Jörg Dirmaier

University Medical Center Hamburg - Eppendorf · Department of Medical Psychology

Background: E-mental health interventions can have a positive impact on patient-reported and clinical outcomes. The purpose of this project was to develop a user-centered e-mental health portal. Methods: The development of the portal www.psychenet.de included mixed-methods techniques for needs assessment to identify user-relevant content. Furthe...

People with anxiety disorders are faced with treatment decisions considerably affecting their life. Patient decision aids are aimed at enabling patients to deliberate treatment options based on individual values and to participate in medical decisions. This is the first study to determine patients' information and decision-making needs as a pre-req...

Background: Effective communication with health care providers has been found as relevant for physical and psychological health outcomes as well as the patients' adherence. However, the validity of the findings depends on the quality of the applied measures. This study aimed to provide an overview of measures of physician-patient communication and...

Background: Existing models of patient-centeredness reveal a lack of conceptual clarity. This results in a heterogeneous use of the term, unclear measurement dimensions, inconsistent results regarding the effectiveness of patient-centered interventions, and finally in difficulties in implementing patient-centered care. The aim of this systematic r...

Over the last decades, trust in physician has gained in importance. Studies have shown that trust in physician is associated with positive health behaviors in patients. However, the validity of empirical findings fundamentally depends on the quality of the measures in use. Our aim was to provide an overview of trust in physician measures and to eva...

Objective Patient-centredness (PC) is central to the health care of older adults with multimorbidity, but knowledge about the psychometric quality of instruments measuring it in this group is scarce. Based on an integrative model of PC, we aimed to identify assessment instruments of PC for this particular group and evaluate their psychometric prope...

Background The COVID-19 pandemic is affecting many areas of life and has posed additional strains on the highly vulnerable group of caregivers of children with rare diseases (RDs). The psychosocial situation of the family caregivers deserves more attention, both in research and practice. The current study explores the distress level of caregivers o...

Background With approximately 1.1-1.4 million people in Germany taking benzodiazepines (BZDs) and z-drugs in a problematic or dependent manner, this is a relevant public health problem which needs to be adressed. However, it is well known that affected individuals do not receive the counseling or treatment they need. One possible solution is preven...

Zusammenfassung Hintergrund Das Angebot von internetbasierten Interventionen zur Behandlung psychischer Erkrankungen nimmt stetig zu und ist mittlerweile auch in der Versorgung verankert. Allerdings ist die Informationslage für Behandelnde und Nutzende insbesondere in Bezug auf die Wirksamkeit internetbasierter Interventionen noch ausbaufähig. Ziel...

Introduction Intermittent claudication is the leading symptom of peripheral artery disease (leg pain when walking). The present study investigates the extent to which walking impairment is associated with health-related quality of life, mental health and health risk behavior. Methods A theory-based, cross-sectional path model was empirically exami...

Background The COVID-19 pandemic is affecting many areas of life and has posed additional strains on the highly vulnerable group of caregivers of children with rare diseases (RDs). The psychosocial situation of the family caregivers deserves more attention, both in research and practice. The current study explores the distress level of caregivers o...

The main focus of this paper is to describe the development and current state of policy, research and implementation of patient-centered care (PCC) and shared decision-making (SDM) in Germany. What is the current state in health policy? Since 2013, the Law on Patients' Rights has standardized all rights and responsibilities regarding medical care f...

Background Patient-centeredness (PC) aims to adapt health care to the individual needs and preferences of patients. An existing integrative model of PC comprises several dimensions of PC which have not yet been investigated from the patients’ perspective. Older patients with multimorbidity represent a target group for patient-centered care, as thei...

Objectives: Patient-reported outcome measures can facilitate the assessment of walking impairment in peripheral artery disease patients with intermittent claudication in clinical trials and practice. The aim of this study was to test the psychometric properties of the German version of the 'Walking Estimated-Limitation Calculated by History' (WELC...

