临时搬迁：（数字）身心干预促进养老院居民的健康和主观幸福感：一项集群随机对照试点研究。

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Gesundheitswesen Pub Date : 2025-03-03 DOI:10.1055/a-2517-8263

Jule Uhl, Simone Schönfeld, Laura Meyer, Annika Reus, Claudia Neumann, Lena Langer, Maren M Michaelsen, Tobias Esch

{"title":"临时搬迁：（数字）身心干预促进养老院居民的健康和主观幸福感：一项集群随机对照试点研究。","authors":"Jule Uhl, Simone Schönfeld, Laura Meyer, Annika Reus, Claudia Neumann, Lena Langer, Maren M Michaelsen, Tobias Esch","doi":"10.1055/a-2517-8263","DOIUrl":null,"url":null,"abstract":"Nursing care insurance companies in Germany have the legal mandate to develop measures to strengthen the health resources of residents of nursing homes. The present study aimed to examine a mindfulness-informed mind-body intervention (on-site and app) adapted for residents in nursing homes regarding their effect on health-related parameters.A pilot study (DRKS00030409) was carried out with three groups in twelve nursing homes (RCT). There was an on-site intervention in a group (O), an individual app application with technical support (A) and a passive control group (C). The participating residents (nO=28; nA=29; nC=19) were cluster-randomized. Before, after, and three months after the intervention period (December 2022 - January 2023), among other things, subjective well-being (WHO-5, primary outcome) and mindfulness (KIMS-D, including four subscales) were assessed. Differences within and between study groups and participants with different participation intensity were tested. In addition, a sensitivity analysis was carried out with people who did not have severe cognitive impairments at all three survey times.Indications of differences were found in subjective well-being during the intervention period between the study groups of medium size. While a decrease was observed in the control group, there was no change in the intervention groups. When the intensity of participation was taken into account, the difference between the groups became clearer. In addition, the app group showed an increase in mindfulness (subscale Observing) immediately after the intervention compared to the control group.Although further studies with larger samples are needed, the results already indicate that the intervention improves the well-being and mindfulness of the target group. Individual support could explain the higher effectiveness in the app group. The influence of the Covid-19 pandemic and the season (winter) on effectiveness must also be examined.","PeriodicalId":47653,"journal":{"name":"Gesundheitswesen","volume":" ","pages":""},"PeriodicalIF":0.7000,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"(Digital) Mind-Body Intervention to Promote Health and Subjective Well-Being of Residents in Nursing Homes: A Cluster-Randomized Controlled Pilot Study.\",\"authors\":\"Jule Uhl, Simone Schönfeld, Laura Meyer, Annika Reus, Claudia Neumann, Lena Langer, Maren M Michaelsen, Tobias Esch\",\"doi\":\"10.1055/a-2517-8263\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Nursing care insurance companies in Germany have the legal mandate to develop measures to strengthen the health resources of residents of nursing homes. The present study aimed to examine a mindfulness-informed mind-body intervention (on-site and app) adapted for residents in nursing homes regarding their effect on health-related parameters.A pilot study (DRKS00030409) was carried out with three groups in twelve nursing homes (RCT). There was an on-site intervention in a group (O), an individual app application with technical support (A) and a passive control group (C). The participating residents (nO=28; nA=29; nC=19) were cluster-randomized. Before, after, and three months after the intervention period (December 2022 - January 2023), among other things, subjective well-being (WHO-5, primary outcome) and mindfulness (KIMS-D, including four subscales) were assessed. Differences within and between study groups and participants with different participation intensity were tested. In addition, a sensitivity analysis was carried out with people who did not have severe cognitive impairments at all three survey times.Indications of differences were found in subjective well-being during the intervention period between the study groups of medium size. While a decrease was observed in the control group, there was no change in the intervention groups. When the intensity of participation was taken into account, the difference between the groups became clearer. In addition, the app group showed an increase in mindfulness (subscale Observing) immediately after the intervention compared to the control group.Although further studies with larger samples are needed, the results already indicate that the intervention improves the well-being and mindfulness of the target group. Individual support could explain the higher effectiveness in the app group. The influence of the Covid-19 pandemic and the season (winter) on effectiveness must also be examined.\",\"PeriodicalId\":47653,\"journal\":{\"name\":\"Gesundheitswesen\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-03-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gesundheitswesen\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-2517-8263\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gesundheitswesen","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2517-8263","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}

