TY - GEN A1 - Bahns, Carolin A1 - Bolm-Audorff, Ulrich A1 - Seidler, Andreas A1 - Romero Starke, Karla A1 - Ochsmann, Elke T1 - Occupational risk factors for meniscal lesions : a systematic review and meta-analysis T2 - BMC musculoskeletal disorders Y1 - 2021 U6 - https://doi.org/10.1186/s12891-021-04900-7 SN - 1471-2474 VL - 22 IS - 1 ER - TY - GEN A1 - Bahns, Carolin A1 - Scheffler, Bettina A1 - Kopkow, Christian T1 - Implementing Osteoarthritis Guidelines in Physiotherapy in Germany : study protocol of a mixed-method study using the theoretical domains framework and the behaviour change wheel T2 - Osteoarthritis and Cartilage Y1 - 2022 U6 - https://doi.org/10.1016/j.joca.2022.02.520 SN - 1063-4584 VL - 30 IS - Supplement 1 SP - S386 ER - TY - GEN A1 - Bahns, Carolin A1 - Happe, Lisa A1 - Thiel, Christian A1 - Kopkow, Christian T1 - Physical therapy for patients with low back pain in Germany: a survey of current practice T2 - BMC musculoskeletal disorders Y1 - 2021 U6 - https://doi.org/10.1186/s12891-021-04422-2 SN - 1471-2474 VL - 22 IS - 1 ER - TY - GEN A1 - Bahns, Carolin A1 - Kopkow, Christian T1 - Physiotherapy for patients with hip and knee osteoarthritis in Germany : a survey of current practice T2 - Osteoarthritis and Cartilage Y1 - 2022 U6 - https://doi.org/10.1016/j.joca.2022.02.575 SN - 1063-4584 VL - 30 IS - Supplement 1 SP - S422 EP - S423 ER - TY - GEN A1 - Bahns, Carolin A1 - Bremer, Alexander A1 - Napierala-Komp, Simone A1 - Hauke, Jeannine A1 - Menke, Chiara Julia A1 - Glaubitz, Andreas A1 - Kopkow, Christian T1 - Program evaluation GLA:D®Germany: a mixed-methods: study using the RE-AIM wuest framework T2 - Osteoarthritis and Cartilage Y1 - 2024 U6 - https://doi.org/10.1016/j.joca.2024.02.788 SN - 1063-4584 VL - 32 IS - Supplement 1 SP - S530 EP - S531 ER - TY - GEN A1 - Kopkow, Christian A1 - Bahns, Carolin A1 - Bremer, Alexander A1 - Napierala-Komp, Simone A1 - Hauke, Jeannine A1 - Menke, Chiara Julia A1 - Glaubitz, Andreas T1 - Implementation of GLA:D® in Germany – changes in patient outcomes after a 3-month follow-up T2 - Osteoarthritis and Cartilage Y1 - 2024 U6 - https://doi.org/10.1016/j.joca.2024.02.802 SN - 1063-4584 VL - 32 IS - Supplement 1 SP - S539 ER - TY - GEN A1 - Bahns, Carolin A1 - Happe, Lisa A1 - Kopkow, Christian T1 - Barriers and facilitators to guidline use in Osteoarthritis care: a qualitative study among Physiotherapists T2 - Osteoarthritis and Cartilage Y1 - 2024 U6 - https://doi.org/10.1016/j.joca.2024.02.775 SN - 1063-4584 VL - 32 IS - Supplement 1 SP - S520 EP - S521 ER - TY - GEN A1 - Braun, Tobias A1 - Thiel, Christian A1 - Peter, Raphael A1 - Bahns, Carolin A1 - Büchele, Gisela A1 - Rapp, Kilian A1 - Becker, Clemens A1 - Grüneberg, Christian T1 - Association of clinical outcome assessments of mobility capacity and incident disability in community-dwelling older adults – a systematic review and met-analysis T2 - Ageing Research Reviews Y1 - 2022 U6 - https://doi.org/10.1016/j.arr.2022.101704 SN - 1872-9649 VL - 81 ER - TY - GEN A1 - Pieper, Dawid A1 - Pachanov, Alexander A1 - Bahns, Carolin A1 - Prill, Robert A1 - Kopkow, Christian A1 - Shehu, Eni A1 - Song, Yang A1 - Amer, Yasser Sami A1 - Stein, Airton Tetelbom A1 - Choi, Kyung-Eun Anna T1 - Locally adapted guidelines: a scoping review T2 - Systematic Reviews N2 - 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. KW - Leitlinien KW - Guideline KW - Scoping Review Y1 - 2025 U6 - https://doi.org/10.1186/s13643-025-02808-0 SN - 2046-4053 VL - 14 IS - 1 SP - 1 EP - 9 PB - Springer Science and Business Media LLC ER - TY - GEN A1 - Bahns, Carolin A1 - Napierala-Komp, Simone A1 - Hauke, Jeannine A1 - Strunk, Chiara Julia A1 - Glaubitz, Andreas A1 - Kopkow, Christian T1 - Einfluss einer zweitägigen Schulung auf das Wissen und die Sicherheit deutscher Physiotherapeut*innen in der Versorgung von Hüft- und Kniegelenksarthrose : eine Prä-Post-Studie T2 - Physioscience : Wissenschaft & Forschung in der Physiotherapie N2 - Hintergrund In Leitlinien wird Bewegungstherapie in Kombination mit Edukation zur Behandlung von Personen mit Hüft- 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 gewährleisten soll. Therapeut*innen müssen an einem zweitägigen Kurs teilnehmen, in dem die Inhalte des strukturierten Edukations- und Übungsprogramms vermittelt werden. Ziel Untersuchung des Effekts der zweitägigen Schulung auf das subjektiv wahrgenommene Wissen und die empfundene Sicherheit von Physiotherapeut*innen in der Versorgung von Personen mit Hüft- 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 für Patient*innen mit Arthrose, das Wissen über Behandlungsempfehlungen sowie die Kenntnis von Leitlinien. Die Effektivität der Schulung wurde im Rahmen eines Vorher-Nachher-Vergleichs evaluiert. Ergebnisse Von 290 geschulten Physiotherapeut*innen nahmen 254 an der ersten