15 results on '"Preisler, Martina"'
Search Results
2. ChatGPT: Can You Prepare My Patients for [18F]FDG PET/CT and Explain My Reports?
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Rogasch, Julian M. M., Metzger, Giulia, Preisler, Martina, Galler, Markus, Thiele, Felix, Brenner, Winfried, Feldhaus, Felix, Wetz, Christoph, Amthauer, Holger, Furth, Christian, and Schatka, Imke
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- 2023
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- View/download PDF
3. Early integration of palliative cancer care: patients’ and caregivers’ challenges, treatment preferences, and knowledge of illness and treatment throughout the cancer trajectory
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Preisler, Martina, Heuse, Silke, Riemer, Manuel, Kendel, Friederike, and Letsch, Anne
- Published
- 2017
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4. Early integration of palliative/supportive cancer care—healthcare professionals’ perspectives on the support needs of cancer patients and their caregivers across the cancer treatment trajectory
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Rohrmoser, Amy, Preisler, Martina, Bär, Konrad, Letsch, Anne, and Goerling, Ute
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- 2017
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5. Prognostic Awareness in Advanced Disease: A Review Update and Concept Analysis
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K��hne, Franziska, Hermann, Myriel, Preisler, Martina, Rohrmoser, Amy, Letsch, Anne, and Goerling, Ute
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palliative care ,systematic review ,150 Psychologie ,Mini Review ,advanced disease ,oncology ,Psychology ,cancer ,prognosis ,patient-centered care ,General Psychology - Abstract
Purpose: Although subjective knowledge about the prognosis of an advanced disease is extremely important for coping and treatment planning, the concept of prognostic awareness (PA) remains inconsistently defined. The aims of the scoping review were to synthesize a definition of PA from the most recent literature, describe preconditions, correlates and consequences, and suggest a conceptual model. Methods: By using scoping review methodology, we searched the Web of Science and PubMed databases, and included publications, reviews, meta-analyses or guidelines on all physical diagnoses, as well as publications offering a conceptual or an operational definition of PA. The data were analyzed by means of content analysis techniques. Results: Of the 24 included publications, 21 referred exclusively to cancer, one to patients with hip fractures and two to palliative care in general. The deduced definition of PA comprised the following facets: adequate estimation of chances for recovery, knowledge of limited time to live, adequate estimation of life expectancy, knowledge of therapy goals, and knowledge of the course of the disease. Further content analysis results were mapped graphically and in a detailed table. Conclusion: There appears to be a lack of theoretical embedding of PA that in turn influences the methods used for empirical investigation. Drawing on a clear conceptual definition, longitudinal or experimental studies would be desirable., Zweitver��ffentlichungen der Universit��t Potsdam : Humanwissenschaftliche Reihe; 745
- Published
- 2021
6. Prognostic Awareness in Advanced Disease: A Review Update and Concept Analysis
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Kühne, Franziska, primary, Hermann, Myriel, additional, Preisler, Martina, additional, Rohrmoser, Amy, additional, Letsch, Anne, additional, and Goerling, Ute, additional
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- 2021
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7. Prognostic Awareness in Advanced Disease
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Kühne, Franziska (Dr.), Hermann, Myriel, Preisler, Martina, Rohrmoser, Amy, Letsch, Anne, and Goerling, Ute (Dr.)
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ddc:150 ,Strukturbereich Kognitionswissenschaften - Abstract
Purpose: Although subjective knowledge about the prognosis of an advanced disease is extremely important for coping and treatment planning, the concept of prognostic awareness (PA) remains inconsistently defined. The aims of the scoping review were to synthesize a definition of PA from the most recent literature, describe preconditions, correlates and consequences, and suggest a conceptual model. Methods: By using scoping review methodology, we searched the Web of Science and PubMed databases, and included publications, reviews, meta-analyses or guidelines on all physical diagnoses, as well as publications offering a conceptual or an operational definition of PA. The data were analyzed by means of content analysis techniques. Results: Of the 24 included publications, 21 referred exclusively to cancer, one to patients with hip fractures and two to palliative care in general. The deduced definition of PA comprised the following facets: adequate estimation of chances for recovery, knowledge of limited time to live, adequate estimation of life expectancy, knowledge of therapy goals, and knowledge of the course of the disease. Further content analysis results were mapped graphically and in a detailed table. Conclusion: There appears to be a lack of theoretical embedding of PA that in turn influences the methods used for empirical investigation. Drawing on a clear conceptual definition, longitudinal or experimental studies would be desirable.
