Non-inferiority of a hybrid outpatient rehabilitation: a randomized controlled trial

Project: Projects with Federal FundingDRV Projects

Project Details


Background: Digital or tele rehabilitative therapy are becoming increasingly important in the rehabilitative setting and open up the opportunity for more flexible implementation of rehabilitation. Studies in patients with musculoskeletal and internal disorders including back pain suggests that telerehabilitation in physical therapy may be comparable to in-person physical therapy or better than non-rehabilitation. Our study compares a hybrid rehabilitation that digitally implements the curriculum back school with a rehabilitation that conventionally implements the curriculum back school as face-to-face meetings.
Methods: The study is a multi-center randomized controlled trial. Participants are recruited in eight outpatient rehabilitation centers. We include patients with back pain (ICD-10 M50 to M54) aged 18 to 65 years. The digital application is provided by the online therapy platform Caspar. Access is enabled through an app or internet browser. We assess patient-reported data at four measurement time points (start of rehabilitation, end of rehabilitation, 3 and 12 months after the end of rehabilitation) using questionnaires. Additionally, we conduct guided interviews with rehabilitants, doctors and therapists. The use of the digital components patients will be recorded in the Caspar application. The primary outcome of our study is pain-specific self-efficacy. Secondary outcomes include, for instance, the current state of health or disease knowledge. The primary analysis is an adjusted intention-to-treat analysis.
Short titleHIRE
Effective start/end date01.11.2130.06.24

UN Sustainable Development Goals

In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This project contributes towards the following SDG(s):

  • SDG 3 - Good Health and Well-being
  • SDG 10 - Reduced Inequalities

Research Areas and Centers

  • Research Area: Center for Population Medicine and Public Health (ZBV)

DFG Research Classification Scheme

  • 205-02 Public Health, Health Services Research and Social Medicine