title: What's in the black box of arthritis rehabilitation? A comparison of rehabilitation practice for patients with inflammatory arthritis in northern Europe.
abstract: BACKGROUND
  In evaluating complex interventions, it is a challenge for researchers to provide transparent reporting of the intervention content with sufficient detail and clarity such that effects can be compared across studies or countries.
  
  
  OBJECTIVE
  To describe and compare the content of current rehabilitation for patients with inflammatory arthritis across 4 northern European countries.
  
  
  METHODS
  A total of 731 patients with inflammatory rheumatic diseases participated in a multicentre, longitudinal observational study carried out in Sweden, The Netherlands, Denmark and Norway. Data on context, structure and process were reported by patients and teams at the different participating study sites according to the Scandinavian Team Arthritis Register-European Team Intiative for Care Research (STAR-ETIC) framework.
  
  
  RESULTS
  Although large similarities were found in the context, there were important differences between the Netherlands and the Scandinavian countries. Regarding structure, there were considerable differences in the length of the rehabilitation period across settings and countries. The most evident differences concerned process variables, especially the type and dosage of individual treatment modalities.
  
  
  CONCLUSIONS
  The variation in important aspects of arthritis rehabilitation found in the present study underline the need for transparent and standardized description of these variables when comparing effects across settings and countries. A standardized description of current practice can be achieved by the STAR-ETIC framework.
authors: National resource center for rehabilitation in rheumathology, Diakonhjemmets Hospital, Oslo, Norway. margreth.grotle@medisin.uio.no
authors: Margreth
authors: M
authors: Grotle
authors: Mari
authors: M
authors: Klokkerud
authors: Ingvild
authors: I
authors: Kjeken
authors: Ann
authors: A
authors: Bremander
authors: Sofia
authors: S
authors: Hagel
authors: Britta
authors: B
authors: Strömbeck
authors: Kim
authors: K
authors: Hørslev-Petersen
authors: Jorit
authors: J
authors: Meesters
authors: Thea P M Vliet
authors: TP
authors: Vlieland
authors: Kåre B
authors: KB
authors: Hagen
mesh_terms: D000328:Adult; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000453:epidemiology / Q000534:rehabilitation*; D005060:Europe / Q000453:epidemiology; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D025242:Spondylarthropathies / Q000453:epidemiology / Q000534:rehabilitation*