Developing an evidence-based prehabilitation programme designed to improve functional outcomes after lumbar fusion surgery-A feasibility study using the Medical Research Council framework

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Fältnamn	Indikatorer	Metadata
000		04204naa a2200577 4500
001		oai:gup.ub.gu.se/291081
003		SwePub
008		240910s2020 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://gup.ub.gu.se/publication/2910812 URI
024	7	a https://doi.org/10.1080/21679169.2018.15539992 DOI
040		a (SwePub)gu
041		a eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Lotzke, Hannau Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xlotha
245	1 0	a Developing an evidence-based prehabilitation programme designed to improve functional outcomes after lumbar fusion surgery-A feasibility study using the Medical Research Council framework
264		c 2019-03-25
264	1	b Informa UK Limited,c 2020
520		a Purpose: A prehabilitation phase is suggested as the ideal way to prepare patients for optimal outcomes from surgery. Our aim was to describe the lessons we learned from developing PREPARE, an evidence-based prehabilitation programme based on a cognitive behavioural approach designed to improve functional outcomes after lumbar fusion surgery. Methods: We used the Medical Research Council (MRC) framework approach for developing and designing a complex intervention, specifically the two phases; 'Development' and 'Feasibility and Piloting'. Various aspects of treatment fidelity were evaluated during the phase 'Feasibility and Piloting'. As part of the feasibility element, a pilot Single Subject Research Design study was performed. Eleven patients awaiting lumbar fusion surgery participated in the study. We evaluated in particular the use and application of outcome measures. Results: Significant lessons were learned which we used to adjust the prehabilitation programme to better fit a surgical context. The original treatment manual was elaborated on, the outcome measures adjusted, and the content of the intervention altered. Finally, the PREPARE programme was published in the form of a study protocol. Conclusions: There are significant lessons to be learned from testing a study protocol before it is implemented in a large-scale randomised controlled trial (RCT).
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Sjukgymnastik0 (SwePub)303072 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Physiotherapy0 (SwePub)303072 hsv//eng
653		a Prehabilitation
653		a spinal fusion surgery
653		a physiotherapy
653		a cognitive
653		a behavioural approach
653		a person-centred
653		a chronic low back pain
653		a physical
653		a activity
653		a low-back-pain
653		a exposure in-vivo
653		a chronic musculoskeletal pain
653		a fear-avoidance
653		a disability
653		a kinesiophobia
653		a intervention
653		a prevention
653		a reduction
653		a quality
653		a Rehabilitation
700	1	a Gutke, Annelieu Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation4 aut0 (Swepub:gu)xgutan
700	1	a den Hollander, M.4 aut
700	1	a Smeets, R.4 aut
700	1	a Lundberg, Mari,d 1969u Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation4 aut0 (Swepub:gu)xlmarl
710	2	a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för ortopedi4 org
773	0	t European Journal of Physiotherapyd : Informa UK Limitedg 22:1, s. 51-61q 22:1<51-61x 2167-9169x 2167-9177
856	4	u https://www.tandfonline.com/doi/pdf/10.1080/21679169.2018.1553999?needAccess=true
856	4 8	u https://gup.ub.gu.se/publication/291081
856	4 8	u https://doi.org/10.1080/21679169.2018.1553999

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Av författaren/redakt...: Lotzke, Hanna; Gutke, Annelie; den Hollander, M ...; Smeets, R.; Lundberg, Mari, ...

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