Section Process-Outcome Research

Head: Prof. Bernd Puschner

The section seeks to provide answers to the question, “Which intervention, given by whom for how long, will lead to which outcome for this individual with that specific problem under what circumstances?” Process denotes formal, technical, intra- and interpersonal as well as temporal aspects of treatment with the relation between therapist and patient (“helping alliance”) being a cross-cutting theme. Outcome assessed by standardized measures includes short-, medium- and long-term effects of interventions on patients in terms of symptomatic impairment, quality of life, and needs. Study designs comprise randomized controlled trials, process evaluation, and prospective observational studies. Data analysis applies a mix of quantitative and qualitative methods with a special focus on hierarchical linear models.
Another important topic of the section are meta-analysis in order to systematically examine the efficacy and effectiveness of pharmacological and psychotherapeutic interventions (Priv. Doz. Markus Kösters).

Profilbild von Prof. Bernd Puschner

Prof. Bernd Puschner

Head of Section Process-Outcome Research

Research Administration

Postal address:

Section Health economics and health services research
Section Process-Outcome Research
Department of Psychiatry II, Ulm University
Bezirkskrankenhaus Günzburg
Ludwig-Heilmeyer-Str. 2
89312 Günzburg, Germany

Profilbild von Beate Dillinger

Beate Dillinger

Research administration Prof. Becker

Profilbild von Eva Paul

Eva Paul

Research administration Prof. Becker

Ongoing Projects

Evaluation of an intervention program for psychiatrically ill children of parents with psychiatric disorders – a randomized controlled multicenter trial
Duration: 04/2014 - 03/2017

Project management:
Prof. Dr. habil. Silke Wiegand-Grefe (Medical School Hamburg)

Project partners:
Prof. Dr. Martin Lambert (UKE)
Prof. Dr. Karl Wegscheider (UKE)
Prof. Dr. Franz Petermann (Universität Bremen)
Prof. Dr. Reinhold Kilian (Universität Ulm)
Prof. Dr. Ullrich Bauer (Universität Essen/Duisburg)
Dr. Doris Mallmann (Klinik Rheinhöhe, Vitos Rheingau)
Prof. Dr. von Klitzing (Universitätsklinikum Leipzig)

Staff Psychiatry II, Ulm University:
Prof. Dr. Reinhold Kilian (project management Ulm University)
Maja Stiawa M.A. soz. (project coordination)
Maike Gäns (student assistant)

External staff:
Artur Geis, Dipl.-Psychologe, Psychologischer Psychotherapeut, Mitarbeiter des Erziehungs- und Jugendhilfeverbund (EJV), Beratungsstelle Günzburg
Jörn Eugen, Dipl.-Sozialpädagoge, Systemischer Berater, Mitarbeiter des Erziehungs- und Jugendhilfeverbund (EJV), Beratungsstelle Illertissen

Finance: The project is funded by the German Federal Ministry of Education and Research (grant number BMBF- O1GY1337).

Total funding: 902.772,00 €

Funding Ulm University: 163.919,00 €

Duration: 01.04.2014 – 31.03.2017

 

Background:

Children of parents with a mental disorder have a high risk for developing psychiatric disturbances themselves. The risk for developing a mental disorder is much higher among children of mentally ill parents compared to children of mentally healthy parents. The increased specific and non-specific risks for developing a psychological disorder are shown in multiple studies on children of depressed, bipolar, schizophrenic and anxious parents, as well as children of parents with OCD, substance abuse problems or personality disorders. Children of parents with a depression disorder, in the inpatient child and adolescent psychiatry department show significantly longer ambulatory treatment periods, an increased need for inpatient treatment, are exposed to more psychosocial stressors, have consulted more mental health professionals and were more often advised to follow subsequent treatment.

Recent studies have shown that 50% of children whose parent/s suffer from a mental disorder already suffer from mental disorders themselves. Usually, these children do not receive professional treatment because parents feel guilty and fear stigmatization. Intervention programs for children that begin with intensive work with the parents, or family orientated interventions seem, after assessment of demand, to be especially suitable because these types of interventions include work on parental anxiety. Thus, the child can receive treatment with the basis of a trusting relationship between the therapist and the parents. Currently, the CHIMPs-intervention program is the only intervention program that has been evaluated in German-speaking regions, and an evaluated intervention program has yet to be implemented in the mental health care for this high risk group.


Objective:
The central aim of this study is to demonstrate the long term effectiveness of the intervention program in the practical field, compared to a control condition, in which the patients receive the usual aftercare after discharge from a psychiatric clinic (TAU=treatment as usual).

Method:
The study represents a prospective, randomized and controlled multicentre-study, contrasting one intervention and one control group within a pre-post design and one catamnesis (after 12 months). The measurement will be ruled out indirectly (for the pre-postmeasurement) as well as directly (at the end of a treatment). Within the data collection, the perspective of the psychiatrically ill parent, the partner, each child and the therapist will be considered. Children between 4-9 years of age will be evaluated only by the parents and the therapists, from 10 years on, an additional self-report-form will be filled out by the child.

Wirksamkeit und Kostenwirksamkeit eines Programms zur Förderung einer gesundheitsbewussten Lebensweise von Menschen mit psychischen Erkrankungen in Einrichtungen der gemeindepsychiatrischen Wohn- und Tagesbetreuung
Duration: 05/2016 - 11/2018

Lead: Prof. Dr. rer. soc. Reinhold Kilian

Project partners:
Kliniken des Bezirks Oberbayern
AOK Bayern - Die Gesundheitskasse
AWO Bezirksverband Obb. e.V.
AWO Sozialtherapeutische Einrichtungen
Frauentherapiezentrum FTZ gGmbH
kbo Sozialpsychiatrisches Zentrum gGmbH
SpDi Schwabing des Caritasverband München-Freising e.V.
Sozialpsychiatrisches Zentrum München gGmbH
Wohnprojekt Berg am Laim
Soziale Dienste Psychiatrie gGmbH

Staff Ulm University:
Prof. Dr. rer. soc. Reinhold Kilian
Dipl. Annabel Sandra Müller-Stierlin, M. Sc.
Ümmügülsüm Dinc, B. Sc.
Natalie Lamp, B. Sc.
Dr. hum. biol. Prisca Weiser

Finance:
AOK Bayern, Kliniken des Bezirks Oberbayern sowie die beteiligten Träger

Funding: 58.235 €

Duration: May 2016 – November 2018

 

Summary:

