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Vorhandene Pr\u00e4ventionsangebote werden trotz Wirksamkeit nur sp\u00e4rlich in Anspruch genommen. Ziel war zu pr\u00fcfen, inwiefern durch die Etablierung einer Versorgungskette Risikokinder fr\u00fchzeitig identifiziert und Pr\u00e4ventionsma\u00dfnahmen zugewiesen werden k\u00f6nnen, sowie inwieweit indikative Pr\u00e4ventionsprogramme schlussendlich in Anspruch genommen werden.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methoden<\/jats:title><jats:p>In einer prospektiven Implementationsstudie wurde w\u00e4hrend der regul\u00e4ren U9- bis U11-Gesundheitsuntersuchungen (Altersbereich: 5\u201310\u00a0Jahre) der \u201eStrengths and Difficulties Questionnaire\u201c als Screeninginstrument an Familien ausgegeben. Diese erhielten von ihren Kinder\u00e4rzt*innen unmittelbar eine Ergebnisr\u00fcckmeldung und im Falle von grenzwertig auff\u00e4lligen emotionalen oder Verhaltensproblemen eine Empfehlung f\u00fcr ein indikatives Pr\u00e4ventionsprogramm. Vor Programmteilnahme fand im Vorgespr\u00e4ch eine Indikationspr\u00fcfung statt.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnisse<\/jats:title><jats:p>Im Raum Dresden beteiligten sich<jats:italic>n<\/jats:italic>\u202f=\u200946 (38,7\u202f%) Kinder\u00e4rzt*innen am Projekt. In<jats:italic>n<\/jats:italic>\u202f=\u200928\u00a0Kinderarztpraxen nahmen<jats:italic>n<\/jats:italic>\u202f=\u20093231 (86,4\u202f%) Familien am Screening teil,<jats:italic>n<\/jats:italic>\u202f=\u2009864 (26,7\u202f%) Kinder, deren Familien eine Ergebnisr\u00fcckmeldung erhielten, bekamen eine Pr\u00e4ventionsempfehlung. Zur Pr\u00e4ventionsprogrammteilnahme meldeten sich<jats:italic>n<\/jats:italic>\u202f=\u2009118\/864 (13,7\u202f%) Familien selbstst\u00e4ndig.<jats:italic>n<\/jats:italic>\u202f=\u2009215\/624 (35,5\u202f%) zeigten Interesse nach projektinitiierter Kontaktaufnahme. \u00dcber andere Zugangswege kamen<jats:italic>n<\/jats:italic>\u202f=\u2009139 Teilnahmeanfragen.<jats:italic>n<\/jats:italic>\u202f=\u2009337<jats:italic>(n<\/jats:italic>\u202f<jats:italic>=<\/jats:italic>\u2009<jats:italic>461; \u00fcber alle Zugangswege)<\/jats:italic>Vorgespr\u00e4che wurden gef\u00fchrt. Schlie\u00dflich nahmen<jats:italic>n<\/jats:italic>\u202f=\u2009237<jats:italic>(n<\/jats:italic>\u202f<jats:italic>=<\/jats:italic>\u2009<jats:italic>337)<\/jats:italic>Kinder ein indikatives Pr\u00e4ventionsprogramm in Anspruch.<\/jats:p><\/jats:sec><jats:sec><jats:title>Schlussfolgerung<\/jats:title><jats:p>Eine Ausweitung der Vorsorgeuntersuchung auf psychische Auff\u00e4lligkeiten ist umsetzbar, n\u00fctzlich und erf\u00e4hrt breite Akzeptanz. Um eine Versorgungskette einzurichten, sollte eine Angebotsstruktur etabliert werden, um damit die Zuweisung zu und Inanspruchnahme von Pr\u00e4ventionsma\u00dfnahmen zu erm\u00f6glichen.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00103-023-03787-0","type":"journal-article","created":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T15:02:31Z","timestamp":1699023751000},"page":"23-35","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Indikative Pr\u00e4ventionsprogramme zur F\u00f6rderung der seelischen Gesundheit im Vor- und Grundschulalter: Teilnahmebereitschaft von Kinder\u00e4rzt*innen und Familien an einer innovativen Versorgungskette","Indicative prevention programs for mental health promotion in preschool and primary school age: Willingness of pediatricians and families to participate in an innovative care chain"],"prefix":"10.1007","volume":"67","author":[{"given":"Max","family":"Weniger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katja","family":"Beesdo-Baum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Ernst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia Beate","family":"Siegmund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia Theresa","family":"Porst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"McDonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veit","family":"Roessner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Knappe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,11,3]]},"reference":[{"key":"3787_CR1","unstructured":"BGBl: Gesetz zur St\u00e4rkung der Gesundheitsf\u00f6rderung und der Pr\u00e4vention (Pr\u00e4ventionsgesetz, Pr\u00e4vG, 2015). https:\/\/www.bgbl.de\/xaver\/bgbl\/start.xav?startbk=Bundesanzeiger_BGBl&start=\/\/*%255B@attr_id=%27bgbl115s1368.pdf%27%255D#__bgbl__%2F%2F*%5B%40attr_id%3D%27bgbl115s1368.pdf%27%5D__1674207900212. 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F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. F\u00fcr das Studienprozedere sowie die Teilnehmer- und Einwilligungsunterlagen erfolgten eine Beratung und zustimmende Bewertung durch die Ethikkommission der Medizinischen Fakult\u00e4t der Technischen Universit\u00e4t Dresden (EK Nr. 200052019) und ein konfirmatorisches Votum der S\u00e4chsischen Landes\u00e4rztekammer (AZ: EK-allg-18\/19-1). Von allen teilnehmenden FfPaed und Familien liegen schriftliche Einwilligungs- bzw. Einverst\u00e4ndniserkl\u00e4rungen vor. Das Projekt wird in voller \u00dcbereinstimmung mit der Deklaration von Helsinki 1975 (in der aktuellen, \u00fcberarbeiteten Fassung), den deutschen (europ\u00e4ischen) Datenschutzbestimmungen und den Leitlinien zur Good Clinical Practice durchgef\u00fchrt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}