Das Robert Koch-Institut ist ein Bundesinstitut im Geschäftsbereich des Bundesministeriums für Gesundheit
EHES Training September 2010
Inviting and motivating selected persons
German Health Interview and Examination Survey for Adults (DEGS)
A. Gößwald
2EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Aims are to collect representative data on • the health status, • health-related behaviour, • healthcare and • living conditions of adults residing in Germany who are
aged 18 and over.
Panel design Longitudinal design
• Follow up of the Federal Health Survey of 1998 Cross sectional design
• Filled up by a random sample (i.e. younger ages)• Aiming at 7500 participants• 180 sample points
Study time• November 2008 until November 2011
Aims and study design of DEGS
3EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Teams and Sample Points
2 Teams
• physician
• nurse
• lab assistent
• information / organisation
7500 participants in 3 years
• 30 points per team/year
• each point one week
• per point ~ 42 participants
4EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Temporary examination centers
devices
refrigerators
documents
other materials
….. set up in different places
5EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Course of examinations
BlutabnahmeBlutabnahme
-
-
ÄrztlichesInterview
Schilddrüsenvolumetrie
Selbstausfüll-Fragebogen
ÄrztlichesAbschluss-gespräch
VerabschiedungVerabschiedung
BegrüßungInformationEinwilligung
2,5 h
30 min
LaborLabor
Anthropometrie
Tests
Imbiss
Arzneimittel-interview
Blutdruck-messung
ZentrumsinterviewerIn
Untersucherin
MTA
Ärztin/Arzt
2,5 - 3,5 h
Modulwerbung
6EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Transfer of data and material back to Berlin
RKI
7EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Measures to increase response
• Information of media and public officials
• Informationleaflet for sampled persons
• Token of appreciation
• Offering flexible examination times
• intensive efforts to win participants
8EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
18 weeks
6 weeks
5 weeks
6 weeks
local information mayor and local health services finding suitable rooms
information of local physisians and pharmacists
local press release
invitation letter
Information at the sample point
9EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Invitation letter
Information leaflet
• Aims of the study
• Improving health services and policies
• Examinations
• Data security
• What is your individual gain?
• Report on diagnostic findings
• Token of appreciation (30 €)
10EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Working hours and examination times
Dates Monday Tuesday Wednesday Thursday Friday Saturday Sunday
7:00
8:00 9 - 11 Partic. 9 - 11Partic. 6 - 7 Partic.
9:00 Drive
10:00
11:00
12:00 9 - 11 Partic. 9 - 10 Teiln.
13:00
14:00
15:00 Set up
16:00 Packing
17:00
18:00 Drive
19:00
20:00
21:00
22:00
23:00
11EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Procedure of inviting participants
Invitation letter
Answer by postcard or call No answer
Reminding letter(10 days letter)
Phone call or visit (10 days before exams)
written affirmation of the date
Willing to participate appointment made
basic procedure intensified measures
Examination date
Written reminder of the date
Das Robert Koch-Institut ist ein Bundesinstitut im Geschäftsbereich des Bundesministeriums für Gesundheit
EHES Training September 2010
First results of participation
13EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Increasing incentive 20 to 30 €
0%
10%
20%
30%
40%
50%
60%
70%
80%
Berlin
5
Aldenhove
nW
eil
Dresde
n 1
Argenth
al
Braunsch
wei
g
Welzh
eim*
Essen*
Knüllwal
d*
Rostoc
k2
Korbac
h*
Münch
en 3
*
Hückel
hoven*
Stork
ow*
Ludwigsh
afen*
Wie
tmars
chen*
Thale*
Crotte
ndorf
Aalen
Male
nte
Lingen
*
Mutz
schen
*
Neustadt
Lübbenau*
Köln2
Zeil*
Karlsru
he*
Bilhause
n*
Iserlo
hn*
Hamburg
1*
Müch
eln*
Leverk
usen*
Fürste
nwal
de*
Dorste
n*
Res
po
nse
until July 2009 since August 2009
14EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Educationlevel and response to invitation
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
1. Anschreiben Erinnerungsschreiben Telefonischer Kontakt Hausbesuch
Schulabschluss einfacher Schulabschluss mittlerer Schulabschluss höherer
First letter 2nd letter Phone call Visit
15EHES TrainingRobert Koch-Institut Berlin September 2010 A. Gößwald
Representativness of participants 18-64-years old(DEGS: n=1.461, ungewichtet, NBL-Point-Oversampling)
0% 10% 20% 30% 40% 50%
einfacher
mittlerer
höherer
Sc
hu
lab
sc
hlu
ss
Bevölkerung 2007(Quelle: Stat. Bundesamt)
DEGS