Implementation and evaluation of a multilingual information campaign on rehabilitation for children and adolescents with a migrant background

Project: Projects with Federal FundingDRV Projects

Project Details

Description

Research question
The study accompanies the development and implementation of a multimodal information campaign to improve the utilization of medical rehabilitation by families with a history of migration. The objective of this study is, on the one hand, to identify barriers that prevent families with a history of migration from making use of health services such as medical rehabilitation to the same extent as families without a history of migration and, on the other hand, to clarify whether the information campaign can lead to a gradual increase in the use of medical rehabilitation in the model regions of Berlin and Hamburg.

Background
In addition to pediatric care and acute medical treatment in hospitals, medical rehabilitation is a central component of medical care for young people in Germany. In Germany, statutory health insurance and statutory pension insurance are equally responsible for this. The German Pension Insurance alone carries out around 35,000 rehabilitations for children and young people every year. The most frequently treated illnesses include mental disorders, bronchial asthma, obesity, skin and subcutaneous diseases and deformities of the spine and back.
Epidemiological studies indicate that the need for rehabilitative care among children and adolescents with a migration background is similarly high as among children from families without a migration history. At the same time, experts believe that children and adolescents with a migrant background are currently underrepresented in medical rehabilitation. However, precise estimates of utilization are not yet available due to a lack of recording of migration status.
Based on the epidemiological data, it cannot be assumed that the lower utilization by families with a history of migration is a result of a lower need for rehabilitation. It is therefore possible that various personal and system-related barriers are involved, for which the information campaign is intended to address.

Methods
The study follows a mixed-methods approach with qualitative and quantitative research components. Qualitative surveys are conducted to identify migration-specific barriers to the use of medical rehabilitation. In guided interviews and focus groups, affected parents, children and experts are asked about migration-specific experiences with medical care and medical rehabilitation. In order to map the implementation of the information campaign, the various campaign modules (e.g. training of multipliers, information events) are continuously evaluated with the help of participant surveys and documentation of events. The development of utilization will be examined as part of a trend study. From 2020 to 2023, all families in the model regions of Berlin and Hamburg with a child who received medical rehabilitation from the German Pension Insurance in the previous year will be surveyed annually. The written survey will record the migration background and other socio-demographic information as well as the health-related quality of life of the children and young people. This allows changes in the proportion of children and adolescents with a migration background among the rehabilitants to be mapped.
Short titleMiMi
AcronymMiMi
Statusfinished
Effective start/end date01.04.1931.03.24

UN Sustainable Development Goals

In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This project contributes towards the following SDG(s):

  • SDG 3 - Good Health and Well-being
  • SDG 10 - Reduced Inequalities

Research Areas and Centers

  • Research Area: Center for Population Medicine and Public Health (ZBV)

DFG Research Classification Scheme

  • 205-02 Public Health, Health Services Research and Social Medicine