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