| Publication type: | Conference paper |
| Type of review: | Peer review (abstract) |
| Title: | The implementation of GLA:D programmes in Switzerland |
| Authors: | Benz, Thomas Niedermann Schneider, Karin Interessensgemeinschaft (IG) GLA:D |
| et. al: | No |
| Conference details: | IFOMPT 2024, Basel, Switzerland, 4-6 July 2024 |
| Issue Date: | Jul-2024 |
| Language: | English |
| Subject (DDC): | 615.82: Physical therapy 616.7: Diseases of musculoskeletal system and orthopaedics |
| Abstract: | Background: The gap between clinical guidelines and their application in clinical practice is reflected in the fact that not the recommended exercise and education, but still non-evidence-based interventions, such as passive modalities and surgery are used as first-line interventions in the management of HK-OA and LBP. GLA:D (Good Life with osteoArthritis in Denmark) translates the international guidelines for hip and knee osteoarthritis (HK-OA) and for persistent or recurrent low back pain (LBP) into standardized but individualized programmes (GLA:D-OA and GLA:D-Back). Purpose: Given the high prevalence of OA and LBP, the evidence-based GLA:D programmes should be implemented in clinical practice to overcome the evidence-performance gap. Methods: The three core elements of the GLA:D programmes have been systematically implemented internationally, and in Switzerland, GLA:D-HK-OA since 2019 and GLA:D-Back since 2021: 1) certification of physiotherapists (PTs) for uniform implementation; 2) training of the affected persons by the certified PTs in their institution: 4 individual sessions and 14 group sessions (2 patient education sessions and 12 supervised training sessions); 3) collection of all assessment and questionnaire data in a national registry at entry, after completion, after 6 months (LBP only) and after 1 year. The data are evaluated annually as part of the quality monitoring. Results: A total of 848 certified GLA:D-PTs for HK-OA and 402 PTs for LBP treated a total of 4662 HK-OA and 574 LBP patients in all three language regions in Switzerland in GLA:D courses. After the intervention, the 2462 KOA and 741 HOA patients with complete data showed improvements in pain of 24% and 23%, walking speed of 12% and 6%, quality of life of 22% and 16%, and pain medication use of 18% and 15%, respectively. Pain, function and quality of life remained substantially improved also after one year. The 300 LBP patients with complete data improved by 30% in pain intensity, 26% in pain medication consumption, 18% in physical function, and 20% in fear of physical activity. These improvements remained after 6 months. Conclusions: These evaluations showed that the standardized, individually adapted, and evidence-based GLA:D programme achieved substantial improvements immediately after participation in the programme and at 6 or 12 months. The number of participants is satisfactory, however more effort and systematic implementation strategies are necessary to further and successfully implement the GLA:D programmes in the Swiss health care system. Implications: The GLA:D programmes strengthen the importance of exercise and education in HK-OA and LBP and makes an important contribution to best practice. The expertise of PTs is increased by the GLA:D certification and strengthens evidence-based and high-quality physiotherapeutic care. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/31141 |
| Fulltext version: | Published version |
| License (according to publishing contract): | Licence according to publishing contract |
| Departement: | School of Health Sciences |
| Organisational Unit: | Institute of Physiotherapy (IPT) |
| Published as part of the ZHAW project: | GLAD Rücken Schweiz GLAD Arthrose Schweiz |
| Appears in collections: | Publikationen Gesundheit |
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Benz, T., Niedermann Schneider, K., & Interessensgemeinschaft (IG) GLA:D. (2024, July). The implementation of GLA:D programmes in Switzerland. IFOMPT 2024, Basel, Switzerland, 4-6 July 2024.
Benz, T., Niedermann Schneider, K. and Interessensgemeinschaft (IG) GLA:D (2024) ‘The implementation of GLA:D programmes in Switzerland’, in IFOMPT 2024, Basel, Switzerland, 4-6 July 2024.
T. Benz, K. Niedermann Schneider, and Interessensgemeinschaft (IG) GLA:D, “The implementation of GLA:D programmes in Switzerland,” in IFOMPT 2024, Basel, Switzerland, 4-6 July 2024, Jul. 2024.
BENZ, Thomas, Karin NIEDERMANN SCHNEIDER und Interessensgemeinschaft (IG) GLA:D, 2024. The implementation of GLA:D programmes in Switzerland. In: IFOMPT 2024, Basel, Switzerland, 4-6 July 2024. Conference paper. Juli 2024
Benz, Thomas, Karin Niedermann Schneider, and Interessensgemeinschaft (IG) GLA:D. 2024. “The Implementation of GLA:D Programmes in Switzerland.” Conference paper. In IFOMPT 2024, Basel, Switzerland, 4-6 July 2024.
Benz, Thomas, et al. “The Implementation of GLA:D Programmes in Switzerland.” IFOMPT 2024, Basel, Switzerland, 4-6 July 2024, 2024.
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