Results of an Inpatient Preventive Health Care Program to Improve Quality of Life, Psychosocial Health, and Work Ability in Austria.

Autor:	Thauerer B; Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Saalfelden, Austria., Püspök J; Moorheilbad Harbach Health and Rehabilitation Center, Lauterbach, Austria., Kullich W; Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Saalfelden, Austria., Felder D; Department of Rehabilitation Research, Austrian Federal Pension Insurance (PVA), Vienna, Austria., Steinecker-Frohnwieser B; Ludwig Boltzmann Institute for Arthritis and Rehabilitation, Saalfelden, Austria., Skoumal M; Austrian Federal Pension Insurance (PVA), Vienna, Austria.
Jazyk:	angličtina
Zdroj:	International journal of public health [Int J Public Health] 2023 Sep 15; Vol. 68, pp. 1606193. Date of Electronic Publication: 2023 Sep 15 (Print Publication: 2023).
DOI:	10.3389/ijph.2023.1606193
Abstrakt:	Objective: The Austrian Federal Pension Insurance (PVA) developed a preventive inpatient health program, "Gesundheitsvorsorge-Aktiv (GVA)," for patients with musculoskeletal disorders. Individualized modular interventions and therapeutical measures (movement optimization, movement motivation, and mental health) are designed to improve occupational participation by influencing lifestyle factors and health-related quality of life. The study aimed to evaluate the new prevention-oriented and more personalized inpatient health program GVA. Methods: Patients underwent a standard inpatient health program, with emphasis on exercise management, exercise motivation, or psychological aspects. Submodule-dependent outcomes were assessed in patients ( n = 330) at the start, end of treatment, and 6 months thereafter. Quality of Life (EQ-5D-5L), psychosocial aspects of the Patient Health Questionnaire (PHQ-D), and Work Ability Index (WAI) were queried. Results: The results consistently showed positive short and long-term effects. The subjective assessments of current work ability improved while the impairment of work performance was reduced. Positive changes in the psychosocial sphere were observed, alongside improvements in the health-related quality of life. Patients in the exercise optimization module performed better in all respects. Conclusion: In summary, GVA represents a valuable preventive health measure that leads to a holistic increase in well-being and can also ensure the maintenance of the ability to work. Competing Interests: The authors declare that they do not have any conflicts of interest. (Copyright © 2023 Thauerer, Püspök, Kullich, Felder, Steinecker-Frohnwieser and Skoumal.)
Databáze:	MEDLINE
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