Get Back - A health-promoting person-centered prehabilitation program with the intention of optimizing the outcome of elective back surgery for patients with the greatest risk of ill health

Get Back is a person-centred prehabilitation program  supported by an interactive web platform in a multicenter design.The overall purpose is to better prepare spinal surgery patients by improving their functional capacity and thereby improve the short- and long term health outcomes. Get Back comprises of 220 surgical patients who will undergo decompression surgery for spinal stenosis.

The project is a complex intervention including 4 studies in 2 phases (Feasiility and Piloting AND Evaluation).

The aims are to: evaluate if a person-centred prehabilitation program makes the outcome of spinal surgery more effective in terms of short term (less surgical complications) and long term (pain relief, improved functional status and health) as compared to a control group – a randomized controlled trialinvestigate if patients’ degree of perceived participation and self-efficacy are mediating the effect of the outcome – a mediating analysisinvestigate to which degree patients reach their own goal with the surgery? – a mixed method designinvestigate the cost-effectiveness of person-centred prehabilitation program as compared to standard care – a cost utility analysisThe research team is interdisciplinary, including  patients partners, with extensive experiences of complex interventions.

The applicant (Mari Lundberg, ML) has collaborated with all members which will enable the feasibility. ML completed an RCT funded by VR (Dnr2015-02511, which has resulted in 11 publications, 2 theses.