@article{SchulerMurauerStangletal.2019,
  author    = {Schuler, Michael and Murauer, Kathrin and Stangl, Stephanie and Grau, Anna and Gabriel, Katharina and Podger, Lauren and Heuschmann, Peter U. and Faller, Hermann},
  title     = {Pre-post changes in main outcomes of medical rehabilitation in Germany: protocol of a systematic review and meta-analysis of individual participant and aggregated data},
  series = {BMJ Open},
  volume    = {9},
  journal   = {BMJ Open},
  number    = {5},
  doi       = {10.1136/bmjopen-2018-023826},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-201929},
  pages     = {e023826},
  year      = {2019},
  abstract  = {Introduction Multidisciplinary, complex rehabilitation interventions are an important part of the treatment of chronic diseases. However, little is known about the effectiveness of routine rehabilitation interventions within the German healthcare system. Due to the nature of the social insurance system in Germany, randomised controlled trials examining the effects of rehabilitation interventions are challenging to implement and scarcely accessible. Consequently, alternative pre-post designs can be employed to assess pre-post effects of medical rehabilitation programmes. We present a protocol of systematic review and meta-analysis methods to assess the pre-post effects of rehabilitation interventions in Germany. Methods and analysis The respective study will be conducted within the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. A systematic literature review will be conducted to identify studies reporting the pre-post effects (start of intervention vs end of intervention or later) in German healthcare. Studies investigating the following disease groups will be included: orthopaedics, rheumatology, oncology, pulmonology, cardiology, endocrinology, gastroenterology and psychosomatics. The primary outcomes of interest are physical/mental quality of life, physical functioning and social participation for all disease groups as well as pain (orthopaedic and rheumatologic patients only), blood pressure (cardiac patients only), asthma control (patients with asthma only), dyspnoea (patients with chronic obstructive pulmonary disease only) and depression/anxiety (psychosomatic patients only). We will invite the principal investigators of the identified studies to provide additional individual patient data. We aim to perform the meta-analyses using individual patient data as well as aggregate data. We will examine the effects of both study-level and patient-level moderators by using a meta-regression method. Ethics and dissemination Only studies that have received institutional approval from an ethics committee and present anonymised individual patient data will be included in the meta-analysis. The results will be presented in a peer-reviewed publication and at research conferences. A declaration of no objection by the ethics committee of the University of W{\"u}rzburg is available (number 20180411 01).},
  language  = {en}
}
@article{SemrauHentschkeBuchmannetal.2015,
  author    = {Semrau, Jana and Hentschke, Christian and Buchmann, Jana and Meng, Karin and Vogel, Heiner and Faller, Hermann and Bork, Hartmut and Pfeifer, Klaus},
  title     = {Long-term effects of interprofessional biopsychosocial rehabilitation for adults with chronic non-specific low back pain: a multicentre, quasi-experimental study},
  series = {PLoS ONE},
  volume    = {10},
  journal   = {PLoS ONE},
  number    = {3},
  doi       = {10.1371/ journal.pone.0118609},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-143594},
  pages     = {e0118609},
  year      = {2015},
