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Introduction <p>Since rehabilitation programs often do not enhance long-term physical activity in persons with a health condition, there is a great need to arrange rehabilitation concepts towards a stronger emphasis on sustainable physical activity promotion. In this regard, the model of physical activity-related health competence (PAHCO) offers the potential for optimizing physical activity promotion. In the context of medical rehabilitation, the STABEKO study uses a co-creation approach to modify existing exercise and physical therapy according to PAHCO and long-term physical activity promotion in three rehabilitation centers in Bavaria, Germany. The objectives of the STABEKO study are A) to evaluate the implementation of modified exercise and physical therapy and to identify influencing factors for development and implementation, and B) to determine the short- and long-term effectiveness of the modified therapy on PAHCO and physical activity of the persons undergoing rehabilitation.</p> Methods <p>As part of the STABEKO study, we will use cooperative planning as a co-creation approach for planning, developing, and implementing actions to modify exercise and physical therapy by engaging relevant actors from practice, policy, and research in an equal decision-making process. Within a multicenter controlled hybrid type 2 effectiveness-implementation study, we will simultaneously evaluate the effectiveness and implementation of modified exercise and physical therapy by collecting, analyzing, and triangulating qualitative and quantitative data at several measurement time points.</p> Discussion <p>The STABEKO study will provide comprehensive insights into the implementation and effectiveness of exercise and physical therapy in medical rehabilitation, modified using a co-creation approach to promote long-term physical activity of persons undergoing rehabilitation. While the implementation study will indicate which modifications could be achieved and which factors have influenced their development and implementation, the effectiveness study will investigate whether modified exercise and physical therapy lead to changes in PAHCO and physical activity in persons undergoing rehabilitation. The results of this study will determine the dissemination of long-term physical activity promotion in the German rehabilitation sector and will provide important information for modifying existing therapeutic concepts to improve their effectiveness and implementation at an international level.</p> Trial registration <p>The study was registered on the Open Science Framework on July 8 2024: <a href="https://doi.org/10.17605/OSF.IO/2N8UM">https://doi.org/10.17605/OSF.IO/2N8UM</a> and <a href="https://doi.org/10.17605/OSF.IO/J3KR2">https://doi.org/10.17605/OSF.IO/J3KR2</a>.</p>

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Modifying exercise and physical therapy in medical rehabilitation to promote a physically active lifestyle: Protocol for a multicenter controlled hybrid type 2 effectiveness-implementation study in three German rehabilitation centers

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月28日

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  • Eva Grüne,
  • Johannes Carl,
  • Wolfgang Geidl,
  • Johanna Popp,
  • David Victor Fiedler,
  • Natalie Boss,
  • Regina Brinkmann,
  • Juliane von dem Bussche,
  • Gabi Eichner,
  • Kathrin Kleinert,
  • Christoph Löhr,
  • Florian Mex,
  • Paul Schwanitz von Keitz,
  • Till Richter,
  • Joachim Schmidt,
  • Rainer Tischendorf,
  • Gorden Sudeck,
  • Klaus Pfeifer

摘要

Introduction

Since rehabilitation programs often do not enhance long-term physical activity in persons with a health condition, there is a great need to arrange rehabilitation concepts towards a stronger emphasis on sustainable physical activity promotion. In this regard, the model of physical activity-related health competence (PAHCO) offers the potential for optimizing physical activity promotion. In the context of medical rehabilitation, the STABEKO study uses a co-creation approach to modify existing exercise and physical therapy according to PAHCO and long-term physical activity promotion in three rehabilitation centers in Bavaria, Germany. The objectives of the STABEKO study are A) to evaluate the implementation of modified exercise and physical therapy and to identify influencing factors for development and implementation, and B) to determine the short- and long-term effectiveness of the modified therapy on PAHCO and physical activity of the persons undergoing rehabilitation.

Methods

As part of the STABEKO study, we will use cooperative planning as a co-creation approach for planning, developing, and implementing actions to modify exercise and physical therapy by engaging relevant actors from practice, policy, and research in an equal decision-making process. Within a multicenter controlled hybrid type 2 effectiveness-implementation study, we will simultaneously evaluate the effectiveness and implementation of modified exercise and physical therapy by collecting, analyzing, and triangulating qualitative and quantitative data at several measurement time points.

Discussion

The STABEKO study will provide comprehensive insights into the implementation and effectiveness of exercise and physical therapy in medical rehabilitation, modified using a co-creation approach to promote long-term physical activity of persons undergoing rehabilitation. While the implementation study will indicate which modifications could be achieved and which factors have influenced their development and implementation, the effectiveness study will investigate whether modified exercise and physical therapy lead to changes in PAHCO and physical activity in persons undergoing rehabilitation. The results of this study will determine the dissemination of long-term physical activity promotion in the German rehabilitation sector and will provide important information for modifying existing therapeutic concepts to improve their effectiveness and implementation at an international level.

Trial registration

The study was registered on the Open Science Framework on July 8 2024: https://doi.org/10.17605/OSF.IO/2N8UM and https://doi.org/10.17605/OSF.IO/J3KR2.