Patienten mit psychischen Erkrankungen leiden im Vergleich zur übrigen Bevölkerung häufiger an körperlichen Erkrankungen (z. B. Übergewicht, Diabetes, Herzkreislauferkrankungen). Ungesunde Lebensgewohnheiten, Nebenwirkungen von Medikamenten, ungünstige Lebensbedingungen und die Vernachlässigung der körperlichen Gesundheit werden als zentrale Ursachen für die schlechte körperliche Gesundheit der Betroffenen angesehen. Durch die Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Günzburg wurde deshalb ein Gesundheitsförderungsprogrammen für Menschen mit schweren psychiatrischen Erkrankungen entwickelt. Im Forschungsprojekt HELPS wird untersucht,  ob die Teilnahme an diesem Programm zur Förderung einer gesunden Lebensweise zur Verbesserung des Gesundheitsverhaltens und des körperlichen Wohlbefindens von Menschen mit psychischen Erkrankungen führt. Die Erkenntnisse, die mit dieser Studie gewonnen werden, sollen in Zukunft zur Weiterentwicklung von bestehenden Versorgungsmodellen beitragen. Durch die Etablierung wirksamer Gesundheitsförderungsprogramme in der Versorgung von Menschen mit psychischen Erkrankungen soll körperlichen Erkrankungen dieser Risikopopulation vorgebeugt werden. Dazu wird über einen Zeitraum von 18 Monaten eine Gruppe von Menschen mit psychischen Erkrankungen, die am Programm teilnehmen (diese nennen wir Interventionsgruppe) mit einer Gruppe von Patienten verglichen, die nicht an diesem Programm teilnehmen werden (diese nennen wir Kontrollgruppe). Insgesamt werden 70 Teilnehmer aus dem Raum München rekrutiert. Die Teilnehmer beider Gruppen werden zu vier Erhebungszeitpunkten im Abstand von sechs Monaten befragt.

Implementation of the patient guideline psychosocial therapies for patients with severe mental disorders
Duration: 09/2018 - 08/2021

Lead: Dr. Markus Kösters

Project partners:
University Hospital Munich (Department of Psychiatry and Psychotherapy) (PD Dr. Alkomiet Hasan, Prof. Dr. Peter Falkai)
University of Leipzig (Institute of Social Medicine, Occupational Health and Public Health, ISAP) (Dr. Uta Gühne, Prof. Dr. Steffi G. Riedel-Heller)
Ulm University (Institute of Epidemiology and Medical Biometrie) (Prof. Dr. Rainer Muche)
District Hospital Günzburg (Prof. Dr. Thomas Becker)
District Hospital Kempten (Prof. Dr. Markus Jäger)
District Hospital Memmingen (Dr. Andreas Küthmann)
District Hospital Donauwörth (PD Dr. Karel Frasch)
District Hospital Augsburg (Prof. Dr. Max Schmauß)
District Hospital Kaufbeuren (PD Dr. Albert Putzhammer)
kbo-Isar-Amper Hospital (Prof. Dr. med. Peter Brieger)

Staff Ulm University:
Dr. Markus Kösters
Dr. Johanna Breilmann
Prof. Dr. Reinhold Kilian
Natalie Lamp, M.Sc.
Katrin Mayer, M.Sc.
Tamara Waldmann, M.Sc.

Finance: Innovation Committee of the Federal Joint Committee (Gemeinsamer Bundesausschuss, G-BA)

Funding: 2.660.000 €

Duration: 09/2018 – 08/2021

 

Summary:

Psychosocial therapies are a core component of the treatment of people with severe mental disorders. So far, however, a structured assessment of existing offers and the use of offers by clients is missing. The ‘IMPPETUS’ project is intended to identify and reduce gaps regarding the psychosocial care for patients with mental disorders.

In the first phase of the project, the psychosocial care situation and the current implementation of the evidence- and consensus-based (S3) guideline ‘Psychosocial interventions in severe mental disorders’ will be assessed in ten health care regions of Bavaria. In the second phase, a randomized, controlled study will be used to examine whether the multimodal, structured implementation of the associated patient guideline and additional information offers increases the patients' participation in treatment and the use of psychosocial therapies and, furthermore, contributes to a better treatment outcome.

Project partners are ten Bavarian clinics, in which about 500 patients and their relatives in each project phase will be included. Included will be patients with schizophrenia, schizotype or manic disorders and affective disorders.

Sub-project: SUSIBER - Analyses of subjective safety of the general public in metropolitan areas during crises
Duration: 2014 - 2016

Lead: Prof. Dr. rer. soc. Reinhold Kilian

Project partners:
University of Paderborn
City of Dortmund, fire service
City of Gelsenkirchen, fire service
Robert Koch Institute
PRO DV AG
Hamm-Lippstadt University of Applied Sciences
Ulm University
City of Bochum, fire service (associated)
City of Essen, fire service (associated)
Ministerium für Inneres und Kommunales NRW (associated)
Landeszentrum Gesundheit NRW (associated)

Finance: Federal Ministry of Education and Research (BMBF)

Funding: 450.456 €

Duration: Januar 2014 - Dezember 2016

Staff Ulm University:
Carmen Checchia
Ann-Christien Holtrup
Annabel Stierlin
Dr. biol. hum. Carolin v. Gottberg

 

Aim of Interkom:
The aim of Interkom is to strengthen the perceived safety of the population during crises to enhance resilience of metropolitan areas and sustain stability during critical situations. To achieve this goal a holistic concept with four components is investigated. The four components should create a high level of perceived safety within the population during crises.
A targeted exertion of influence on the perceived safety of the population requires an extensive understanding of all dimensional components of the concept, as well as of individual and environmental factors influencing subjective safety.

Aim of SUSIBER:
The aim of the sub-project SUSIBER is to analyse structures and factors of subjective safety with regard to the critical situations power blackout, pandemic and biological threads. Furthermore we want to investigate how differences in hazard perception and perceived safety do influence potential behaviours during situations of danger, especially how they influence the cooperation with the administrative body and security forces.

Effectiveness and cost-efficiency of contracts in integrative care from patients suffering serious mental illnesses in real surroundings with particular attention to improvement of empowerment and quality of life
Duration: 2013 - 2016

Project partners:
PD Dr. Matthias Schützwohl, technical university Dresden (subproject management for the region of Berlin and Dresden)
Birgit Görres, Dachverband Gemeindepsychiatrie e.V.
Kay Herklotz, Medizinisch-therapeutisches Versorgungszentrum Dresden gGmbH
Stephanie Lerf, Gesellschaft für innovatives Gesundheitsmanagement mbH AWOLYSIS
Holger Steckermaier, Gemeinnützige GmbH des Projektvereins
Gisela Riederle, KIELER FENSTER
Wolfgang Faulbaum-Decke, Brücke Schleswig-Holstein
Marius Greuèl, MVZ-Pinel gGmbH
Dr. Thomas Floeth, NiG Pinel gGmbH
Dr. Nils Greve, GpG NRW PTV Solingen

Staff Ulm University:
Prof. Dr. rer. soc. Reinhold Kilian (overall project management)
Prof. Dr. med. Thomas Becker (medical project management)
Annabel Stierlin

Finance:
Bundesministerium für Gesundheit / Projektträger im DLR
Research for improvement of care of people with mental illnesses

Funding: 409.685 €

Duration: 2013 - 2016

Identifier: II A 5 – 2513 FSB 012

 

Background:
Currently, different models for improvement of psychiatric care are tested. The focus of these projects is the improvement of quality of life and of the ability for independent living (empowerment) of patients suffering serious mental illnesses. This study is meant to evaluate different concepts of psychiatric care. The results of this study will contribute to better understanding of need for ambulatory and stationary psychiatric care and will contribute to development of current care concepts.