Befragung teil (Rücklaufquote: 87,6 %), darunter 114 Frauen (44,9 %). Das Durchschnittsalter der Befragten betrug 35 Jahre (± 10,7). Insgesamt 83 Therapeut*innen (32,7 %) verfügten über einen akademischen Abschluss. Der zweite Fragebogen wurde von 85 Personen beantwortet (Rücklaufquote: 29,3 %). Die Teilnahme an der zweitägigen Schulung führte zu positiven Veränderungen beim subjektiv wahrgenommenen Wissen und bei der empfundenen Sicherheit zur Durchführung leitliniengerechter Therapie. Über 98 % der Befragten fühlten sich nach dem Kurs dahingehend geschult und in der Lage, Trainingstherapie und Edukation gemäß den aktuellen Leitlinien zu erbringen. Schlussfolgerung Die Teilnahme an der zweitägigen GLA:D-Schulung führte zu Verbesserungen beim subjektiv wahrgenommenen Wissen und bei der empfundenen Sicherheit von Physiotherapeut*innen zur Behandlung von Personen mit Hüft- 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) N2 - Background Clinical practice guidelines recommend a combination of exercise therapy and education for the management of hip and knee osteoarthritis. Initiated in 2013, the Good Life with osteoArthritis in Denmark (GLA:D) programme ensures standardised and evidence-based treatment. In a two-day training course, therapists are trained to provide the structured education and exercise program. Aim To evaluate the effect of the two-day training course on physiotherapists’ subjectively perceived knowledge and confidence in treating hip and knee osteoarthritis. Methods Physiotherapists completed online surveys immediately before and two weeks after the GLA:D training course. They were asked to rate their confidence in providing guideline-adherent therapy for osteoarthritis, their beliefs about the evidence supporting different treatment options, and awareness of clinical practice guidelines. The effectiveness of the training course was evaluated using a pre- and post-training comparison. Results Of a total of 290 physiotherapists invited, 254 responded to the first survey (response rate: 87.6 %), including 114 women (44.9 %). The mean age of the respondents was 35 years (± 10.7). A total of 83 therapists (32.7 %) had obtained a higher academic degree. The follow-up questionnaire was completed by 85 respondents (response rate: 29.3 %). The two-day training course resulted in improvements in both subjectively perceived knowledge and confidence in providing guideline-adherent therapy. Over 98 % of respondents felt well-trained and able to provide exercise therapy and education according to guideline recommendations. Conclusions Participation in the two-day GLA:D training course led to positive changes in physiotherapists’ subjectively perceived knowledge and confidence in the management of hip and knee osteoarthritis. These findings underscore the need for targeted education to ensure the comprehensive implementation of evidence and guideline recommendations in clinical practice. Trial registration German Clinical Trials Register (DRKS00032853) T2 - Impact of a two-day training course on knowledge and confidence of German physiotherapists in the management of hip and knee osteoarthritis : a pre-post study KW - Physiotherapie KW - Arthrose Y1 - 2025 U6 - https://doi.org/10.1055/a-2437-9070 SN - 1860-3092 IS - 2 SP - 1 EP - 10 PB - Georg Thieme Verlag KG CY - Stuttgart ER - TY - GEN A1 - Scheffler, Bettina A1 - Bahns, Carolin A1 - Kopkow, Christian T1 - Bridging the gap : wie Implementierungsforschung die Physiotherapie verbessern kann T2 - Physioscience : Wissenschaft & Forschung in der Physiotherapie N2 - Seit den Anfängen der physiotherapeutischen Forschung, der Forderung nach evidenzbasierter Physiotherapiepraxis sowie der Etablierung der Physiotherapy Evidence Database (PEDro) wurde ein umfassender Korpus qualitativ hochwertiger Primär- und Sekundärliteratur geschaffen, der eine wissenschaftlich begründete Entscheidungsfindung in der Physiotherapie ermöglicht [1] [2]. Die Veröffentlichung 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 tatsächlich in den klinischen Alltag einfließen und weniger als 50 Prozent davon finden überhaupt den Weg in die dauerhafte praktische Anwendung. Der Rest bleibt ungenutzt und steht Patient*innen damit nicht zur Verfügung [3] [4]. KW - Implementierungsforschung Y1 - 2025 U6 - https://doi.org/10.1055/a-2527-8921 SN - 1860-3092 VL - 21 IS - 02 SP - 53 EP - 55 PB - Thieme CY - Stuttgart ER - TY - GEN A1 - Bahns, Carolin A1 - Scheffler, Bettina A1 - Bremer, Alexander A1 - Kopkow, Christian T1 - Measuring guideline adherence in physiotherapy : a scoping review of methodological approaches T2 - Journal of Evaluation in Clinical Practice N2 - 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. Y1 - 2024 U6 - https://doi.org/10.1111/jep.14218 SN - 1356-1294 SN - 1365-2753 SP - 1 EP - 10 PB - Wiley ER -