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M.A. Stephan Krayter

Research Associate in the FUSION Project TV4: “Health & Aging” and TV5 “Social & Inclusion”

Room: US-E 103
Phone: +49 (0) 271/ 740 3833
Email: stephan.krayter(at)uni-siegen.de
FUSION Project: https://fusion.uni-siegen.de

Vita

Stephan Krayter studied Social Sciences in his Bachelor’s and Master’s at the University of Siegen. Subsequently, he worked as a research associate in the junior research group MEPYSO in the field of medicalization and psychologization of social processes at the Chair of Sociology of Health and Health Systems (headed by Prof. Dr. Nadine Reibling). Most recently, he was a research associate in the research projects TelReKo, which dealt with the competencies needed for the use of tele-rehabilitation follow-up care, and KINBIOTICS, which dealt with the implementation of AI-based decision support systems for the administration of antibiotics in hospitals, each under the direction of Prof. Dr. Christoph Dockweiler at the Chair of Digital Public Health. From May 2024, he will be a research associate in the FUSION project at the Chair of Information Systems, especially IT for the Aging Society, headed by Prof. Dr. Claudia Müller.

His research interests lie at the intersection of health sociology, social policy, digitalization, and user acceptance. Central research questions include how digital developments can be designed in a socially acceptable way and how healthcare can be improved with these developments.

FUSION Project

The two sub-projects “Health & Aging” and “Social & Inclusion” in the FUSION project aim to develop practical and digitally supported transfer solutions to ensure health and care-related service quality in rural areas while making access to social services clearer, low-threshold, and close to home and citizens. Further information on individual sub-areas can be found at: https://fusion.uni-siegen.de

Publications

2024

  • Tokgöz, P., Krayter, S., Hafner, J. & Dockweiler, C. (2024)Decision support systems for antibiotic prescription in hospitals: a survey with hospital managers on factors for implementation

    IN BMC Medical Informatics and Decision Making, Vol. 24, Pages: 96 doi:10.1186/s12911-024-02490-7
    [BibTeX] [Abstract] [Download PDF]
    Inappropriate antimicrobial use, such as antibiotic intake in viral infections, incorrect dosing and incorrect dosing cycles, has been shown to be an important determinant of the emergence of antimicrobial resistance. Artificial intelligence-based decision support systems represent a potential solution for improving antimicrobial prescribing and containing antimicrobial resistance by supporting clinical decision-making thus optimizing antibiotic use and improving patient outcomes.
    @article{tokgoz_decision_2024,
title = {Decision support systems for antibiotic prescription in hospitals: a survey with hospital managers on factors for implementation},
volume = {24},
issn = {1472-6947},
shorttitle = {Decision support systems for antibiotic prescription in hospitals},
url = {https://doi.org/10.1186/s12911-024-02490-7},
doi = {10.1186/s12911-024-02490-7},
abstract = {Inappropriate antimicrobial use, such as antibiotic intake in viral infections, incorrect dosing and incorrect dosing cycles, has been shown to be an important determinant of the emergence of antimicrobial resistance. Artificial intelligence-based decision support systems represent a potential solution for improving antimicrobial prescribing and containing antimicrobial resistance by supporting clinical decision-making thus optimizing antibiotic use and improving patient outcomes.},
number = {1},
urldate = {2024-05-14},
journal = {BMC Medical Informatics and Decision Making},
author = {Tokgöz, Pinar and Krayter, Stephan and Hafner, Jessica and Dockweiler, Christoph},
month = apr,
year = {2024},
keywords = {italg, Artificial intelligence, Antibiotic prescription, Decision support systems, Hospital, Implementation},
pages = {96},
}

2023

  • Krayter, S. (2023)News Coverage of Mental Health in Children During the COVID-19 Pandemic – An Analysis of the German Press Landscape