  abstract  = {Background Improvement of the long-term effectiveness of multidisciplinary ortho-paedic rehabilitation (MOR) in the management of chronic non-specific low back pain (CLBP) remains a central issue for health care in Germany. We developed an interprofessional and interdisciplinary, biopsychosocial rehabilitation concept named "PASTOR" to promote self-management in adults with CLBP and compared its effectiveness with the current model of MOR. Methods A multicentre quasi-experimental study with three measurement time points was implemented. 680 adults aged 18 to 65 with CLBP were assed for eligibil-ity in three inpatient rehabilitation centres in Germany. At first the effects of the MOR, with a total extent of 48 hours (control group), were assessed. Thereafter, PASTOR was implemented and evaluated in the same centres (intervention group). It consisted of six interprofessional modules, which were provided on 12 days in fixed groups, with a total extent of 48 hours. Participants were assessed with self-report measures at baseline, discharge, and 12 months for functional ability (primary outcome) using the Hannover Functional Ability Questionnaire (FFbH-R) and vari-ous secondary outcomes (e.g. pain, health status, physical activity, pain coping, pain-related cognitions). Results In total 536 participants were consecutively assigned to PASTOR (n=266) or MOR (n=270). At 12 months, complete data of 368 participants was available. The adjusted between-roup difference in the FFbH-R at 12 months was 6.58 (95\% CI 3.38 to 9.78) using complete data and 3.56 (95\% CI 0.45 to 6.67) using available da-ta, corresponding to significant small-to-medium effect sizes of d=0.42 (p<0.001) and d=0.10 (p=0.025) in favour of PASTOR. Further improvements in secondary out-comes were also observed in favour of PASTOR. Conclusion The interprofessional and interdisciplinary, biopsychosocial rehabilita-tion program PASTOR shows some improvements of the long-term effectiveness of inpatient rehabilitation in the management of adults with CLBP. Further insights into mechanisms of action of complex intervention programs are required.},
  language  = {en}
}
@article{LukasczikWolfGerlichetal.2016,
  author    = {Lukasczik, Matthias and Wolf, Hans-Dieter and Gerlich, Christian and K{\"u}ffner, Roland and Vogel, Heiner and Neuderth, Silke},
  title     = {Addressing Work-Related Issues in Medical Rehabilitation: Revision of an Online Information Tool for Healthcare Professionals},
  series = {Rehabilitation Research and Practice},
  volume    = {2016},
  journal   = {Rehabilitation Research and Practice},
  doi       = {10.1155/2016/7621690},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-146911},
  pages     = {7621690},
  year      = {2016},
  abstract  = {Background. Medical rehabilitation increasingly considers occupational issues as determinants of health and work ability. Information on work-related rehabilitation concepts should therefore be made available to healthcare professionals. Objective. To revise a website providing healthcare professionals in medical rehabilitation facilities with information on work-related concepts in terms of updating existing information and including new topics, based on recommendations from implementation research. Method. The modification process included a questionnaire survey of medical rehabilitation centers (n=28); two workshops with experts from rehabilitation centers, health payers, and research institutions (n=14); the selection of new topics and revision of existing text modules based on expert consensus; and an update of good practice descriptions of work-related measures. Results. Health payers' requirements, workplace descriptions, and practical implementation aids were added as new topics. The database of good practice examples was extended to 63 descriptions. Information on introductory concepts was rewritten and supplemented by current data. Diagnostic tools were updated by including additional assessments. Conclusions. Recommendations from implementation research such as assessing user needs and including expert knowledge may serve as a useful starting point for the dissemination of information on work-related medical rehabilitation into practice. Web-based information tools such as the website presented here can be quickly adapted to current evidence and changes in medicolegal regulations.},
  language  = {en}
}
@phdthesis{Wagner2011,
  author    = {Wagner, Kathrin},
  title     = {Nachsorgebed{\"u}rfnis von Patienten mit Adipositas nach station{\"a}rer medizinischer Rehabilitation},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-75903},
  school      = {Universit{\"a}t W{\"u}rzburg},
  year      = {2011},
