PACED – Evaluation of outpatient and inpatient training for patients with chronic inflammatory bowel diseases
Prof. Dr. Dr. Hermann Faller,
Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften
Reha-Klinik Taubertal, Rehabilitationszentrum Bad Mergentheim der Deutschen Rentenversicherung
Bund, Bad Mergentheim (Dr. Claus Derra, Dr. Dimitrios Mainos, Thomas Tuschhoff);
Deutsche Morbus Crohn/Colitis ulcerosa Vereinigung (DCCV) e.V., Berlin (Birgit Kaltz, Christine Witte)
Dr. Romy Weiland,
03/2011 to 02/2014
Training programs for patients with chronic inflammatory bowel diseases (IBD) have so far been frequently limited to the imparting of information and have shown little success. Even though there are indications that individual counselling improves the self-management abilities of the patients and their course of illness, a patient-oriented group training that also considers psychological aspects has yet to be conducted. The aim of the study is to develop a patient-oriented training with medical and psychosocial modules for patients with IBD and to examine their effectiveness for inpatient medical rehabilitation and outpatient care. The patient training should address both knowledge about IBD and the coping possibilities and psychological coping in everyday life. Two versions of the training should result, one for inpatient and one for outpatient use.
In phase 1, manuals for the inpatient and outpatient setting are developed and formatively evaluated. In phase 2, the summative evaluation ensues (randomised, controlled prospective study). The effects are compared in an inpatient setting in the Klinik Taubertal with unspecific, informative units (CG) and in an outpatient setting through the DCCV with a waiting-list group (WG). It is expected that the combined training will be superior to a control group or waiting-list group. 461 inpatient and 154 outpatient IBD patients are consecutively recruited and randomly allocated. Primary dependent variables are illness-related worries after 3 months; secondary dependent variables are illness activity, knowledge, health competence, anxiety and depression as well as health-related quality of life after 3 and 12 months. The data analysis takes place primarily through hierarchical linear models; secondarily, further parametric and non-parametric analyses are conducted. In phase 3, the dissemination of the results is planned, meaning that in the case of a positive evaluation, the publication of the manuals and the transfer to routine care will follow.
Planned utilisation of results
Structured training programs for patients with chronic inflammatory bowel diseases for the inpatient and outpatient setting are presented in manualised form. The materials can be applied directly to practice and disseminated across the structures of the Centre for Patient Training, the DCCV, GRVS, DGVS and other professional associations.
< OTF-D - Berking  | PROCED - Raspe >