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| Name | Class |
|---|---|
| Haugesund Rheumatism Hosptial AS | UNKNOWN |
| Betanien Hospital | OTHER |
| Vikersund Rehabilitation Center AS | UNKNOWN |
| Meråker Rehabilitation Center |
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The main aim of this multicentre cohort study is to provide evidence that can be used to improve continuity and quality in rehabilitation practice and rehabilitation processes across health care levels for patients with rheumatic and musculoskeletal diseases (RMDs).
There is an urgent need to develop rehabilitation trajectories that ensure coordination and communication between health care levels, support of self-management and self-monitoring, and follow-up tailored to patients' needs. Such trajectories should be based on evidence from current practice. The "Rehabilitation trajectories" project will systematically explore and describe current practice of planned and implemented follow-up and self-management strategies in primary health care during the first year after rehabilitation for patients with musculoskeletal diseases. Further, a newly developed core set of PROMs designed for evaluation of rehabilitation in RMDs and a self-monitoring web-based system will be tested for feasibility. Knowledge of patients' experiences and use of this self-monitoring system as a self-management and communication tool is needed in order to improve and integrate such e-technology in future care.
The Rehabilitation Trajectory study is a multi-centre study, led by the National Unit on Rehabilitation in Rheumatology and including participants at four rheumatology hospital departments and five specialized rehabilitation institutions. Participants will thus be included from all four health regions in Norway.
The study has five points of assessment. In an electronic portal, delivered by CheckWare, patients will log in with their Bank ID and complete the core set of PROMs at admission, discharge, and 4, 8 and 12 months following discharge.
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| Measure | Description | Time Frame |
|---|---|---|
| Goal attainment | Goal attainment will be measures by the Patient Specific Functional Scale. Scale from 0 to 10, were 10 is the best score. Mean score is calculated from all activites scored. | One year |
| Measure | Description | Time Frame |
|---|---|---|
| Health-realted quality of life | Health-realted quality of life will be measured by the EQ5D | One year |
| Physical function | Physical function will be measured by the 30 seconds sit to stand test |
| Measure | Description | Time Frame |
|---|---|---|
| General Pain | Pain will be measured on a numeric rating scale (NRS). Pain is measured on a subjective scale from 0 to 10, were 0 is no pain and 10 is the worst pain. | One year |
| Fatigue | Fatigue will be measured on a numeric rating scale (NRS). Fatigue is measured on a subjective scale from 0 to 10, were 0 is no fatiuge and 10 is the worst abount of fatigue. |
Inclusion Criteria:
Exclusion Criteria:
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Patients with rheumatic and musculoskeletal diseases from Norway admitted to rehabilitation at one of the nine participating rehabilitation centres.
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| Name | Affiliation | Role |
|---|---|---|
| Tore K Kvien, PhD | Diakonhjemmet Hospital | Study Director |
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| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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| UNKNOWN |
| North Norway Rehabilitation Center | OTHER |
| UniCare Jeløy | UNKNOWN |
| Sorlandet Hospital HF | OTHER_GOV |
| Innlandet HF Konsvinger Hospital | UNKNOWN |
| Rehab Vest Rehabilitation Hospital | UNKNOWN |
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| One year |
| One year |
| Motivation for goal attainment | Motivation for goal attainment will be measured on a numeric rating scale (NRS). Motivation is measured on a subjective scale from 0 to 10, were 0 is no motviation and 10 is the best and highest motivation. | One year |
| Function in daily acitvities | Daily activities will be measured by the Hannover Functional Ability Questionnair | One year |
| Coping | Coping will be measures by the Effective Musculoskeletal Consumer Scale. The scale goes from 0 to 4, were 0 stated "never" and 4 states "always". | One year |
| Mental health | Mental health will be measured by the Hopkins Symptoms Checklist | One year |
| Participation | Participation will be measured by the participation scale in COOP/WONKA | One year |