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[The Impact of 2 Interventions on Implementation Fidelity of a Standardized Back School Program in Inpatient
K Meng1, S Peters1, A Schultze1
1Abteilung für Medizinische Psychologie, Medizinische Soziologie und Rehabilitationswissenschaften, Universität Würzburg.
Study 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.