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Arch Phys Med Rehabil · May 2015
Randomized Controlled Trial Multicenter StudyEffect of a self-determination theory-based communication skills training program on physiotherapists' psychological support for their patients with chronic low back pain: a randomized controlled trial.
- Aileen Murray, Amanda M Hall, Geoffrey C Williams, Suzanne M McDonough, Nikos Ntoumanis, Ian M Taylor, Ben Jackson, James Matthews, Deirdre A Hurley, and Chris Lonsdale.
- School of Public Health, Physiotherapy, and Population Science, Health Sciences Centre, University College Dublin, Belfield, Dublin, Ireland.
- Arch Phys Med Rehabil. 2015 May 1;96(5):809-16.
ObjectiveTo examine the effects of communication skills training on physiotherapists' supportive behavior during clinical practice.DesignRandomized trial.SettingHospital outpatient physiotherapy clinics.ParticipantsPhysiotherapists (N=24) and patients (N=24) with chronic low back pain.InterventionsTwo hospital clinics were randomly assigned to the intervention arm. Physiotherapists (n=12) received 8 hours of communication skills training focused on supporting patients' psychological needs. Physiotherapists (n=12) from 2 other hospital clinics formed a waitlist control arm.Main Outcome MeasuresVerbal communication between each physiotherapist and a patient was recorded on an audiotape, and independent, blinded raters used the Health Care Climate Questionnaire to assess physiotherapists' needs-supportive behavior (primary outcome).ResultsIndependent raters' Health Care Climate Questionnaire scores favored the intervention arm (Cohen's d=2.27; P<.01).ConclusionsCompared with controls, independent ratings demonstrated that physiotherapists who completed the Communication style and exercise compliance in physiotherapy training were found to provide greater support for patients' needs in a single assessed session. Long-term maintenance of this needs-supportive behavior should be examined.Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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