{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T22:05:58Z","timestamp":1791842758376,"version":"4.3.4"},"reference-count":29,"publisher":"Deutscher Arzte-Verlag GmbH","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"DOI":"10.3238\/arztebl.m2022.0078","type":"journal-article","created":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T09:34:28Z","timestamp":1645004068000},"source":"Crossref","is-referenced-by-count":14,"title":["Spirituality, self-care, and social activity in the primary medical care of elderly patients\u2014results of a cluster-randomized interventional trial (HoPES3)"],"prefix":"10.3238","author":[{"given":"Noemi","family":"Sturm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Krisam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"Szecsenyi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martina","family":"Bentner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eckhard","family":"Frick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"M\u00e4chler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friederike","family":"Schalhorn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"Stolz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Valentini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie","family":"Joos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Stra\u00dfner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11437","published-online":{"date-parts":[[2022,2,25]]},"reference":[{"key":"10.3238\/arztebl.m2022.0078_ref1","doi-asserted-by":"crossref","unstructured":"Mid\u00e3o L, Giardini A, Menditto E, Kardas P, Costa E: Polypharmacy prevalence among older adults based on the survey of health, ageing and retirement in Europe. Arch Gerontol Geriatr 2018; 78: 213&#8211;20.","DOI":"10.1016\/j.archger.2018.06.018"},{"key":"10.3238\/arztebl.m2022.0078_ref2","doi-asserted-by":"crossref","unstructured":"Linder R, Horenkamp-Sonntag D, Bestmann B, Battmer U, Heilmann T, Verheyen F: Disease management programs: difficulties in the analysis of benefit. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2015; 58: 345&#8211;51.","DOI":"10.1007\/s00103-015-2136-3"},{"key":"10.3238\/arztebl.m2022.0078_ref3","unstructured":"Halisch F, Geppert U: Well-being in old age: the influence of self-efficacy, control beliefs, coping strategies, and personal goals. Results from the Munich gold study. http:\/\/psydok.psycharchives.de\/jspui\/handle\/20.500.11780\/1955 (last accessed on 11 August 2021)."},{"key":"10.3238\/arztebl.m2022.0078_ref4","doi-asserted-by":"crossref","unstructured":"Fatima S, Sharif S, Khalid I: How does religiosity enhance psychological well-being? Roles of self-efficacy and perceived social support. Psychology of Religion and Spirituality 2018; 10: 119&#8211;27.","DOI":"10.1037\/rel0000168"},{"key":"10.3238\/arztebl.m2022.0078_ref5","doi-asserted-by":"crossref","unstructured":"Weathers E, McCarthy G, Coffey A: Concept analysis of spirituality: an evolutionary approach. Nurs Forum 2016; 51: 79&#8211;96.","DOI":"10.1111\/nuf.12128"},{"key":"10.3238\/arztebl.m2022.0078_ref6","doi-asserted-by":"crossref","unstructured":"B\u00fcssing A: Application and implementation of the spiritual needs questionnaire in spiritual care processes. In: B\u00fcssing A (ed.): Spiritual needs in research and practice the spiritual needs questionnaire as a global resource for health and social care. Cham: Springer International Publishing 2021; 79&#8211;86.","DOI":"10.1007\/978-3-030-70139-0_6"},{"key":"10.3238\/arztebl.m2022.0078_ref7","doi-asserted-by":"crossref","unstructured":"Fry PS, Debats DL: Self-efficacy beliefs as predictors of loneliness and psychological distress in older adults. Int J Aging Hum Dev 2002; 55: 233&#8211;69.","DOI":"10.2190\/KBVP-L2TE-2ERY-BH26"},{"key":"10.3238\/arztebl.m2022.0078_ref8","doi-asserted-by":"crossref","unstructured":"Eller LS, Lev EL, Yuan C, Watkins AV: Describing self-care self-efficacy: definition, measurement, outcomes, and implications. Int J Nurs Knowl 2018; 29: 