title: [Differences between German and Turkish-speaking participants in a chronic heart failure management program].
abstract: BACKGROUND
  German and Turkish-speaking patients were recruited for a chronic heart failure management program. So far little is known about the special needs and characteristics of Turkish-speaking patients with chronic heart failure; therefore, the aim of this study was to examine sociodemographic and illness-related differences between German and Turkish-speaking patients with chronic heart failure.
  
  
  METHODS
  German and Turkish-speaking patients suffering from chronic heart failure and insured with the AOK Rheinland/Hamburg or the BARMER GEK health insurance companies and living in Cologne, Germany, were enrolled. Recruitment took place in hospitals, private practices and at information events. Components of the program were coordination of a guideline-oriented medical care, telemonitoring (e.g., blood pressure, electrocardiogram, and weight), a 24-h information hotline, attendance by German and Turkish-speaking nurses and a patient education program. Data were collected by standardized interviews in German or Turkish language. Data were analyzed with descriptive measures and tested for significance differences using Pearson's χ2-test and the t‑test.
  
  
  RESULTS
  A total of 465 patients (average age 71 years, 55 % male and 33 % Turkish-speaking) were enrolled in the care program during the study period. Significant differences between German and Turkish-speaking patients were found for age, education, employment status, comorbidities, risk perception, knowledge on heart failure and fear of loss of independence.
  
  
  CONCLUSIONS
  The response rate could be achieved with the help of specific measures for patient enrollment by Turkish-speaking integration nurses. The differences between German and Turkish-speaking patients should in future be taken into account in the care of people with chronic heart failure.
authors.affiliation: Forschungsstelle für Gesundheitskommunikation und Versorgungsforschung, Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53127, Bonn, Deutschland. nicole.ernstmann@ukb.uni-bonn.de.
authors.forename: N
authors.initials: N
authors.lastname: Ernstmann
authors.affiliation: IMVR - Institut für Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft, Medizinische Fakultät und Humanwissenschaftliche Fakultät, Universität zu Köln, Eupener Str. 129, 50933, Köln, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Karbach
mesh_terms: D000368:Aged; D001294:Attitude to Health / Q000208:ethnology*; D002908:Chronic Disease; D004522:Educational Status; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D005858:Germany / Q000208:ethnology; D057220:Health Literacy / Q000706:statistics & numerical data*; D006333:Heart Failure / Q000208:ethnology* / Q000628:therapy*; D006801:Humans; D007802:Language; D008297:Male; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D015995:Prevalence; D012307:Risk Factors; D012959:Socioeconomic Factors; D014421:Turkey / Q000453:epidemiology
keywords: Chronic heart failure; Emigration and immigration; Health services research; Management program; Sociodemographic differences