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| Verfasst von: | Valentini, Jan [VerfasserIn]  |
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| | Froehlich, Daniela [VerfasserIn] |
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| | Roesel, Inka [VerfasserIn] |
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| | Stolz, Regina [VerfasserIn] |
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| | Mahler, Cornelia [VerfasserIn] |
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| | Martus, Peter [VerfasserIn] |
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| | Klafke, Nadja [VerfasserIn] |
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| | Horneber, Markus [VerfasserIn] |
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| | Witte, Claudia [VerfasserIn] |
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| | Kramer, Klaus [VerfasserIn] |
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| | Greil, Christine [VerfasserIn] |
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| | Grün, Barbara [VerfasserIn] |
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| | Tomaschko-Ubelaender, Katrin [VerfasserIn] |
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| | Joos, Stefanie [VerfasserIn] |
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| | Winkler, Eva C. [VerfasserIn] |
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| | Hoffmann, Matthias [VerfasserIn] |
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| | Krug, Mirjam [VerfasserIn] |
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| | Eismann, Sabine [VerfasserIn] |
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| | Dürsch, Helena [VerfasserIn] |
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| | Bossert, Jasmin [VerfasserIn] |
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| | Szecsenyi, Joachim [VerfasserIn] |
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| | Wensing, Michel [VerfasserIn] |
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| Titel: | Enhancing patient activation |
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| Titelzusatz: | a controlled implementation study of an interprofessional evidence-based counseling program for complementary and integrative healthcare in cancer patients ('CCC-Integrativ') |
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| Verf.angabe: | Jan Valentini, Daniela Froehlich, Inka Roesel, Regina Stolz, Cornelia Mahler, Peter Martus, Nadja Klafke, Markus Horneber, Claudia Witte, Klaus Kramer, Christine Greil, Barbara Gruen, Katrin Tomaschko-Ubelaender, Stefanie Joos, on behalf of the CCC-Integrativ Study Group |
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| E-Jahr: | 2024 |
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| Jahr: | December 2024 |
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| Umfang: | 13 S. |
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| Illustrationen: | Illustrationen |
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| Fussnoten: | Online verfügbar: 14. November 2024 ; CCC-Integrativ Study Group: A Schmitt, E Winkler, M Hoffmann, M Krug, S Eismann, H Dürsch, J Bossert, M Wensing [und viele weitere] ; Gesehen am 28.05.2025 |
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| Titel Quelle: | Enthalten in: Frontiers of medicine |
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| Ort Quelle: | [Erscheinungsort nicht ermittelbar] : Higher Education Press, 2011 |
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| Jahr Quelle: | 2024 |
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| Band/Heft Quelle: | 18(2024), 6 vom: Dez., Seite 1013-1025 |
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| ISSN Quelle: | 2095-0225 |
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| Abstract: | Complementary and integrative healthcare (CIH) is increasingly recognized as a valuable approach to empowering and activating cancer patients. Studies have shown that higher patient activation is positively associated with improved health outcomes and reduced healthcare costs. The CCC-Integrativ study aimed to assess the implementation of an evidence-based counseling service on CIH at four Comprehensive Cancer Centers (CCC) in Germany. In this controlled implementation study, the patient-level intervention included three CIH consultations within a 3-month period delivered by interprofessional teams of physicians and nurses. The primary endpoint was patient activation using the PAM-13 at baseline (T1) and post-intervention (T2), and compared between control (CO, receiving routine care) and the intervention group (IG) using an analysis of covariance. Missing data were handled with multiple imputations. Maintenance effects at 6-month follow-up (T3) were investigated using a linear mixed model. A total of n = 1128 oncology patients (CO = 443, IG = 685) with diverse tumor entities and cancer stages were included in the study. The overall mean baseline PAM-13 score was 69.74 (SD = 14.24) (n = 959 (85.0%)). A statistically significant between-group difference in post-intervention PAM-13 scores was observed (Fgroup(1, 1866.82) = 8.634, P = 0.003), with an adjusted mean difference of 2.22 PAM-points. Age, gender, tumor entity, disease stage, or CCC study site did not significantly predict post-treatment PAM-13 scores. The maintenance effect of the intervention was not statistically significant (FtimeXgroup(1, 3316.04) = 2.337, P = 0.096). Individually tailored counseling on CIH, offered by specifically trained, interprofessional teams, significantly improved patient activation. Given the established positive effects of higher patient activation, the implementation of such a program at cancer centers may yield beneficial outcomes for both patients and the healthcare system. |
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| DOI: | doi:10.1007/s11684-024-1097-z |
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| URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
kostenfrei: Volltext: https://doi.org/10.1007/s11684-024-1097-z |
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| | kostenfrei: Volltext: https://link.springer.com/article/10.1007/s11684-024-1097-z |
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| | DOI: https://doi.org/10.1007/s11684-024-1097-z |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | adult oncology |
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| | complementary and integrative healthcare |
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| | complementary medicine |
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| | Counseling |
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| | Counseling Psychology |
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| | Health Communication |
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| | herbal medicine |
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| | interprofessional counseling |
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| | nutritional support |
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| | oncology |
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| | patient activation |
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| | Person-Centered Psychotherapy |
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| | preventive medicine |
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| | Randomized Controlled Clinical Trials |
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| | Therapeutic Relationship |
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| K10plus-PPN: | 1926953118 |
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| Verknüpfungen: | → Zeitschrift |
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Enhancing patient activation / Valentini, Jan [VerfasserIn]; December 2024 (Online-Ressource)