Methods:
Focus of this project is the transregional analysis of effectiveness and cost-effectiveness of contracts for integrated care programs according to NWpG compared to treatment as usual in real surroundings. The study takes place in five regions in Germany (Berlin, Dresden, Kiel, Munich, Solingen). In the context of this study patients and their relatives will be interrogated four times within two years (every 6 months). The questionnaires include information to health state, quality of life and empowerment of patients. Moreover, data to the utilization of medical and psychotherapeutic offers will be collected.

Expected results:
Currently, different models for integrated psychiatric care are being tested in several parts of Germany. However, systematic data are missing so far. The results of this evaluation project will provide data for service providers and for financiers about the effect of those programs as regards improvement of psychiatric care, especially at the interface between outpatient and inpatient psychiatric care. The effect of integrated care programs according to NWpG will be investigated from the perspective of patients, persons of reference, service providers as well as financiers. Moreover, deficits of the current NWpG model should be pointed out and solution suggestions should be developed.

Publication:

  1. Stierlin A (2013) NWpG-Verträge zur Integrierten Versorgung werden evaluiert. Psychosoziale Umschau 3, 9.
Masculinity constructions and mental health behavior among depressed men
Duration: 10/2016 - 09/2019

Lead:
Dr. phil. Silvia Krumm, MAsoz, Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Wissenschaftliche Angestellte
Prof. Dr. rer. soc. Reinhold Kilian, Klinik für Psychiatrie und Psychotherapie II der Universität Ulm, Leiter der Sektion Gesundheitsökonomie und Versorgungsforschung  
Prof. Dr. med. Harald Gündel, Klinik für Psychosomatische Medizin und Psychotherapie der Universität Ulm, Ärztlicher Direktor

Project partners:
Prof. Dr. med. Thomas Becker, Klinik für Psychiatrie und Psychotherapie II der Universität Ulm am Bezirkskrankenhaus Günzburg, Ärztlicher Direktor
Dr. med. Petra Beschoner, Klinik für Psychosomatische Medizin und Psychotherapie der Universität, Oberärztin und Leitung Verhaltenstherapeutische Behandlungsgruppe

Staff Ulm University:
Dr. PH Tobias Staiger
Maja Stiawa, MAsoz
Dr. biol. hum. Annabel Sandra Müller-Stierlin
Dr. phil. Felicitas Söhner

Finance: German Research Foundation (DFG)

Funding: 416.482 €

Duration: October 2016 – September 2019

Summary:    
The prevalence of depression in women is twice the rate in men while men have much higher suicide rates. It is assumed that this ´gender paradox in depression´ is related to the fact that gender-specific bio-psychosocial factors are not adequately taken into account in the treatment of depressed men. Despite a broad consensus on the need for adequate mental health services for men and women suffering from depression, there is a knowledge gap regarding men´s needs with regard to depressive illness. By focusing on the concept of traditional masculinity some studies provide a one-dimensional understanding of men´s (mental) health behavior including reduced service use. Beyond such stereotypes, little is known about male mental health behavior, service needs and masculinity constructions in the context of depression, as well as men´s coping strategies in relation to discourses of masculinity and/or depression. Furthermore, there is a lack of knowledge on how men´s specific needs are addressed and/or met by mental health services.
Against the background of rising health service use due to depression among both men and women the mixed-method-study aims at a comprehensive analysis of men´s masculinity constructions and consequences for their mental health behavior: First, depressed men´s masculinity constructions with regard to social factors, job involvement, and attitudes towards mental illness will be analysed by cluster analysis on the basis of interviews with men suffering from depression. Masculinity types will then be identified and related to specific indicators of mental health behavior. Second, on the basis of these types, qualitative interviews will be conducted with exemplary cases in order to gain a deeper understanding of men´s subjective perspectives regarding their coping with depression. These results, on the basis of focus groups with depressed men, will be validated communicatively. Finally, semi-structured interviews will be conducted with mental health professionals to understand their views and attitudes towards depressed men and their service needs.
By analyzing male patients´ and professionals´ perspectives on male coping strategies and mental health needs the study provides an empirically based starting point for the development of gender sensitive mental health services. From a gender perspective the study aims at a better understanding of masculinity constructions in the context of depression with regard to social and discursive factors. Furthermore, through an analysis of the diversity of masculinity concepts, the study contributes to a more detailed picture of depression in men.

Publications: 

  1. Krumm S, Kilian R, Beschoner P, Becker T, Gündel H: Wenn Mann sein zum Problem wird. Zum Verhältnis von Männlichkeitsorientierung und Depression. Sozialpsychiatrische Informationen 2018, 48, 23-26 
  2. Krumm S, Checchia C, Koesters M, Kilian R, Becker T. Men's Views on Depression: A Systematic Review and Metasynthesis of Qualitative Research. Psychopathology. 2017;50(2):107-124
Maßnahmen zur beruflichen Integration in RPK- und BTZ-Einrichtungen mit und ohne Supported Employment-Anteile für Menschen mit schweren psychischen Erkrankungen (RPK_BTZ_MOSES)
Laufzeit: 18 Monate

Antragsteller/Projektleitung:
Prof. Dr. med. Thomas Becker, Ärztlicher Direktor; Klinik für Psychiatrie und Psychotherapie II, Universität Ulm
Prof. Dr. med. Katarina Stengler, Leiterin AG Psychosoziale Forschung, Universität Leipzig

Koordination: Prof. Dr. rer. soc. Reinhold Kilian

Kooperationspartner:
alle RPK-Einrichtungen in Deutschland, Koordination: Vorstand der BAG RPK, Dipl.-Psych. Anette Theißing, Hannover
alle BTZ-Einrichtungen in Deutschland, Koordination: Mitglied im Vorstand BAG BTZ, Dr. Reinald Faß, Berlin

Mitarbeiter Universität Ulm:
Dipl.-Jur. Paulo Kling Lourenco
M. A. Soz. Maja Stiawa
Dr. biol. hum. Carolin von Gottberg

Externe Mitarbeiter (Leipzig):
Lisa Leyendecker

Finanzierung: Deutsche Rentenversicherung

Fördersumme: 95.900 €

Laufzeit: 18 Monate

 

