Table 1 Description of the traditional rehabilitation programme (control intervention) provided at each participating centre at the start of the study
Centre | Structure of the rehabilitation stay | Interventions (length of sessions and number of sessions pr week) | ||||
|---|---|---|---|---|---|---|
Duration and setting | Professions in the rehabilitation team | Team meetings | Group sessions | Individual sessions | Un-supervised sessions | |
1 | Three to four weeks in-patient rehabilitation (5 days with active treatment pr week) | Rheumatologist, physician, PT, OT, nurse | Twice pr week | Pool exercises (30 min × 5) | PT (30 min × 4) | Nordic walking, biking and/or pool exercising (as desired) |
OT (as needed) | ||||||
Gym exercises (30 min × 5) | Psychologist (as needed) | |||||
Gym exercises (60 min × 4) | ||||||
Patient education (60 min × 1) | ||||||
2 | Two weeks at a day hospital (5 + 5 days with active treatment) | Physician, PT, OT, SW | Once pr week | Pool exercises (30 min × 5) | PT, OT or SW (30 min × 5) | Pool (30 min x 5) |
Hand exercises (30 min × 5) | ||||||
Gym exercises (45 + 45 min × 5) | ||||||
3 | Two weeks in-patient rehabilitation (5 + 5 days with active treatment) | Rheumatologist, physician, PT, OT, nurse | At admission and discharge | Pool exercises (30 min × 5) | PT (45 min × 4) | Gym exercising (as desired) |
OT (as needed) | ||||||
Gym exercises with moderate intensity (30 min x 5) and/or | Nurses (as needed) | |||||
Gym exercises with high intensity (30 min x 5) | ||||||
Relaxation (30 min × 2) | ||||||
Outdoor exercises (45 min × 3) | ||||||
4 | Six days in-patient stay with main focus on self-management (up to 16 patients within the same diagnostic group, 5 days with active treatment) | Rheumatologist, nurse, PT, OT, occupational assistant, SW, dietary supervisor, psychotherapist | None | Lectures concerning diseases and treatment, physical activity, nutrition, social security benefits, pain management, stress management, relaxation, communication, assessment of one’s own resources and limitations, values and choices, and personal goals | Consultations with team members as needed | Pool and gym exercising (as desired) |
Pool exercises (45 min × 1) | ||||||
Gym exercises (60 min × 1) | ||||||
Nordic walking (45 min × 1) | ||||||
5 | Fifteen days in-patient rehabilitation (3 + 5 + 3 days with active treatment) | Rheumatologist, physician, PTs, OTs, SW, nurse | Twice pr week | Pool exercises (45 min × 1 or 2) | PT (45 – 60 min × 5) | Pool and gym exercising (as desired) |
Hand exercises (45 min × 5) | OT (as needed) | |||||
SW (as needed) | ||||||
6 | Two weeks in- patient rehabilitation (5 + 5 days with active treatment) | Rheumatologists, nurse, PTs, OTs, occupational assistants, SWs, dietary supervisor, psychotherapist | Twice pr week | Pool exercises (30 min × 5) | PT (30 min × 5) | Pool and gym exercising (as desired) |
OT (30 min × 2) | ||||||
Hand exercises (30 min × 5) | SW (as needed) | |||||
PT (as needed) | ||||||
Activity pacing (60 min × 1) | Dietary supervisor (as needed) | |||||
Relaxation (15 min × 2) | ||||||
Nordic walking (45 min × 2) | ||||||
Gym exercises (45 min × 3) | ||||||