Trial document



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  DRKS00019090

Trial Description

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Title

Implementation and Evaluation of a Multilingual Information Campaign on Rehabilitation for Children and Young People from Migrant Backgrounds

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Trial Acronym

MiMi-Reha-Kids

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URL of the Trial

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Brief Summary in Lay Language


The study accompanies the development and implementation of a multimodal information campaign to improve the use of medical rehabilitation for children and young people from migrant backgrounds and clarifies whether the use of rehabilitation by this group can be successively increased in the two model regions of Berlin and Hamburg during the project period.
The multimodal information campaign will be carried out by the Ethno-Medizinische Zentrum e. V. Hannover.

In the model regions, a multimodal information campaign will be developed within the first year and carried out from the first quarter of 2020 to the end of the fourth quarter of 2022. The information campaign includes a guide to child and young people rehabilitation, the training of mediators, information events for families from migrant backgrounds, supplementary counselling hours on the application process and intercultural training for specialists.
Annually, all families whose children and adolescents participated in a rehabilitation programme in the previous year and live in the model regions of Berlin and Hamburg are interviewed by postal questionnaires. In this survey, the proportion of children and adolescents with a migration background and the health-related quality of life of the children and adolescents are assessed. The survey of children and young people is supplemented by a parent questionnaire.

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Brief Summary in Scientific Language

In addition to paediatric care and acute medical treatment in hospitals, medical rehabilitation is a central component of medical care for young people in Germany. The most common indications for medical rehabilitation for children and young people include psychological disorders, bronchial asthma, overweight, skin and subcutaneous diseases, and deformities of the spine and back.
Children and young people from migration backgrounds are clearly underrepresented in rehabilitation for children and young people. According to the latest Microzensus survey, 19.3 million people from migrant backgrounds live in Germany. This corresponds to 23.6% of the total population. The proportion of people from migrant backgrounds is significantly higher in the younger age groups: 37.5% (4.2 million) are under 15 years. The proportion of children and young people from migration backgrounds in medical rehabilitation is significantly lower from an expert's point of view. However, since the migration status in medical rehabilitation is not regularly recorded according to the definition of the Federal Statistical Office, there is no precise estimate to date of the actual proportion of children and young people from migration backgrounds utilisation of rehabilitation services.
The prevalence of chronic disorders with need for rehabilitation (e.g. mental illness and overweight) is significantly higher among children and adolescents with a migrant background than among children and adolescents without a migrant background. Children and adolescents with a bilateral migration background are more likely to have psychological difficulties (21.3%) than children and adolescents with no or a unilateral migration background (13.5%). Children and adolescents with a migrant background are also more likely to be overweight. In the 7- to 10 years aged children, 10% of girls and 11.4% of boys with a migrant background are obese; in the group of girls without a migrant background, the proportion of overweight children is only 4.8% and among boys 6.1%. The lower rehabilitation utilisation of children and adolescents with a migrant background is therefore unlikely due to a lower need for medical rehabilitation. It can be assumed that the use of these services is more difficult because of various personal and system-related barriers. Our trend study examines whether a multimodal information campaign can increase the use of medical rehabilitation by children and adolescents with a migration background.

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Do you plan to share individual participant data with other researchers?

No

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Description IPD sharing plan:

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Organizational Data

  •   DRKS00019090
  •   2019/11/11
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  •   yes
  •   Approved
  •   19-299, Ethik-Kommission Universität zu Lübeck Medizinische Fakultät des Universitätsklinikums Schleswig-Holstein
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Secondary IDs

  •   U1111-1241-4028 
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Health Condition or Problem studied

  •   All indications for which children and young people living in Berlin and Hamburg who participated in a medical rehabilitation program from the Federal German pension insurance and the regional German pension insurances Berlin-Brandenburg or North between 2019 and 2022.
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Interventions/Observational Groups

  •   Children and young people residing in Berlin and Hamburg who participated in a medical rehabilitation program of the Federal German pension insurance and the regional German pension insurances Berlin-Brandenburg or North between 2019 and 2022 as well as their parents will be surveyed in the following year.
    In the regions of Berlin and Hamburg, a multimodal information campaign will be conducted from the second quarter of 2020 to the end of the fourth quarter of 2022 to improve the use of child and youth rehabilitation by families with migration biographies. The campaign comprises the conception and dissemination of a guide to child and youth rehabilitation, the training of local mediators, information events for families from a migrant background, supplementary counselling hours and intercultural training for specialists in the field of rehabilitative care.
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Characteristics

  •   Interventional
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  •   Single arm study
  •   Open (masking not used)
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  •   Uncontrolled/Single arm
  •   Health care system
  •   Single (group)
  •   N/A
  •   N/A
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Primary Outcome

The primary outcome of the trend study on utilisation of rehabilitation services is the proportion of children and young people from migration backgrounds (basic set of indicators for mapping migrant status; Schenk et al. 2006). A migrant background is defined as a person who firstly migrated from another country and has at least one parent who was not born in Germany or secondly has two parents who migrated and/or do not have German nationality. It is expected that the proportion of children and young people with a migrant background will increase as a result of the information campaign.

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Secondary Outcome

The following data are assessed as secondary outcomes or explanatory variables.
- Diagnosis from the rehabilitation discharge report
Children questionnaire:
- Health-related quality of life (KIDSCREEN-27; Ravens-Sieberer et al. 2005)
- Satisfaction with the rehabilitation
- Sociodemographic data: number of siblings, current school and training situation.
Parent questionnaire
- Sociodemographic data
- Mother tongue, subjective assessment of German language skills, year of entry, living situation, sense of belonging, social support (Dalgard and Tambs 1995), subjective social status (Hoebel et al. 2015), working situation, strain due to home and family work (Worringen and Benecke 2001)

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • other 
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Recruitment

  •   Actual
  •   2020/10/26
  •   1728
  •   Multicenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   8   Years
  •   17   Years
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Additional Inclusion Criteria

Children and young people living in Berlin and Hamburg who participated in a medical rehabilitation program of the Federal German pension insurance and the regional German pension insurances Berlin-Brandenburg or North between 2019 and 2022 as well as their parents will be surveyed in the following year.

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Exclusion Criteria

none

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Addresses

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    • Universität zu Lübeck Institut für Sozialmedizin und Epidemiologie
    • Mr.  Prof. Dr.  Matthias  Bethge 
    • Ratzeburger Allee 160
    • 23562  Lübeck
    • Germany
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    • Ethno-Medizinisches Zentrum e.V.
    • Königstraße 6
    • 30175  Hannover
    • Germany
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    •   +49 511 16841020
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    • Universität zu Lübeck Institut für Sozialmedizin und Epidemiologie
    • Mr.  Prof. Dr.  Matthias  Bethge 
    • Ratzeburger Allee 160
    • 23562  Lübeck
    • Germany
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    • Universität zu Lübeck Institut für Sozialmedizin und Epidemiologie
    • Mr.  Hannes  Banaschak 
    • Ratzeburger Allee 160
    • 23562  Lübeck
    • Germany
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Sources of Monetary or Material Support

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    • Deutsche Rentenversicherung Nord
    • Ziegelstraße 150
    • 23556  Lübeck
    • Germany
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    • Deutschland; Deutsche Rentenversicherung Berlin-Brandenburg
    • Knobelsdorffstraße 92
    • 14059  Berlin
    • Germany
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Status

  •   Recruiting ongoing
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Trial Publications, Results and other Documents

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