Zusammenfassung Einleitung Wir untersuchen die Akzeptanz und Nutzung der Website www.psychenet.de, welche evidenzbasierte Gesundheitsinformationen, Selbsttests und Entscheidungshilfen zu psychischen Erkrankungen und Themen anbietet. Methodik Mithilfe einer Online-Umfrage (Akzeptanzermittlung) und automatisch generierter Daten der Online-Protokollie...

E-Mental-Health-Interventionen bieten bei der Versorgung von Menschen mit psychischen Störungen viele Potenziale: Sie sind zeit- und ortsunabhängig, bauen Zugangsbarrieren ab und können Versorgungslücken schließen. Welche Chancen und Herausforderungen die digitalen Technologien eröffnen, erläutern unsere Autoren.

Background and Objectives Older adults suffering from multimorbidity represent a priority target group for patient-centeredness (PC). We aimed to investigate the transferability of an existing integrated model of PC comprising 15 dimensions on the care of older adults with multimorbidity from an expert perspective. Research Design and Methods 242...

Objective: Telephone based health coaching (TBHC) seems to be a promising approach to foster self-management in patients with chronic conditions. The aim of this study was to evaluate the effectiveness of a TBHC on patient-reported outcomes and health behavior for people living with chronic conditions in Germany. Methods: Patients insured at a s...

Introduction Peripheral artery disease (PAD) is the third most prevalent cardiovascular disease worldwide, with smoking and diabetes being the strongest risk factors. The most prominent symptom is leg pain while walking, known as intermittent claudication. To improve mobility, first-line treatment for intermittent claudication is supervised exercis...

Introduction Healthcare systems around the world are looking for solutions to the growing problem of mental disorders. RECOVER is the synonym for an evidence-based, stepped and cross-sectoral coordinated care service model for mental disorders. RECOVER implements a cross-sectoral network with managed care, comprehensive psychological, somatic and s...

BACKGROUND Engagement with Digital Behavior Change Interventions (DBCI) is considered a prerequisite for intervention efficacy. In many trials on DBCIs, however, participants use the intervention only little or not at all. OBJECTIVE We aimed to explore (1) whether engagement with a web-based alcohol intervention is related to drinking outcomes, (2...

Background Engagement with digital behavior change interventions (DBCIs) is considered a prerequisite for intervention efficacy. However, in many trials on DBCIs, participants use the intervention either only little or not at all. Objective To analyze engagement with a web-based intervention to reduce harmful drinking, we explored (1) whether engag...

Introduction Elderly, multimorbid patients are a primary target group for patient-centred care, and fostering patient-centredness (PC) in this group has been associated with different healthcare aims such as safety and quality of healthcare. However, evidence on effects of patient-centred interventions is still limited and mixed. In part, the lack...

Introduction Mental healthcare is one of the biggest challenges for healthcare systems. Comorbidities between different mental disorders are common, and patients suffer from a high burden of disease. While the effectiveness of collaborative and stepped care models has been shown for single disorders, comorbid mental disorders have rarely been addre...

Background Worldwide, approximately 800,000 persons die by suicide every year; with rates of suicide attempts estimated to be much higher. Suicidal persons often suffer from a mental disorder but stigma, lack of available and suitable support, and insufficient information on mental health limit help seeking. The use of internet-based applications c...

Introduction Although many effective treatment options exist, depression is still undertreated indicating gaps in the healthcare system. The complementary provision of mental healthcare through technologies (eg, computer, smartphone) has the potential to fill treatment gaps and to overcome access barriers to mental healthcare. Until now, no systema...

Background: In 2012, approximately 3.38 million people in Germany had an alcoholrelated disorder. Internet interventions can help lower alcohol consumption, albeit with mostly small effect sizes. It is still unclear whether the effectiveness of programs aimed at lowering alcohol consumption can be improved by individually adjusting program content...

Background Although long-term use of benzodiazepines (BZDs) and Z drugs is associated with various side effects, they remain popular among the older population. Possible reasons for this phenomenon could be ineffective ways of transmitting information on the health risks associated with long-term use, and communication gaps between patients and hea...

