A5061186647- Dementia and Cognitive Impairment Research
- Health and Medical Studies
- Psychiatric care and mental health services
- Geriatric Care and Nursing Homes
- Social and Demographic Issues in Germany
- Smoking Behavior and Cessation
- Health Systems, Economic Evaluations, Quality of Life
- Health disparities and outcomes
- Frailty in Older Adults
- Palliative Care and End-of-Life Issues
- School Health and Nursing Education
- Chronic Disease Management Strategies
- Migration, Health and Trauma
- Intergenerational Family Dynamics and Caregiving
- Family Caregiving in Mental Illness
- COVID-19 and Mental Health
- Pharmaceutical Practices and Patient Outcomes
- Behavioral Health and Interventions
- Obesity, Physical Activity, Diet
- Child and Adolescent Health
- Mental Health and Patient Involvement
- Nutritional Studies and Diet
- Aging, Elder Care, and Social Issues
- Intensive Care Unit Cognitive Disorders
- Global Health Workforce Issues
German Center for Neurodegenerative Diseases
2016-2025
Universitätsmedizin Greifswald
2014-2025
University of Siegen
2023-2025
Universität Greifswald
2009-2024
Institute for Neurodegenerative Disorders
2024
Universitätsmedizin Rostock
2018-2023
Bournemouth University
2022
University of Liverpool
2022
The Lewy Body Society
2022
Bethel University
2020
With the expected increase in numbers of persons with dementia, providing timely, adequate, and affordable care support is challenging. Assistive health technologies may be a valuable contribution dementia care, but new challenges emerge.The aim our study was to review state art for regarding issues on development, usability, effectiveness cost-effectiveness, deployment, ethics 3 fields application technologies: (1) managing everyday life, (2) participating pleasurable meaningful activities,...
Dementia care management (DCM) can increase the quality of for people with dementia. Methodologically rigorous clinical trials on DCM are lacking.To test effectiveness and safety in treatment dementia living at home caregiver burden (when available).This pragmatic, general practitioner-based, cluster-randomized intervention trial compared as usual baseline 12-month follow-up. Simple 1:1 randomization practices Germany was used. Analyses were intent to treat per protocol. In total, 6838...
The provision of appropriate medical and nursing care for people with dementia is a major challenge the healthcare system in Germany. New models need to be developed, tested implemented on population level. Trials which collaborative primary setting were studied have demonstrated its effectiveness. These studies been conducted different systems, however, so it unclear whether these results extend specific context German system. objective this population-based intervention trial test efficacy...
Background: Primary data about rates of formal diagnosis dementia in the German primary care sector are widely lacking. Objectives: Main objectives to analyze rate syndrome patients who screened positive for de
The further development of public-health approaches for the prevention dementia requires estimates number people with dementia, trends in incidence and prevalence, potential impact preventive measures.
Abstract INTRODUCTION We investigated the effectiveness of a multidomain intervention to preserve cognitive function in older adults at risk for dementia Germany cluster‐randomized trial. METHODS Individuals with Cardiovascular Risk Factors, Aging, and Dementia (CAIDE) score ≥ 9 aged 60 77 years were recruited. After randomization their general practitioner (GP), patients received (including optimization nutrition medication, physical, social, activity) or health advice GP treatment as usual...
The subject of “pregnancy and disease” is particular importance for maternal well-being neonatal outcomes. international literature has focused on acute diseases during pregnancy; however, there are only a few studies investigating chronic in pregnant women. focus this study women childbearing age that not related to the pregnancy. objective paper deliver population based prevalences dieases compare two groups chronically ill healthy detail regarding sociodemography, peri- prenatal...
Abstract Background Screening could improve recognition of dementia in primary care. We sought to determine the effect screening for care practices on formal diagnosis rate; distribution differential diagnoses; and factors associated with receiving a diagnosis. Methods The “Dementia: life‐ person‐centered help Mecklenburg‐Western Pomerania” is an ongoing general practitioner (GP)‐based, randomized, controlled intervention trial. A total 4064 community dwelling patients (aged ≥70 years) were...
Increasing prevalence of dementia is a major challenge for the German healthcare system. The study DelpHi-MV ("Dementia: life- and person-centered help in Mecklenburg-Western Pomerania") aims to implement evaluate an innovative subsidiary support system persons with (PwDs) living at home their caregivers.DelpHi-MV GP-based cluster randomized controlled intervention trial. DelpHi-Intervention provide "optimum care" by integrating multi-professional multimodal strategies individualize optimize...
