[The Impact of 2 Interventions on Implementation Fidelity of a Standardized Back School Program in Inpatient Orthopedic Rehabilitation Facilities].
OBJECTIVE
Evaluation of the effectiveness of 2 implementation interventions - train-the-trainer workshops (TTT) and written implementation guideline (GL) - in terms of implementation fidelity of a back-training school within inpatient orthopedic rehabilitation.


METHODS
An implementation trial was conducted using a mixed-methods approach for outcome evaluation in 10 rehabilitation clinics randomly assigned to the interventions. Data were assessed by questionnaires and observation forms.


RESULTS
Trainers in the TTT condition, as compared to trainers in the GL condition, rated both their patient-oriented back school practice (d=1.37) and achievement of manual-based educational goals (W=0.18) significantly higher. Patients in the TTT condition showed significantly higher treatment satisfaction compared to patients in the GL condition (d=0.44). There were no significant group effects regarding the observed fidelity.


CONCLUSIONS
An interactive TTT showed several benefits with regard to subjective outcomes compared to a written guideline.
Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg.
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Meng
Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg.
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Peters
Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg.
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Schultze
Institut für Sportwissenschaft und Sport, Arbeitsbereich Bewegung und Gesundheit, Universität Erlangen-Nürnberg.
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Pfeifer
Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg.
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Faller
D001416:Back Pain / Q000534:rehabilitation*; D005260:Female; D005858:Germany; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009985:Orthopedics / Q000193:education* / Q000592:standards*; D010044:Outpatient Clinics, Hospital / Q000592:standards*; D017410:Practice Guidelines as Topic; D012046:Rehabilitation / Q000193:education* / Q000592:standards; D012047:Rehabilitation Centers / Q000592:standards*; D016896:Treatment Outcome