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- 2020
8. Perspectives of patients with multiple myeloma on accepting their prognosis—A qualitative interview study
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Hermann, Myriel, primary, Kühne, Franziska, additional, Rohrmoser, Amy, additional, Preisler, Martina, additional, Goerling, Ute, additional, and Letsch, Anne, additional
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- 2020
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9. Tumorpatienten und ihre Angehörigen: Möglichkeiten der frühen Integration von Palliative Care in die onkologische Standardversorgung
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Preisler, Martina
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caregivers ,oncology ,individual needs ,cancer patients ,600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit ,Integrated Palliative Cancer Care - Abstract
Einführung: Der Nutzen einer frühzeitigen Integration von Palliative Care in die onkologische Standardversorgung (Integrated Palliative Cancer Care; Abk. IPCC) ist für Tumorpatienten und ihre Angehörigen belegt und wird von internationalen Organisationen parallel zu einer tumorspezifischen Behandlung empfohlen. Best- Practice-Modelle von IPCC im Verlauf der Behandlung zielen darauf ab, Patienten und Angehörige bei der Erfüllung ihrer individuellen Bedürfnisse und Linderung von spezifischen Symptomen einer Krebserkrankung zu unterstützen. Bisher weiß man wenig darüber, ob IPCC krankheitsphasenspezifisch oder patienten- bzw. angehörigenzentriert angeboten werden sollte. Diese Arbeit untersucht Bedürfnisse von Patienten und Angehörigen unter Berücksichtigung individueller Herausforderungen, Behandlungspräferenzen und Informationsbedürfnissen im gesamten Krankheitsverlauf. Methodik. Angelehnt an die Grounded Theory wurden neun onkologische Patienten in verschiedenen Erkrankungsphasen, 16 Angehörige und acht klinische Behandler mittels explorativer, leitfadengestützter Einzelinterviews (Patienten und Angehörige) und Fokusgruppeninterviews (klinische Behandler und Angehörige) qualitativ untersucht. Die Auswertungsprozesse wurden in einem iterativen Prozess mit Experten diskutiert und die Ergebnisse in einer kommunikativen Validierung mit den Teilnehmern überprüft. Für die deskriptive Stichprobenbeschreibung wurden ein soziodemografischer und ein krankheitsbezogener Fragebogen verwendet. Ergebnisse. Die Bedürfnisse von Patienten und Angehörigen sind stärker von individuellen Herausforderungen und Krankheitsverläufen abhängig, als von klinischen Behandlungsphasen. Wichtige Bedürfnisse zeigten sich in Bezug auf Erkrankung, Behandlung, Krankheitsverarbeitung, Behandlungspräferenz, Prozesse und Strukturen im ambulanten und stationären Kliniksetting. Angehörige hatten eine bedeutende Rolle in der Versorgung von Tumorpatienten inne. Trotz dieser bedeutenden Rolle, wurden die Belastungen von den Behandlern unterschätzt und die vorhandenen Ressourcen überschätzt. Die Angehörigen fühlten sich ungenügend auf ihre Rolle vorbereitet und beschrieben unzureichende Unterstützung in der Vorbereitung auf die Pflege und Unterstützung des Patienten nach Entlassung aus Klinik. Schlussfolgerung. Die Ergebnisse dieser Studie unterstreichen die Notwendigkeit, Bedürfnisse von Tumorpatienten und ihren Angehörigen über den gesamten Krankheitsverlauf systematisch zu erfassen. Eine solche Erfassung kann die Grundlage für eine effektive, integrierte Palliative Care in der onkologischen Standardversorgung sein. Weiterhin ist es notwendig, die strukturellen Versorgungsbedingungen zu verbessern und mehr Transparenz in Bezug auf vorhandene Ressourcen, Abläufe und Verantwortlichkeiten im jeweiligen Versorgungssetting zu schaffen. Dabei kommt den onkologischen Primärbehandlern eine bedeutende Schlüsselrolle für eine frühzeitige IPCC zu. Darüber hinaus könnte eine aktive Einbindung von Angehörigen in die Tumorbehandlung, deren Belastungen verringern und die Selbstwirksamkeit stärken. Hierfür sollte das Angebot an Schulungen und auf das Versorgungssetting bezogene Informationen ausgeweitet werden. Außerdem sollte die besondere Rolle der Angehörigen, die diese in der onkologischen Behandlung für die Krebspatienten, aber auch selbst als Betroffene haben, auf gesundheitspolitischer und gesellschaftlicher Ebene mehr als bisher thematisiert werden, um eine Verbesserung ihrer Situation zu erreichen., Purpose: Early integration of Palliative Care into standard oncological treatment (Integrated Palliative Cancer Care; IPCC) is beneficial for cancer patients and their caregivers. Multiple international organizations recommend offering this care simultaneously with tumor-specific treatment. Best practice models of IPCC in the course of cancer treatment aim to help patients and their caregivers meeting their individual needs and relief specific symptoms of cancer. So far, there is only limited knowledge about whether IPCC should be offered phase-specific or patient- and caregiver-centered. This study investigated patients’ and caregivers’ needs, considering individual challenges, treatment preferences and information needs throughout the disease trajectory. Methods: Using a modified grounded theory approach, nine oncological patients at different stages of the disease, 16 caregivers