Status: July 30, 2018
Through the smooth cooperation with our practice partners, we were able to recruit 263 patients in 6 months. This value is well above the nominal curve (see the graphic below). Especially, the recruitment in practices and rehabilitation clinics runs quickly. In one of the rehabilitation clinics, we examined all required patients. We have now almost reached the destination of our second rehabilitation clinic. Also, in the practices, we will shortly reach the required number of patients. The completed questionnaires were sent to the CoRe-Net trust center, so we can start analyzing the data soon. In several patients, we determined a need for psychotherapy, and we’ve been able to mediate successfully with psychotherapists for professional care.
In the rehabilitation clinics and hospitals, we conducted the first focus groups. Also, we collected data of professional health care providers and relatives of CHD patients. It is striking that relatives are insufficiently included in the treatment, so they are often uncertain.
Currently, we are constructing triads, consisting of a patient with CHD, a relative and a care provider, for conducting interviews with these groups.
Furthermore, we submitted our study protocol to BMC Psychiatry.
In October, we will present our mixed-methods study design at the Congress on Health Care Research in Berlin.
Status: March 14, 2018
Since launching the MenDis-CHD project in February 2017 much has been achieved: We specified the methodological details for the study and received a validated questionnaire covering, for example, patient satisfaction and diagnostic measuring instruments. We designed items for patients, relatives and health care providers, in many individual steps. These items relate to the current state of care and needs, diagnosis and treatment carried out, and the access and barriers to care of CHD patients affected by mental disorders or cognitive impairment. Also, we developed guidelines for the interviews and the focus groups and established a patient ratio. This patient ratio can ensure the optimum distribution among the different interview groups. For conducting the interviews, we took out commuting accident insurance.
The project team members received training on test diagnosis for enabling a validated survey. For instance, the team members attended a workshop on qualitative methods conducted by Prof. McKee. Our study is registered with the German Clinical Trials Register (DRKS). Also, we created the participant information and informed consents, and finalized the questionnaires. There were several meetings with practice partners in which we presented our project and approach. Within the framework of these meetings, we made individual arrange-ments for smooth recruitment in the clinics and practices. We devised a detailed project plan and created standard operating procedures, screenings and identification logs. At the end of September 2017, we received study approval by the Ethics Commission of Cologne University’s Faculty of Medicine.
We are now finalizing the study protocol, which will be our first publication. Further publications in MenDis-CHD are planned. Also, we intend to collectively publish articles with the OrgValue project team, as well as the pmv-research group about secondary data analysis.
Our event “Cologne meets CoRe-Net” took place in November 2017. The report can be found here. The event was a great success and produced stimulating ideas for future projects.
Our study recruitment started in the second week of January 2018.