling, work-related psychological groups, work-related functional capacity training and waiting time until the start of rehabilitation treatment. Results A total of 464 patients participated in the study. Mean age was 50.5 years (SD = 7.6). About two thirds were female. The results indicate that patients anticipated increased utility from all work-related treatment components. Waiting time decreased utility. Willingness to wait was highest for work-related psychological groups. Participants were willing to wait 37 weeks if work-related medical rehabilitation components (45 minutes of intensified Social Counseling, 240 minutes of work-related psychological groups, and 360 minutes of work-related functional capacity training) would be added to a common rehabilitation program. Conclusions The study highlights cancer patients’ preferences for therapies that focus on occupational reintegration.
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Development and implementation of work-related medical rehabilitation in cancer patients using organizational ethnography and action research methodology.
International Journal of Occupational Medicine and Environmental Health, 2019Co-Authors: Betje Schwarz, Julian Wienert, Matthias BethgeAbstract:OBJECTIVES To develop a work-related medical rehabilitation (WMR) program for cancer patients based on the best available evidence, the expertise of rehabilitation professionals and the perspective of the patients, to ensure the fidelity of its implementation and to prepare its subsequent outcome evaluation. MATERIAL AND METHODS The implementation study was based on organizational ethnography and action research, and followed a multimethod, participatory and iterative approach to data collection and analysis. The authors carried out observations in 4 rehabilitation centers and conducted focus groups with rehabilitation professionals and patients. The obtained data were subjected to qualitative content analysis. All findings were discussed promptly with the rehabilitation centers at feedback meetings that contributed to the further development of the program. RESULTS The following WMR modules were defined based on the findings: additional work-related diagnostics, multi-professional team meetings, an introductory session, work-related functional capacity training, work-related psychological groups and intensified Social Counseling. Process descriptions for the subsequent evaluation of the program via a cluster-randomized trial were also developed, containing, e.g., instructions for patient information and recruitment. CONCLUSIONS Implementation studies can help to prepare for valid trials as they facilitate ensuring the feasibility, acceptability and fidelity of program implementation and evaluation. Organizational ethnography and action research are suitable methods for carrying out such studies. Int J Occup Med Environ Health. 2019;32(2):217-28.
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Work-related rehabilitation aftercare for patients with musculoskeletal disorders: results of a randomized-controlled multicenter trial.
International Journal of Rehabilitation Research, 2015Co-Authors: Sebastian Knapp, J. Briest, Matthias BethgeAbstract:There is evidence that rehabilitation with a multidisciplinary focus on work-related demands effectively improves work ability and quickens return to work in patients with musculoskeletal disorders. There could be benefits to the transfer of work-related components into rehabilitation aftercare. We examined the effectiveness of an intensified work-related rehabilitation aftercare program compared with standard intensified rehabilitation aftercare in Germany on work ability. We randomly assigned 307 patients with musculoskeletal disorders from 11 rehabilitation centers to an aftercare program with work-related functional capacity training, work-related psychoSocial groups, Social Counseling, relaxation training and exercise therapy (intervention group), or the usual aftercare program consisting of only exercise therapy (control group). The 6-month follow-up questionnaire was completed by 78.5% of patients. There was no statistically relevant between-group difference in follow-up primary (work ability) and secondary outcomes (e.g. health-related quality of life, sick leave duration). Significant improvements were observed within both the intervention and the control groups. Severely disabled participants in the intervention group had better physical functioning and shorter sick leave duration after 6 months compared with severely disabled patients in the control group. A partial replacement of standard exercise therapy by a more work-related therapy does not seem to improve work ability superiorly. Improved aftercare treatment may require a focus on employer participation and involvement within the actual work environment.
Bomkazi Tutshana - One of the best experts on this subject based on the ideXlab platform.
