[Collaborative Goal Setting in Rehabilitation (ParZivar II): Evaluation of an Intervention in Patients with Chronic Back Pain].
OBJECTIVE
The "ParZivar II" project had 2 aims: optimization of the "ParZivar I" intervention by individual coaching of physicians, and evaluation of the optimized intervention.


METHODS
The intervention was evaluated in a sequential control group design in 4 rehabilitation facilities with 3 measurement points. A total of n=279 patients with chronic low back pain participated in the study.


RESULTS
The optimized intervention shows the potential to statistically significantly improve proximal outcomes (e. g. goal-centric processes or patient-physician interaction). Regarding distal outcomes, no statistically significant differences were found.


CONCLUSIONS
The "ParZivar" intervention is a suitable approach to increase participative goal setting. Due to the complexity of the intervention, problems of dissemination and the potential for improvement in study design, there is a need for further research.
Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.
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Ullrich
Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.
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Mittag
Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.
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Garbrecht
Institut für Rehabilitationsforschung an der Klinik Münsterland, Bad Rothenfelde.
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Dibbelt
Institut für Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.
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Glattacker
D000328:Adult; D000368:Aged; D001416:Back Pain / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation*; D059350:Chronic Pain / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation*; D003299:Cooperative Behavior; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010347:Patient Care Planning / Q000706:statistics & numerical data*; D010358:Patient Participation / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D015995:Prevalence; D016896:Treatment Outcome; D055815:Young Adult