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@ARTICLE{Wild:142879,
author = {B. Wild and W. Herzog and D. Schellberg and F. Böhlen and
H. Brenner$^*$ and K.-U. Saum$^*$ and I. Maatouk},
title = {{A} short intervention targeting psychosomatic care in
older adults with complex health care needs-results of a
randomized controlled trial.},
journal = {International journal of geriatric psychiatry},
volume = {34},
number = {2},
issn = {0885-6230},
address = {Chichester [u.a.]},
publisher = {Wiley},
reportid = {DKFZ-2019-00509},
pages = {272 - 279},
year = {2019},
abstract = {The aim of this randomized controlled trial (RCT) was to
assess the efficacy of a short intervention targeting
psychosomatic care in older adults with complex health care
needs.Participants were recruited in the frame of the
11-year follow-up of a large population-based study by means
of the INTERMED interview. The INTERMED interview is an
integrative assessment method to identify bio-psycho-social
health care needs. Persons with high health care needs
(interview score ≥ 17) were invited to take part.
Participants were randomized with a 1:1 ratio to a control
and an intervention group. The intervention group received a
home visit conducted by a doctor trained in psychosomatic
medicine. The primary hypothesis stated that the
intervention group would have a better outcome with respect
to health related quality of life (HRQOL) measured by the
12-item short-form health survey (mental component score,
MCS) 6 months after randomization (T1). Secondary outcomes
were physical HRQOL, health care needs, depression, anxiety,
and somatic symptom severity.In total, 175 participants were
included. At the three-year follow-up (T2), 97 participants
$(55.4\%)$ were included. At T1, we did not find a
difference regarding MCS between the intervention and
control groups. At T2, the intervention group showed
significantly lower health care needs compared with the
control group. Regarding HRQOL, depression, and somatic
symptom severity the two groups did not differ at T2.The
primary hypothesis was not confirmed. However, results
indicate that a short intervention with complex patients
could lead to reduced bio-psycho-social health care needs.},
cin = {C070},
ddc = {610},
cid = {I:(DE-He78)C070-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30370681},
doi = {10.1002/gps.5017},
url = {https://inrepo02.dkfz.de/record/142879},
}