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Bridging gaps across levels of care in rehabilitation of patients with rheumatic and musculoskeletal diseases: Results from a stepped-wedge cluster randomized controlled trial.
- Source :
- Clinical Rehabilitation; Sep2023, Vol. 37 Issue 9, p1153-1177, 25p
- Publication Year :
- 2023
-
Abstract
- Objective: To compare the effectiveness of a structured goal-setting and tailored follow-up rehabilitation intervention with existing rehabilitation in patients with rheumatic and musculoskeletal diseases. Design: A pragmatic stepped-wedge cluster randomized trial. Setting: Eight rehabilitation centers in secondary healthcare, Norway. Participants: A total of 374 adults with rheumatic and musculoskeletal diseases were included in either the experimental (168) or the control group (206). Interventions: A new rehabilitation intervention which comprised structured goal setting, action planning, motivational interviewing, digital self-monitoring of goal progress, and individual follow-up support after discharge according to patients' needs and available resources in primary healthcare (the BRIDGE-intervention), was compared to usual care. Main measures: Patient-reported outcomes were collected electronically on admission and discharge from rehabilitation, and after 2, 7, and 12 months. The primary outcome was patients' goal attainment measured by the Patient Specific Functional Scale (0–10, 10 best) at 7 months. Secondary outcome measures included physical function (30-s Sit-To-Stand test), health-related quality of life (EQ-5D-5L-index), and self-assessed health (EQ-VAS). The main statistical analyses were performed on an intention-to-treat basis using linear mixed models. Results: No significant treatment effects of the BRIDGE-intervention were found for either primary (Patient Specific Functional Scale mean difference 0.1 [95% CI: −0.5, 0.8], p = 0.70), or secondary outcomes 7 months after rehabilitation. Conclusion: The BRIDGE-intervention was not shown to be more effective than existing rehabilitation for patients with rheumatic and musculoskeletal diseases. There is still a need for more knowledge about factors that can improve the quality, continuity, and long-term health effects of rehabilitation for this patient group. [ABSTRACT FROM AUTHOR]
- Subjects :
- MUSCULOSKELETAL system diseases
PATIENT aftercare
RESEARCH
REHABILITATION centers
EVALUATION of human services programs
SOCIAL support
CONFIDENCE intervals
MOTIVATIONAL interviewing
FUNCTIONAL status
INDIVIDUALIZED medicine
HEALTH outcome assessment
VISUAL analog scale
TREATMENT effectiveness
RANDOMIZED controlled trials
QUALITY assurance
HEALTH behavior
HEALTH care teams
DESCRIPTIVE statistics
CHI-squared test
QUESTIONNAIRES
RESEARCH funding
RHEUMATISM
STATISTICAL sampling
DATA analysis software
CLUSTER analysis (Statistics)
GOAL (Psychology)
HEALTH self-care
DISEASE risk factors
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 02692155
- Volume :
- 37
- Issue :
- 9
- Database :
- Complementary Index
- Journal :
- Clinical Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 167362594
- Full Text :
- https://doi.org/10.1177/02692155231153341