Article

Provider training programs are frequently underevaluated, leading to
ambiguity surrounding effective intervention components. Objective: The purpose
of this study was to assess the effectiveness of a training program in guiding
physical therapists to deliver the Self-management of Osteoarthritis and Low back
pain through Activity and Skills (SOLAS) group education and exercise
intervention (ISRCTN49875385), using a communication style underpinned by
self-determination theory (SDT). This was an assessment of the
intervention arm training program using quantitative methods. Methods: Thirteen
physical therapists were trained using mixed methods to deliver the SOLAS
intervention. Training was evaluated using the Kirkpatrick model: (1)
Reaction-physical therapists' satisfaction with training, (2)
Learning-therapists' confidence in and knowledge of the SDT-based communication
strategies and intervention content and their skills in applying the strategies
during training, and (3) Behavior-8 therapists were audio-recorded delivering all
6 SOLAS intervention classes (n = 48), and 2 raters independently coded 50% of
recordings (n = 24) using the Health Care Climate Questionnaire (HCCQ), the
Controlling Coach Behavior Scale (CCBS), and an intervention-specific measure.
Results: Reaction: Physical therapists reacted well to training (median [IRQ];
min-max = 4.7; [0.5]; 3.7-5.0). Learning: Physical therapists' confidence in the
SDT-based communication strategies and knowledge of some intervention content
components significantly improved. Behavior: Therapists delivered the
intervention in a needs-supportive manner (median HCCQ = 5.3 [1.4]; 3.9-6.0;
median CCBS = 6.6 ([0.5]; 6.1-6.8; median intervention specific measure = 4.0
[1.2]; 3.2-4.9). However, "goal setting" was delivered below acceptable levels by
all therapists (median 2.9 [0.9]; 2.0-4.0). Limitations: The intervention group
only was assessed as part of the process evaluation of the feasibility trial.
Conclusions: Training effectively guided physical therapists to be
needs-supportive during delivery of the SOLAS intervention. Refinements were
outlined to improve future similar training programs, including greater emphasis
on goal setting.
CI - (c) 2017 American Physical Therapy Association

Langue : ANGLAIS