Ettlin Lea, Rausch Osthoff Anne-Kathrin, Nast Irina, Niedermann Karin
Schools of Health Professions, Institute of Physiotherapy, Zurich University of Applied Sciences, Winterthur, Switzerland.
Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
Front Health Serv. 2021 Nov 16;1:760814. doi: 10.3389/frhs.2021.760814. eCollection 2021.
The aim of this study was to assess the applicability of six OARSI (Osteoarthritis Research Society International) approved exercise and education programmes for the conservative management of knee osteoarthritis to the Swiss health care system. The RE-AIM framework was used in this cross-sectional survey study to analyse the characteristics of the six exercise and education programmes. A survey was developed based on the RE-AIM dimensions, "Reach, Effectiveness, Adoption, Implementation, and Maintenance," for rating the applicability of the programmes (on a scale of 1 = "least applicable" to 10 = "most applicable"). Programme scores of ≥7 indicated applicability to the Swiss health care system. Nine selected physiotherapy experts for knee OA management in Switzerland were invited for the rating. The six programmes were rated by six of the nine invited research experts with mean scores of between 5.9 and 9.45. Four programmes scored 7 or more. These four programmes all included supervised exercise sessions and education with the goal that the participants understand the diagnosis and the management of OA. The two lower rated programmes focused on exercise counselling or weight reduction. The programme with the highest scores consists of exercise and education and scored higher than 7 in all RE-AIM dimensions. Therefore, this programme is most applicable to the Swiss health care system as only a few adaptations would be needed for its successful implementation.
本研究的目的是评估国际骨关节炎研究学会（OARSI）批准的六个用于膝关节骨关节炎保守治疗的运动和教育项目在瑞士医疗保健系统中的适用性。本横断面调查研究采用RE-AIM框架来分析这六个运动和教育项目的特点。基于RE-AIM维度“覆盖范围、有效性、采用率、实施情况和维持情况”设计了一项调查，用于对这些项目的适用性进行评分（评分范围为1 =“最不适用”至10 =“最适用”）。项目得分≥7表明适用于瑞士医疗保健系统。邀请了九位瑞士膝关节骨关节炎管理方面的物理治疗专家进行评分。九个受邀研究专家中的六位对这六个项目进行了评分，平均得分在5.9至9.45之间。四个项目得分7分或更高。这四个项目都包括有监督的运动课程和教育内容，目的是让参与者了解骨关节炎的诊断和管理。评分较低的两个项目侧重于运动咨询或减重。得分最高的项目包括运动和教育内容，在所有RE-AIM维度上得分均高于7分。因此，该项目最适用于瑞士医疗保健系统，因为只需进行一些调整就能成功实施。