and eight clinical practitioners in oncology participated in a qualitative study employing explorative, semi-structured interviews (patients and caregivers) and focus group interviews (clinical practitioners and caregivers). The evaluation processes were discussed in an iterative process with experts and the results were confirmed in a communicative validation process. Descriptive data were collected via a socio-demographic questionnaire and a disease-related questionnaire. Results: The needs of the patients and their caregivers were more dependent on individual challenges and disease trajectories than on clinical treatment phases. Important needs were identified in terms of illness, treatment, disease progression, treatment preference, and processes and structures in outpatient and inpatient settings. While caregivers played an important role in cancer care, their experienced burdens were underestimated by the practitioners and the available resources were overestimated. The caregivers felt inadequately prepared for their supporting role and described insufficient support in preparation for the accompaniment and care of the patient after transitioning from the hospital. Conclusions: The results of this study highlighted the need for continuous and systematic assessment of the needs of cancer patients and their cargivers throughout the disease trajectory. Such assessment can be the basis for an effective integrated palliative care into standard oncology care. For this purpose, it is important to improve structural conditions more generally and, to create more transparency regarding existing resources, procedures and responsibilities in the clinic setting, in particular. Oncological primary care providers play an important key role in initiating IPCC early. In addition, active involvement of caregivers in the cancer treatment could reduce their burden and increase self-efficacy. Likewise, the special role of the caregivers should be addressed more than ever before at the health and social level in order to improve their situation.
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- 2019
10. Early Palliative Care for those who Care: A Qualitative Exploration of Cancer Caregivers' Information Needs during Hospital Stays
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Preisler, Martina, primary
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- 2019
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11. Berliner Symposium Integrated Palliative Cancer Care – black or white or shades of grey?
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Missala, Isabelle, additional, Preisler, Martina, additional, Behzadi, Asita, additional, Krischner, Peter, additional, and Letsch, Anne, additional
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- 2019
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12. Perspectives of patients with multiple myeloma on accepting their prognosis—A qualitative interview study.
- Author
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Hermann, Myriel, Kühne, Franziska, Rohrmoser, Amy, Preisler, Martina, Goerling, Ute, and Letsch, Anne
- Subjects
MULTIPLE myeloma ,PSYCHOLOGICAL distress ,PSYCHOLOGICAL adaptation ,SOCIAL acceptance ,ACCEPTANCE sampling - Abstract
Objective: Prognostic awareness is essential for making treatment decisions in malignant diseases. Being confronted with a poor prognosis, however, can affect patients' mental health. Therefore, it is important to study coping in the context of malignant diseases. Acceptance is an adaptive coping strategy associated with less psychological distress. This study sought to explore the facilitators and barriers for prognostic acceptance in a sample in which both hope and uncertainty regarding prognosis are pronounced: multiple myeloma patients. Methods: In a German university hospital, 20 multiple myeloma patients participated in semistructured interviews. Following thematic content analysis by Kuckartz, the interview transcripts were coded for facilitators and barriers for prognostic acceptance. Additionally, patients completed questionnaires on prognostic awareness and sociodemographic characteristics. Results: Patients described the following facilitators for prognostic acceptance: social support, positive thinking, focusing on the Here and Now, proactive confrontation, having little to no symptoms, and being there for others. The indicated barriers were distressing physical symptoms and restricted functioning, social distress, and additional distress from other areas of life. Conclusions: Patients reported a variety of factors—related to the social realm, symptom burden, and specific attitudes—that help or hinder them in accepting their prognosis. Oncologists and psycho‐oncologists may support prognostic acceptance by encouraging patients to both actively deal with realistic information as well as enjoy pleasant and meaningful moments in the present during which the disease and its prognosis recedes into the background. [ABSTRACT FROM AUTHOR]
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- 2021
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13. Early integration of palliative cancer care: patients' and caregivers' challenges, treatment preferences, and knowledge of illness and treatment throughout the cancer trajectory.