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Predictors of tuberculosis (TB) and antiretroviral (ARV) medication non-adherence in public primary care patients in South Africa: a cross sectional study
BMC Public Health, 2013Co-Authors: Pamela Naidoo, Karl Peltzer, Julia Louw, Gladys Matseke, Gugu Mchunu, Bomkazi TutshanaAbstract:Background Despite the downward trend in the absolute number of tuberculosis (TB) cases since 2006 and the fall in the incidence rates since 2001, the burden of disease caused by TB remains a global health challenge. The co-infection between TB and HIV adds to this disease burden. TB is completely curable through the intake of a strict anti-TB drug treatment regimen which requires an extremely high and consistent level of adherence.The aim of this study was to investigate factors associated with adherence to anti-TB and HIV treatment drugs. Methods A cross-sectional survey method was used. Three study districts (14 primary health care facilities in each) were selected on the basis of the highest TB caseload per clinic. All new TB and new TB retreatment patients were consecutively screened within one month of anti-tuberculosis treatment. The sample comprised of 3107 TB patients who had been on treatment for at least three weeks and a sub-sample of the total sample were on both anti-TB treatment and anti-retro-viral therapy(ART) (N = 757). Data collection tools included: a Socio-Demographic Questionnaire; a Post-Traumatic-Stress-Disorder (PTSD) Screen; a Psychological Distress Scale; the Alcohol Use Disorder Identification Test (AUDIT); and self-report measures of tobacco use, perceived health status and adherence to anti-TB drugs and ART. Results The majority of the participants (N = 3107) were new TB cases with a 55.9% HIV co-infection rate in this adult male and female sample 18 years and older. Significant predictors of non-adherence common to both anti-TB drugs and to dual therapy (ART and anti-TB drugs) included poverty, having one or more co-morbid health condition, being a high risk for alcohol mis-use and a partner who is HIV positive. An additional predictor for non-adherence to anti-TB drugs was tobacco use. Conclusions A comprehensive treatment programme addressing poverty, alcohol mis-use, tobacco use and psycho-Social Counseling is indicated for TB patients (with and without HIV). The treatment care package needs to involve not only the health sector but other relevant government sectors, such as Social development.
Heinz Voller - One of the best experts on this subject based on the ideXlab platform.
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no impact of an extensive Social intervention program on return to work and quality of life after acute cardiac event a cluster randomized trial in patients with negative occupational prognosis
International Archives of Occupational and Environmental Health, 2019Co-Authors: Annett Salzwedel, Karl Wegscheider, Claudia Schulzbehrendt, Gesine Dorr, Rona Reibis, Heinz VollerAbstract:OBJECTIVES: To examine the effectiveness of extensive Social therapy intervention during inpatient multi-component cardiac rehabilitation (CR) on return to work and quality of life in patients with low probability of work resumption after an acute cardiac event. METHODS: Patients after acute cardiac event with negative subjective expectations about return to work or unemployment (n = 354) were included and randomized in clusters of 3-6 study participants. Clusters were randomized for Social Counseling and therapy led by a Social worker, six sessions of 60 min each in 3 weeks, or control group (usual care: individual Counseling meeting by request). The return to work (RTW) status and change in quality of life (QoL, short form 12: Physical and Mental Component Summary PCS and MCS) 12 months after discharge from inpatient CR were outcome measures. RESULTS: The regression model for RTW showed no impact of the intervention (OR 1.1, 95% CI 0.6-2.1, P = 0.79; n = 263). Predictors were unemployment prior to CR as well as higher anxiety values at discharge from CR. Likewise, QoL was not improved by Social therapy (linear mixed model: ΔPCS 0.3, 95% CI - 1.9 to 2.5; P = 0.77; n = 177; ΔMCS 0.7, 95% CI - 1.9 to 3.3; P = 0.58; n = 215). CONCLUSIONS: In comparison to usual care, an intensive program of Social support for patients during inpatient cardiac rehabilitation after an acute cardiac event had no additional impact on either the rate of resuming work or quality of life.
Adesola Ogunniyi - One of the best experts on this subject based on the ideXlab platform.
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intellectual impairment in patients with epilepsy in ile ife nigeria
Acta Neurologica Scandinavica, 2008Co-Authors: Taofiki Sunmonu, Morenikeji A Komolafe, A O Ogunrin, Benedicta Y Oladimeji, Adesola OgunniyiAbstract:Introduction – Epilepsy is the most common non-infectious neurologic disease in developing countries such as Africa, including Nigeria. This study was designed to assess the intellectual performance of patients with epilepsy (PWE) in Nigeria hoping that the result will serve as the basis for educational, vocational, and Social Counseling. Methods – Forty-one PWE were studied along with 41 age-, sex- and education-matched healthy controls. A questionnaire was developed and applied to all subjects and history was taken from patients and eyewitness. The intellectual function of each subject was assessed with the aid of Wechsler Adult Intelligence Scale adapted for Nigerians. All patients subsequently had electroencephalography (EEG) performed and the EEG findings were noted. SPSS statistical package was used to analyze the data. Result – The PWE performed poorly on the verbal IQ, performance IQ, and full scale IQ scores when compared with controls (P < 0.05) and 20% of PWE had mental retardation. Long duration of epilepsy, long duration of antiepileptic drug therapy, younger age at onset of epilepsy, increased frequency of seizures, and low educational status were found to have negative impacts on intellectual performance in PWE (P < 0.05) while seizure types and type of antiepileptic drugs (carbamazepine or phenytoin) did not influence intellectual performance. Conclusion – This study shows that PWE had significant intellectual impairment when compared with controls. In addition, long duration of epilepsy, long duration of AED therapy, earlier age of onset, increased seizure frequency, and low educational status had a negative impact on intellectual functioning in PWE.