Hintergrund:
Bisher fehlen überzeugende Daten zur Wirksamkeit beruflicher Rehabilitationsmaßnahmen in Deutschland. Dabei interessiert vor allem, welche der vielfältig vorgehaltenen Strukturen, Settings und methodischen Ansätze beruflicher Integration die besten Ergebnisse bezüglich der Wiedererlangung eines Arbeitsplatzes zeigen und in welchem Maße die international erfolgreiches Modell des SE unter den gegebenen Bedingungen in Deutschland umzusetzen sind. Für Menschen mit schweren psychischen Erkrankungen ist die Rehabilitation in RPK-Einrichtungen eines der in Deutschland am häufigsten in Anspruch genommenen integrativen Angebote. Zudem sind Berufliche Trainingszentren (BTZ) als regionale, ambulante Einrichtungen der beruflichen Rehabilitation nach § 35 SGB IX sehr gut geeignet, Menschen nach einer psychischen Erkrankung beim Wiedereinstieg in den allgemeinen Arbeitsmarkt zu unterstützen. Daten der BTZ’s wie auch der RPK’s  deuten auf gute Integrationsergebnisse nach beruflicher Rehabilitation hin. Vor diesem Hintergrund soll in einer Vorstudie der Frage nachgegangen werden, in welchem Umfang und in welcher Art in RPK‘s und in BTZ’s in Deutschland SE-Inhalte umgesetzt werden. Dies soll perspektivisch helfen, den Einfluss dieser Maßnahmen auf erzielte Rehabilitationsergebnisse zu untersuchen und individuelle und weitere kontextbezogene Determinanten, die auf den beruflichen Rehabilitationserfolg einwirken, herauszufinden.

Fragestellung/Projektziele:
Charakterisierung der Art und des Umfangs von Maßnahmen zur beruflichen Integration in Anlehnung an das Supported Employment (SE) Konzept zur Überprüfung und Verbesserung der Ressourcenallokation bei beruflichen Rehabilitationsmaßnahmen in RPK’s und BTZ’s. Charakter der Studie: Vorstudie in Vorbereitung auf eine prospektiv angelegte quantitative Längsschnitterhebung zur Wirksamkeit und Effektivität von beruflichen Integrationsmaßnahmen in RPK’s und BTZ’s in Deutschland In welchem Umfang und in welcher Form sind SE-Elemente in BTZ- und RPK-Einrichtungen in Deutschland umgesetzt? Unter welchen Setting- und einrichtungsspezifischen Bedingungen werden SE-ähnliche Angebote zur beruflichen Integration in BTZ’s und RPK’s durchgeführt?

Methoden:
Multizentrische Querschnittserhebung mit quantitativen und qualitativen Methoden Fragebogen-Erhebung (SE-Orientierung) – Verwendung der im Delphi-Verfahren modifizierten IPS Fidelity Scale in allen RPK-Einrichtungen (n=57) und in allen BAG BTZ-Mitgliedseinrichtungen (n=22) in Deutschland. Qualitatives Teilprojekt: leitfadenzentrierte Interviews in definierten Subgruppen (Einrichtungen mit großer versus geringer SE-Nähe) Auswertung: Grounded Theory 57 RPK- und 22 BTZ-Einrichtungen: Einschätzung der „SE-Nähe“ der beruflichen Integrationsangebote mittels modifiziertem IPS Fidelity Scale-Fragebogen durch Mitarbeiter/innen der Einrichtung (n= 79).

Zudem soll ein Erhebungsinstrument zur Erfassung einrichtungs- und Setting spezifischer Daten entwickelt werden, das sich an den in den Einrichtungen etablierten Basisdokumentationen orientiert und Kennwerte wie städtisches vs. Ländliches Setting, regionale Arbeitslosigkeit, Größe der Einrichtung, Anzahl der Rehabilitand/innen, ambulante und/ oder stationäre Einheit etc. aufnimmt.

Auswertung:
Die Auswertung des quantitativen Studienteils erfolgt mittels deskriptiver sowie explorativer statistischer Methoden. Die Beurteilung der Übereinstimmung der Angaben der beiden Rater der „SE-German Version1“ erfolgt mit Cohens Kappa. Die Klassifikation der RPK -/ BTZ Stengler/ Kilian/ Becker: Art und Umfang von SE-Angeboten in RPK- und BTZ-Einrichtungen erfolgt auf der Basis einer Clusteranalyse bzw. bei vorliegenden Anwendungsvoraussetzungen auf der Basis einer Latenten Profilanalyse unter Einbeziehung der Items bzw. Subskalen der „SE-German Version1“.

Evaluation of the digital method to assess the nutrient intake of patients with mental disorders with regard to the method’s practicability
Duration: 11/2015 - 04/2016

Lead: Dipl. Annabel Sandra Müller-Stierlin, M. Sc.

Project partners:
Dr. biol. hum. Nicole Scheuing, Prof. Dr. Reinhard W. Holl, Universität Ulm
Prof. Dr. Philipp Graf, Hochschule Ulm

Staff Ulm University:
Prof. Dr. rer. soc. Reinhold Kilian
Dipl. Annabel Sandra Müller-Stierlin, M. Sc.
Ümmügülsüm Dinc, B. Sc.
Ramona Hiltensperger

Finance:
Nachwuchsakademie des Netzwerkes Versorgungsforschung Baden-Württemberg (MWK – Ministerium für Wissenschaft, Forschung und Kunst in Baden-Württemberg)
Medizinische Fakultät der Universität Ulm

Funding: 49.840 €

Duration: November 2015 – April 2016

 

Summary:
Life expectancy of patients with mental disorders is clearly reduced in comparison to the general population. This can be attributed to unhealthy lifestyle habits, e.g. an unhealthy diet. Prevention and intervention concerning the patients’ diet are aspired in order to relieve mental disorders and to counteract associated comorbidities.
Valid methods to measure the nutritional behavior of patients with mental disorders are needed to evaluate the interplay between mental disorders and nutrition and to investigate new interventions. A digital method to assess the diet through commercial photo mobile phones, that was already successfully tested in healthy volunteers, might be particularly suitable for patients with mental disorders.
In the context of this study, the digital method will be compared to other already validated methods for the assessment of nutritional behavior such as simple food diaries or elaborate weighed protocols. While the feasibility and accuracy of this new method will be tested in patients with mental disorders, insights in the nutritional behavior of this patient group will be obtained.
The digital method will be tested on 40 patients with F2-diagnosis (psychosis) and 40 patients with F3-diagnosis (affective disorder). The patients will be asked to take pictures of their food and drinks for three days and to pass those pictures to the study team (e.g. by means of commercial photo mobile phones). At one day a conventional weighed protocol and at another day a food diary with estimated or standardized serving sizes will be kept. Moreover, food frequencies will be estimated by patients. At the end of the three-day period a satisfaction questionnaire concerning the different assessment methods will be answered. The assessment will be repeated after four weeks in order to assess intrapersonal fluctuations. The food items and serving sizes will be determined based on the pictures, the food diaries and the weighed protocols and data will be entered in software for nutrient assessment (DGExpert). Based on those data the different assessment methods will be compared in matters of feasibility and accuracy. Furthermore, the nutritional behavior of patients will be judged.
Thereby, the basis for further research concerning the triad between mental disorders, nutritional behavior and associated metabolic comorbidities will be established. Subsequently, the effectiveness of a lifestyle intervention concerning the alleviation of associated metabolic comorbidities (e.g. adipositas or lipidemia) can be investigated in patients with mental disorders. The current project helps to choose an appropriate method to assess the nutritional behavior can be chosen and moreover, that the lifestyle intervention can be adapted to the nutritional behavior of this patient group.

