Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
381 participants
INTERVENTIONAL
2017-08-15
2019-08-30
Brief Summary
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Detailed Description
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This trial is a collaborative project between eight centres across Norway, investigating whether a new program aimed at bridging gaps in rehabilitation across levels of care increase and/or prolong the effect of rehabilitation for people with rheumatic and musculoskeletal diseases. Additionally, we will use a newly developed set of quality indicators to monitor and compare the quality of rehabilitation across different centres, and explore relationships between adherence to structure and process indicators and the outcomes of rehabilitation.
The effects will be evaluated in a multi-centre stepped wedge randomized controlled trial, where participating centres switch from control (current rehabilitation program) to intervention phase (adding the BRIDGE program to the current program) in a randomized order. Primary outcome is goal attainment after seven months, and secondary outcomes are health related quality of life and function.
The results will give insight in the content and organisation of current rehabilitation programs, what follow-up people want and receive in primary care, their planned and completed efforts to implement and maintain life style changes, and predictors for improvement following rehabilitation in specialist health care. Results will also have consequences on how rehabilitation is to be organized in the future regarding follow-up and coordination across levels of care.
The study has been developed in close collaboration with patient research partners, clinicians and international experts, who will also contribute in the process of integrating study results in clinical practice.
Conditions
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Study Design
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RANDOMIZED
SEQUENTIAL
The stepped wedge design is suitable for a phased evaluation approach, where it is difficult to deliver two parallel interventions.
TREATMENT
SINGLE
Study Groups
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Current rehabilitation program
The control group will receive the rehabilitation program currently provided at each participating centre at the start of the study.
Current rehabilitation
The control group will receive the rehabilitation currently offered at each of the participating centers.
BRIDGE rehabilitation program
In intervention phase, the BRIDGE program will be added to the current program.
The BRIDGE program
The experimental group will additionally receive the BRIDGE program, which comprises motivational interviewing, structured goal-setting, tailored follow-up, plans for self-management, and individualised written feedback that participants can use to monitor their progress and share with important care givers.
Interventions
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Current rehabilitation
The control group will receive the rehabilitation currently offered at each of the participating centers.
The BRIDGE program
The experimental group will additionally receive the BRIDGE program, which comprises motivational interviewing, structured goal-setting, tailored follow-up, plans for self-management, and individualised written feedback that participants can use to monitor their progress and share with important care givers.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
100 Years
ALL
No
Sponsors
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Sørlandet Hospital
UNKNOWN
Vikersund Rehabilitation Centre
UNKNOWN
Muritunet Rehabilitation Centre
UNKNOWN
Valnesfjord Rehabilitation Centre
UNKNOWN
Meråker Rehabilitation Centre
UNKNOWN
Rehab Vest Rehabilitation Centre
UNKNOWN
Lillehammer Rheumatism Hospital
UNKNOWN
Haugesund Rheumatism Hospital
OTHER
National Resource Center for Rehabilitation in Rheumatology
OTHER
Responsible Party
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Ingvild Kjeken
Professor
Principal Investigators
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Tore K Kvien, PhD
Role: STUDY_DIRECTOR
Diakonhjemmet Hospital
Locations
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Valnesfjord Rehabilitation Centre
Valnesfjord, Valnesfjord, Norway
Sørlandet Hospital
Arendal, , Norway
Haugesund Rheumatism Hospital
Haugesund, , Norway
Rehabilitering Vest
Haugesund, , Norway
Lillehammer Rheumatism Hospital
Lillehammer, , Norway
Meråker rehabilitation centre
Meråker, , Norway
Muritunet Rehabilitation Centre
Valldal, , Norway
Vikersund Rehabilitation Centre
Vikersund, , Norway
Countries
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References
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Sand-Svartrud AL, Berdal G, Azimi M, Bo I, Dager TN, Eppeland SG, Fredheim GO, Hagland AS, Klokkeide A, Linge AD, Sexton J, Tennebo K, Valaas HL, Mjosund K, Dagfinrud H, Kjeken I. Associations between quality of health care and clinical outcomes in patients with rheumatic and musculoskeletal diseases: a rehabilitation cohort study. BMC Musculoskelet Disord. 2022 Apr 15;23(1):357. doi: 10.1186/s12891-022-05271-3.
Sand-Svartrud AL, Berdal G, Azimi M, Bo I, Dager TN, Eppeland SG, Fredheim GO, Hagland AS, Klokkeide A, Linge AD, Tennebo K, Valaas HL, Aasvold AM, Dagfinrud H, Kjeken I. A quality indicator set for rehabilitation services for people with rheumatic and musculoskeletal diseases demonstrates adequate responsiveness in a pre-post evaluation. BMC Health Serv Res. 2021 Feb 20;21(1):164. doi: 10.1186/s12913-021-06164-2.
Other Identifiers
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Project nr 97033
Identifier Type: -
Identifier Source: org_study_id
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