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Derzeit existiert noch keine allgemeingültige Qualitätsdefinition, wie auch ein gemeinsamer Qualitätsrahmen für die Gesundheitsförderung noch erarbeitet werden muss. Konsens herrscht aber darüber, dass vier Dimensionen die Qualität in Gesundheitsförderung und Prävention ausmachen: Planungs-, Struktur-, Prozess- und Ergebnisqualität. In den vergangenen Jahren wurden zahlreiche Instrumente und Verfahren entwickelt, um Praktikerinnen und Praktiker zu befähigen, die Qualität ihrer Angebote zu verbessern. [ABSTRACT FROM AUTHOR]

Background : The present study was designed to analyse Web pages of German gynaecologists with regard to postmenopausal hormone therapy (HT). There is a growing body of evidence, that the overall health risks of HT exceed the benefits. Making one's own informed choice has become a central concern for menopausal women. The Internet is an important source of health information, but the quality is often dubious. The study focused on the analysis of basic criteria such as last modification date and quality of the HT information content. The results of the Women's Health Initiative Study (WHI) were used as a benchmark. Methods : We searched for relevant Web pages by entering a combination of key words (9 × 13 = 117) into the search engine www.google.de. Each Web page was analysed using a standardized questionnaire. The basic criteria and the quality of content on each Web page were separately categorized by two evaluators. Disagreements were resolved by discussion. Main Findings : Of the 97 websites identified, basic criteria were not met by the majority. For example, the modification date was displayed by only 23 (23.7%) Web pages. The quality of content of most Web pages regarding HT was inaccurate and incomplete. Whilst only nine (9.3%) took up a balanced position, 66 (68%) recommended HT without any restrictions. In 22 cases the recommendation was indistinct and none of the sites refused HT. With regard to basic criteria, there was no difference between HT-recommending Web pages and sites with balanced position. Conclusion : Evidence-based information resulting from the WHI trial was insufficiently represented on gynaecologists' Web pages. Because of the growing number of consumers looking online for health information, the danger of obtaining harmful information has to be minimized. Web pages of gynaecologists do not appear to be recommendable for women because they do not provide recent evidence-based findings about HT. [ABSTRACT FROM AUTHOR]

Einleitung: Ernährungs- und bewegungsbezogene Interventionen haben in den vergangenen Jahren verstärkt Aufmerksamkeit erhalten, wobei wissenschaftliche Begleitforschungen eher selten sind. Dennoch sind Anbieter entsprechender Interventionen daran interessiert, die Wirkung ihrer Angebote zu evaluieren und leisten damit einen Beitrag zur Evidenz bevölkerungsbezogener Maßnahmen. Dies verlangt aber Ansätze, die zwischen wissenschaftlichem Anspruch und eher pragmatischer Herangehensweise vermitteln. Ein Versuch dazu stellt die Seite www.evaluationstools.de dar. [ABSTRACT FROM AUTHOR]

Abstract Background Child sexual abuse (CSA) is a problem with severe consequences for victimized children. A variety of interventions have been developed and implemented over the last decades to prevent CSA. However, most of them have not been systematically evaluated to determine their effectiveness. The IGEL program is a school-based intervention to prevent CSA in third-grade primary school children in Germany. Methods This study was conducted using a quasi-experimental design, in which almost 300 children and their parents from eight intervention and four control schools were surveyed three times (pretest, posttest, 3 months later). In order to measure outcomes, a questionnaire was developed based on validated instruments to assess the knowledge, courses of action and self-protective skills of the children. Furthermore, increased anxiety and generalized touch aversion were examined as potentially harmful side effects of the program. Results The results clearly demonstrate increased CSA-related knowledge and courses of action in children from the intervention group compared to the control children. These effects were medium-sized and sustained for at least three months after the last session. No meaningful negative side effects were detected in the evaluation for either the children or parents. Conclusion The outcome evaluation indicates that the IGEL program is an effective intervention in terms of knowledge about CSA and known courses of action, and may therefore contribute to the prevention of CSA in primary schools. Despite this positive core finding of the intermediate outcomes, some adaptations of the program to children with different cultural backgrounds were made prior to further dissemination. [ABSTRACT FROM AUTHOR]