Aileen Murray1, Amanda M Hall1, Geoffrey C Williams2, Suzanne M McDonough3, Nikos Ntoumanis4, Ian M Taylor5, Ben Jackson6, James Matthews1, Deirdre A Hurley1, Chris Lonsdale7. 1. School of Public Health, Physiotherapy, and Population Science, Health Sciences Centre, University College Dublin, Belfield, Dublin, Ireland. 2. Department of Medicine, University of Rochester, Rochester, NY; Department of Psychiatry, University of Rochester, Rochester, NY. 3. Centre for Health and Rehabilitation Technologies, School of Health Sciences, University of Ulster, Ulster, UK. 4. School of Sport and Exercise Sciences, University of Birmingham, Edgbaston, Birmingham, UK. 5. School of Sport, Exercise, and Health Sciences, Loughborough University, Leicestershire, UK. 6. School of Sport Science, Exercise and Health, University of Western Australia, Crawley, WA, Australia. 7. Institute for Positive Psychology and Education, Australian Catholic University, Strathfield, NSW, Australia. Electronic address: chris.lonsdale@acu.edu.au.
Abstract
OBJECTIVE: To examine the effects of communication skills training on physiotherapists' supportive behavior during clinical practice. DESIGN: Randomized trial. SETTING:Hospital outpatient physiotherapy clinics. PARTICIPANTS: Physiotherapists (N=24) and patients (N=24) with chronic low back pain. INTERVENTIONS:Two 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 MEASURES: Verbal 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). RESULTS: Independent raters' Health Care Climate Questionnaire scores favored the intervention arm (Cohen's d=2.27; P<.01). CONCLUSIONS: Compared 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.
RCT Entities:
OBJECTIVE: To examine the effects of communication skills training on physiotherapists' supportive behavior during clinical practice. DESIGN: Randomized trial. SETTING: Hospital outpatient physiotherapy clinics. PARTICIPANTS: Physiotherapists (N=24) and patients (N=24) with chronic low back pain. INTERVENTIONS: Two 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 MEASURES: Verbal 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). RESULTS: Independent raters' Health Care Climate Questionnaire scores favored the intervention arm (Cohen's d=2.27; P<.01). CONCLUSIONS: Compared 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.
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