Local Coordination “Young Scientists’ Programme for Health Services Research in Baden-Wuerttemberg“
Duration: 2011 - 2015

Project partners:
Joachim Szecsenyi, Gunter Laux, Antje Miksch, Stefanie Joos, Universitätsklinikum Heidelberg (Gesamtkoordination)
Hans-Joachim Salize, Zentralinstitut für Seelische Gesundheit, Mannheim
Joachim Fischer, Universität Heidelberg, Medizinische Fakultät Mannheim
Monika Rieger, Universitätsklinikum Tübingen
Werner Vach, Universität Freiburg

Staff Ulm University:
Thomas Becker
Bernd Puschner (Lead)
Suzanne Cosh
Sabine Loos

Finance:
Ministerium für Wissenschaft, Forschung und Kunst (MWK) in Abstimmung mit dem Ministerium für Arbeit und Sozialordnung, Familien und Senioren

Funding: 166.000 € (1. and. 2. Cohort, Ulm)

Duration: 2011 – 2015

 

Summary:

The Nachwuchsakademie funds young scientists in Baden Württemberg for an 18 month period to complete a research project. At the University of Ulm, there are currently 3 young researchers with NWA funding. The NWA also provides workshops and career development opportunities to the researchers. The Universities throughout Baden Württemberg who are part of the NWA offer workshops.

Their projects cover the areas of economic analysis of health promotion programs in Primary schools, the development of software for use in economic analyses and power analyses, and an examination of how general practitioners recognise and manage depression. All 3 researchers are currently in a data collection phase and progressing well towards successful and timely completion of their projects.

In Ulm, the aim is to offer up to 3 workshops per year. The first workshop will be entitled “Scientific English writing for publication”. It will be held on 26th March 2014 and will cover technical, as well as stylistic aspects of writing for publication. Future workshops are currently in the planning and development phase. There are also quarterly meetings to allow opportunities for the Ulm researchers to meet together and present their work. This also offers a forum for raising any concerns and for the researchers to meet together and provide peer supervision and support to one another. Two such meetings have been held since October 2013.

Using Peer Support In Developing Empowering Mental Health Services
Duration: 01/2018 - 12/2022

Lead: Prof. Bernd Puschner

Project partners:
University of Nottingham, UK
Universitätsklinikum Hamburg-Eppendorf, Germany
Butabika National Referral Hospital, Uganda
London School of Hygiene and Tropical Medicine, UK
Ifakara Health Institute, Tansania
Ben-Gurion University of the Negev, Israel
Centre for Mental Health Law and Policy, India

Staff Ulm University:
Prof. Bernd Puschner
Dr. biol. hum. Annabel Sandra Müller-Stierlin
Prof. Reinhold Kilian
Dr. phil. Silvia Krumm
Eva Paul
Ramona Hiltensperger, M. Sc.

Finance: EU (HORIZON2020), Global Alliance Chronic Diseases (GACD)

Funding: 3,100,000 €

Duration: 01/2018 – 12/2022

 

Background: A large number of people with severe mental illness receive no treatment. This treatment gap is largest in low and middle income countries (LMIC), with detrimental effects on individuals (social role, quality of life, stigma) and societies (equity, costs). Peer support is an established intervention involving a person in recovery from mental illness being employed to offer support to others with mental illness. Peers are an untapped resource in global mental health.

Objective and methods: UPSIDES will scale-up peer support interventions for people with severe mental illness in high-, middle- and low-resource settings. An international community of practice for peer support including peer support workers, mental health researchers, and other relevant stakeholders in Europe, Africa and Asia (8 study sites in 6 countries) will be established. Peer support will be implemented adapted to the local context. Using a mixed-methods approach, the impact of peer support will be rigorously evaluated at the levels of patients and peer support workers (psychosocial and clinical outcomes), services (cost-effectiveness, return on investment), and implementation (adoption, sustainability, organisational change). Evidence of best practice will be disseminated to local, national and international stakeholders ensuring sustainability and spread.

Expected impact: UPSIDES will improve the lives of large numbers of citizens in Europe and LMIC by modifying mental health systems using the expertise of people with personal experience of mental illness. Utilising peers will provide an essential driver in low-income settings relieving the scarcity of human capital. Performance of mental health services will be maximised through actively involving and empowering service users, generating system changes towards patient-centeredness, recovery orientation, and community participation. UPSIDES will transform health systems towards realizing mental health as a human right.

Completed Projects

Implementation and Validation Study of Quality Indicators for Integrated Care of People with Schizophrenia
Duration: 2010 - 2011

Service Provision of Mentally Ill Persons in Germany: Provision Practice and Cooperation of Care Providers
Duration: 2009 - 2010

Publications:

  1. Bramesfeld, A.; Ungewitter, C.; Böttger, D.; El Jurdi, J.; Losert, C.; Kilian, R. (2012): What promotes and inhibits cooperation in mental health care across disciplines, services and service sectors? A qualitative study. In: Epidemiol Psychiatr Sci 21 (01), S. 63–72. DOI: 10.1017/S2045796011000539
  2. Ungewitter C, Böttger D, El-Jurdi J, Kilian R, Losert C, Ludwig K, Steinkohl V, Bramesfeld A. (2012). Struktur und Kooperation in der Versorgung psychisch Kranker Service structure and cooperation in mental health care. Nervenarzt (DOI 10.1007/s00115-011-3433-1)

Child and adolescent mental health in enlarged Europe: development of effective policies and practices
Duration: 2006 - 2008

Publications:

