Effectiveness of two implementation strategies of a standardized back school for chronic back pain patients in inpatient orthopaedic rehabilitation
The aim of the study is (A) to evaluate the implementation effectiveness and costs of two implementation strategies (i.e. trainer seminar and implementation guideline) for a standardized back school for chronic back pain patients in inpatient orthopaedic rehabilitation as well as (B) to evaluate the effectiveness of the back school for patient-oriented didactics, patient outcomes and efficiency in routine-use.
Effectiveness and integrated dissemination trial.
(A) A dissemination study in 10 orthopaedic rehabilitation clinics (approx. 130 trainers, 300 patients, and 30 back schools) will be evaluated regarding combined quantitative and qualitative methods for structure and needs analysis, process evaluation, and outcome research.
(B) Assessment of the effectiveness within routine care will occur in a multi-centre, controlled study of 540 patients with low back pain in 4 rehabilitation clinics, with data collection at admission and discharge as well as after 6- and 12-months. Control patients receive the traditional back school program of the hospital before implementation of the new program; intervention patients receive the new standardized back school after implementation into routine-use. Clinical and economic outcomes will be assessed.
Materials for the implementation will be generated (manual for the trainer course, implementation guideline), which can then be used by orthopaedic rehabilitation clinics for further program imple-mentation, dissemination and trainer education. Controlled data for the comparison of both strate-gies and their implementation effectiveness will be established. The results can be applied to further dissemination recommendations for patient education programs. Results of the effectiveness trial can be discussed with regard to other standardized, evaluated programs.