title: [Acceptance of the Implementation of Standardised Patient Education Programmes by the Multidisciplinary Rehabilitation Team Using the Example of a Back School - A Qualitative Study].
abstract: OBJECTIVE
  The transfer of standardised patient education programmes into practice is a complex process with a multitude of influencing factors. Determinants relate among others to the organisation and individuals (e. g., practitioner, patient). Knowledge about individual factors regarding the trainers of patient education programmes in the German rehabilitation system is scarce. The aim of this study is to explore the acceptance of trainers concerning the implementation of a standardised back school and to derive facilitators and barriers to the implementation of patient education programmes.
  
  
  METHODS
  Semi-structured guideline-based interviews were conducted in 10 rehabilitation clinics. The sample consisted of 46 trainers (25 women): 11 physicians, 11 psychologists, 21 physio-/exercise therapists and 3 occupational therapists with a mean age of 41. The opinions of the trainers regarding the central components of back schools in general, their opinions about the new curriculum, their expectations on its implementation, anticipated difficulties with implementation and requests to the project team were explored as indicators for acceptance. The data were analysed with a multi-step qualitative content analysis.
  
  
  RESULTS
  6 main categories comprising 136 subcategories were created and 729 quotations coded. Regarding the central components that should be covered by back schools, back-friendly behaviour was addressed most often. Opinions regarding the new curriculum were mostly positive. Trainers' approval of content and methods was highlighted and the similarity with existing offers in the clinics as well as the structure of the programme were rated positively. The trainers expected an increased patient orientation and personal development as well as a common, coherent language and interdisciplinarity. Difficulties were anticipated regarding time and personnel as well as therapy and appointment planning and also regarding the motivation/acceptance of patients. A wish for communication, education of trainers and feedback was directed at the project team.
  
  
  CONCLUSIONS
  The study demonstrates high acceptance of programme implementation and central components of modern patient education programmes among trainers. The basis of individual facilitators and barriers has been investigated and might contribute to further development of implementation interventions. Communication and education considering those factors play a central role.
authors.affiliation: Institut für Sportwissenschaft und Sport, Lehrstuhl Bewegung und Gesundheit, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen.
authors.forename: S
authors.initials: S
authors.lastname: Peters
authors.affiliation: Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Julius-Maximilians-Universität Würzburg, Würzburg.
authors.forename: A
authors.initials: A
authors.lastname: Schultze
authors.affiliation: Institut für Sportwissenschaft und Sport, Lehrstuhl Bewegung und Gesundheit, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen.
authors.forename: K
authors.initials: K
authors.lastname: Pfeifer
authors.affiliation: Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Julius-Maximilians-Universität Würzburg, Würzburg.
authors.forename: H
authors.initials: H
authors.lastname: Faller
authors.affiliation: Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Julius-Maximilians-Universität Würzburg, Würzburg.
authors.forename: K
authors.initials: K
authors.lastname: Meng
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D005858:Germany; D006293:Health Promotion / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000706:statistics & numerical data*; D010353:Patient Education as Topic / Q000592:standards* / Q000706:statistics & numerical data*; D012046:Rehabilitation / Q000193:education / Q000592:standards / Q000706:statistics & numerical data*; D000070260:Teacher Training / Q000592:standards / Q000706:statistics & numerical data*; D014600:Utilization Review; D055815:Young Adult