@misc{BahnsBolmAudorffSeidleretal., author = {Bahns, Carolin and Bolm-Audorff, Ulrich and Seidler, Andreas and Romero Starke, Karla and Ochsmann, Elke}, title = {Occupational risk factors for meniscal lesions : a systematic review and meta-analysis}, series = {BMC musculoskeletal disorders}, volume = {22}, journal = {BMC musculoskeletal disorders}, number = {1}, issn = {1471-2474}, doi = {10.1186/s12891-021-04900-7}, language = {en} } @misc{BahnsSchefflerKopkow, author = {Bahns, Carolin and Scheffler, Bettina and Kopkow, Christian}, title = {Implementing Osteoarthritis Guidelines in Physiotherapy in Germany : study protocol of a mixed-method study using the theoretical domains framework and the behaviour change wheel}, series = {Osteoarthritis and Cartilage}, volume = {30}, journal = {Osteoarthritis and Cartilage}, number = {Supplement 1}, issn = {1063-4584}, doi = {10.1016/j.joca.2022.02.520}, pages = {S386}, language = {en} } @misc{BahnsHappeThieletal., author = {Bahns, Carolin and Happe, Lisa and Thiel, Christian and Kopkow, Christian}, title = {Physical therapy for patients with low back pain in Germany: a survey of current practice}, series = {BMC musculoskeletal disorders}, volume = {22}, journal = {BMC musculoskeletal disorders}, number = {1}, issn = {1471-2474}, doi = {10.1186/s12891-021-04422-2}, pages = {12}, language = {en} } @misc{BahnsKopkow, author = {Bahns, Carolin and Kopkow, Christian}, title = {Physiotherapy for patients with hip and knee osteoarthritis in Germany : a survey of current practice}, series = {Osteoarthritis and Cartilage}, volume = {30}, journal = {Osteoarthritis and Cartilage}, number = {Supplement 1}, issn = {1063-4584}, doi = {10.1016/j.joca.2022.02.575}, pages = {S422 -- S423}, language = {en} } @misc{BahnsBremerNapieralaKompetal., author = {Bahns, Carolin and Bremer, Alexander and Napierala-Komp, Simone and Hauke, Jeannine and Menke, Chiara Julia and Glaubitz, Andreas and Kopkow, Christian}, title = {Program evaluation GLA:D®Germany: a mixed-methods: study using the RE-AIM wuest framework}, series = {Osteoarthritis and Cartilage}, volume = {32}, journal = {Osteoarthritis and Cartilage}, number = {Supplement 1}, issn = {1063-4584}, doi = {10.1016/j.joca.2024.02.788}, pages = {S530 -- S531}, language = {en} } @misc{KopkowBahnsBremeretal., author = {Kopkow, Christian and Bahns, Carolin and Bremer, Alexander and Napierala-Komp, Simone and Hauke, Jeannine and Menke, Chiara Julia and Glaubitz, Andreas}, title = {Implementation of GLA:D® in Germany - changes in patient outcomes after a 3-month follow-up}, series = {Osteoarthritis and Cartilage}, volume = {32}, journal = {Osteoarthritis and Cartilage}, number = {Supplement 1}, issn = {1063-4584}, doi = {10.1016/j.joca.2024.02.802}, pages = {S539}, language = {en} } @misc{BahnsHappeKopkow, author = {Bahns, Carolin and Happe, Lisa and Kopkow, Christian}, title = {Barriers and facilitators to guidline use in Osteoarthritis care: a qualitative study among Physiotherapists}, series = {Osteoarthritis and Cartilage}, volume = {32}, journal = {Osteoarthritis and Cartilage}, number = {Supplement 1}, issn = {1063-4584}, doi = {10.1016/j.joca.2024.02.775}, pages = {S520 -- S521}, language = {en} } @misc{BraunThielPeteretal., author = {Braun, Tobias and Thiel, Christian and Peter, Raphael and Bahns, Carolin and B{\"u}chele, Gisela and Rapp, Kilian and Becker, Clemens and Gr{\"u}neberg, Christian}, title = {Association of clinical outcome assessments of mobility capacity and incident disability in community-dwelling older adults - a systematic review and met-analysis}, series = {Ageing Research Reviews}, volume = {81}, journal = {Ageing Research Reviews}, issn = {1872-9649}, doi = {10.1016/j.arr.2022.101704}, language = {en} } @misc{PieperPachanovBahnsetal., author = {Pieper, Dawid and Pachanov, Alexander and Bahns, Carolin and Prill, Robert and Kopkow, Christian and Shehu, Eni and Song, Yang and Amer, Yasser Sami and Stein, Airton Tetelbom and Choi, Kyung-Eun Anna}, title = {Locally adapted guidelines: a scoping review}, series = {Systematic Reviews}, volume = {14}, journal = {Systematic Reviews}, number = {1}, publisher = {Springer Science and Business Media LLC}, issn = {2046-4053}, doi = {10.1186/s13643-025-02808-0}, pages = {1 -- 9}, abstract = {Background Clinical practice guidelines (CPGs) often fail to be fully implemented in practice. One barrier to CPG implementation is inconsistency between recommendations and existing practice patterns. This can include patients, personnel, structure, availability of resources, cultural and ethical values. To account for this, it is feasible to tailor national CPGs to a regional or local context (e.g. hospital). Local ownership can be beneficial and help to implement the guideline without affecting guideline validity. This process