Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Oct;15(5):1369-1382.
doi: 10.1007/s41999-024-01027-5. Epub 2024 Jul 31.

The role of patient-related factors in the implementation of a multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): a qualitative process evaluation

Leonie Maier  1 , Petra Benzinger  2 , Bastian Abel  3 , Patrick Roigk  3 , Martin Bongartz  2 , Isabel Wirth  4 , Ingeborg Cuvelier  4 , Sabine Schölch  5 , Gisela Büchele  6 , Oliver Deuster  7 , Jürgen Bauer  2 , Kilian Rapp  3 , Charlotte Ullrich  8 , Michel Wensing  8   9 , Catharina Roth  8
Affiliations

The role of patient-related factors in the implementation of a multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): a qualitative process evaluation

Leonie Maier et al. Eur Geriatr Med. 2024 Oct.

Abstract

Background: Structured aftercare programs are implemented to facilitate the transition from rehabilitation centers to patients' home environments. Taking the program GeRas as an example, this paper aims to evaluate the influence of patient-related factors on the implementation of the geriatric aftercare program GeRas from patients' and providers' perspectives.

Methods: To capture patients' and providers' perspectives, qualitative interviews were conducted using a semi-structured interview guide. The analysis was inductive-deductive and based on the thematic analysis by Braun and Clarke and guided by Domain IV of the CFIR.

Results: 16 participants (10 patients, 4 providers, 2 family members) were interviewed from May 2023 to November 2023. Patient-related factors were perceived as an important aspect during the implementation of the GeRas program. The results were allocated to the four Constructs of Domain IV of the CFIR (Motivation, Opportunity, Capability, Needs). Especially patients' intrinsic motivation, social environment, and physical capabilities seemed to be crucial for successful implementation. While extrinsic motivation can mitigate missing personal capabilities, it cannot replace the presence of intrinsic motivation and capabilities. The results showed that patient-related factors are interlinked.

Discussion/conclusion: The relevance of patient-related factors during the implementation of the GeRas program shows that such programs must consider these factors during intervention planning.

Keywords: CFIR; Geriatric rehabilitation; Patient-related factors; Post in-house rehabilitation intervention.

PubMed Disclaimer

Conflict of interest statement

Declarations. Conflict of interest: The authors declare that they have no competing interests. Ethical approval and consent to participate: The study protocol has been approved by two different ethics committees, as different ethics committees have been responsible for each of the study sites. The Ethics Committee of the Medical Faculty of Heidelberg University approved the study protocol for the consortium-leading study site AGAPLESION BETHANIEN HOSPITAL HEIDELBERG (approval # S-395/2022), whereas the Ethics Committee of the State Medical Association Baden-Wurttemberg has approved the study protocol for the study sites Robert-Bosch-Hospital Stuttgart and ViDia Christian Clinics Karlsruhe (approval # B-F-2022-057). All procedures in this study involving human participants are in accordance with the recent version of the Declaration of Helsinki. All participants are covered by an insurance while participating in the study. Substantial amendments to the protocol are submitted for approval to the ethical committees and communicated to the trial registry. Written informed consent for audio recording the interviews was provided prior to the interview by participants.

Figures

Fig. 1
Fig. 1
Main themes and subthemes that emerged from the analysis (Fig. 1 shows the four deductively derived main themes (white boxes); gray boxes show subthemes within the four main themes and inductively created codes within brackets)
Fig. 2
Fig. 2
Subthemes within the main theme “Motivation”
Fig. 3
Fig. 3
Subthemes within the main theme “Opportunity”
Fig. 4
Fig. 4
Subthemes within the main theme “Capabilities”
Fig. 5
Fig. 5
Subthemes within the main theme “Needs”
See this image and copyright information in PMC

References

    1. Klauber J, Wasem J, Beivers A, Mostert C (eds) (2021) Krankenhaus-Report 2021: Versorgungsketten—Der Patient im Mittelpunkt, 1st edn. Springer Berlin, Berlin, p 523
    1. Abel B, Bongartz M, Rapp K et al (2024) Multimodal home-based rehabilitation intervention after discharge from inpatient geriatric rehabilitation (GeRas): study protocol for a multicenter randomized controlled trial. BMC Geriatr 24:69. 10.1186/s12877-023-04634-2 - DOI - PMC - PubMed
    1. Eckert T, Bongartz M, Ullrich P et al (2020) Promoting physical activity in geriatric patients with cognitive impairment after discharge from ward-rehabilitation: a feasibility study. Eur J Ageing 17:309–320. 10.1007/s10433-020-00555-w - DOI - PMC - PubMed
    1. Geraedts M, Bierbaum T, Gröne O et al (2022) Methoden und Indikatorensets für die Evaluation regionaler sektorverbindender Versorgungsmodelle. Gesundheitswesen 84:484–488. 10.1055/a-1824-1627 - DOI
    1. Seger W, Cibis W, Deventer A et al (2018) Die Zukunft der medizinisch-rehabilitativen Versorgung im Kontext der Multimorbidität – Teil II: Strukturelle Voraussetzungen und Anforderungen an das rehabilitative Versorgungssystem [Future Trends in Medical Rehabilitation in the Context of Multimorbidity—Part II: Structural Requirements to Manage an Appropriate Rehabilitative Healthcare]. Gesundheitswesen 80:105–112. 10.1055/s-0042-108441 - DOI - PubMed