Background Providing patient information is a central aspect of patient-centered care. Fulfilling personal information needs has positive effects on several health-related outcomes. Measurement instruments help to identify individual information needs in an effective way. The present study gives an overview of existing information needs measures an...

Reasons for exclusion. (DOCX)

Die Versorgung psychischer Störungen stellt eine große Herausforderung für das deutsche Gesundheitssystem dar. Wenn Mehrfachdiagnosen vorliegen, leiden die Betroffenen unter einer besonders hohen Krankheitslast. Innovative Behandlungsmodelle für eine integrierte und gestufte Versorgung (Collaborative Care und Stepped Care) sind bisher nur hinsichtl...

Background: Long-term use of benzodiazepines (BZD) and Z-drugs is associated with the risk of developing dependency. Many older patients use these drugs for long durations, which is often associated with low-dose dependency without an increase in dose. Aim: The aim of this study is to investigate the reasons, symptoms, and side effects, as well...

Background Benzodiazepines (BZDs) and z-drugs are effective drugs, but they are prescribed excessively worldwide. International guidelines recommend a maximum treatment duration of 4 weeks. Although these drugs are effective in the short-term, long-term BZD therapy is associated with considerable adverse effects, the development of tolerance and, f...

Background Psoriasis can lead to high psychosocial burden, and occurrence of psoriasis is related to psychological distress. Objective This study provides an overview of psychosocial interventions for patients with psoriasis and examines their effect on patient‐reported outcomes. Methods A systematic search of four electronic databases (CENTRAL,...

Introduction The long-term use of benzodiazepines (BZD) and z-drugs in older populations is associated with a variety of sociodemographic and health-related factors. Recent studies reported that long-term BZD and z-drugs use is associated with increased age, female sex, and severe negative psychological (e.g., depression) and somatic (e.g., chronic...

Final syntax of the analysis

Raw data for the final analysis

Background Decisions on medical treatment setting are perceived as important but often difficult to make for patients with mental disorders. Shared decision-making as a strategy to decrease decisional conflict has been recommended, but is not yet widely implemented. This study aimed to investigate the information needs and the decision-making prefe...

Background: Psoriasis is a chronic inflammatory disease that is often associated with a number of somatic and mental comorbidity. Patients with psoriasis show an increased risk of depression and (social) anxiety. Objective: The aims of this study are 1) to explore the psychosocial distress of patients with psoriasis and to assess their care need...

Aim This study was part of a double-blind randomised controlled trial aimed to evaluate the effects of culture-sensitive patient information materials (PIM) compared with standard translated material. The study aimed to obtain the data for the development of culture sensitive PIM about unipolar depression for the 4 largest migrant groups in Germany...

BACKGROUND Psoriasis is a chronic inflammatory disease that is often associated with a number of somatic and mental comorbidity. Patients with psoriasis show an increased risk of depression and (social) anxiety. OBJECTIVE The aims of this study are 1) to explore the psychosocial distress of patients with psoriasis and to assess their care needs; a...

Background Mental illness may strongly affect relatives’ lives. Therefore, it is important to empower relatives by providing health information according to their preferences. Methods An online cross-sectional survey was conducted using a purpose-designed questionnaire on online health information and decision-support needs. Results Prevalent rea...

Survey relatives raw data

Questionnaire

Treatment decisions concerning the affected person This figure displays difficulty of making a decision as a percentage of those who had actually made the decision ( N = 74–162).

Decisional conflict and preferred role in decision-making This table displays the relation between preferred role and decisional conflict for those who had actually made the decision (N = 74–162).

Decisional conflict and accordance between actual and preferred role in decision-making This table displays the relation between accordance (between actual and preferred role) and decisional conflict for those who had actually made the decision (N = 74–162).

The main focus of the paper is on the description of the development and current state of research and implementation of patient-centered care (PCC) and shared decision-making (SDM) after fifteen years of substantial advances in health policy and health services research. What is the current state of SDM in health policy? The “Law on Patients’ Righ...

