Zeitschrift fur Gerontologie und Geriatrie · 2026
[From clinical practice to interventional study : Adaptation of a local approach to therapeutic and rehabilitative care to a complex intervention in the "SGB Reha" project].
Аннотация на английскомСтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Desch Anke K, Häusler Andreas, Förstner Bernd R, Deeken Friederike, Artmann Jörg, Altin Sibel, Dierbach Oskar, Boutmans Charlotte, Beckmann Olaf, Schleich Laura, Nitzschke Nikola, Siegert Sarah, Hommel Aileen, Schroth Jennifer, Du Manuel, Mierzwa Nora, Gradel Björn, Hauptmann Michael, Rapp Michael, Holmberg Christine
Аннотация
BACKGROUND: Therapeutic-rehabilitative care aims to promote the independence, quality of life and social participation of people in need of care through multiprofessional collaboration and therapeutic interventions. Transforming practice-based concepts into interventions that can be scientifically evaluated requires an understanding of their mechanisms of action and the necessary adaptations to new care contexts.
OBJECTIVE: This paper reconstructs the transformation process of a therapeutic-rehabilitative care concept into the intervention of the project "SGB Reha". The goal is to provide a clear account of the adaptations made during this process.
METHODS: The basis for the intervention concept was a theory of change model which was further refined in collaboration with stakeholders through a participatory and iterative process. Requirements regarding implementability, evaluability and contextual conditions, were taken into account.
RESULTS: Additional resources, frequency and design of measures were adjusted, while central mechanisms of action were retained and made explicit in the action model. The development process illustrates the necessary balance between standardization and context-sensitive adaptation.
DISCUSSION: The transition of a care concept to an evaluable intervention was an iterative transformation process. The action model supported the systematic adaptation and made assumptions, mechanisms of action, and adjustments transparent.
CONCLUSION: The development of complex interventions requires a balance between preserving core principles of effectiveness and adapting them to new contexts. The experiences from SGB Reha demonstrate how a practice-based concept can be transformed in a theory-guided manner into a scientifically evaluable intervention.
OBJECTIVE: This paper reconstructs the transformation process of a therapeutic-rehabilitative care concept into the intervention of the project "SGB Reha". The goal is to provide a clear account of the adaptations made during this process.
METHODS: The basis for the intervention concept was a theory of change model which was further refined in collaboration with stakeholders through a participatory and iterative process. Requirements regarding implementability, evaluability and contextual conditions, were taken into account.
RESULTS: Additional resources, frequency and design of measures were adjusted, while central mechanisms of action were retained and made explicit in the action model. The development process illustrates the necessary balance between standardization and context-sensitive adaptation.
DISCUSSION: The transition of a care concept to an evaluable intervention was an iterative transformation process. The action model supported the systematic adaptation and made assumptions, mechanisms of action, and adjustments transparent.
CONCLUSION: The development of complex interventions requires a balance between preserving core principles of effectiveness and adapting them to new contexts. The experiences from SGB Reha demonstrate how a practice-based concept can be transformed in a theory-guided manner into a scientifically evaluable intervention.