Dataset Information

Bridging gaps across levels of care in rehabilitation of patients with rheumatic and musculoskeletal diseases: Results from a stepped-wedge cluster randomized controlled trial.

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.

SUBMITTER: Berdal G

PROVIDER: S-EPMC10387727 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Publications

Bridging gaps across levels of care in rehabilitation of patients with rheumatic and musculoskeletal diseases: Results from a stepped-wedge cluster randomized controlled trial.

Berdal Gunnhild G Sand-Svartrud Anne-Lene AL Linge Anita Dyb AD Aasvold Ann Margret AM Tennebø Kjetil K Eppeland Siv G SG Hagland Anne Sirnes AS Ohldieck-Fredheim Guro G Valaas Helene Lindtvedt HL Bø Ingvild I Klokkeide Åse Å Sexton Joseph J Azimi Maryam M Dager Turid N TN Kjeken Ingvild I

Clinical rehabilitation 20230302 9

<h4>Objective</h4>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.<h4>Design</h4>A pragmatic stepped-wedge cluster randomized trial.<h4>Setting</h4>Eight rehabilitation centers in secondary healthcare, Norway.<h4>Participants</h4>A total of 374 adults with rheumatic and musculoskeletal diseases were included in either the experimental (168) or the cont ...[more]

PMID: 36862585

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Dataset Information

Bridging gaps across levels of care in rehabilitation of patients with rheumatic and musculoskeletal diseases: Results from a stepped-wedge cluster randomized controlled trial.

Objective

Design

Setting

Participants

Interventions

Main measures

Results

Conclusion

Publications

Bridging gaps across levels of care in rehabilitation of patients with rheumatic and musculoskeletal diseases: Results from a stepped-wedge cluster randomized controlled trial.

Similar Datasets

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