The Health Literacy Questionnaire (HLQ), developed in Australia in 2012 using a ‘validity-driven’ approach, has been rapidly adopted and is being applied in many countries and languages. It is a multidimensional measure comprising nine distinct domains that may be used for surveys, needs assessment, evaluation and outcomes assessment as well as for...

S1_HLQ-G_data.sav. (SAV)

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-spec...

Background: Mental disorders are frequently not or only insufficiently treated. Internet-based interventions offer the potential of closing the existing gaps in the treatment of mental disorders; however, it is very difficult for patients and providers to choose from the numerous interventions available. Objective: The aim of this study was to deve...

Background: Chronic diseases, like diabetes mellitus, heart disease and cancer are leading causes of death and disability. These conditions are at least partially preventable or modifiable, e.g. by enhancing patients' self-management. We aimed to examine the effectiveness of telephone-based health coaching (TBHC) in chronically ill patients. Meth...

Introduction: The health-status of heart failure patients can be improved to some extent by disease self-management. One method of developing such skills is telephone-based health coaching. However, the effects of telephone-based health coaching remain inconclusive. The aim of this study was to evaluate the effects of a telephone-based health coac...

Background. Taking into account the high prevalence of mental disorders and the multiple barriers to the use of mental health services, new forms of fostering patient information, involvement, and self-management are needed to complement existing mental health services. The study aimed at investigating acceptance regarding design and content of the...

Raw data

Background Women between the ages of 50 and 69 are invited in Germany every two years to participate in the mammography screening program. The German Institute for Quality and Efficiency in Health Care (IQWiG), together with experts, was assigned by the Federal Joint Committee (G-BA) to modify the existing informational material into a new decision...

Eine aktive Beteiligung von Patienten wird im Zuge einer zunehmend sich durchsetzenden Patientenorientierung als zentraler Faktor angesehen. Der vorliegende Beitrag konzentriert sich auf den Teilbereich der partizipativen Entscheidungsfindung (PEF). Dieses Konzept wird in Abgrenzung zu anderen Modellen medizinischer Entscheidungsfindung dargestellt...

Background . Taking into account the high prevalence of mental disorders and the multiple barriers to the use of mental health services, new forms of fostering patient information, involvement, and self-management are needed to complement existing mental health services. The study aimed at investigating acceptance regarding design and content of th...

Background . Taking into account the high prevalence of mental disorders and the multiple barriers to the use of mental health services, new forms of fostering patient information, involvement, and self-management are needed to complement existing mental health services. The study aimed at investigating acceptance regarding design and content of th...

Background: Teaching and assessment of communication skills have become essential in medical education. The Objective Structured Clinical Examination (OSCE) has been found as an appropriate means to assess communication skills within medical education. Studies have demonstrated the importance of a valid assessment of medical students' communicatio...

Detailed results for the COSMIN checklist. (DOCX)

Electronic data base search strategy for EMBASE, PsycINFO, PubMed. (DOCX)

PRISMA checklist. (DOC)

Background . Taking into account the high prevalence of mental disorders and the multiple barriers to the use of mental health services, new forms of fostering patient information, involvement, and self-management are needed to complement existing mental health services. The study aimed at investigating acceptance regarding design and content of th...

full-text: http://www.aerzteblatt.de/archiv/175055

Background Problem drinking is an important global health concern, causing premature mortality and morbidity. Only few problem drinkers seek professional care, unfortunately, because of multiple barriers such as insufficient change motivation, fear of stigmatization or limited access to care. The aim of this study will be to examine the effectivene...

We examined the impact of a mental health awareness campaign on public attitudes. The campaign was embedded in the project psychenet – Hamburg Network for Mental Health. Beliefs and attitudes were examined before and after specific awareness measures in Hamburg (intervention region) and Munich (control region). Analyses were based on representative...

Background The patients' task to find, evaluate and transfer health information to one's individual condition and life requires competences that are summarized by the term ‘health literacy’. Poor health literacy is associated with poorer health outcomes, like a higher rate of rehospitalization, lower receipt of screenings and a higher frequency of...