Survey of Inpatients on Integrative Therapy Methods

Study Overview
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Brief Summary
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Observational study of general patient satisfaction and inpatients' experiences with integrative therapies. The study recruits inpatients of the Filderklinik, an anthroposophic hospital in southwestern Germany. The aim is to assess overall patient satisfaction and inpatients' experiences with integrative therapies at the Filderklinik.

Detailed Description
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This is a cross-sectional study to investigate general patient satisfaction and inpatients' experiences with integrative therapies in an anthroposophic hospital. Participants will be recruited at the Filderklinik, a hospital in southwestern Germany that uses anthroposophic medicine (AM) on a broad basis. Inpatients who have received at least 10 treatments with one or more of the different integrative therapy methods will be asked for their willingness to participate. After providing written informed consent, participants will complete a questionnaire on integrative therapies received and overall patient satisfaction. In addition, data from the clinic database will be analyzed and cross-checked with the questionnaire data to verify and specify information about the participating sample. The focus of the study is to assess general patient satisfaction and experience with integrative therapy methods among inpatients at the Filderklinik.

Official Title
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Patient Survey on Integrative Therapy Methods - a Cross-sectional Study of Hospital Inpatients

Conditions
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Patient Satisfaction and Experience With Integrative Therapies

Intervention / Treatment
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* Other: Integrative therapies


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Written informed consent Filderklinik inpatient who had at least 10 treatments with one ore more of the integrative therapy methods Age 18 years or older Exclusion Criteria: Insufficient German language skills Legally incapacitated patients Patients who are physically incapable of giving written consent Patients in isolation wards

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Integrative therapies|Integrative therapy methods used at the Filderklinik, such as music therapy, therapeutic painting, therapeutic sculptural forming, speech therapy, eurythmy therapy, rhythmical massage, external applications, coloured light therapy|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction, ZUF-8 total score | Patient satisfaction, measured with the ZUF-8 patient satisfaction questionnaire, a validated questionnaire (German language) with 8 items related to overall patient satisfaction associated with an inpatient hospital stay. Items are rated on 4-point scales from positive to negative (no neutral position), with 1 being the least positive and 4 being the most positive value (total scale range 8-32). In the current study, the ZUF-8 is part of the comprehensive Special Therapy Procedures questionnaire, which covers all outcome measures not retrieved from the clinic database. | Assessing the entire duration of the hospital stay, an average of 7 days. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Diagnoses | Diagnoses of each patient documented in the clinic database. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Therapies | Therapies that were prescribed to each patient, as documented in the clinic database. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| OPS codings | OPS codings for each patient documented in the clinic database. OPS = Operationen- und Prozedurenschlüssel, German modification of the ICPM (International Classification of Procedures in Medicine). | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Inpatient admitting department | Department of the Filderklinik to which the patient was admitted for the inpatient stay. | At the time of admission to the Filderklinik, at the beginning of hospitalization (an average of 7 days). | 
| Integrative therapies according to clinic database | Integrative therapies that were prescribed to each patient, as documented in the clinic database. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with music therapy | Patient experience with the music therapy prescribed to them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with therapeutic painting | Patient experience with the therapeutic painting prescribed to them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with therapeutic sculptural forming | Patient experience with the therapeutic sculptural forming prescribed to them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with speech therapy | Patient experience with the speech therapy prescribed to them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with eurythmy therapy | Patient experience with the eurythmy therapy prescribed to them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with rhythmical massage | Patient experience with the rhythmical massage prescribed to them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with external applications | Patient experience with the external applications prescribed to them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with coloured light therapy | Patient experience with the coloured light therapy prescribed to them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with the timing of integrative therapies | Patient experience with the timing of the integrative therapies prescribed to them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Patient experience with therapy plan communication | Patient experience with communication about the therapy plan that was set up for them, assessed with the Special Therapy Procedures questionnaire. The questionnaire records general patient satisfaction and patient experience with the integrative therapy methods at the Filderklinik and asks for aspects of organization and procedure as well as the therapy itself. Answers are given on a 5-point Likert scale ranging from I fully agree to I fully disagree, with I fully agree representing positive ratings. | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Difference in patient satisfaction: prior experience with AM vs. no prior experience with AM | Difference in patient satisfaction between the group of patients who had prior experience with AM and the group who had no prior experience with AM, measured with the ZUF-8 questionnaire. ZUF = Zufriedenheit = satisfaction. ZUF-8 = patient satisfaction questionnaire, a validated questionnaire (German language) with 8 items related to overall patient satisfaction associated with an inpatient hospital stay. Items are rated on 4-point scales from positive to negative (no neutral position), with 1 being the least positive and 4 being the most positive value (total scale range 8-32). | Assessing the entire duration of the hospital stay, an average of 7 days. | 
| Difference in patient satisfaction: Filderklinik chosen for treatment with AM vs. Filderklinik chosen for other reasons | Difference in patient satisfaction between the group of patients who chose the Filderklinik because they request treatment with AM and the group who chose the Filderklinik for other reasons, measured with the ZUF-8 questionnaire. ZUF = Zufriedenheit = satisfaction. ZUF-8 = patient satisfaction questionnaire, a validated questionnaire (German language) with 8 items related to overall patient satisfaction associated with an inpatient hospital stay. Items are rated on 4-point scales from positive to negative (no neutral position), with 1 being the least positive and 4 being the most positive value (total scale range 8-32). | Assessing the entire duration of the hospital stay, an average of 7 days. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Integrative therapies, Anthroposophic medicine, Overall patient satisfaction, Inpatients, Survey