Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design, Participants, Setting, and Data Collection
2.2. Variables
2.3. Statistics
2.4. Ethics
2.5. Patient Research Partner Involvement
3. Results
3.1. Patient Involvement in the Rehabilitation Process
3.2. Associations between Patient Characteristics and Involvement in Goal-Setting
3.3. Associations between Involvement in Goal-Setting and Improvements in Functioning
3.4. Associations between Patient Characteristics, Involvement in the Rehabilitation Process, and Goal Attainment
4. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Women, n, % | 1470 | 70 |
Age, years, mean, SD | 53.5 | 13.5 |
Living with partner, n, % | 1080 | 58 |
Higher education ≥ 12 years, n, % | 1035 | 49 |
Full-time paid work, n, % | 620 | 29 |
Part-time paid work, n, % | 432 | 20 |
Not in paid work, n, % | 789 | 43 |
Pain ≥ 3 months, n, % | 1418 | 92 |
RMDs *, n, % | 1117 | 53 |
Lifestyle disease, n, % | 235 | 11 |
Neurological injuries and diseases, n, % | 270 | 10 |
Other diseases or injuries, n, % | 491 | 23 |
Actively Involved in Goal-Setting n = 2007/95% | Actively Involved in Preparing the Rehab Plan n = 1666/79% | Participated in at Least Two Meetings n = 774/84% | Relatives Invited to Participate in Meetings n = 478/23% | External Professionals Invited to Participate in Meetings n = 391/19% | |
---|---|---|---|---|---|
% | % | % | % | % | |
Male | 92 | 77 | 84 | 27 | 22 |
Female | 96 | 80 | 84 | 21 | 17 |
≥18–39 yrs. | 96 | 84 | 93 | 34 | 26 |
40–49 yrs. | 97 | 84 | 87 | 26 | 25 |
50–59 yrs. | 96 | 84 | 87 | 22 | 19 |
60–69 yrs. | 95 | 75 | 81 | 18 | 11 |
70–>80 yrs. | 89 | 61 | 68 | 10 | 6 |
Single | 95 | 76 | 84 | 19 | 18 |
Living with partner | 95 | 81 | 84 | 24 | 18 |
Higher education ≥ 12 Years | 95 | 79 | 86 | 22 | 19 |
Education ˂ 12 years | 96 | 80 | 82 | 22 | 16 |
Full-time paid work | 96 | 81 | 87 | 20 | 16 |
Part-time paid work | 96 | 83 | 84 | 26 | 23 |
Not in paid work | 93 | 76 | 82 | 21 | 17 |
Pain ˂ 3 months | 92 | 71 | 73 | 22 | 13 |
Pain ≥ 3 months | 95 | 79 | 86 | 21 | 19 |
RMDs * | 95 | 78 | 83 | 18 | 18 |
Lifestyle disease | 95 | 83 | 88 | 24 | 14 |
Neurological injuries and diseases | 94 | 75 | 82 | 30 | 19 |
Other diseases or injuries | 95 | 82 | 86 | 29 | 22 |
95% CI for OR | ||||
---|---|---|---|---|
OR | Lower | Upper | p-Value | |
Sex, women ref men | 1.87 | 1.15 | 3.02 | 0.01 |
Age | 0.97 | 0.95 | 0.99 | 0.004 |
Living with partner ref single | 0.95 | 0.59 | 1.53 | 0.85 |
Higher education ≥ 12 years ref˂12 months | 0.77 | 0.47 | 1.24 | 0.28 |
Part-time paid work ref not in work | 1.71 | 0.89 | 3.27 | 0.10 |
Full-time paid work ref not in work | 1.70 | 0.96 | 2.99 | 0.066 |
˂3 months of pain ref ≥3 months pain | 0.66 | 0.32 | 1.35 | 0.26 |
RMDs * ref other | 1.23 | 0.69 | 2.20 | 0.47 |
Lifestyle disease ref other | 1.00 | 0.41 | 2.46 | 0.99 |
Neurological diseases or injuries ref other | 1.11 | 0.48 | 2.57 | 0.79 |
95% CI for OR | ||||
---|---|---|---|---|
OR | Lower | Upper | p-Value | |
Sex, women ref men | 1.26 | 0.92 | 1.76 | 0.14 |
Age | 1.03 | 1.02 | 1.04 | <0.001 |
Living with partner ref single | 1.06 | 0.81 | 1.40 | 0.64 |
Higher education ≥ 12 years ref ˂ 12 months | 0.71 | 0.54 | 0.95 | 0.02 |
Work participation | ||||
Part-time paid work ref not in paid work | 1.20 | 0.85 | 1.69 | 0.28 |
Full-time paid work ref not in paid work | 1.34 | 0.97 | 1.85 | 0.74 |
˂3 months of pain ref ≥3 months of pain | 2.17 | 1.17 | 4.00 | 0.01 |
RMDs * ref other | 1.09 | 0.76 | 1.56 | 0.63 |
Neurological diseases ref other | 0.79 | 0.49 | 1.28 | 0.34 |
Lifestyle disease ref other | 4.93 | 2.35 | 10.35 | <0.001 |
Involvement in the rehabilitation process | ||||
Actively involved in goal-setting | 2.79 | 1.60 | 4.87 | <0.001 |
Actively involved in the rehab plan | 2.04 | 1.44 | 2.87 | <0.001 |
Participated in a minimum of two meetings | 1.25 | 0.84 | 1.84 | 0.25 |
Next of kin asked to participate in meetings | 1.22 | 0.84 | 1.77 | 0.29 |
External personnel asked to participate in meetings | 1.08 | 0.74 | 1.57 | 0.68 |
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Sagen, J.S.; Kjeken, I.; Habberstad, A.; Linge, A.D.; Simonsen, A.E.; Lyken, A.D.; Irgens, E.L.; Framstad, H.; Lyby, P.S.; Klokkerud, M.; et al. Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study. J. Clin. Med. 2024, 13, 320. https://doi.org/10.3390/jcm13020320
Sagen JS, Kjeken I, Habberstad A, Linge AD, Simonsen AE, Lyken AD, Irgens EL, Framstad H, Lyby PS, Klokkerud M, et al. Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study. Journal of Clinical Medicine. 2024; 13(2):320. https://doi.org/10.3390/jcm13020320
Chicago/Turabian StyleSagen, Joachim Støren, Ingvild Kjeken, Andreas Habberstad, Anita Dyb Linge, Ann Elisabeth Simonsen, Anne Dorte Lyken, Eirik Lind Irgens, Heidi Framstad, Peter Solvoll Lyby, Mari Klokkerud, and et al. 2024. "Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study" Journal of Clinical Medicine 13, no. 2: 320. https://doi.org/10.3390/jcm13020320
APA StyleSagen, J. S., Kjeken, I., Habberstad, A., Linge, A. D., Simonsen, A. E., Lyken, A. D., Irgens, E. L., Framstad, H., Lyby, P. S., Klokkerud, M., Dagfinrud, H., & Moe, R. H., on behalf of the RehabNytte Consortium. (2024). Patient Involvement in the Rehabilitation Process Is Associated with Improvement in Function and Goal Attainment: Results from an Explorative Longitudinal Study. Journal of Clinical Medicine, 13(2), 320. https://doi.org/10.3390/jcm13020320