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Intellectual impairment in patients with epilepsy in Ile-Ife, Nigeria
Acta Neurologica Scandinavica, 2008Co-Authors: Taofiki Sunmonu, Morenikeji A Komolafe, A O Ogunrin, Benedicta Y Oladimeji, Adesola OgunniyiAbstract:Introduction – Epilepsy is the most common non-infectious neurologic disease in developing countries such as Africa, including Nigeria. This study was designed to assess the intellectual performance of patients with epilepsy (PWE) in Nigeria hoping that the result will serve as the basis for educational, vocational, and Social Counseling. Methods – Forty-one PWE were studied along with 41 age-, sex- and education-matched healthy controls. A questionnaire was developed and applied to all subjects and history was taken from patients and eyewitness. The intellectual function of each subject was assessed with the aid of Wechsler Adult Intelligence Scale adapted for Nigerians. All patients subsequently had electroencephalography (EEG) performed and the EEG findings were noted. SPSS statistical package was used to analyze the data. Result – The PWE performed poorly on the verbal IQ, performance IQ, and full scale IQ scores when compared with controls (P
Julian Wienert - One of the best experts on this subject based on the ideXlab platform.
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Preferences and willingness to wait for a work-related medical rehabilitation program amongst participants in cancer rehabilitation
2019Co-Authors: Julian Wienert, Matthias BethgeAbstract:Objectives To explore the preferences and willingness of cancer patient to wait for work-related components in a medical rehabilitation program. Methods The study explored cancer patients’ preferences and willingness to wait for work-related components in a medical rehabilitation program using a discrete choice experiment. Participants were asked to indicate preferences regarding Social Counseling, work-related psychological groups, work-related functional capacity training and waiting time until the start of rehabilitation treatment. Results A total of 464 patients participated in the study. Mean age was 50.5 years (SD = 7.6). About two thirds were female. The results indicate that patients anticipated increased utility from all work-related treatment components. Waiting time decreased utility. Willingness to wait was highest for work-related psychological groups. Participants were willing to wait 37 weeks if work-related medical rehabilitation components (45 minutes of intensified Social Counseling, 240 minutes of work-related psychological groups, and 360 minutes of work-related functional capacity training) would be added to a common rehabilitation program. Conclusions The study highlights cancer patients’ preferences for therapies that focus on occupational reintegration.
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Development and implementation of work-related medical rehabilitation in cancer patients using organizational ethnography and action research methodology.
International Journal of Occupational Medicine and Environmental Health, 2019Co-Authors: Betje Schwarz, Julian Wienert, Matthias BethgeAbstract:OBJECTIVES To develop a work-related medical rehabilitation (WMR) program for cancer patients based on the best available evidence, the expertise of rehabilitation professionals and the perspective of the patients, to ensure the fidelity of its implementation and to prepare its subsequent outcome evaluation. MATERIAL AND METHODS The implementation study was based on organizational ethnography and action research, and followed a multimethod, participatory and iterative approach to data collection and analysis. The authors carried out observations in 4 rehabilitation centers and conducted focus groups with rehabilitation professionals and patients. The obtained data were subjected to qualitative content analysis. All findings were discussed promptly with the rehabilitation centers at feedback meetings that contributed to the further development of the program. RESULTS The following WMR modules were defined based on the findings: additional work-related diagnostics, multi-professional team meetings, an introductory session, work-related functional capacity training, work-related psychological groups and intensified Social Counseling. Process descriptions for the subsequent evaluation of the program via a cluster-randomized trial were also developed, containing, e.g., instructions for patient information and recruitment. CONCLUSIONS Implementation studies can help to prepare for valid trials as they facilitate ensuring the feasibility, acceptability and fidelity of program implementation and evaluation. Organizational ethnography and action research are suitable methods for carrying out such studies. Int J Occup Med Environ Health. 2019;32(2):217-28.