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Effect of a self-determination theory-based communication skills training program on physiotherapists' psychological support for their patients with chronic low back pain

Article consultable sur : http://www.archives-pmr.org

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.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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