is also known as guideline adaptation. We aimed to identify randomized controlled trials (RCTs) investigating the effectiveness of locally adapted CPGs. Methods We performed a scoping review, following the JBI guidance. The scoping review was registered with the Open Science Framework (https://osf.io/3ed2w). The intervention had to be a locally adapted guideline (locally meaning adapted to any delineated area and/or entity at subnational and/or transnational level). Co-interventions were accepted. We did not restrict the control group. As we considered locally adapted guidelines as an intervention, and it seems feasible to test locally adapted guidelines in trials, we only considered RCTs, including cluster-RCTs. PubMed and Embase were searched in November 2024. Two reviewers independently screened titles and abstracts, full-text articles, and charted data. Conflicts were resolved by involving a third reviewer. Data were summarized descriptively. The findings were discussed with knowledge users. Results Five cluster RCTs reported in 8 publications and published between 2000 and 2010, were included. The trials originated from the UK, Scotland, Australia, the US, and the Netherlands. The adapted CPGs focused on diabetes, asthma, smoking cessation, mental disorders, and menorrhagia and urinary incontinence. The number of sites (e.g. practices) ranged from 4 to 30. Reporting was mostly insufficient to understand how adaptation was performed. Interventions always included some form of dissemination, such as educational meetings or workshops. Conclusions There is a lack of RCTs investigating the effectiveness of locally adapted guidelines. A systematic review is unwarranted due to the clinical and methodological heterogeneity of these trials. The identified studies were largely conducted over 20 years ago, highlighting a significant knowledge gap. The reasons for the lack of similar studies today are unclear, which is surprising given advances in adaptation frameworks in guideline development. As the importance of contextualization is emphasized, future studies on locally adapted guidelines should be conducted with strong rationale supported by local data. Without a sound rationale, there is a risk that evidence-based, high-quality guidelines could be undermined. In future trials, authors should closely adhere to reporting guidelines. Systematic review registration https://osf.io/3ed2w.}, language = {en} } @misc{BahnsNapieralaKompHaukeetal., author = {Bahns, Carolin and Napierala-Komp, Simone and Hauke, Jeannine and Strunk, Chiara Julia and Glaubitz, Andreas and Kopkow, Christian}, title = {Einfluss einer zweit{\"a}gigen Schulung auf das Wissen und die Sicherheit deutscher Physiotherapeut*innen in der Versorgung von H{\"u}ft- und Kniegelenksarthrose : eine Pr{\"a}-Post-Studie}, series = {Physioscience : Wissenschaft \& Forschung in der Physiotherapie}, journal = {Physioscience : Wissenschaft \& Forschung in der Physiotherapie}, number = {2}, publisher = {Georg Thieme Verlag KG}, address = {Stuttgart}, issn = {1860-3092}, doi = {10.1055/a-2437-9070}, pages = {1 -- 10}, abstract = {Hintergrund In Leitlinien wird Bewegungstherapie in Kombination mit Edukation zur Behandlung von Personen mit H{\"u}ft- und Kniegelenksarthrose empfohlen. Im Jahr 2013 wurde das Programm „Good Life with osteoArthritis in Denmark" (GLA:D) initiiert, das Patient*innen eine einheitliche evidenzbasierte Behandlung gew{\"a}hrleisten soll. Therapeut*innen m{\"u}ssen an einem zweit{\"a}gigen Kurs teilnehmen, in dem die Inhalte des strukturierten Edukations- und {\"U}bungsprogramms vermittelt werden. Ziel Untersuchung des Effekts der zweit{\"a}gigen Schulung auf das subjektiv wahrgenommene Wissen und die empfundene Sicherheit von Physiotherapeut*innen in der Versorgung von Personen mit H{\"u}ft- und Kniegelenksarthrose. Methode Physiotherapeut*innen nahmen unmittelbar vor und 2 Wochen nach der Schulung an einer Online-Befragung teil. Erfasst wurden u. a. das Vertrauen in die eigenen Kompetenzen zur Erbringung einer leitliniengerechten Therapie f{\"u}r Patient*innen mit Arthrose, das Wissen {\"u}ber Behandlungsempfehlungen sowie die Kenntnis von Leitlinien. Die Effektivit{\"a}t der Schulung wurde im Rahmen eines Vorher-Nachher-Vergleichs evaluiert. Ergebnisse Von 290 geschulten Physiotherapeut*innen nahmen 254 an der ersten Befragung teil (R{\"u}cklaufquote: 87,6 \%), darunter 114 Frauen (44,9 \%). Das Durchschnittsalter der Befragten betrug 35 Jahre (± 10,7). Insgesamt 83 Therapeut*innen (32,7 \%) verf{\"u}gten {\"u}ber einen akademischen Abschluss. Der zweite Fragebogen wurde von 85 Personen beantwortet (R{\"u}cklaufquote: 29,3 \%). Die Teilnahme an der zweit{\"a}gigen Schulung f{\"u}hrte zu positiven Ver{\"a}nderungen beim subjektiv wahrgenommenen Wissen und bei der empfundenen