Nicola Litke
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View article: Quantitative evaluation of recruitment strategies in a cluster-randomized trial: segmented regression and cost analysis from the AOK-Family + study
Quantitative evaluation of recruitment strategies in a cluster-randomized trial: segmented regression and cost analysis from the AOK-Family + study Open
Background Recruitment of participants for preventive health intervention studies remains a significant challenge: Approximately 19% of studies are discontinued due to insufficient participant numbers, and one in three extends its recruitm…
View article: Resilience of the primary healthcare system: perspectives of German stakeholders at primary care interfaces during the second wave of the COVID-19 pandemic
Resilience of the primary healthcare system: perspectives of German stakeholders at primary care interfaces during the second wave of the COVID-19 pandemic Open
Introduction Worldwide, the primary care sector played a key role in coping with the challenges of the SARS-CoV-2 pandemic. Methods The aim of this study was to explore the resilience of the German primary healthcare system during the seco…
View article: Strengthening crisis resilience in German primary care by using quality indicators: Findings of a process evaluation in the RESILARE project
Strengthening crisis resilience in German primary care by using quality indicators: Findings of a process evaluation in the RESILARE project Open
Background: In recent years, health systems worldwide were confronted with several crises such as natural disasters or the Covid-19 pandemic that affected lives and health of many people. In light of occurring waves of infections and heat,…
View article: Building climate resilience: awareness of climate change adaptation in German outpatient medical practices
Building climate resilience: awareness of climate change adaptation in German outpatient medical practices Open
Background Climate change is seen as the biggest health threat of the twenty-first century. Making outpatient medical practices resilient is therefore crucial to protect vulnerable groups and maintain quality of care. Awareness is a precon…
View article: Risk factors for long-term invasive mechanical ventilation: a longitudinal study using German health claims data
Risk factors for long-term invasive mechanical ventilation: a longitudinal study using German health claims data Open
Background Long-term invasive mechanical ventilation (IMV) is a major burden for those affected and causes high costs for the health care system. Early risk assessment is a prerequisite for the best possible support of high-risk patients d…
View article: Climate change mitigation: Qualitative analysis of environmental impact-reducing strategies in German primary care
Climate change mitigation: Qualitative analysis of environmental impact-reducing strategies in German primary care Open
This study's findings can support the development of future environmental impact-reducing strategies in primary care. Potential options for guidance and support should be considered to facilitate sustainability.
View article: Building climate resilience: Awareness of climate change adaptation in German Primary Care
Building climate resilience: Awareness of climate change adaptation in German Primary Care Open
Background: Climate change is seen as the biggest health threat of the 21st century. Making primary care institutions resilient is therefore crucial to protect vulnerable groups and maintain quality of care. Awareness is a precondition for…
View article: Prevention of invasive ventilation (PRiVENT)—a prospective, mixed-methods interventional, multicentre study with a parallel comparison group: study protocol
Prevention of invasive ventilation (PRiVENT)—a prospective, mixed-methods interventional, multicentre study with a parallel comparison group: study protocol Open
Background Invasive mechanical ventilation (IMV) is a standard therapy for intensive care patients with respiratory failure. With increasing population age and multimorbidity, the number of patients who cannot be weaned from IMV increases,…
View article: Prevention of invasive ventilation (PRiVENT) - a prospective, mixed-methods interventional, multicentre study with a parallel comparison group: study protocol
Prevention of invasive ventilation (PRiVENT) - a prospective, mixed-methods interventional, multicentre study with a parallel comparison group: study protocol Open
Background Invasive mechanical ventilation (IMV) is a standard therapy for intensive care patients with respiratory failure. With increasing age and multimorbidity the number of patients rises, who cannot be weaned from IMV, leading to imp…
View article: Hospital Admission and Discharge: Lessons Learned from a Large Programme in Southwest Germany
Hospital Admission and Discharge: Lessons Learned from a Large Programme in Southwest Germany Open
Introduction: In the context of a GP-based care programme, we implemented an admission, discharge and follow-up programme.Description: The VESPEERA programme consists of three sets of components: pre-admission interventions, in-hospital in…
View article: Climate Change as a Topic for Health Services Research
Climate Change as a Topic for Health Services Research Open
Climate change is one of the greatest health threats of our time. Hence, healthcare faces new challenges which require adaptation to manage and prevent health impacts of climate change. Healthcare should prepare better for surges of diseas…
View article: Interprofessional weaning boards for invasively ventilated patients in intensive care units: Qualitative interview study with healthcare professionals in Germany
Interprofessional weaning boards for invasively ventilated patients in intensive care units: Qualitative interview study with healthcare professionals in Germany Open
Numbers of mechanically ventilated patients are increasing worldwide. Weaning Boards could support weaning from the ventilator by facilitating interprofessional consultations between Weaning Centers and nonpneumological intensive care unit…
View article: How to fall into a new routine: factors influencing the implementation of an admission and discharge programme in hospitals and general practices
How to fall into a new routine: factors influencing the implementation of an admission and discharge programme in hospitals and general practices Open
Introduction The VESPEERA programme is a multifaceted programme to enhance information transfer between general practice and hospital across the process of hospital admission, stay and discharge. It was implemented in 7 hospitals and 72 ge…
View article: Effects and Processes of an mHealth Intervention for the Management of Chronic Diseases: Prospective Observational Study
Effects and Processes of an mHealth Intervention for the Management of Chronic Diseases: Prospective Observational Study Open
Background Mobile health (mHealth) interventions for self-management are a promising way to meet the needs of patients with chronic diseases in primary care practices. Therefore, an mHealth intervention, TelePraCMan, was developed and eval…
View article: How To Fall Into A New Routine: Factors Influencing The Implementation Of An Admission And Discharge Program In Hospitals And General Practices
How To Fall Into A New Routine: Factors Influencing The Implementation Of An Admission And Discharge Program In Hospitals And General Practices Open
Introduction: The VESPEERA programme is a multifaceted programme to enhance information transfers across the whole process from admission, stay and discharge from the hospital to general practice. It was implemented in 7 hospitals and 72 g…
View article: Development of a concept for a mobile application to support orofacial myofunctional therapy
Development of a concept for a mobile application to support orofacial myofunctional therapy Open
This study aimed to develop a concept for a mobile health application, an app-based exercise tool, to support the treatment of orofacial myofunctional disorders by speech-language therapists (SLTs). Method:A sequential mixed research desig…
View article: A mHealth-intervention to support the self-management of multimorbid patients in general practices in Germany (TelePraCMan) – Study protocol of a randomized pilot study
A mHealth-intervention to support the self-management of multimorbid patients in general practices in Germany (TelePraCMan) – Study protocol of a randomized pilot study Open
Background: Previously we developed a structured case management for patients with multiple chronic conditions in primary care (called ‘PraCMan’), delivered by Health Care Assistants in General Practice (VERAHs). The ‘TelePraCMan’ project …
View article: A mHealth-Intervention to Support the Self-Management of Multimorbid Patients in General Practices in Germany (Telepracman) – Study Protocol of a Randomized Pilot Study
A mHealth-Intervention to Support the Self-Management of Multimorbid Patients in General Practices in Germany (Telepracman) – Study Protocol of a Randomized Pilot Study Open
Background: Previously we developed a structured case management for multimorbid chronically ill patients in primary care (called ‘PraCMan’), delivered by Health Care Assistants in General Practice (VERAHs). The ‘TelePraCMan’ project aims …