- Author
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Preisler, Martina, Heuse, Silke, Riemer, Manuel, Kendel, Friederike, and Letsch, Anne
- Subjects
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PALLIATIVE treatment , *CANCER patient care , *CAREGIVERS , *THEMATIC analysis , *CANCER treatment , *TUMOR treatment , *PSYCHOLOGY of caregivers , *NEEDS assessment - Abstract
Purpose: Early integration of palliative care (EIPC) into oncology is beneficial for cancer patients and their caregivers. Best practice models of EIPC throughout the course of cancer treatment aim to support patients and caregivers in meeting their individual needs. So far, we know little about whether EIPC offers should be phase-specific or patient-centered. This study investigated patients' and caregivers' needs considering individual challenges, treatment preferences, and knowledge over the cancer trajectory.Methods: Semi-structured qualitative interviews and pre-interview questionnaires were conducted with 11 cancer patients and 9 caregivers. A modified grounded theory approach was used to analyze the interview data applying thematic analysis and reflective principles by using MAXQDA.Results: Our data showed no clearly distinct pattern of illness-phase-specific needs of patients and caregivers. Support needs were dependent on the significance and interpretation of events by patients and caregivers. Mastering challenges was highly individual and influenced by personal and contextual factors. Our results showed that subjective theories of illness significantly influenced experience, information requirements, treatment preferences, and the feeling of patients and caregivers "to be in good hands." The physician-patient relationship was of central relevance and has a major gatekeeper function for EIPC. Access to the medical care system, resources, and information appeared to be based on chance.Conclusions: For optimal EIPC, it is necessary to improve structural conditions such as more structured information about resources and procedures. Subjective theories of illness need to be continuously considered by practitioners in order to recognize the individual need for support. [ABSTRACT FROM AUTHOR]- Published
- 2018
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14. Early palliative care for those who care: A qualitative exploration of cancer caregivers' information needs during hospital stays.
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Preisler, Martina, Rohrmoser, Amy, Goerling, Ute, Kendel, Friederike, Bär, Konrad, Riemer, Manuel, Heuse, Silke, and Letsch, Anne
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CANCER patients , *PSYCHOLOGY of caregivers , *HOSPITAL care , *HOSPITAL wards , *INTERVIEWING , *RESEARCH methodology , *NEEDS assessment , *ONCOLOGY , *PALLIATIVE treatment , *QUALITATIVE research , *SOCIOECONOMIC factors , *BURDEN of care , *INFORMATION needs , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Background: The supporting role of caregivers is crucial to cancer patients' care and well‐being. Periods of inpatient hospital treatment are common in the cancer trajectory. There is insufficient systematic knowledge of caregivers' experiences and information needs in hospital context. Aim: Aim of this study is to identify information needs and factors contributing to unmet information needs of caregivers in hospital. Design: A qualitative approach was used to identify major themes and specific types of information needs. Interviews with caregivers were conducted and analysed using a qualitative three‐step process. Setting/participants: The study was conducted in a hospital oncology department. Seventeen caregivers of patients with advanced cancer were interviewed. Results: Caregivers' needs during inpatient treatment vary and are largely unmet. Four major themes emerged from the analysis, revealing information needs of caregivers related to the cancer disease, patient, caregivers themselves and hospital context. The most mentioned issues were appropriate treatment, treatment outcomes and the related consequences for caregivers' life, hospital processes and transition back home. Conclusion: Caregivers have a variety of specific information needs which often remain unmet. Based on our findings, we provide recommendations for integrating caregivers into oncology care, which should be implemented in clinical practice, policy decisions and research. [ABSTRACT FROM AUTHOR]
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- 2019
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15. ChatGPT: Can You Prepare My Patients for [ 18 F]FDG PET/CT and Explain My Reports?
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Rogasch JMM, Metzger G, Preisler M, Galler M, Thiele F, Brenner W, Feldhaus F, Wetz C, Amthauer H, Furth C, and Schatka I
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- Humans, Radiopharmaceuticals, Artificial Intelligence, Reproducibility of Results, Positron Emission Tomography Computed Tomography, Fluorodeoxyglucose F18
- Abstract
We evaluated whether the artificial intelligence chatbot ChatGPT can adequately answer patient questions related to [
18 F]FDG PET/CT in common clinical indications before and after scanning. Methods: Thirteen questions regarding [18 F]FDG PET/CT were submitted to ChatGPT. ChatGPT was also asked to explain 6 PET/CT reports (lung cancer, Hodgkin lymphoma) and answer 6 follow-up questions (e.g., on tumor stage or recommended treatment). To be rated "useful" or "appropriate," a response had to be adequate by the standards of the nuclear medicine staff. Inconsistency was assessed by regenerating responses. Results: Responses were rated "appropriate" for 92% of 25 tasks and "useful" for 96%. Considerable inconsistencies were found between regenerated responses for 16% of tasks. Responses to 83% of sensitive questions (e.g., staging/treatment options) were rated "empathetic." Conclusion: ChatGPT might adequately substitute for advice given to patients by nuclear medicine staff in the investigated settings. Improving the consistency of ChatGPT would further increase reliability., (© 2023 by the Society of Nuclear Medicine and Molecular Imaging.)- Published
- 2023
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