    IN Zeitschrift für Sozialreform, Vol. 69, Pages: 119–142 doi:10.1515/zsr-2022-0103
    [BibTeX] [Abstract] [Download PDF]
    The COVID-19 pandemic led to fundamental changes in all aspects of public life. Non-pharmacological interventions (NPIs) have had a significant impact on children given their early developmental stage and the smaller number of coping strategies and resources they possess to counter such stressors. Since the discourse on the effectiveness and side effects of interventions plays an important role in legitimising these interventions, the present article seeks to determine both who talks about children’s mental health in the news media and which aspects are addressed. The results of a quantitative discourse analysis of three German daily and weekly newspapers during the first two lockdowns in Germany reveal that political actors speak most often in the discourse, though health professionals are playing an increasingly prominent role. Thematically, mental health among children is becoming significantly more important in the discourse, which will likely lead to future political action.
    @article{krayter_news_2023,
title = {News {Coverage} of {Mental} {Health} in {Children} {During} the {COVID}-19 {Pandemic} – {An} {Analysis} of the {German} {Press} {Landscape}},
volume = {69},
copyright = {De Gruyter expressly reserves the right to use all content for commercial text and data mining within the meaning of Section 44b of the German Copyright Act.},
issn = {2366-0295},
url = {https://www.degruyter.com/document/doi/10.1515/zsr-2022-0103/html},
doi = {10.1515/zsr-2022-0103},
abstract = {The COVID-19 pandemic led to fundamental changes in all aspects of public life. Non-pharmacological interventions (NPIs) have had a significant impact on children given their early developmental stage and the smaller number of coping strategies and resources they possess to counter such stressors. Since the discourse on the effectiveness and side effects of interventions plays an important role in legitimising these interventions, the present article seeks to determine both who talks about children’s mental health in the news media and which aspects are addressed. The results of a quantitative discourse analysis of three German daily and weekly newspapers during the first two lockdowns in Germany reveal that political actors speak most often in the discourse, though health professionals are playing an increasingly prominent role. Thematically, mental health among children is becoming significantly more important in the discourse, which will likely lead to future political action.},
language = {en},
number = {2},
urldate = {2024-05-14},
journal = {Zeitschrift für Sozialreform},
author = {Krayter, Stephan},
month = jun,
year = {2023},
note = {Publisher: De Gruyter Oldenbourg},
keywords = {italg, Children, COVID-19, Lockdown, Mental Health, Newspaper, SARS-CoV-2},
pages = {119--142},
}

  • Stark, A. L., Krayter, S. & Dockweiler, C. (2023)Competencies required by patients and health professionals regarding telerehabilitation: A scoping review

