title: Development of a framework identifying domains and elements of importance for arthritis rehabilitation.
abstract: BACKGROUND
  Rehabilitation is effective and beneficial for patients with arthritis. The lack of a common structure for describing the content of rehabilitation makes it difficult to compare, transfer and implement research evidence into clinical practice.
  
  
  OBJECTIVE
  To develop a framework comprising domains and elements of importance when describing arthritis rehabilitation.
  
  
  METHODS
  On the basis of a systematic literature search and review, the framework was developed through a 9-step development process, including 5 Delphi consensus rounds within the Scandinavian Team Arthritis Register - European Team Initiative for Care Research (STAR-ETIC) collaboration, a group of clinicians, researchers and patients from northern Europe.
  
  
  RESULTS
  Based on Donabedian's healthcare model, the Inter-national Classification of Function, Disability and Health, and a rehabilitation model by D. T. Wade, 4 domains (context, structure, process and outcome) were defined. Within each domain, the most important and relevant key elements for describing rehabilitation were selected. This framework contains 1 key element under context, 9 under structure, 3 under process, and 9 under outcome.
  
  
  CONCLUSIONS
  The STAR-ETIC framework can be used to describe arthritis rehabilitation, by emphasizing key elements in 4 main domains. A common framework may facilitate comparisons of rehabilitation programmes across countries and different levels of care, and may improve the implementation of rehabilitation research in clinical practice.
authors.affiliation: National Resource Centre for Rehabilitation in Rheumatology, Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway. mklokkerud@hotmail.com
authors.forename: Mari
authors.initials: M
authors.lastname: Klokkerud
authors.forename: Kåre Birger
authors.initials: KB
authors.lastname: Hagen
authors.forename: Ingvild
authors.initials: I
authors.lastname: Kjeken
authors.forename: Ann
authors.initials: A
authors.lastname: Bremander
authors.forename: Kim
authors.initials: K
authors.lastname: Hørslev-Petersen
authors.forename: Thea Vliet
authors.initials: TV
authors.lastname: Vlieland
authors.forename: Margreth
authors.initials: M
authors.lastname: Grotle
mesh_terms: D000328:Adult; D000368:Aged; D001168:Arthritis / Q000145:classification / Q000534:rehabilitation*; D002908:Chronic Disease; D003697:Delphi Technique; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D038622:Internationality; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D016896:Treatment Outcome