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Aufgrund der Progression der Demenz ist f\u00fcr eine aktive Teilnahme am Entscheidungsprozess eine rechtzeitige Auseinandersetzung mit diesen Themen ratsam. Eine professionelle Unterst\u00fctzung kann dabei helfen, fr\u00fchzeitig gem\u00e4\u00df den eigenen W\u00fcnschen und M\u00f6glichkeiten vorauszuplanen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material und Methoden<\/jats:title><jats:p>In einem mehrstufigen Prozess wurde eine Entscheidungshilfe basierend auf \u201eadvance care planning\u201c und \u201eshared decision making\u201c entwickelt. Der Prototyp wurde an 8\u00a0Patient-Angeh\u00f6rigen-Dyaden aus einer Spezialambulanz f\u00fcr Fr\u00fcherkennung vorgetestet und f\u00fcr deren Bed\u00fcrfnisse bestm\u00f6glich angepasst. In einer Pilotstudie wurde anschlie\u00dfend die Anwendbarkeit der Entscheidungshilfe bei weiteren 19\u00a0Patient-Angeh\u00f6rigen-Dyaden (Diagnose einer Alzheimer-Demenz bzw. gemischte Form; MMSE (Mini-Mental-State-Test-Summenwert) &gt;20 und &lt;27) mit ausgebildeten Gespr\u00e4chsbegleitern als Intervention getestet.<\/jats:p><\/jats:sec><jats:sec><jats:title>Ergebnis<\/jats:title><jats:p>Das Ergebnis ist eine schriftliche Entscheidungshilfe f\u00fcr Menschen mit Demenz im Fr\u00fchstadium und deren Angeh\u00f6rige, welche den Entscheidungsprozess bei wichtigen Themen (Vorsorgevollmacht, Patientenverf\u00fcgung, Wohnen, Autofahren) unterst\u00fctzt. Erste Ergebnisse weisen auf eine gute Akzeptanz und Handhabung hin. Patienten und Angeh\u00f6rige besch\u00e4ftigten sich in hohem Ma\u00dfe mit den Themen und sprachen ihnen hohe Relevanz zu.<\/jats:p><\/jats:sec><jats:sec><jats:title>Diskussion<\/jats:title><jats:p>Trotz positiver R\u00fcckmeldung der Teilnehmer hinsichtlich Akzeptanz und Anwendbarkeit gab es gr\u00f6\u00dfere Schwierigkeiten bei der Rekrutierung. Perspektivisch k\u00f6nnte der systematisierte Einsatz einer Entscheidungshilfe als Teil der Routineversorgung dazu beitragen, Entscheidungsprozesse dieser Patientengruppe zu unterst\u00fctzen.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00115-020-00911-2","type":"journal-article","created":{"date-parts":[[2020,4,28]],"date-time":"2020-04-28T18:04:51Z","timestamp":1588097091000},"page":"1032-1039","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Entwicklung einer Entscheidungshilfe f\u00fcr partizipative Vorausplanungen f\u00fcr Menschen mit\u00a0Demenz und deren Angeh\u00f6rige","Development of a\u00a0decision aid for participative advance planning for people with dementia and their relatives"],"prefix":"10.1007","volume":"91","author":[{"given":"Katharina","family":"Bronner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lea","family":"Bodner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralf J.","family":"Jox","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georg","family":"Marckmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janine","family":"Diehl-Schmid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Hamann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,4,28]]},"reference":[{"key":"911_CR1","doi-asserted-by":"publisher","first-page":"1213","DOI":"10.1001\/jamainternmed.2015.1679","volume":"175","author":"CA Austin","year":"2015","unstructured":"Austin\u00a0CA, Mohottige\u00a0D, Sudore\u00a0RL et\u00a0al (2015) Tools to promote shared decision making in serious illness: a systematic review. 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