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Thorsten Klemm

Publications and source records attributed to Thorsten Klemm.

2 recordsLinked to original sources

Comparative analysis of conventional and an adaptive computer-based hypoglycaemia education programs.

Adaptive interactive computer-based education programs which can be personalized to patients' needs and skills might be more suitable for patients' training as compared to conventional ones. We tested whether there are differences between an adaptive and a conventional version of a computer-based hypoglycaemia education program concerning successful training and user friendliness. One hundred and twenty randomized diabetic patients were enrolled in this study. The two different programs were compared by using the following criteria: (1) the number of actions needed to get out of or prevent hypoglycaemia, (2) the need for external help, (3) the average time needed for completing one task and (4) user friendliness as determined by a questionnaire. Patients using the adaptive computer-based hypoglycaemia education program needed less actions to get out of or prevent hypoglycaemia, less external help and less time to finish tasks. Furthermore, the user friendliness of the adaptive computer program received a significantly better rating by the patients. The adaptive computer-based hypoglycaemia education program shows significantly better results as compared to a conventional one. Therefore, using adaptive computer-based programs might be helpful for education of patients.

Attitude to Computers↗

[Quality of life instruments and health state preferences to assess effects of medical interventions for mentally and medically ill patients].

AIM: The assessment of quality of life with a single index, which is necessary for cost-utility analyses, causes a loss of information. Therefore the suitability of such indices for mental health and non-mental health conditions was analysed and their ability to detect effects of medical interventions was examined. METHOD: Quality of life of 18 schizophrenic patients and 26 patients with diabetes mellitus was rated three times using disease specific instruments (BELP-KF, DMLQ), visual analog scale (VAS), EQ-5D and time trade-off (TTO). RESULTS: Effects of medical interventions were only detected with the disease specific instruments and EQ-5D. Using TTO and EQ-5D, there were significant, but reverse differences in the quality of life of patients with diabetes and patients with schizophrenia. EQ-5D correlated highly with DMLQ, but lowly with BELP-KF. CONCLUSIONS: TTO and VAS were insensitive to effects of medical interventions. EQ-5D detected treatment-induced changes, but was inappropriate as a measure of quality of life in schizophrenic patients.

Attitude to Health↗