Hetzel Christian, Schreiner Sieglinde, Kühl Dagmar, Bühne David, Philippi Katharina, Froböse Ingo
Institut für Qualitätssicherung in Prävention und Rehabilitation GmbH an der Deutschen Sporthochschule Köln, Köln, Deutschland.
Gesundheitsangebote, Sozialversicherung für Landwirtschaft, Forsten und Gartenbau, Kassel, Deutschland.
Gesundheitswesen. 2022 Nov;84(11):1022-1030. doi: 10.1055/a-1386-4029. Epub 2021 Mar 25.
Parents of children in need of care and home care are a vulnerable group. The aim of this study was to determine the effect of a legally funded, one-week health program of the Social Insurance for Agriculture, Forestry and Horticulture (SVLFG) on the well-being of the participating caregiving. Methods In a controlled panel study (intervention group IG n=23, comparison group n=33, allocation not randomized), the WHO-5 index was collected at several time points of measurement. Evaluation was performed by fixed effects panel regression under control of time-varying characteristics (external conditions, period effects).
At the start of the intervention, 70% of the IG were at the threshold of clinically relevant depressiveness. After a very clear initial effect, the level remained above the baseline level for up to 15 weeks (under stable conditions). However, a sinking below the initial level was prevented until at least 26 weeks even with significantly increasing stress.
Considering the high initial burden, the effect of the prevention-oriented intervention is persistent over a considerable period of time. The intervention is unique for the social insurance system. The design allows a causal interpretation despite the small number of cases.
需要护理和家庭护理的儿童的父母是弱势群体。本研究的目的是确定由农业、林业和园艺社会保险（SVLFG）提供资金的为期一周的健康计划对参与护理者幸福感的影响。方法 在一项对照面板研究中（干预组IG，n = 23；对照组，n = 33，分配未随机化），在几个测量时间点收集了世界卫生组织-5指数。在控制随时间变化的特征（外部条件、时期效应）的情况下，通过固定效应面板回归进行评估。
在干预开始时，70%的干预组处于临床相关抑郁的阈值。在最初有非常明显的效果之后，在长达15周的时间里（在稳定条件下），该水平一直高于基线水平。然而，即使压力显著增加，直到至少26周，该水平才降至初始水平以下。
考虑到最初的高负担，以预防为导向的干预效果在相当长的一段时间内持续存在。该干预对于社会保险系统来说是独一无二的。尽管病例数量较少，但该设计允许进行因果解释。