    IN DIGITAL HEALTH, Vol. 9, Pages: 20552076231218841 doi:10.1177/20552076231218841
    [BibTeX] [Abstract] [Download PDF]
    Background Telerehabilitation offers patients alternative access to therapy and has become more prominent during the COVID-19 pandemic. Despite the increasing attractiveness of such programs, there are research gaps regarding the required competencies in the demand-oriented technology use in rehabilitative care. Objective The study aims at collecting evidence on competencies required by patients and health professionals for using telerehabilitation. We analyse tasks and requirements associated with telerehabilitation and derive and systematise relevant competencies. Methods We conducted a scoping review and analysed MEDLINE, Psyndex, EMBASE, Cochrane Library, and Web of Science for empirical studies and grey literature from 2017 to May 2022. Articles had to be in English/German and refer to medical rehabilitation accompanied by health professionals taking place in the patient’s home. Results One hundred ten articles were included, covering video conferencing systems, applications with video, audio, or visual therapy content, or wearables. Depending on the program, tasks before, during, and after therapy sessions differ, as do whether these are performed by health professionals, patients, or the technology. Users need digital, health-related, social, personal, and health professionals also professional competencies. This comprises telerehabilitation, technical, health-related, and clinical knowledge, a range of physical, cognitive, social-interactive, technical, and clinical skills, a positive attitude towards telerehabilitation and experience. Whether sociodemographic factors promote successful use is unclear. Conclusions Telerehabilitation requires a variety of different competencies from patients and health professionals — going beyond the sphere of technical skills. This highlights the need for an evaluation of existing programs for promoting competencies in the use of telerehabilitation and refinement of the programs in line with demands.
    @article{stark_competencies_2023,
title = {Competencies required by patients and health professionals regarding telerehabilitation: {A} scoping review},
volume = {9},
issn = {2055-2076},
shorttitle = {Competencies required by patients and health professionals regarding telerehabilitation},
url = {https://doi.org/10.1177/20552076231218841},
doi = {10.1177/20552076231218841},
abstract = {Background
Telerehabilitation offers patients alternative access to therapy and has become more prominent during the COVID-19 pandemic. Despite the increasing attractiveness of such programs, there are research gaps regarding the required competencies in the demand-oriented technology use in rehabilitative care.
Objective
The study aims at collecting evidence on competencies required by patients and health professionals for using telerehabilitation. We analyse tasks and requirements associated with telerehabilitation and derive and systematise relevant competencies.
Methods
We conducted a scoping review and analysed MEDLINE, Psyndex, EMBASE, Cochrane Library, and Web of Science for empirical studies and grey literature from 2017 to May 2022. Articles had to be in English/German and refer to medical rehabilitation accompanied by health professionals taking place in the patient's home.
Results
One hundred ten articles were included, covering video conferencing systems, applications with video, audio, or visual therapy content, or wearables. Depending on the program, tasks before, during, and after therapy sessions differ, as do whether these are performed by health professionals, patients, or the technology. Users need digital, health-related, social, personal, and health professionals also professional competencies. This comprises telerehabilitation, technical, health-related, and clinical knowledge, a range of physical, cognitive, social-interactive, technical, and clinical skills, a positive attitude towards telerehabilitation and experience. Whether sociodemographic factors promote successful use is unclear.
Conclusions
Telerehabilitation requires a variety of different competencies from patients and health professionals — going beyond the sphere of technical skills. This highlights the need for an evaluation of existing programs for promoting competencies in the use of telerehabilitation and refinement of the programs in line with demands.},
language = {en},
urldate = {2024-05-14},
journal = {DIGITAL HEALTH},
author = {Stark, Anna Lea and Krayter, Stephan and Dockweiler, Christoph},
month = jan,
year = {2023},
note = {Publisher: SAGE Publications Ltd},
keywords = {italg},
pages = {20552076231218841},
}

  • Krayter, S. & Ariaans, M. (2023)Poverty: More Than Just a Lack of Material Resources?

    IN Reibling, N. & Ariaans, M. (Eds.), Toward a Biopsychosocial Welfare State? How Medicine and Psychology Transform Social Policy Cham doi:10.1007/978-3-031-32793-3_5
    [BibTeX] [Abstract] [Download PDF]
    Krayter and Ariaans empirically demonstrate how poverty is becoming increasingly connected to medical and psychological language as well as to medicalized and psychologized institutional categories. By first showing that poverty is a social construct whose meaning has developed throughout the decades, the authors reveal that scientific publications have contributed to an increasingly medical and psychological definition of poverty. Drawing on the example of Germany, the authors explain how political actors have medicalized and psychologized the issue of poverty as well as how German institutions have increasingly frequently drawn on medical and psychological labels and categories.
    @incollection{krayter_poverty_2023,
address = {Cham},
title = {Poverty: {More} {Than} {Just} a {Lack} of {Material} {Resources}?},
isbn = {978-3-031-32793-3},
shorttitle = {Poverty},
url = {https://doi.org/10.1007/978-3-031-32793-3_5},
abstract = {Krayter and Ariaans empirically demonstrate how poverty is becoming increasingly connected to medical and psychological language as well as to medicalized and psychologized institutional categories. By first showing that poverty is a social construct whose meaning has developed throughout the decades, the authors reveal that scientific publications have contributed to an increasingly medical and psychological definition of poverty. Drawing on the example of Germany, the authors explain how political actors have medicalized and psychologized the issue of poverty as well as how German institutions have increasingly frequently drawn on medical and psychological labels and categories.},
language = {en},
urldate = {2024-05-14},
booktitle = {Toward a {Biopsychosocial} {Welfare} {State}? {How} {Medicine} and {Psychology} {Transform} {Social} {Policy}},
publisher = {Springer International Publishing},
author = {Krayter, Stephan and Ariaans, Mareike},
editor = {Reibling, Nadine and Ariaans, Mareike},
year = {2023},
doi = {10.1007/978-3-031-32793-3_5},
keywords = {italg, Germany, Discourse, Medicalization, Poverty, Psychologization, Science},
pages = {107--128},
}

