{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:05:08Z","timestamp":1790809508610,"version":"4.1.0"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Ein Grundpfeiler der inhalativen Therapie ist die Schulung zur korrekten Anwendung der Inhalativa und die patientenangepasste Auswahl der Applikationsweise. Gleichzeitig fordern Leitlinien partizipative Therapie-Entscheidungen und zunehmend auch die Ber\u00fccksichtigung \u00f6kologischer Auswirkungen.<\/jats:p>\n                  <jats:p>Im Rahmen einer 12-monatigen Pilotstudie am Gemeinschaftskrankenhaus Havelh\u00f6he wurde ein praxisnahes Schulungsinstrument entwickelt, welches Technik, Ger\u00e4te-Eignung und Nachhaltigkeit sowie die Klimawirkungen integriert und diese mit einem Ampelsystem visualisiert. In 49 Gruppenschulungen (n = 145 Patienten) wurde das Material iterativ anhand eines Gruppenfeedbacks, mittels Evaluation von Expertenmeinungen und mit Testl\u00e4ufen \u00fcberarbeitet.<\/jats:p>\n                  <jats:p>Das Schulungsinstrument umfasst 2 Beratungsbl\u00e4tter, in denen die Beurteilung der Inhalationstechnik und die individuelle Eignung der Devices gepr\u00fcft werden. Die Bewertung der Nachhaltigkeit wird durch ein Ampelsystem erm\u00f6glicht. Das Instrument unterst\u00fctzt den partizipativen Entscheidungsprozess und kann sowohl in Einzel- als auch in Gruppensettings mit bis zu 8 Personen eingesetzt werden.<\/jats:p>\n                  <jats:p>Das Instrument unterst\u00fctzt eine leitliniengerechte, patientenzentrierte und klimasensible Inhalationstherapie und soll als eigenst\u00e4ndiges Modul oder als Erg\u00e4nzung zu bestehenden Schulungsprogrammen einsetzbar sein.<\/jats:p>","DOI":"10.1055\/a-2960-0140","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:39:28Z","timestamp":1790807968000},"source":"Crossref","is-referenced-by-count":0,"title":["Entwicklung eines innovativen Schulungsinstrumentes f\u00fcr Inhalativa"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3217-7495","authenticated-orcid":false,"given":"Christian","family":"Grah","sequence":"first","affiliation":[{"name":"Lungenzentrum Gemeinschaftskrankenhaus Havelh\u00f6he, Deutschland"},{"name":"Gemeinschaftskrankenhaus Havelh\u00f6he, Deutschland","place":["Berlin"],"department":["Forschungsinstitut"]},{"name":"Charit\u00e9 Universit\u00e4tsmedizin, Deutschland","place":["Berlin"],"department":["Competence Center Charit\u00e9 f\u00fcr Traditionelle und Integrative Medizin (CCCTIM)"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3061-1251","authenticated-orcid":false,"given":"Stephan","family":"Walterspacher","sequence":"first","affiliation":[{"name":"Lungenfacharztpraxis und Schlaflabor, Deutschland","place":["Singen"]},{"name":"Sektion Pneumologie, Medizinische Klinik, Klinikum Konstanz, Deutschland"},{"name":"Universit\u00e4t Witten-Herdecke, Deutschland","place":["Witten"],"department":["Lehrstuhl f\u00fcr Pneumologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Borchers","sequence":"additional","affiliation":[{"name":"Lungenzentrum Gemeinschaftskrankenhaus Havelh\u00f6he, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5772-550X","authenticated-orcid":false,"given":"Shiao Li","family":"Oei","sequence":"additional","affiliation":[{"name":"Gemeinschaftskrankenhaus Havelh\u00f6he, Deutschland","place":["Berlin"],"department":["Forschungsinstitut"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"W\u00fcstefeld","sequence":"additional","affiliation":[{"name":"Lungenzentrum Gemeinschaftskrankenhaus Havelh\u00f6he, Deutschland"},{"name":"Gemeinschaftskrankenhaus Havelh\u00f6he, Deutschland","place":["Berlin"],"department":["Forschungsinstitut"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guido","family":"Schmiemann","sequence":"additional","affiliation":[{"name":"Abteilung f\u00fcr Versorgungsforschung, Institut f\u00fcr Public Health und Pflegeforschung, Universit\u00e4t Bremen, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"e0190865","DOI":"10.1371\/journal.pone.0190865","article-title":"Who is where at risk for Chronic Obstructive Pulmonary Disease? 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