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DiCiS – Digital Coaching of individual stress coping competencies for health care personell
Within the project, an innovative prevention and
health promotion system for nurses and care personnel will be
developed which aims to serve both the omission and reduction of
stress-related health risks as well as the reinforcement of the
self-determined, health-oriented behavior of the target group. The
overarching goal of the project, according to § 20 ff. SGB V, is to
support the implementation of the occupational health promotion of
health care personnel with a scientifically grounded approach.
In so doing, both motivational-individual and work-specific factors are focused on. Via this approach, tailored to the individual needs of the target group, a typical high drop-out rate in health promotion measures shall be counteracted. The overall process is as follows:
With a participative study approach involving the target group, an app-based biofeedback system is developed, which offers nurses a stress reduction training adapted to their individual needs. For this purpose, the initial step is a need assessment in the cooperating care facilities. During this explorative phase, work- and stress-related behaviors and demands of the target group for a digital health system are identified and data on individual motivation types of the nurses are gathered. In the second phase, focus lies on the development of the biofeedback system, whereby heart rate variability, electrocardiogram, and additional physiological measures are facilitated. With the DiCiS app, nurses will be able to directly observe the measured data. Based on individualized profiles, the app suggests exercises for stress reduction. Additionally, the participating care facilities receive recommendations for occupational health promotion measures, grounded on the needs assessment and tailored to structural characteristics.
Responsibilities of Technische Universität Berlin:
- Needs analysis according to the BASE concept (Wollesen et al., 2016) in the form of both a quantitative and qualitative survey of the target group in the cooperating facilities in terms of individualized needs of out- vs in-patient facilities and the concomitant stress experiences of nurses; inquiry of demands toward a digital health system; and determination of individual motivation types based on an established health behaviour change model (HAPA)
- Conception of stress reduction interventions tailored to motivational types, depending on the nature of the facility (out- vs in-patient)
- Implementation of the interventions by means of the biofeedback system and the the DiCiS app
- Evaluation of the intervention in relation to the efficacy of the DiCiS app and the biofeedback system under consideration of the overarching goal of sustainable health behaviour change of the nurses. Here, focus is on the process and outcome evaluation.
- Textualisation of guidances for the facilities’ occupational health promotion and management programmes, based on the above-mentioned evaluation
Transfer BASE into new care settings
Within the framework of the project, three home care facilities and selected departments in three hospitals are to be cared for in the greater Berlin area. The facilities will implement a prevention programme, which is tailored to the needs of the institution and integrates a setting-oriented health management and associated interventions of health promotion. These steps primarily include the field of physical activity, nutrition and relaxation, which are also adapted to the particularities and needs of the respective facility and may require the implementation of further thematic focuses (e.g., work organisation, dealing with shift work).
According to the BASE concept (Wollesen et al., 2008, 2012, 2016), the following aspects will be implemented within the individual facilities:
· Preparation of an expert analysis to describe successful health promotion interventions and projects in hospitals and home care facilities,
· Identification of setting specific needs for action (hospital vs. home care facilities),
· Promotion of the health potential of employees in hospitals and home care facilities through tailored interventions,
· Implementation of the setting approach through the targeted recording of the respective institutional requirements, needs and barriers in the facilities (through surveys, participating observations, interviews, focus groups); simultaneously, network partners are searched for in the environment, for sustainable implementation
· Focusing the nursing staff by establishing relationships to existing health promotion structures,
· Participation of all participants in the health promotion process (personnel management, occupational health and safety, occupational medicine, health circles, etc.) as a core component of the success of the BASE concept,
· Promotion of mobility/development of resources through adapted and digitised interventions.
The corresponding interventions in the facilities are systematically evaluated (structure, process, outcome) in order to derive concrete planning and action aids which are transferred into training documents or handouts.
The nursing facilities involved are described on the basis of their basic requirements (type of hospital, number of beds, staff keys, quarters, etc.) in order to analyse the applicability of the concept under a wide range of conditions and thus cover a broad spectrum of practice.
The overall process for the facilities is as follows:
· Needs analysis in accordance with the BASE concept (orientation to structural company conditions - including recording workloads; consideration of the organisational and social environment such as working hours, breaks; involvement of employees - including surveys on wishes for health promotion)
· Derivation of recommendations for health management/ health promotion for the respective setting
· Integration of the respective institutional requirements into the concept and connection to existing structures (e.g., to existing interventions within the framework of the health management in hospitals)
· Clarification of cooperation possibilities in the course of the health promotion process (e.g., with accident insurances and pension insurance institutions)
· Joint definition of an action plan
· Development of suitable prevention interventions for the home care and the hospital setting
· Implementation of intensive interventions close to the workplace (according to criteria § 20 SGB V), integration in the corporate culture
· Review of the success of the intervention
· Preparation of a sustainability concept and review of its implementation
· Conversion of the results into a brochure / handbook and related publications.
PROfit – Prevention Orientation Training in nursing home facilities
Older people living in care facilities often suffer from multimorbidity. Especially in this highly aged population, a progressive decline in motor and cognitive abilities often results in decreased quality of life. A large proportion of nursing home residents are physically inactive and spend their time alone. Such physical inactivity has multiple negative consequences on health and social wellbeing. In addition, decreasing cognitive abilities lead to functional limitations in performing fundamental physical and mental actions such as climbing stairs and orientation. Moreover, cognitive decline has been proven to be a risk factor for activities of daily life (ADL) and instrumental activities of daily life (IADL) decline in older adults, contributing to decreased quality of life.
Therefore, the aim of this project funded by the Techniker Krankenkasse is to develop and to evaluate cognitive motor exercise interventions to increase spatial orientation and life-space mobility for nursing home residents.
This will be realized in three stages:
(1) Analysis of the needs and barriers of primary prevention for nursing home residents
Following the structure of the PROCARE-program combining the analyzed needs together with the goals of the institution, a specific program with tailored interventions will be conducted.
(2) Implementation and evaluation of the three interventions
The overall goal of an integrated multicentric RCT is to
investigate the efficiency of the three different intervention
approaches on physical activity, life-space and spatial orientation:
a. PROfit basic: functional strength, balance, flexibility, and walking exercises in a predefined training room
b. PROfit plus: the same as (a) but in various locations throughout the facility
c. PROfit orientation: elements of (a) and (b) with additional navigation and spatial orientation training components
(3) Development of individual sustainability concepts for the institutions
One exercise component which has not been addressed in previous programs, in particular with nursing home residents, is spatial orientation. One way to support spatial orientation in the daily activities of dementia home residents is to integrate supportive spatial information like landmarks into care facilities. Surfacing these existing landmarks by describing them as distinct spatial reference points during the training intervention will encourage increased spatial learning.
The project will identify these specific landmarks in the eighteen facilities, develop a training approach adapted to nursing home residents, and implement it into the daily routines of the nursing homes.
Sezen Akman and Lukas Gehrke awarded by the VDI
On 27 September, Sezen Akman and Lukas Gehrke were honoured as the best 2019 graduates of the technical courses of the universities of the region by the Bezirksverein Berlin-Brandenburg in the Association of German Engineers (VDI) with their master's or doctoral thesis on the topic "Development of a real-time evaluation method for the quality of virtual realities".
ContactBiological Psychology and Neuroergonomics
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