Abstract Introduction The purpose of this study was to determine the cost‐effectiveness collaborative dementia care management (DCM). Methods analysis based on data 444 patients a cluster‐randomized, controlled trial, conceptualized evaluate DCM that aimed optimize treatment and in dementia. Health‐care resource use, costs, quality‐adjusted life years (QALYs), incremental cost per QALY gained were measured over 24‐month time horizon. Results increased QALYs (+0.05) decreased costs (−569€)...
Caring for people with dementia is known to be accompanied by burden the caregiver. This study aims at describing family caregivers' and professional immediately after hospitalization of person dementia.Twenty-five caregivers twenty-five locked gerontopsychiatric ward a hospital in Northern Germany completed questionnaire (BIZA-D-PV), which was evaluated matched samples. The distribution frequencies, differences mean values correlations were determined. Furthermore, categorized into risk...
Background: Caregivers providing informal care for people with dementia (PwD) often report unmet needs, burden, and health impairments. Optimal support family caregivers will likely benefit from better understanding assessment of the prevalence types caregivers’ needs associated socio-demographic clinical characteristics. Objective: The present study investigates 1) number 2) characteristics both PwD caregivers, 3) burden health-related outcomes that are related to needs. Methods: analyses...
In the absence of treatment options, WHO emphasizes identification effective prevention strategies as a key element to counteract dementia epidemic. Regarding complex nature dementia, trials simultaneously targeting multiple risk factors should be particularly for prevention. So far, however, only few such multi-component have been launched, but yielding promising results. Germany, comparable initiatives are lacking, and translation these interventions into routine care was not yet done....
Abstract INTRODUCTION Dementia risk scores constitute promising surrogate outcomes for lifestyle interventions targeting cognitive function. We investigated whether dementia risk, assessed using the LIfestyle BRAin health (LIBRA) index, was reduced by AgeWell.de intervention. METHODS Secondary analyses of AgeWell trial, testing a multicomponent intervention (including optimization nutrition, medication, and physical, social, activity) in older adults with increased risk. analyzed data from n...
Aims: Little is known about the relationship between current and past smoking behaviour severity of alcohol dependence. The purpose was to explore strength this relationship. Methods: A random population sample 18 64 year-olds from northern Germany used (n = 4075; participation rate: 70%). It included 761 cigarette smokers fulfilling at least one alcohol-dependence criterion. dependence according syndrome criteria frequency (ASF) estimated by a standardized questionnaire based on diagnostic...
Enhancing health literacy is a keystone in promotion. Yet, most studies on are limited to functional levels. Furthermore, little evidence available from children. Based Nutbeam's outcome model for promotion, this study aims (i) elaborate set of short scales measure important domains children and (ii) analyse their associations among each other, with behaviour as an intermediate outcome, subjective health, social status gender. The sample comprised 852 school fifth grade, aged 9-13 years,...
Background: Little is known about the proportion and characteristics of community-dwelling people with dementia (PWD) living alone in Germany. Objectives: To analyze prevalence PWD (with without support an informal caregiver) socio-demographical clinical c haracteristics as well health nursing care utilization associated alone. Methods: DelpHi-MV (Dementia: Life- person-centered help Mecklenburg-Western Pomerania) a general practitioner-based, randomized controlled intervention trial. The...
Background: The majority of people with dementia (PwD) live at home and require professional formal care informal that is generally provided by close relatives. Objective: To determine the utilization costs for PwD, indirect because productivity losses caregivers, associations between cost, socio-demographic clinical variables. Methods: analysis includes data 262 community-dwelling PwD their caregivers. Socio-demographics, variables, were assessed within baseline assessment. evaluate costs,...
Abstract Background Although there are a number of support services accessible for most family dementia caregivers, many caregivers reject available and affordable support. Previous research suggests that rejections may result from insufficient fit with caregivers’ unmet needs lack acknowledgement associated services. The present study investigates (a) the number, proportion types rejection on recommended tailored support, (b) socio-demographic clinical determinants caregiver’s both people...
Background:To provide an optimal care for persons with dementia (PWD), their individual unmet needs have to be identified and comprehensively addressed. Objectives:Present analyses aim describe the number types of German primary patients screened positive factors associated needs. Methods:DelpHi-MV (Dementia: life- person-centered help in Mecklenburg-Western Pomerania) is a general practitioner-based, cluster-randomized controlled intervention trial. Analyses are based on baseline data 227...