引用次数: 0

摘要

背景：德国的护理保险公司有法律授权制定措施来加强养老院居民的健康资源。本研究旨在检查正念通知身心干预（现场和应用程序）适用于养老院的居民关于他们对健康相关参数的影响。方法：采用随机对照试验（RCT），在12家养老院进行3组试验（DRKS00030409）。现场干预分为组(O)、有技术支持的个人app应用(a)和被动对照组(C)。参与居民(nO=28；nA = 29;nC=19)为集群随机。在干预期（2022年12月至2023年1月）之前、之后和三个月之后，除其他外，评估了主观幸福感（WHO-5，主要结果）和正念（kis - d，包括四个分量表）。测试了研究组内部和研究组之间以及不同参与强度的参与者之间的差异。此外，对在三次调查中没有严重认知障碍的人进行了敏感性分析。结果：在干预期间，中等规模研究组之间的主观幸福感存在差异。虽然在对照组中观察到下降，但在干预组中没有变化。当考虑到参与的强度时，两组之间的差异就变得更加明显了。此外，与对照组相比，应用程序组在干预后立即显示出正念（亚量表观察）的增加。讨论：虽然需要更大样本的进一步研究，结果已经表明干预改善了目标群体的幸福感和正念。个人支持可以解释应用程序组中较高的效率。还必须审查Covid-19大流行和季节（冬季）对有效性的影响。研究背景：德国的gesgeversicherungen haben den gesetzlichen Auftrag， Maßnahmenvorschläge zur Stärkung von Gesundheitsressourcen der Bewohnenden in stationären Pflegeeinrichtungen zu entwickeln。Ziel der vorliegenden studewar es, fdr . Zielgruppe eine partizipativ angepasste achtsamkeitsinformierte - body - ma ßnahme (Präsenz und App) hinsichtlich ihrer Wirkung auf gesundheitsbezogene Parameter zu untersuchen。方法：Es wurde eine pilot study （DRKS00030409）和drei Gruppen在zwölf Pflegeeinrichtungen durchgef hrt的随机对照试验。河北gab es eine Präsenz-Gruppe (O)， eine grouppe mit App-Einzelanwendung和techncher unterst tzung (A)和eine passive control group (C). Die teilnehmenden Bewohnenden (nO=28；nA = 29;nC=19) wurden Cluster-randomisiert。《世界卫生组织-5》（WHO-5, primäres Outcome）和《世界卫生组织- 3》（kim - d, inkl），《世界卫生组织-5》和《世界卫生组织- 3》。维耶·苏斯卡伦·埃尔霍本。我们的学习团队和学生团队将在Teilnahmeintensität学习团队中学习。aue ßerdem wurde eine Sensitivitätsanalyse mit Personen durchgef hrt, die keine cognitiven Einschränkungen aufwiesen （T0-T2）。Ergebnisse: Es gab einen Hinweis auine unschieedliche Entwicklung des subject wohlbefinens während des Interventionszeitraums von mitlerer Größe。Während in der control grouppe eine Verschlechterung zu beobachten war, lag in den interventiongrouppen keredution vor。www.berber. cksichtigung der Teilnahmeintensität wurde der Unterschied deutlicher。Außerdem zeigte die App-Gruppe direct nach der Intervention eine Erhöhung der Achtsamkeit (Subskala Beobachten) in Vergleich zur control gruppe。讨论：Weitere Studien mit größeren Stichproben sind erforderlich。在德国，在德国，在德国，在德国，在德国，在德国，在德国，在德国，在德国，在德国，在德国，在德国。Die höhere Wirksamkeit in der App-Gruppe könnte durch Die einzelbetreung erklärt werden。Der Einfluss von Corona-Maßnahmen sowie Der Jahreszeit (Winter) auf die Wirksamkeit sind zu prefen。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

(Digital) Mind-Body Intervention to Promote Health and Subjective Well-Being of Residents in Nursing Homes: A Cluster-Randomized Controlled Pilot Study.

Nursing care insurance companies in Germany have the legal mandate to develop measures to strengthen the health resources of residents of nursing homes. The present study aimed to examine a mindfulness-informed mind-body intervention (on-site and app) adapted for residents in nursing homes regarding their effect on health-related parameters.A pilot study (DRKS00030409) was carried out with three groups in twelve nursing homes (RCT). There was an on-site intervention in a group (O), an individual app application with technical support (A) and a passive control group (C). The participating residents (n_O=28; n_A=29; n_C=19) were cluster-randomized. Before, after, and three months after the intervention period (December 2022 - January 2023), among other things, subjective well-being (WHO-5, primary outcome) and mindfulness (KIMS-D, including four subscales) were assessed. Differences within and between study groups and participants with different participation intensity were tested. In addition, a sensitivity analysis was carried out with people who did not have severe cognitive impairments at all three survey times.Indications of differences were found in subjective well-being during the intervention period between the study groups of medium size. While a decrease was observed in the control group, there was no change in the intervention groups. When the intensity of participation was taken into account, the difference between the groups became clearer. In addition, the app group showed an increase in mindfulness (subscale Observing) immediately after the intervention compared to the control group.Although further studies with larger samples are needed, the results already indicate that the intervention improves the well-being and mindfulness of the target group. Individual support could explain the higher effectiveness in the app group. The influence of the Covid-19 pandemic and the season (winter) on effectiveness must also be examined.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Gesundheitswesen PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

18.20%

发文量

308

期刊介绍： The health service informs you comprehensively and up-to-date about the most important topics of the health care system. In addition to guidelines, overviews and comments, you will find current research results and contributions to CME-certified continuing education and training. The journal offers a scientific discussion forum and a platform for communications from professional societies. The content quality is ensured by a publisher body, the expert advisory board and other experts in the peer review process.