2022

  • Stark, A. L., Krayter, S. & Dockweiler, C. (2022)Competencies required by patients and therapists regarding telerehabilitation: a scoping review protocol

    doi:10.17605/OSF.IO/9QK7A
    [BibTeX] [Abstract] [Download PDF]
    Protocol for a scoping review on competencies required by patients and therapists regarding the use of telerehabilitation.
    @article{stark_competencies_2022,
title = {Competencies required by patients and therapists regarding telerehabilitation: a scoping review protocol},
shorttitle = {Competencies required by patients and therapists regarding telerehabilitation},
url = {https://osf.io/9qk7a},
doi = {10.17605/OSF.IO/9QK7A},
abstract = {Protocol for a scoping review on competencies required by patients and therapists regarding the use of telerehabilitation.},
language = {en-us},
urldate = {2024-05-14},
author = {Stark, Anna Lea and Krayter, Stephan and Dockweiler, Christoph},
month = jun,
year = {2022},
note = {Publisher: OSF},
keywords = {italg},
}

2020

  • Krayter, S. & Reibling, N. (2020)Medicalisation and psychologisation of poverty? An analysis of the scientific poverty discourse from 1956 to 2017

    IN Journal of Poverty and Social Justice, Vol. 28, Pages: 361–381 doi:10.1332/175982720X15979441697421
    [BibTeX] [Abstract] [Download PDF]
    Recent social science scholarship has argued that poverty is increasingly discussed as a problem that can have medical or psychological causes and could be tackled through therapeutic and health-related interventions. The aim of this study is to investigate if such a trend towards the medicalisation and psychologisation of poverty is present in the scientific poverty discourse. We analysed 13,553 articles on poverty in advanced, industrialised countries published between 1956 and 2017 and indexed in Web of Science. The results show that health sciences and psychology have been the fastest-growing research areas and the individual disciplines with currently the largest publication output on poverty.
    @article{krayter_medicalisation_2020,
title = {Medicalisation and psychologisation of poverty? {An} analysis of the scientific poverty discourse from 1956 to 2017},
volume = {28},
issn = {1759-8273, 1759-8281},
shorttitle = {Medicalisation and psychologisation of poverty?},
url = {https://bristoluniversitypressdigital.com/view/journals/jpsj/28/3/article-p361.xml},
doi = {10.1332/175982720X15979441697421},
abstract = {Recent social science scholarship has argued that poverty is increasingly discussed as a problem that can have medical or psychological causes and could be tackled through therapeutic and health-related interventions. The aim of this study is to investigate if such a trend towards the medicalisation and psychologisation of poverty is present in the scientific poverty discourse. We analysed 13,553 articles on poverty in advanced, industrialised countries published between 1956 and 2017 and indexed in Web of Science. The results show that health sciences and psychology have been the fastest-growing research areas and the individual disciplines with currently the largest publication output on poverty.},
language = {en},
number = {3},
urldate = {2024-05-14},
journal = {Journal of Poverty and Social Justice},
author = {Krayter, Stephan and Reibling, Nadine},
month = oct,
year = {2020},
note = {Publisher: Policy Press
Section: Journal of Poverty and Social Justice},
keywords = {italg},
pages = {361--381},
}

