Development of a Physiotherapist-Coordinated Interdisciplinary Rehabilitation Intervention for People with Suspected Axial Spondyloarthritis : The SPINCODE Rehabilitation Intervention
(2024) In Journal of Clinical Medicine 13(22).- Abstract
Background: People with early axial spondyloarthritis experience a diagnostic delay and a similar disease burden as people with axial spondyloarthritis at a later stage of the disease. In many European countries, patients with early axial spondyloarthritis do not have access to an interdisciplinary rehabilitation team. The objective of this study was to develop a new evidence-based physiotherapist-coordinated interdisciplinary rehabilitation intervention for individuals suspected of axial spondyloarthritis. This development of the rehabilitation intervention is part of the SPINCODE project which focusses on early diagnosis and treatment for people with axial spondyloarthritis. Methods: The development of the intervention encompasses:... (More)
Background: People with early axial spondyloarthritis experience a diagnostic delay and a similar disease burden as people with axial spondyloarthritis at a later stage of the disease. In many European countries, patients with early axial spondyloarthritis do not have access to an interdisciplinary rehabilitation team. The objective of this study was to develop a new evidence-based physiotherapist-coordinated interdisciplinary rehabilitation intervention for individuals suspected of axial spondyloarthritis. This development of the rehabilitation intervention is part of the SPINCODE project which focusses on early diagnosis and treatment for people with axial spondyloarthritis. Methods: The development of the intervention encompasses: (i) identifying the evidence base and program theories; (ii) modeling and remodeling the intervention; and (iii) describing the developed intervention. Results: The six-month SPINCODE rehabilitation intervention is a physiotherapist-coordinated, interdisciplinary, outpatient rehabilitation intervention at a specialized rheumatology hospital. The intervention consists of: (i) individual physiotherapist-coordinated consultations with assessment, goal setting, tailored physical activity support, and the defined goals, and coordination across the interdisciplinary team at the hospital and across primary and secondary healthcare levels; (ii) group sessions, encompassing patient education and peer support; and (iii) optional individual support from the interdisciplinary team. Physiotherapists from private care working with the patient enrolled in the SPINCODE study are offered digital support from the hospital-based physiotherapists. Conclusions: The developed physiotherapist-led interdisciplinary SPINCODE rehabilitation intervention is ready for feasibility testing.
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- author
- Knak, Kirsten Lykke ; Primdahl, Jette ; Kröber, Georg ; Fongen, Camilla ; Graversgaard, John and Bremander, Ann LU
- organization
- publishing date
- 2024-11
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- coherence, complex intervention, Focused Acceptance and Commitment Therapy, low back pain, multi-disciplinary, outpatient rehabilitation, patient-centered care, self-management
- in
- Journal of Clinical Medicine
- volume
- 13
- issue
- 22
- article number
- 6830
- publisher
- MDPI AG
- external identifiers
-
- pmid:39597975
- scopus:85210416514
- ISSN
- 2077-0383
- DOI
- 10.3390/jcm13226830
- language
- English
- LU publication?
- yes
- additional info
- Publisher Copyright: © 2024 by the authors.
- id
- 8c567030-9738-4d7e-b16b-35b45f0543b8
- date added to LUP
- 2025-01-15 10:01:43
- date last changed
- 2025-06-18 22:04:48
@article{8c567030-9738-4d7e-b16b-35b45f0543b8,
abstract = {{<p>Background: People with early axial spondyloarthritis experience a diagnostic delay and a similar disease burden as people with axial spondyloarthritis at a later stage of the disease. In many European countries, patients with early axial spondyloarthritis do not have access to an interdisciplinary rehabilitation team. The objective of this study was to develop a new evidence-based physiotherapist-coordinated interdisciplinary rehabilitation intervention for individuals suspected of axial spondyloarthritis. This development of the rehabilitation intervention is part of the SPINCODE project which focusses on early diagnosis and treatment for people with axial spondyloarthritis. Methods: The development of the intervention encompasses: (i) identifying the evidence base and program theories; (ii) modeling and remodeling the intervention; and (iii) describing the developed intervention. Results: The six-month SPINCODE rehabilitation intervention is a physiotherapist-coordinated, interdisciplinary, outpatient rehabilitation intervention at a specialized rheumatology hospital. The intervention consists of: (i) individual physiotherapist-coordinated consultations with assessment, goal setting, tailored physical activity support, and the defined goals, and coordination across the interdisciplinary team at the hospital and across primary and secondary healthcare levels; (ii) group sessions, encompassing patient education and peer support; and (iii) optional individual support from the interdisciplinary team. Physiotherapists from private care working with the patient enrolled in the SPINCODE study are offered digital support from the hospital-based physiotherapists. Conclusions: The developed physiotherapist-led interdisciplinary SPINCODE rehabilitation intervention is ready for feasibility testing.</p>}},
author = {{Knak, Kirsten Lykke and Primdahl, Jette and Kröber, Georg and Fongen, Camilla and Graversgaard, John and Bremander, Ann}},
issn = {{2077-0383}},
keywords = {{coherence; complex intervention; Focused Acceptance and Commitment Therapy; low back pain; multi-disciplinary; outpatient rehabilitation; patient-centered care; self-management}},
language = {{eng}},
number = {{22}},
publisher = {{MDPI AG}},
series = {{Journal of Clinical Medicine}},
title = {{Development of a Physiotherapist-Coordinated Interdisciplinary Rehabilitation Intervention for People with Suspected Axial Spondyloarthritis : The SPINCODE Rehabilitation Intervention}},
url = {{http://dx.doi.org/10.3390/jcm13226830}},
doi = {{10.3390/jcm13226830}},
volume = {{13}},
year = {{2024}},
}