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Dr. Karin Meng (Project-lead)

Universität Würzburg

Abteilung Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften
Klinikstraße 3

97070 Würzburg

Tel.: 0931-31-82074


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Patient-oriented training practice in orthopaedic rehabilitation through dissemination of an evaluated training program

Dr. Karin Meng, Dipl.-Psych. Anja Schultze, Prof. Dr. Dr. Hermann Faller.

Universität Würzburg, Arbeitsbereich Rehabilitationswissenschaften


in cooperation with:

Prof. Dr. Klaus Pfeifer, Stefan Peters. Universität Erlangen-Nürnberg, Institut für Sportwissenschaft

Prof. Dr. Jürgen Wasem, Dr. Dr. Anja Neumann. Universität Duisburg-Essen, Lehrstuhl für Medizinmanagement


Funding period: 01.01.2011 – 31.12.2013



An approach to foster a patient-oriented training practice in medical rehabilitation is the dissemination of evaluated training programs. Studies show that their implementation represents a challenge for routine clinical practice and is frequently not entirely successful. Programs are only partially implemented or modified, which calls their effectiveness in routine practice into question. Studies on the comparison of implementation strategies and on proving the effectiveness in routine application are largely lacking for training programs in medical rehabilitation.


With the Curriculum Back School, a patient-oriented standardised training program is available which has proven to be effective in a randomised control group study ( A dissemination in orthopaedic rehabilitation clinics can be recommended.


Aims and research questions

The aim of the project is to (A) check the effectiveness and costs of implementation strategies for the dissemination of a training program "Curriculum Back School" (implementation effectiveness) and (B) evaluate the training effectiveness in routine application (effectiveness) in terms of a patient-oriented training practice, the patient outcome as well as the cost effectiveness (efficiency).


Main research questions: (A) With which implementation strategy – train-the-trainer seminar or implementation guidelines on the manual – can a better implementation of the training be achieved regarding contents and patient-oriented didactics as well as a higher patient satisfaction? (B) After a dissemination of a standard training in routine practice, can better training effects be achieved after the rehabilitation in the short, medium and long term?


Study design/Methods

Effectiveness study (B) with integrated dissemination study (A)

(A) Dissemination study in 10 rehab clinics (approx. 130 trainers, 300 patients, 30 training programs) with quantitative and qualitative structural and needs analysis, process and outcome research).


(B) Multi-centre quasi-experimental control group study with 4 measurement time points (beginning of rehab, end of rehab, 6-month and 12-month follow-up) and 540 back pain patients (healing process; ICD-10: M51, M53, M54) from 4 of the 10 clinics.




Cooperating clinics

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