  1. Kilian, Reinhold; Losert, Carolin; Park, A-La; McDaid, David; Knapp, Martin (2010): Cost-Effectiveness Analysis in Child and Adolescent Mental Health Problems: An Updated Review of Literature. In: International Journal of Mental Health Promotion 12 (4), S. 45–57. DOI: 10.1080/14623730.2010.9721825
  2. McDaid, David; Park, A-La; Knapp, Martin; Losert, Carolin; Kilian, Reinhold (2010): Making the Case for Investing in Child and Adolescent Mental Health: How can Economics Help? In: International Journal of Mental Health Promotion 12 (4), S. 37–44. DOI: 10.1080/14623730.2010.9721824

The aim of this systematic review is to summarise the evidence pertaining to the effects of guideline implementation in specialist mental health care in the view of specific implementation strategies.
Duration: 2012 - 2014

Publications:

  1. Barbui C, Girlanda F, Ay E, Cipriani A, Becker T, Koesters M (2014) Implementation of treatment guidelines for specialist mental health care. Cochrane Database Syst Rev 1:CD009780. doi: 10.1002/14651858.CD009780.pub2
  2. Girlanda F, Fiedler I, Ay E, Barbui C, Koesters M (2013) Guideline implementation strategies for specialist mental healthcare. Current Opinion in Psychiatry 26:369–375. doi: 10.1097/YCO.0b013e328361e7ae
  3. Koesters M, Girlanda F, Ay E, Cipriani A, Barbui C (2012) Implementation of treatment guidelines for specialist mental health care of severely mentally ill patients (protocol). http://dx.doi.org/10.18725/OPARU-2743

Clinical decision making and outcome in routine care for people with severe mental illness
Duration: 2009 - 2012
Finance: European Commission, 7th Framework Programm (Contract No. 223290)
Identifier: FP7-HEALTH-2007-B
Project-Website: www.cedar-net.eu

Publications:

  1. Puschner B, Steffen S, Slade M, Kaliniecka H, Maj M, Fiorillo A, Munk-Jørgensen P,  Larsen J, Égerházi A, Nemes Z, Rössler W, Kawohl W, Becker T (2010): Clinical Decision Making and Outcome in Routine Care for People with Severe Mental Illness (CEDAR): Study protocol. BMC Psychiatry, 10 (90) (http://www.biomedcentral.com/1471-244X/10/90)

Duration: 2009 - 2010

Publication:

  1. Kösters M, Zhang Y, Ma Y C, Weinmann S, Becker T, Jin WD (2011): What can we learn from Chinese randomised controlled trials? A systematic review and meta-analysis of Chinese venlafaxine studies. Journal of Clinical Psychopharmacology 31(2), 194-200 (IF 4.857)

Effects of antipsychotic long-term treatment on the functional impairment and the subjective quality of life of patients with schizophrenia under atypical neuroleptics
Duration: 03/2005 - 12/2009

Systematic Evaluation of the „Efficacy-Effectiveness Gap” in the Treatment of Depression with Venlafaxin and Duloxetin
Duration: 2011 - 2013

Publication:

  1. Kösters M, Holtrup AC, Fiedler I, Becker T (2013) Systematic evaluation of the „efficacy-effectiveness gap“in the treatment of depression with Venlafaxine and Duloxetine (protocol). http://dx.doi.org/10.18725/OPARU-2840

Outcome monitoring and outcome management in inpatient psychiatric care
Duration: 06/2005 - 11/2007
International Standard Randomised Controlled Trial Number is: ISRCTN93197945
Further information: http://www.isrctn.com/ISRCTN93197945

The development of a method for the measurement of empowerment in the psychiatric treatment of people with severe mental disorder 
Duration: 2008 - 2011

Enhancing the Quality of Life and Independence of Persons Disabled by Severe Mental Illness through Supported Employment
Duration: 2003 - 2005

European Profile of Prevention and Promotion in Mental Health (EuroPoPP-MH)
Duration: 02/2011 - 09/2011

Lead: Prof. Dr. Reinhold Kilian, Dr. phil. Silvia Krumm

Duration: 2007 - 2009

Publications:

  1. Krumm S (2010): Biografie und Kinderwunsch bei Frauen mit schweren psychischen Erkrankungen. Eine soziologische und sozialpsychiatrische Untersuchung. Bonn: Psychiatrie-Verlag
  2. Krumm S, Kilian R, Becker T (2011): „Ich werde sie sicherlich nicht einfach so in die Welt setzen…“. Der soziale Kontext des Kinderwunschs aus der Sicht von Frauen mit psychischen Erkrankungen. Eine qualitative Studie. Psychiatrische Praxis 38, 23–30
  3. Krumm S, Kilian, R, Becker, T (2010): "Ein Kind wäre schon ein Wunsch..." Kinderwunsch und psychische Erkrankung aus der subjektiven Sicht betroffener Frauen. Psychiatrische Praxis 37, 134-41

Help and consultation for families with a mentally ill parent
Duration: 03/2006 - 02/2008

Generic emergency plan and adaptive process model to protect local government in the event of a pandemic
Duration: 2009 - 2012

Publications:

  1. von Gottberg, Carolin; Krumm, Silvia; Porzsolt, Franz; Kilian, Reinhold (2016): The analysis of factors affecting municipal employees' willingness to report to work during an influenza pandemic by means of the extended parallel process model (EPPM). In: BMC public health 16 (1), S. 26. DOI: 10.1186/s12889-015-2663-8
  2. Meilicke, Gerald; von Gottberg, Carolin; Krumm, Silvia; Kilian, Reinhold (2014): Präsentismus vermeiden – Arbeitsbereitschaft fördern. Ein Zielkonflikt der Pandemieplanung? In: Präv Gesundheitsf 9 (2), S. 123–129. DOI: 10.1007/s11553-013-0421-2

European Network for Promoting the Health of Residents in Psychiatric and Social Care Institutions
Duration: 2008 - 2011
Project-website: www.uni-ulm.de/helps-net/index.htm

Publications:

  1. Weiser, Prisca; Kilian, Reinhold; McDaid, David; Berti, Loretta; Burti, Lorenzo; Hjorth, Peter et al. (2014): Rationale, Component Description and Pilot Evaluation of a Physical Health Promotion Measure for People with Mental Disorders across Europe. In: J Community Med Health Educ 4 (4), S. 1–10
  2. Park, A-La; McDaid, David; Weiser, Prisca; von Gottberg, Carolin; Becker, Thomas; Kilian, Reinhold (2013): Examining the cost effectiveness of interventions to promote the physical health of people with mental health problems: a systematic review. In: BMC Publ Health 13 (1), S. 787. DOI: 10.1186/1471-2458-13-787
  3. Weiser P, Becker T, Losert C, Alptekin K, Berti L, Burti L, Burton A, Dernovsek M, Dragomirecka E, Freidl M, Friedrich F, Genova A, Germanavicius A, Halis U, Henderson J, Hjorth P, Lai T, Larsen JI, Lech K, Lucas R, Marginean R, McDaid D, Mladenova M, Munk-Jørgensen P, Paziuc A, Paziuc P, Priebe S, Prot-Klinger K, Wancata J, Kilian R. (2009) European network for promoting the physical health of residents in psychiatric and social care facilities (HELPS): background, aims and methods. BMC Public Health. Aug 28;9:315-327