2018

  • Linden, P., Reibling, N. & Krayter, S. (2018)Lieber krank und arbeitslos als „nur“ arbeitslos? Die Auswirkungen der Medikalisierung von arbeitslosen Personen auf Stigmatisierungsprozesse

    IN Zeitschrift für Sozialreform, Vol. 64, Pages: 431–461 doi:10.1515/zsr-2018-0022
    [BibTeX] [Abstract] [Download PDF]
    Die Integration von (langzeit-)arbeitslosen Personen ist eine zentrale Herausforderung für Arbeitsmarkt- und Sozialpolitik. Aktivierung und die damit verknüpfte Konditionalität von Sozialleistungen haben bedeutende Implikationen für die Wahrnehmung von arbeitslosen Personen, die immer häufiger Stigmatisierungen erleben. Gesundheitliche Einschränkungen oder Behinderungen, die als einziger Grund für die Anerkennung einer (befristet) eingeschränkten Beschäftigungsfähigkeit gelten und eine Verknüpfung von Sozialleistungsbezug und Freistellung von der verpflichtenden Arbeitsaufnahme ermöglichen, erhalten damit eine neue Bedeutung. Dieser Beitrag beschäftigt sich mit der Frage, ob die Medikalisierung der Arbeitslosigkeit Stigmatisierung verringert. Wir untersuchen daher mit Daten des Panels „Arbeitsmarkt und soziale Sicherung“ (PASS) den Einfluss der Freistellung auf die wahrgenommene Stigmatisierung. Entropie-balancierte, multivariate OLS-Regressionen zeigen kein signifikant vermindertes Stigma für freigestellte Personen.
    @article{linden_lieber_2018,
title = {Lieber krank und arbeitslos als „nur“ arbeitslos? {Die} {Auswirkungen} der {Medikalisierung} von arbeitslosen {Personen} auf {Stigmatisierungsprozesse}},
volume = {64},
copyright = {De Gruyter expressly reserves the right to use all content for commercial text and data mining within the meaning of Section 44b of the German Copyright Act.},
issn = {2366-0295},
shorttitle = {Lieber krank und arbeitslos als „nur“ arbeitslos?},
url = {https://www.degruyter.com/document/doi/10.1515/zsr-2018-0022/html},
doi = {10.1515/zsr-2018-0022},
abstract = {Die Integration von (langzeit-)arbeitslosen Personen ist eine zentrale Herausforderung für Arbeitsmarkt- und Sozialpolitik. Aktivierung und die damit verknüpfte Konditionalität von Sozialleistungen haben bedeutende Implikationen für die Wahrnehmung von arbeitslosen Personen, die immer häufiger Stigmatisierungen erleben. Gesundheitliche Einschränkungen oder Behinderungen, die als einziger Grund für die Anerkennung einer (befristet) eingeschränkten Beschäftigungsfähigkeit gelten und eine Verknüpfung von Sozialleistungsbezug und Freistellung von der verpflichtenden Arbeitsaufnahme ermöglichen, erhalten damit eine neue Bedeutung. Dieser Beitrag beschäftigt sich mit der Frage, ob die Medikalisierung der Arbeitslosigkeit Stigmatisierung verringert. Wir untersuchen daher mit Daten des Panels „Arbeitsmarkt und soziale Sicherung“ (PASS) den Einfluss der Freistellung auf die wahrgenommene Stigmatisierung. Entropie-balancierte, multivariate OLS-Regressionen zeigen kein signifikant vermindertes Stigma für freigestellte Personen.},
language = {en},
number = {4},
urldate = {2024-05-14},
journal = {Zeitschrift für Sozialreform},
author = {Linden, Philipp and Reibling, Nadine and Krayter, Stephan},
month = dec,
year = {2018},
note = {Publisher: De Gruyter Oldenbourg},
keywords = {italg},
pages = {431--461},
}