Psychological-Medical Research Cooperation Lab

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Coronary heart diseases, adjustment disorder, medication adherence and physical activity – CAMP study

Coronary heart disease is responsible for 13% of all global deaths. Cardiac rehabilitation (CR) plays an important role in secondary prevention after acute coronary syndromes. This observational study investigates how patients leaving CR manage their everyday life. How successful are the initiated health behaviors (i.e. physical activity, medication adherence) shown in everyday life and do the patients meet the recommendations? By applying intensive longitudinal methods this study allows an in-depth insight to the last seven days of CR and the following 21 days after CR. Six month and 12-month follow-up measurements augment this study, providing understanding of possible maintenance.

Project status: ongoing
Contact: Tania Bermudez and Walter Bierbauer

 

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ARMin – Robot assisted stroke therapy

Stroke patients often face reduced mobility and loss of upper extremity function. Robot-assisted therapy can help patients to improve functioning in paretic arms. This study investigates how stroke patients adhere to at-home treatment recommendations e.g. using both arms for activities of daily living. In cumulative N-of-1 trials adopting an A-B-A-B experimental design patients get both, solo robot-assisted therapy (A) and dyadic robot-assisted therapy (B). At-home arm activity is measured by wrist-worn accelerometry and related motivational, volitional and social variables are gathered in self-reports across five weeks on a daily basis.

Project status: ongoing
Contact: Walter Bierbauer

 

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Dyadic Management of Diabetes (DyMand)

Diabetes mellitus Type II (T2DM) is a common chronic disease. To manage blood glucose levels patients need to follow medical recommendations for healthy eating, physical activity, and medication adherence in their everyday life. Illness management is mainly shared with partners and involves social support and common dyadic coping. Therefore, a novel ambulatory assessment application for the open source behavioral intervention platform MobileCoach (AAMC) that utilizes objective sensor data in combination with self-reports in couple’s everyday life was developed. The DyMand study follows an intensive longitudinal design with two phases of data collection: A naturalistic observation phase of couple’s conversations in combination with an experience sampling phase and an observational study in the lab where couples discuss topics related to their diabetes management. Participants are romantic couples with one partner having the diagnosis of T2DM.

Project status: ongoing
Contact: Prof. Dr. Urte Scholz

 

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Medication adherence of persons with multiple chronic diseases (multimorbidity)

Chronic conditions often require multiple medication intake which is a challenging endeavor to adhere to. In this study, 84 patients with multimorbidity and multiple-medication regimens completed three monthly panel questionnaires. A randomly assigned subsample additionally completed a 30-day daily diary. In contrast to published literature we found a very high medication adherence (taking medication as recommended) rate. Self-report as well as objective measurement (electronic pill box) of medication adherence showed that on average more than 90% of medications were taken as recommended. This project also investigated personal, social, and situational factors related to medication adherence in daily life by applying intensive longitudinal methods.

Project status: completed in 2016
Contact: Walter Bierbauer