38&#8211;48.","DOI":"10.1111\/2047-3095.12143"},{"key":"10.3238\/arztebl.m2022.0078_ref9","doi-asserted-by":"crossref","unstructured":"Tharek Z, Ramli AS, Whitford DL, Ismail Z, Mohd Zulkifli M, Ahmad Sharoni SK, et al.: Relationship between self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting. BMC Fam Pract 2018; 19: 39.","DOI":"10.1186\/s12875-018-0725-6"},{"key":"10.3238\/arztebl.m2022.0078_ref10","doi-asserted-by":"crossref","unstructured":"Bishop FL, Yardley L, Lewith GT: A systematic review of beliefs involved in the use of complementary and alternative medicine. J Health Psychol 2007; 12: 851&#8211;67.","DOI":"10.1177\/1359105307082447"},{"key":"10.3238\/arztebl.m2022.0078_ref11","doi-asserted-by":"crossref","unstructured":"Stra\u00dfner C, Frick E, Stotz-Ingenlath G, Buhlinger-Gopfarth N, Szecsenyi J, Krisam J, et al.: Holistic care program for elderly patients to integrate spiritual needs, social activity, and self-care into disease management in primary care (HoPES3): study protocol for a cluster-randomized trial. Trials 2019; 20: 364.","DOI":"10.1186\/s13063-019-3435-z"},{"key":"10.3238\/arztebl.m2022.0078_ref12","doi-asserted-by":"crossref","unstructured":"Freund T, Everett C, Griffiths P, Hudon C, Naccarella L, Laurant M: Skill mix, roles and remuneration in the primary care workforce: who are the healthcare professionals in the primary care teams across the world? Int J Nurs Stud 2015; 52: 727&#8211;43.","DOI":"10.1016\/j.ijnurstu.2014.11.014"},{"key":"10.3238\/arztebl.m2022.0078_ref13","doi-asserted-by":"crossref","unstructured":"Frick E, Riedner C, Fegg MJ, Hauf S, Borasio GD: A clinical interview assessing cancer patients&#8217; spiritual needs and preferences. Eur J Cancer Care 2006; 15: 238&#8211;43.","DOI":"10.1111\/j.1365-2354.2005.00646.x"},{"key":"10.3238\/arztebl.m2022.0078_ref14","doi-asserted-by":"crossref","unstructured":"Kunsmann-Leutiger E, Stra\u00dfner C, Schalhorn F, Stolz R, Stotz-Ingenlath G, Buhlinger-Gopfarth N, et al.: Training general practitioners and medical assistants within the framework of HoPES3, a holistic care program for elderly patients to integrate spiritual needs, social activity, and self-care into disease management in primary care. J Multidiscip Healthc 2021; 14: 1853&#8211;61.","DOI":"10.2147\/JMDH.S312778"},{"key":"10.3238\/arztebl.m2022.0078_ref15","doi-asserted-by":"crossref","unstructured":"Freund T, Gensichen J, Goetz K, Szecsenyi J, Mahler C: Evaluating self-efficacy for managing chronic disease: psychometric properties of the six-item Self-Efficacy Scale in Germany. J Eval Clin Pract 2013; 19: 39&#8211;43.","DOI":"10.1111\/j.1365-2753.2011.01764.x"},{"key":"10.3238\/arztebl.m2022.0078_ref16","doi-asserted-by":"crossref","unstructured":"De Jong Gierveld J, Van Tilburg T: The De Jong Gierveld short scales for emotional and social loneliness: tested on data from 7 countries in the UN generations and gender surveys. Eur J Ageing 2010; 7: 121&#8211;30.","DOI":"10.1007\/s10433-010-0144-6"},{"key":"10.3238\/arztebl.m2022.0078_ref17","doi-asserted-by":"crossref","unstructured":"Ware J, Jr., Kosinski M, Keller SD: A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996; 34: 220&#8211;33.","DOI":"10.1097\/00005650-199603000-00003"},{"key":"10.3238\/arztebl.m2022.0078_ref18","doi-asserted-by":"crossref","unstructured":"Puig Llobet M, S\u00e1nchez Ortega M, Lluch-Canut M, Moreno-Arroyo M, Hidalgo Blanco M, Rold\u00e1n-Merino J: Positive mental health and self-care in patients with chronic physical health problems: implications for evidence-based practice. Worldviews Evid Based Nurs 2020; 17: 293&#8211;300.","DOI":"10.1111\/wvn.12453"},{"key":"10.3238\/arztebl.m2022.0078_ref19","doi-asserted-by":"crossref","unstructured":"M\u00e4chler R, Sturm N, Frick E, Schalhorn F, Stolz R, Valentini J, Krisam J, Stra\u00dfner C: Evaluation of a spiritual history with elderly multi-morbid patients in general practice&#8212;a mixed-methods study within the project HoPES3. Int J Environ Res Public Health. 