Sicherheit zur Durchf{\"u}hrung leitliniengerechter Therapie. {\"U}ber 98 \% der Befragten f{\"u}hlten sich nach dem Kurs dahingehend geschult und in der Lage, Trainingstherapie und Edukation gem{\"a}ß den aktuellen Leitlinien zu erbringen. Schlussfolgerung Die Teilnahme an der zweit{\"a}gigen GLA:D-Schulung f{\"u}hrte zu Verbesserungen beim subjektiv wahrgenommenen Wissen und bei der empfundenen Sicherheit von Physiotherapeut*innen zur Behandlung von Personen mit H{\"u}ft- und Kniegelenksarthrose. Diese Ergebnisse unterstreichen die Bedeutung gezielter Schulungsmaßnahmen zur Sicherstellung einer umfassenden Implementierung von Evidenz und Leitlinienempfehlungen in der klinischen Praxis. Studienregistrierung Deutsches Register Klinischer Studien (DRKS00 032 853)}, language = {de} } @misc{SchefflerBahnsKopkow, author = {Scheffler, Bettina and Bahns, Carolin and Kopkow, Christian}, title = {Bridging the gap : wie Implementierungsforschung die Physiotherapie verbessern kann}, series = {Physioscience : Wissenschaft \& Forschung in der Physiotherapie}, volume = {21}, journal = {Physioscience : Wissenschaft \& Forschung in der Physiotherapie}, number = {02}, publisher = {Thieme}, address = {Stuttgart}, issn = {1860-3092}, doi = {10.1055/a-2527-8921}, pages = {53 -- 55}, abstract = {Seit den Anf{\"a}ngen der physiotherapeutischen Forschung, der Forderung nach evidenzbasierter Physiotherapiepraxis sowie der Etablierung der Physiotherapy Evidence Database (PEDro) wurde ein umfassender Korpus qualitativ hochwertiger Prim{\"a}r- und Sekund{\"a}rliteratur geschaffen, der eine wissenschaftlich begr{\"u}ndete Entscheidungsfindung in der Physiotherapie erm{\"o}glicht [1] [2]. Die Ver{\"o}ffentlichung der Forschungsergebnisse allein reicht jedoch nicht aus, entscheidend ist die Umsetzung in die Praxis. Im Durchschnitt dauert es etwa 17 Jahre, bis neue wissenschaftliche Erkenntnisse tats{\"a}chlich in den klinischen Alltag einfließen und weniger als 50 Prozent davon finden {\"u}berhaupt den Weg in die dauerhafte praktische Anwendung. Der Rest bleibt ungenutzt und steht Patient*innen damit nicht zur Verf{\"u}gung [3] [4].}, language = {de} } @misc{BahnsSchefflerBremeretal., author = {Bahns, Carolin and Scheffler, Bettina and Bremer, Alexander and Kopkow, Christian}, title = {Measuring guideline adherence in physiotherapy : a scoping review of methodological approaches}, series = {Journal of Evaluation in Clinical Practice}, journal = {Journal of Evaluation in Clinical Practice}, publisher = {Wiley}, issn = {1356-1294}, doi = {10.1111/jep.14218}, pages = {1 -- 10}, abstract = {RationaleClinical practice guidelines summarise the existing evidence on specific health conditions and aim to optimise quality of care by providing evidence-based recommendations. Studies have reported a gap between research findings and clinical practice in physiotherapy. Guideline adherence is often used as a measure of agreement between therapeutic care and guideline recommendations. However, there is currently no standardised methodological approach for measuring guideline adherence.Aims and ObjectiveThe objective of this scoping review was to summarise the methods and results of studies that assessed guideline adherence in physiotherapy.MethodsMEDLINE, EMBASE, PEDro and CENTRAL databases were searched for relevant literature up to December 2022. Published reports of observational studies and controlled clinical trials that provided information on the assessment of guideline adherence in physiotherapists were included. The selection process was performed independently by two reviewers. The methodological quality of the identified reports was not assessed. Results were summarised narratively.ResultsFrom a total of 2560 potentially relevant records, 53 reports were included in the analysis. Physiotherapists' adherence to guidelines was primarily assessed in the context of musculoskeletal conditions, such as low back pain (n = 25, 47.2\%) and osteoarthritis (n = 8, 15.1\%). A wide range of measurement approaches were used with the majority of reports using web-based surveys (n = 21, 39.6\%), followed by chart reviews (n = 17, 32.1\%). Most reports (n = 21, 39.6\%) provided information on the level of adherence in terms of frequency dichotomising (self-reported) clinical practice as adherent or non-adherent. Adherence rates varied widely between included reports.ConclusionsAlthough the large number of included reports indicates a high level of interest in the topic of guideline adherence, there is considerable heterogeneity between studies regarding the methodological approaches used to assess guideline adherence in physiotherapists. This reduces the comparability of the study results.Trial RegistrationINPLASY (registration no. 202250081). Registered on 12th May 2022.}, language = {en} }