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Effects of a web-based rehabilitation aftercare on subjective health, work ability and motivation: a partially randomized controlled trial
BACKGROUND: Rehabilitation is seen as crucial in dealing with the demographic change in many European countries. In Germany, for example, after having stayed in a rehabilitation center, patients have the possibility to participate in aftercare programs aimed at promoting long-term health behaviour....
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8054846/ https://www.ncbi.nlm.nih.gov/pubmed/33874917 http://dx.doi.org/10.1186/s12891-021-04239-z |
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author | Jekauc, Darko Rayling, Sabine Klopp, Sara Schmidt, Detlef Rittmann, Lena-Marie Fritsch, Julian |
author_facet | Jekauc, Darko Rayling, Sabine Klopp, Sara Schmidt, Detlef Rittmann, Lena-Marie Fritsch, Julian |
author_sort | Jekauc, Darko |
collection | PubMed |
description | BACKGROUND: Rehabilitation is seen as crucial in dealing with the demographic change in many European countries. In Germany, for example, after having stayed in a rehabilitation center, patients have the possibility to participate in aftercare programs aimed at promoting long-term health behaviour. Despite the relevance of follow-up support for patients’ long-term health and work ability, participation rates in aftercare programs are quite low. Here, web-based aftercare programs can be a viable alternative to the traditional face-to-face programs due to their flexibility in time and location. This research project aims to use quantitative and qualitative methods to gain more insight into the potential of web-based aftercare programs. METHODS: The goal is to recruit up to 1150 patients at baseline in five rehabilitation centers across Germany. For ethical reasons, partially randomized experimental study design is used to quantitatively assess the effectiveness of web-based aftercare programs. All patients are offered the traditional face-to-face aftercare treatment (IRENA). When patients deny to participate in traditional face-to-face aftercare, they are randomly distributed into either web-based aftercare (digIRENA) or a control group. In all three groups, the SF-12, which measures subjective health, and the WAI, which measures working ability, will be used at baseline, 13 weeks, 26 weeks and 43 weeks after the patients have left the rehabilitation center. BREQ-2, which measures motivation, is used only in the traditional aftercare group and the web-based aftercare group. A multivariate analysis of variance with repeated measurement and latent growth curve models will be used to compare the development of the variables in the three groups. For the qualitative part of the study, interviews with patients and therapists will be conducted to shed light on the applicability, acceptance, and usability of web-based aftercare programs. DISCUSSION: This study may provide valuable insight into the potential of web-based rehabilitation aftercare programs as a way to supplement traditional face-to-face programs. This seems particularly promising if it can manage to reach those patients who do not currently participate in traditional face-to-face rehabilitation aftercare programs due to time and location constraints. TRIAL REGISTRATION: The trial has been registered at the German Register of Clinical Studies (DRKS) with the registration number: DRKS00022467. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-021-04239-z. |
format | Online Article Text |
id | pubmed-8054846 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80548462021-04-20 Effects of a web-based rehabilitation aftercare on subjective health, work ability and motivation: a partially randomized controlled trial Jekauc, Darko Rayling, Sabine Klopp, Sara Schmidt, Detlef Rittmann, Lena-Marie Fritsch, Julian BMC Musculoskelet Disord Study Protocol BACKGROUND: Rehabilitation is seen as crucial in dealing with the demographic change in many European countries. In Germany, for example, after having stayed in a rehabilitation center, patients have the possibility to participate in aftercare programs aimed at promoting long-term health behaviour. Despite the relevance of follow-up support for patients’ long-term health and work ability, participation rates in aftercare programs are quite low. Here, web-based aftercare programs can be a viable alternative to the traditional face-to-face programs due to their flexibility in time and location. This research project aims to use quantitative and qualitative methods to gain more insight into the potential of web-based aftercare programs. METHODS: The goal is to recruit up to 1150 patients at baseline in five rehabilitation centers across Germany. For ethical reasons, partially randomized experimental study design is used to quantitatively assess the effectiveness of web-based aftercare programs. All patients are offered the traditional face-to-face aftercare treatment (IRENA). When patients deny to participate in traditional face-to-face aftercare, they are randomly distributed into either web-based aftercare (digIRENA) or a control group. In all three groups, the SF-12, which measures subjective health, and the WAI, which measures working ability, will be used at baseline, 13 weeks, 26 weeks and 43 weeks after the patients have left the rehabilitation center. BREQ-2, which measures motivation, is used only in the traditional aftercare group and the web-based aftercare group. A multivariate analysis of variance with repeated measurement and latent growth curve models will be used to compare the development of the variables in the three groups. For the qualitative part of the study, interviews with patients and therapists will be conducted to shed light on the applicability, acceptance, and usability of web-based aftercare programs. DISCUSSION: This study may provide valuable insight into the potential of web-based rehabilitation aftercare programs as a way to supplement traditional face-to-face programs. This seems particularly promising if it can manage to reach those patients who do not currently participate in traditional face-to-face rehabilitation aftercare programs due to time and location constraints. TRIAL REGISTRATION: The trial has been registered at the German Register of Clinical Studies (DRKS) with the registration number: DRKS00022467. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12891-021-04239-z. BioMed Central 2021-04-19 /pmc/articles/PMC8054846/ /pubmed/33874917 http://dx.doi.org/10.1186/s12891-021-04239-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Jekauc, Darko Rayling, Sabine Klopp, Sara Schmidt, Detlef Rittmann, Lena-Marie Fritsch, Julian Effects of a web-based rehabilitation aftercare on subjective health, work ability and motivation: a partially randomized controlled trial |
title | Effects of a web-based rehabilitation aftercare on subjective health, work ability and motivation: a partially randomized controlled trial |
title_full | Effects of a web-based rehabilitation aftercare on subjective health, work ability and motivation: a partially randomized controlled trial |
title_fullStr | Effects of a web-based rehabilitation aftercare on subjective health, work ability and motivation: a partially randomized controlled trial |
title_full_unstemmed | Effects of a web-based rehabilitation aftercare on subjective health, work ability and motivation: a partially randomized controlled trial |
title_short | Effects of a web-based rehabilitation aftercare on subjective health, work ability and motivation: a partially randomized controlled trial |
title_sort | effects of a web-based rehabilitation aftercare on subjective health, work ability and motivation: a partially randomized controlled trial |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8054846/ https://www.ncbi.nlm.nih.gov/pubmed/33874917 http://dx.doi.org/10.1186/s12891-021-04239-z |
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