  abstract  = {Adipositas ist eine chronische, schwer zu behandelnde Erkrankung. Die Therapieerfolge station{\"a}rer medizinischer Rehabilitation halten oft nicht lange an. Ziel der Studie ist es, zu kl{\"a}ren, ob bei adip{\"o}sen Patienten nach station{\"a}rer medizinischer Rehabilitation {\"u}berhaupt ein Nachsorgebed{\"u}rfnis besteht und wenn ja, wie die Nachsorge bez{\"u}glich Inhalt und Form gestaltet sein soll, damit sie hilfreich ist.},
  subject      = {Fettsucht},
  language  = {de}
}
@phdthesis{Reitz2004,
  author    = {Reitz, Dunja},
  title     = {Unterschiede zwischen Kur und Rehabilitation in der Wahrnehmung von Medizinstudenten - Eine empirische Studie},
  url       = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-9041},
  school      = {Universit{\"a}t W{\"u}rzburg},
  year      = {2004},
  abstract  = {Moderne Rehabilitation setzt einen engagierten Rehabilitanden voraus, der etwas dar{\"u}ber lernen will, wie er mit seinen Einschr{\"a}nkungen besser umgehen kann, wie er sie besser bew{\"a}ltigen und durch eigene {\"U}bungen vielleicht gar reduzieren kann. Er wird dies umso erfolgreicher machen, wenn er selbst entsprechende Vorerwartungen ausgebildet hat. Seit Jahren wird dabei kritisch gefragt, welche Bedeutung es hat, wenn in der {\"O}ffentlichkeit und im allgemeinen Sprachgebrauch die Begriffe Rehabilitation mit Kur regelm{\"a}ßig verwechselt werden. Dabei steht die Frage im Raum, ob mit unterschiedlichen Bezeichnungen unterschiedliche Erwartungen verkn{\"u}pft werden, die dann ggf. zu Entt{\"a}uschungen f{\"u}hren m{\"u}ssen, wenn der Rehabilitand in der Klinik ankommt und hier statt mit "Fango und Tango" tats{\"a}chlich mit Gruppengymnastik und Gesundheitstraining oder gar mit einer Belastungserprobung konfrontiert wird. Erwartungen an die Heilbehandlung werden wiederum unter anderem durch die {\"A}rzte, die den Patienten zur Inanspruchnahme motivieren, vermittelt. In der vorliegenden Untersuchung aus dem Wintersemester 2001 / 2002 wurden 210 Medizinstudenten des 1. und des 7. Semester mit einem {\"u}berpr{\"u}ften Fragebogeninstrumentarium nach ihren Erwartungen an die Inhalte und Ziele der Heilbehandlung gefragt. Bei der H{\"a}lfte der Studenten war die Heilbehandlung mit "Kur" bezeichnet worden, bei der H{\"a}lfte mit "Rehabilitation". Die Fragebogenverteilung erfolgte randomisiert, es gab keine weiteren Erl{\"a}uterungen zum Inhalt und Ziel der Untersuchung. Der Fragebogen mit 35 Items zu Reha-Zielen und 40 Items zu Reha-Erwartungen l{\"a}sst sich anhand von 10 Erwartungs- und 9 Zieleskalen auswerten. Im Ergebnis zeigte sich, dass die Medizinstudenten des 1. Semesters mit Kur und Rehabilitation sehr {\"a}hnliche Erwartungen verkn{\"u}pfen. Signifikant unterschiedliche Erwartungen an Rehabilitation und Kur fanden sich dagegen bei den Studenten des 7. Semesters, und zwar sowohl bei den Behandlungserwartungen als auch bei den Zielerwartungen. Mit Rehabilitation wurden hier viel h{\"a}ufiger die Erwartungen „berufliche Beratung" und „{\"a}rztliche Betreuung" verbunden als mit Kuren. Mit Kuren wurde dagegen h{\"a}ufiger die Erwartung an balneo-physikalische Behandlungen und „Entlastung von zuhause" verkn{\"u}pft. Bei den Rehabilitationszielen wurden berufliche Leistungsf{\"a}higkeit, Beschwerdereduktion und „Leben genießen trotz Krankheit" st{\"a}rker mit Rehabilitation verkn{\"u}pft als mit Kur. Weitere differenzierende Unterschiede wurden gefunden in Abh{\"a}ngigkeit vom Geschlecht der Studenten und je nachdem, ob die Studenten aus einer Arztfamilie stammen oder {\"u}ber eigene Erfahrungen mit Heilbehandlungen verf{\"u}gen. Die Ergebnisse weisen darauf hin, dass schon die Ettikettierung („Labelling") von Reha-Maßnahmen ohne weitere inhaltliche Erl{\"a}uterung einen nachhaltigen Einfluss auf die Behandlungserwartungen der angehenden {\"A}rzte hat, die - {\"u}bermittelt an die Patienten - wiederum von Bedeutung f{\"u}r Verlauf und Ergebnis der Rehabilitation sein d{\"u}rften. Schlussfolgerungen f{\"u}r die {\"o}ffentliche Darstellung von Reha-Maßnahmen durch Tr{\"a}ger und Kliniken, aber auch f{\"u}r die Art, wie die Maßnahmen dem Antragsteller im Einzelfall vermittelt werden, werden gezogen.},
  language  = {de}
}