2022; 19: 538.","DOI":"10.3390\/ijerph19010538"},{"key":"10.3238\/arztebl.m2022.0078_ref20","unstructured":"Huperz C, Sturm N, Frick E, M\u00e4chler R, Stolz R, Schalhorn F, et al.: Experiences of health care professionals with a spiritual needs assessment in general practice&#8212;a mixed-method study within the HoPES3 project. Family Practice 2022; submitted."},{"key":"10.3238\/arztebl.m2022.0078_ref21","doi-asserted-by":"crossref","unstructured":"Jarvis MA, Padmanabhanunni A, Chipps J: An evaluation of a low-intensity cognitive behavioral therapy mhealth-supported intervention to reduce loneliness in older people. Int J Environ Res Public Health 2019; 16: 1305.","DOI":"10.3390\/ijerph16071305"},{"key":"10.3238\/arztebl.m2022.0078_ref22","doi-asserted-by":"crossref","unstructured":"Gensichen J, Jaeger C, Peitz M, Torge M, Guthlin C, Mergenthal K, et al.: Health care assistants in primary care depression management: role perception, burdening factors, and disease conception. Ann Fam Med 2009; 7: 513&#8211;9.","DOI":"10.1370\/afm.1037"},{"key":"10.3238\/arztebl.m2022.0078_ref23","doi-asserted-by":"crossref","unstructured":"Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, et al.: Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist 2006; 46: 503&#8211;13.","DOI":"10.1093\/geront\/46.4.503"},{"key":"10.3238\/arztebl.m2022.0078_ref24","doi-asserted-by":"crossref","unstructured":"Schwarzer R, Jerusalem M: Generalized self-efficacy scale. In: Weinman J, Wright S, Johnston M (eds.): Measures in health psychology: a user&#8217;s portfolio causal and control beliefs: Windsor, England: NFER-NELSON 1995; 35&#8211;7.","DOI":"10.1037\/t00393-000"},{"key":"10.3238\/arztebl.m2022.0078_ref25","doi-asserted-by":"crossref","unstructured":"Brenk-Franz K, Hibbard JH, Herrmann WJ, Freund T, Szecsenyi J, Djalali S, et al.: Validation of the German version of the patient activation measure 13 (PAM13-D) in an international multicentre study of primary care patients. PLoS One 2013; 8: e74786.","DOI":"10.1371\/journal.pone.0074786"},{"key":"10.3238\/arztebl.m2022.0078_ref26","doi-asserted-by":"crossref","unstructured":"Mahler C, Hermann K, Horne R, Ludt S, Haefeli WE, Szecsenyi J, et al.: Assessing reported adherence to pharmacological treatment recommendations. Translation and evaluation of the Medication Adherence Report Scale (MARS) in Germany. J Eval Clin Pract 2010; 16: 574&#8211;9.","DOI":"10.1111\/j.1365-2753.2009.01169.x"},{"key":"10.3238\/arztebl.m2022.0078_ref27","doi-asserted-by":"crossref","unstructured":"Horne R, Weinman J, Hankins M: The beliefs about medicines questionnaire: the development and evaluation of a new method for assessing the cognitive representation of medication. Psychol Health 1999; 14: 1&#8211;24.","DOI":"10.1080\/08870449908407311"},{"key":"10.3238\/arztebl.m2022.0078_ref28","doi-asserted-by":"crossref","unstructured":"Wensing M, Mainz J, Grol R: A standardised instrument for patient evaluations of general practice care in Europe. Eur J Gen Pract 2000; 6: 82&#8211;7.","DOI":"10.3109\/13814780009069953"},{"key":"10.3238\/arztebl.m2022.0078_ref29","unstructured":"GKV-Arzneimittelindex im Wissenschaftlichen Institut der AOK (WIdO) des AOK-Bundesverbandes GbR. ATC-Klassifikation. Berlin, Germany: Deutsches Institut f\u00fcr Medizinische Dokumentation und Information (DIMDI). 2019. www.dimdi.de\/dynamic\/.downloads\/arzneimittel\/atcddd\/atc-ddd-amtlich-2019.pdf (last accessed on 11 August 2021)."}],"container-title":["Deutsches \u00c4rzteblatt international"],"original-title":[],"link":[{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.m2022.0078","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,2,16]],"date-time":"2022-02-16T09:35:02Z","timestamp":1645004102000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.aerzteblatt.de\/10.3238\/arztebl.m2022.0078"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,25]]},"references-count":29,"URL":"https:\/\/doi.org\/10.3238\/arztebl.m2022.0078","relation":{},"ISSN":["1866-0452"],"issn-type":[{"value":"1866-0452","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,25]]}}}