Implementation of Evidence-based Pharmacotherapy Guidelines in Inpatient Treatment of Schizophrenia
Duration: 02/2005 - 08/2006

Mental Health Economics European Network (MHEEN/MHEEN II)
Duration: 04/2003 - 2008

Mental health care provision for adults with mental retardation and a psychiatric diagnosis
Duration: 2012 - 2014

An SMS-assisted mindfulness-based intervention for relapse prevention in depression
Duration: 2013 - 2014

Publication:

  1. Kraft, S., Wolf, M., Klein, T., Becker, T., Bauer, S., & Puschner, B. (2017). Text Message Feedback to Support Mindfulness Practice in People With Depressive Symptoms: A Pilot Randomized Controlled Trial. JMIR mHealth and uHealth, 5(5)

Effectiveness and Cost-Effectiveness of Needs-Oriented Discharge Planning and Monitoring for High Utilisers of Psychiatric Services
Duration: 2006 - 2008
International Standard Randomised Controlled Trial Number is: ISRCTN59603527  
Further information: http://www.isrctn.com/ISRCTN59603527

Publication:

  1. Puschner B, Steffen S, Gaebel W, Freyberger H, Klein HE, Steinert T, Muche R, Becker T, Needs-oriented discharge planning and monitoring for high utilisers of psychiatric services (NODPAM): design and methods., BMC Health Serv Res, 2008, 8, 152, doi: 10.1186/1472-6963-8-152

Treatment decision for patient with depression – Reasons for general practitioner to treat patients or refer to specialist
Duration: 09/2013 - 02/2015

Health behaviour in psychiatric in-patients compared with a German general population sample
Duration: 03/2004 - 03/2005

Staff Ulm University:
Carmen Checchia, MAsoz
Dr. Gisela Badura-Lotter, Institut für Geschichte Theorie und Ethik der Medizin, Universität Ulm

Duration: 03/2011 - 04/2015

Publications:

  1. Krumm S, Checchia C, Kilian R, Becker T. Mental health nurses’ and psychiatrists’ views on addressing parenthood issues among service users. International Journal of Mental Health Nursing 2018, First published: 01 August 2018; doi.org/10.1111/inm.12525
  2. Checchia C, Badura-Lotter G, Kilian K, Becker T, Krumm S: Umgang mit Elternschaft psychiatrischer  Patienten während der stationären Behandlung: Möglichkeiten und  Grenzen aus subjektiver Sicht psychiatrischer Fachkräfte. Psychiatrische Praxis Psychiat Prax Psychiat Prax 2017; 44(06): 332-338.
  3. Checchia C, Badura-Lotter G, Kilian R, Becker T, Krumm S. Kinderwunsch und Familienplanung psychiatrischer PatientInnen aus Sicht der Fachkräfte – Ergebnisse einer qualitativen Studie Psychiatrische Praxis 2016, 43(8), 23–30. 
  4. Krumm S, Checchia C, Badura-Lotter G, Kilian R, Becker T: The attitudes of mental health professionals towards patient’s desire for children. BMC Medical Ethics 2014 15:18
  5. Badura-Lotter G, Krumm, S (2014): Kinderwunsch und  Elternschaft bei psychisch Kranken? Eine Topographie ethischer Konfliktlagen. In: Feuerstein, G. & Schramme, T. (Hrsg): Ethik der Psyche. Campus.
  6. Krumm S: „Was ganz Wichtiges im Leben“: Kinderwunsch und Elternschaft bei psychischen Erkrankungen aus zwei Perspektiven. Kerbe 32, 2014, Nr. 4, S. 42-45.
  7. Checchia C, Badura-Lotter G, Kilian R, Becker T, Krumm S. "Hat ja jeder eigentlich das Recht" - Zum professionellen Umgang mit Kinderwunsch und Elternschaft bei psychiatrischen PatientInnen. In: Wolfersdorf M, Laux G (Hrsg) 9. Forschungskongress der Fachkliniken der bayerischen Bezirke. Kloster Irsee 2013. Roderer Verlag Regensburg 2014

Systematic Review of Meta-Analyses on the Efficacy of SSRI and SNRI in the Treatment of Major Depression
Duration: 04/2008 - 04/2010

Internet-delivered intervention strategy for recurrent depression: Towards individualized disease management
Duration: 2010 - 2013

Publication:

  1. Kordy H, Backenstrass M, Hüsing J, Wolf M, Aulich K, Bürgy M, Puschner B, Rummel-Kluge C, Vedder H (2013) Supportive monitoring and disease management through the internet: An internet-delivered intervention strategy for recurrent depression. Contemp Clin Trials 36:327–337. (IF 1.597)

Development of Guidelines for Psychosocial Therapies in the Treatment of People with Severe Mental Illness in Germany
Duration: 03/2009 - 04/2011

Lost in Transition? Versorgungssituation aus der Sicht psychisch kranker Jugendlicher und Behandlern an der Schnittstelle von einer kinder- und jugendlichenzentrierten in die erwachsenenzentrierte Behandlung
Laufzeit: 12 Monate (Beginn 06/2015)

Projektleitung: Dr. biol. hum. Dipl.-Psych. Sabine Loos, Klinik für Psychiatrie und Psychotherapie II, Universität Ulm, Sektion Prozess-Ergebnis-Forschung

Finanzierung: DFG Nachwuchsakademie Versorgungsforschung

Förderkennzeichen: LO 2164/1-1

Laufzeit: 12 Monate (Beginn: 01.06.2015)

 

