Alle Publikationen

  • Erweiterte Suche öffnen

Treffer: 2
  • <<
  • 1

  • 2016

  • Hölzel, Lars P.; Ries, Zivile; Kriston, Levente; Dirmaier, Jörg; Zill, Jördis M.; Rummel-Kluge, Christine; Niebling, Wilhelm; Bermejo, Isaac; Härter, Martin (2016): Effects of culture-sensitive adaptation of patient information material on usefulness in migrants. A multicentre, blinded randomised controlled trial. In: BMJ open 6 (11). DOI: 10.1136/bmjopen-2016-012008

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/27881523 

    Abstract: OBJECTIVES To evaluate the usefulness of culture-sensitive patient information material compared with standard translated material. DESIGN Multicentre, double-blind randomised controlled trial. SETTING 37 primary care practices. PARTICIPANTS 435 adult primary care patients with a migration background with unipolar depressive disorder or non-specific chronic low back pain were randomised. Patients who were unable to read in the language of their respective migration background were excluded. Sufficient data were obtained from 203 women and 106 men. The largest group was of Russian origin (202 patients), followed by those of Turkish (52), Polish (30) and Italian (25) origin. INTERVENTIONS Intervention group: provision of culture-sensitive adapted material. CONTROL GROUP provision of standard translated material. MAIN OUTCOME MEASURES Primary outcome: patient-rated usefulness (USE) assessed immediately after patients received the material. SECONDARY OUTCOMES patient-rated usefulness after 8 weeks and 6 months, symptoms of depression (PHQ-9), back pain (Back Pain Core Set) and quality of life (WHO-5) assessed at all time points. RESULTS Usefulness was found to be significantly higher (t=1.708, one-sided p=0.04) in the intervention group (USE-score=65.08, SE=1.43), compared with the control group (61.43, SE=1.63), immediately after patients received the material, in the intention-to-treat analysis, with a mean difference of 3.65 (one-sided 95% lower confidence limit=0.13). No significant differences were found for usefulness at follow-up (p=0.16, p=0.71). No significant effect was found for symptom severity in depression (p=0.95, p=0.66, p=0.58), back pain (p=0.40, p=0.45, p=0.32) or quality of life (p=0.76, p=0.86, p=0.21), either immediately after receiving the material, or at follow-up (8 weeks; 6 months). Patients with a lower level of dominant society immersion benefited substantially and significantly more from the intervention than patients with a high level of immersion (p=0.005). CONCLUSION Cultural adaptation of patient information material provides benefits over high quality translations. Clinicians are encouraged to use culture-sensitive material in their consultations, particularly with low-acculturated patients. TRIAL REGISTRATION NUMBER German Register for Clinical Trials: DRKS00004241, Universal Trial Number: U1111-1135-8043, Results.

    Keywords: Adult, Aged, Cultural Competency, culture sensitive, Depressive Disorder, Major/therapy, Disziplin, Double-Blind Method, Female, Focus Groups, Health Literacy, Humans, Italy, Kultur, Kulturtheorie, Language, Low Back Pain/therapy, Male, Medizin, Middle Aged, Pamphlets, Patient Education as Topic/methods, Patient Participation, Poland, Psychologie, Quality of Life, Rolle (Beruf), Russia, Transients and Migrants, Translating, Turkey

  • 2013

  • Gianelli, Claudia; Lugli, Luisa; Baroni, Giulia; Nicoletti, Roberto; Borghi, Anna M. (2013): The impact of social context and language comprehension on behaviour. A kinematic investigation. In: PLoS one 8 (12). DOI: 10.1371/journal.pone.0085151

    DOI: http://www.ncbi.nlm.nih.gov/pubmed/24376869 

    Abstract: We investigated whether and how comprehending sentences that describe a social context influences our motor behaviour. Our stimuli were sentences that referred to objects having different connotations (e.g., attractive/ugly vs. smooth/prickly) and that could be directed towards the self or towards "another person" target (e.g., "The object is ugly/smooth. Bring it to you/Give it to another person"). Participants judged whether each sentence was sensible or non-sensible by moving the mouse towards or away from their body. Mouse movements were analysed according to behavioral and kinematics parameters. In order to enhance the social meaning of the linguistic stimuli, participants performed the task either individually (Individual condition) or in a social setting, in co-presence with the experimenter. The experimenter could either act as a mere observer (Social condition) or as a confederate, interacting with participants in an off-line modality at the end of task execution (Joint condition). Results indicated that the different roles taken by the experimenter affected motor behaviour and are discussed within an embodied approach to language processing and joint actions. zitiert von 4

    Keywords: Biomechanical Phenomena/physiology, Comprehension/physiology, Context, Einzelstudie / spezifisch, Female, Humans, Interpersonal Interaction, Italy, Language, Motor Activity/physiology, Male, Motor Processes, Neuropsychological Tests, Observers, Sentence Comprehension, Social Environment, Verhaltensforschung, Young Adult
  • <<
  • 1