Akzeptanz der Einführung standardisierter Patientenschulungen durch das multidisziplinäre Reha-Team am Beispiel einer Rückenschule – Eine qualitative Studie

Peters, Stefan; Schultze, A. Eric; Pfeifer, Klaus; Faller, Hermann; Meng, K.

doi:10.1055/s-0034-1390445

Cited by 5 publications

(7 citation statements)

References 25 publications

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“…This holds true in particular for the interdisciplinary structure or the common language provided. The role of structure and guidance and its mainly positive perception by rehabilitation professionals had already been pointed out in interviews prior to the implementation of the CBS [ 29 ]. In contrast, barriers could be located in two subcategories.…”

Section: Discussionmentioning

confidence: 99%

“…They were selected by the respective clinics and between 4 and 8 professionals were interviewed from each clinic. 27 of all current study participants had already taken part in interviews prior to the program implementation [ 29 ]. It is not known to the authors, whether approached interviewees refused to participate.…”

Section: Methodsmentioning

confidence: 99%

“…31 interviews were led by the first author (Stefan Peters), a male exercise scientist, and 14 interviews were led by a female psychologist (Anja Schultze, see Acknowledgments), both with prior experiences in conducting and analyzing qualitative interviews [ 29 ]. They worked as researchers at the Universities of Erlangen-Nürnberg and Würzburg, respectively, at the time and had been in contact with most interviewees earlier in the study.…”

Section: Methodsmentioning

confidence: 99%

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Experiences of Rehabilitation Professionals with the Implementation of a Back School for Patients with Chronic Low Back Pain: A Qualitative Study

Peters

Faller

Pfeifer

et al. 2016

Rehabilitation Research and Practice

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A standardized curriculum back school (CBS) has been recommended for further dissemination in medical rehabilitation in Germany. However, implementation of self-management education programs into practice is challenging. In low back pain care, individual factors of professionals could be decisive regarding implementation fidelity. The study aim was to explore attitudes and experiences of professionals who conducted the back school. Qualitative interviews were led with 45 rehabilitation professionals. The data were examined using thematic analysis. Three central themes were identified: (a) “back school as a common thread,” (b) “theory versus practice,” and (c) “participation and patient-centeredness.” The CBS and its manual were frequently described positively because they provide structure. However, specified time was mentioned critically and there were heterogeneous perceptions regarding flexibility in conducting the CBS. Theory and practice in the CBS were discussed concerning amount, distribution, and conjunction. Participation and patient-centeredness were mainly mentioned in terms of amount and heterogeneity of participation as well as the demand for competences of professionals. Factors were detected that may either positively or negatively influence the implementation fidelity of self-management education programs. The results are explorative and provide potential explanatory mechanisms for behavior and acceptance of rehabilitation professionals regarding the implementation of biopsychosocial back schools.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Experiences of Rehabilitation Professionals with the Implementation of a Back School for Patients with Chronic Low Back Pain: A Qualitative Study

Peters

Faller

Pfeifer

et al. 2016

Rehabilitation Research and Practice

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“…Akzeptanzbarrieren zeigten sich durch divergierende Meinungen zu inhaltlichen Schulungsschwerpunkten, erwartete Akzeptanz-und Verständnisprobleme bei den Patienten sowie erwartete Probleme mit zeitlichen oder personellen Ressourcen und Therapieplanung. Unterstützung in Form von Train-the-Trainer (TTT)-Seminaren, Beratung und Feedback werden von den Schulungsleitern gewünscht [27]. Trotz der Aufwände werden neu eingeführte Schulungen von den Mitarbeitern meist positiv bewertet und als Bereicherung des Berufsalltags erlebt [28].…”

Section: Implementation Der Curricula In Die Routineversorgung Der Drvunclassified

Entwicklung und aktueller Stand des Gesundheitstrainingsprogramms der Deutschen Rentenversicherung Bund

Worringen

Meng²,

Bitzer³

et al. 2017

Rehabilitation

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The health education curriculum of the German pension insurance comprises 27 patient education programs that are mostly indication-based. The curriculum aims to support the implementation of patient-oriented patient education in German rehabilitation centers. The effectiveness of several of the educational programs was evaluated in controlled trials with heterogeneous results. Overall, the dissemination of the evaluated programs in rehabilitation practice can be recommended. They constitute an essential part of the overall treatment concept, but are often modified in clinical practice. In particular, the physician led modules are frequently conducted in larger group settings. It is currently considered how these routine working conditions might be reflected in the quality assurance system of the German pension insurance and a cross-organizational conceptual framework.

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“…rücksichtigt werden, um ein praxistaugliches Ergebnis erreichen zu können. Studien zur Implementierung von Schulungsprogrammen (2,19,26) weisen auf eine Reihe von Schwierigkeiten hin, die bei der Implementierung einer Schulung auftreten können:…”

Section: Evidenzbasierte Konzept Entwicklungunclassified

Patientenschulung aus dem Blickwinkel der Entwickler

Küffner¹,

Musekamp²,

Reusch³

2017

Arthritis und Rheuma

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ZusammenfassungPatientenschulungen sind wirksame und etablierte Verfahren in der Behandlung chronisch kranker Menschen. Bei der Entwicklung von Schulungsprogrammen sind mit Leistungsträgern, Fachgesellschaften, Selbsthilfevereinigungen, Forschern, Dozenten und Patienten häufig viele Akteure beteiligt, die unterschiedliche Anforderungen an das Thema haben. Die Schulungsentwicklung ist daher ein komplexer Prozess mit vielen Herausforderungen. Diese Arbeit skizziert die Herausforderungen und die Phasen der Schulungsentwicklung. Das Ziel einer Schulungsentwicklung ist die Erarbeitung eines standardisierten Behandlungsangebots, das evidenzbasiert und gleichzeitig auch patientenorientiert ist. Um dieses Ergebnis erreichen zu können, stehen Schulungsentwicklern einige Werkzeuge zur Verfügung: Gesundheitspsychologische Theorien, ein Wirkmodell der Patientenschulung und eine Klassifikation von Techniken, mit denen eine Verhaltensänderung umgesetzt werden kann. Der Text schenkt auch den Schwierigkeiten der Implementierung von Schulungen in den Behandlungsalltag Beachtung – ein Prozess, der bereits in der Schulungsentwicklung berücksichtigt werden sollte.

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Akzeptanz der Einführung standardisierter Patientenschulungen durch das multidisziplinäre Reha-Team am Beispiel einer Rückenschule – Eine qualitative Studie

Cited by 5 publications

References 25 publications

Experiences of Rehabilitation Professionals with the Implementation of a Back School for Patients with Chronic Low Back Pain: A Qualitative Study

Experiences of Rehabilitation Professionals with the Implementation of a Back School for Patients with Chronic Low Back Pain: A Qualitative Study

Entwicklung und aktueller Stand des Gesundheitstrainingsprogramms der Deutschen Rentenversicherung Bund

Patientenschulung aus dem Blickwinkel der Entwickler

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