[Comparison of three outpatient therapy forms for treatment of XXXX -- findings of a multicentre, cluster randomized study].

@entity1 @entity1643 @entity6475 @entity98 @entity158 @entity11664
The AOK Baden-W  rttemberg health insurance fund initiated a study on the outpatient rehabilitation of @entity1 with @entity1643 , aimed at improving the treatment concept for its insurees with @entity1643 (START). This model project was scientifically guided by the Hochrhein-Institute in Bad S  ckingen. The paper compares the effectiveness of Enhanced Outpatient Physiotherapy (Erweiterte Ambulante Physiotherapie, @entity11664 ), Outpatient Rehabilitation (Ambulante Rehabilitation, AR) and Medical Training Therapy (Medizinische Trainingstherapie, @entity98 ) in @entity1 with @entity1643 . In seven regions in Baden-W  rttemberg, one of these three intervention forms was provided to the @entity1 . A total of 1,274 @entity1 were included in the study. The AOK Baden-W  rttemberg @entity1 receiving treatment in one of the three intervention forms were seriously restricted in both the physical dimension of their health status and in their physical mobility in everyday life and at the workplace. Besides, they frequently reported considerable @entity6475 . The three interventions led to significant and relevant decreases in @entity158 intensity and to an improved health-related quality of life. There were no significant differences between the various treatments in terms of effectiveness. The @entity1 shared an equally high satisfaction with the treatment received. In @entity98 , the total therapy length of 15 weeks was by far longer than in AR and @entity11664 (about 5 and 8 weeks). Unlike AR and, in parts, @entity11664 , @entity1 may continue to work while participating in @entity98 . Therefore an immediate therapy start within a week was more likely possible in @entity98 (59 %) than in AR (10 %) or @entity11664 (23 %). In evaluating the results a number of restrictions have to be considered. Nevertheless, based on our research findings, the following can be concluded: @entity98 is a suitable therapy concept in @entity1 with @entity1643 characterized by a rapid start and-- compared to the other two concepts-- by lower therapy costs. @entity98 might represent a meaningful therapy element also in new forms of provision such as integrated services. @entity1 showing severe @entity6475 should be assigned to an interdisciplinary therapy as it is provided by inpatient and outpatient rehabilitation facilities. For effective differential assignment to the various programmes, realization of a standardized rehab assessment is an important precondition.