Einführung:
Transition wird allgemein als ein „absichtsvoller, geplanter Übergang von Adoleszenten oder jungen Erwachsenen mit einem chronischen medizinischen Problem von der kindzentrierten zu einer erwachsenenzentrierten Gesundheitsbetreuung“ beschrieben (American Academy of Pediatrics 2002). Aufgrund der sektoralen Trennung von medizinischer Leistungserbringung in Deutschland wird unter normalen Umständen das Erreichen des 18. Lebensjahres als Zeitpunkt angesehen, an dem ein Transfer von der kinder- und jugendpsychiatrischen/ -psychoterapeutischen Versorgung in die Erwachsenenversorgung vollzogen sein sollte. In Ausnahmefällen z. B. bei chronischen Erkrankungen oder entwicklungsbedingten Besonderheiten kann die Versorgung in der Kinder- und Jugendpsychiatrie/ -psychotherapie auch bis zum 21. Lebensjahr weitergeführt werden. In der Richtlinienpsychotherapie gilt für die Altersgruppe der 18-21-jährigen ein Überlappungsbereich für die Behandlung durch entweder Kinder- und Jugendlichenpsychotherapeuten (KJP) oder Psychologischen Psychotherapeuten (PP). Der Übergang stellt eine kritische Phase und eine Herausforderung sowohl für die Jugendlichen selber, für die Behandler als auch für das Gesundheitssystem dar, um die im Hinblick auf möglicherweise bereits erreichten Erfolge in der Behandlung nicht zu gefährden. Behandlungskontinuität ist von besonderer Bedeutung (Alpay 2009), denn deren Gelingen hat einen wesentlichen Einfluss auf die Prognose von chronischen Krankheitsverläufen. Entgegen dem zunehmenden Bedarf an Anschlussbehandlung ist international in dieser Altersspanne dagegen ein Rückgang der Inanspruchnahme von Behandlungsangeboten festzustellen (Singh et al. 2010). Psychisch kranke Jugendliche nehmen nach Vollendung des 18. Lebensjahres und dem damit verbundenen, notwendigen Übergang in erwachsenenzentrierte Behandlungsangebote deutlich weniger Versorgungsleistungen in Anspruch. Über die Versorgungssituation in Deutschland ist darüber noch wenig bekannt.


Ziele:
Die Ziele der Studie sind die Erhebung und Analyse der Erfahrungen und Sichtweisen zum einen von psychisch kranken jungen Patienten im Transitionsalter im Hinblick auf ihren bereits erfolgten oder noch ausstehenden Übergang in die psychiatrisch/psychotherapeutische Erwachsenenversorgung unter besonderer Berücksichtigung intra-, interpersoneller und kontextueller Faktoren, die ihr Gesundheitsverhalten und damit die Entscheidung für oder gegen eine Weiterbehandlung beeinflussen. Zum anderen werden Behandler nach strukturellen, settingbedingten und organisatorischen Faktoren befragt, welche eine Weiterversorgung begünstigen oder behindern können. Die Ergebnisse sollen die Grundlage für eine gezielte Intervention zur Verbesserung der Transition von Jugendlichen und jungen Erwachsenen mit psychischen Erkrankungen unter besonderer Berücksichtigung der genannten Faktoren bilden.


Methode:
In einem explorativ-qualitativen Studiendesign werden sechs Gruppendiskussionen mit Jugendlichen und jungen Erwachsenen zwischen 16 und 25 Jahren im Übergang zwischen beiden Versorgungssystemen und vier Gruppendiskussionen mit Leistungserbringern von Versorgung durchgeführt. Die Auswertung des transkribierten Textmaterials erfolgt mittels des rekonstruktiven Verfahrens der Dokumentarischen Methode nach R. Bohnsack.


Ausblick:
Das Vorhaben strebt an, durch den Einbezug von betroffenen Patienten und Behandlern in die Entwicklungsphase einer Intervention zur Verbesserung der Behandlungs-kontinuität im Übergang in eine erwachsenenzentrierte Behandlung das Erfahrungswissen für eine gezielte Maßnahmenentwicklung zu nutzen.

Quality of Life following Adherence Therapy for People Disabled by Schizophrenia and their Careers
Duration: 06/2002 - 2004
International Standard Randomised Controlled Trial Number is: ISRCTN01816159  
Further information: http://www.isrctn.com/ISRCTN01816159

Documentation and comparison of the involuntary psychiatric admission-praxis in rural areas of Bavaria, Baden-Württemberg and Mecklenburg-Western Pomerania
Duration: 2008 - 2010

Quality of Life in the Elderly – Standardization of the WHOQOL-OLD and Measuring QOL in Different Subgroups in the Elderly
Duration: 2011 - 2012

Publications:

  1. Conrad, Ines; Matschinger, Herbert; Riedel-Heller, Steffi; von Gottberg, Carolin; Kilian, Reinhold (2014): The psychometric properties of the German version of the WHOQOL-OLD in the German population aged 60 and older. In: Health Qual Life Outcomes 12 (1), S. 105. DOI: 10.1186/s12955-014-0105-4
  2. Conrad I, Uhle C, Matschinger H, Kilian R, Riedel-Heller S (2014) Lebensqualität von Menschen mit leichten kognitiven Störungen. Psychiat Prax. DOI: 10.1055/s-0034-1369831

Research team

Profilbild von Dr. oec. troph. Johanna Breilmann

Dr. oec. troph. Johanna Breilmann

M. Sc. in Nutritional Science | Research assistant

Profilbild von Ümmügülsüm Dinc

Ümmügülsüm Dinc

B. Sc. in Data Science in Medicine

Profilbild von Ramona Hiltensperger

Ramona Hiltensperger

M. Sc. in Psychology | Research assistant

Profilbild von Prof. Reinhold Kilian

Prof. Reinhold Kilian

Head of Section Health economics and health services research

Profilbild von Thomas Klein

Thomas Klein

M. Sc. in Psychology | Research assistant

Profilbild von Paulo Jorge Gonçalves Kling Lourenço

Paulo Jorge Gonçalves Kling Lourenço

Jurist | Research assistant

Profilbild von Priv. Doz. Dr. biol. hum. Markus Kösters

Priv. Doz. Dr. biol. hum. Markus Kösters

Psychologist | Research assistant

Profilbild von Priv. Doz. Dr. phil. Silvia Krumm

Priv. Doz. Dr. phil. Silvia Krumm

M. A. soc. | Research assistant

Profilbild von Natalie Lamp

Natalie Lamp

M. Sc. in Medical Biometry | Research assistant

Profilbild von Dr. Beatriz Lloret Alves de Moura

Dr. Beatriz Lloret Alves de Moura

Psychologist | Research assistant

Profilbild von Dr. biol. hum. Sabine Loos

Dr. biol. hum. Sabine Loos

Psychologist | Research assistant

Profilbild von Katrin Mayer

Katrin Mayer

M. Sc. in Psychology | Research assistant

Profilbild von Dr. biol. hum. Annabel Müller-Stierlin

Dr. biol. hum. Annabel Müller-Stierlin

Diploma in Nutritional Science | M. Sc. in Medical Biometry | Research assistant

Profilbild von Prof. Bernd Puschner

Prof. Bernd Puschner

Head of Section Process-Outcome Research

Profilbild von Maja Stiawa

Maja Stiawa

M. A. soc. | Research assistant

Profilbild von Dr. biol. hum. Carolin von Gottberg

Dr. biol. hum. Carolin von Gottberg

Research assistant

Profilbild von Tamara Waldmann

Tamara Waldmann

European Master in Public Health | Research assistant

Profilbild von Philip Wolf

Philip Wolf

M. Sc. in Physics | Research assistant

Associate Researcher

Profilbild von Dr. phil. Felicitas Söhner

Dr. phil. Felicitas Söhner

Historian | Research assistant