Article

OBJECTIVE: To explore whether participating in the Benefits of Effective Exercise
for knee Pain (BEEP) trial training program increased physiotherapists'
self-confidence and changed their intended clinical behavior regarding exercise
for knee pain in older adults. DESIGN: Before/after training program evaluation.
Physiotherapists were asked to complete a questionnaire before the BEEP trial
training program, immediately after, and 12 to 18 months later (postintervention
delivery in the BEEP trial).
The questionnaire included a case vignette and
associated clinical management questions. Questionnaire responses were compared
over time and between physiotherapists trained to deliver each intervention
within the BEEP trial. SETTING: Primary care. PARTICIPANTS: Physiotherapists
(N=53) who completed the BEEP trial training program. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: Self-confidence in the diagnosis and
management of knee pain in older adults; and intended clinical behavior measured
by a case vignette and associated clinical management questions. RESULTS:
Fifty-two physiotherapists (98%) returned the pretraining questionnaire, and 44
(85%) and 39 (74%) returned the posttraining and postintervention questionnaires,
respectively. Posttraining, self-confidence in managing older adults with knee
pain increased, and intended clinical behavior regarding exercise for knee pain
in older adults appeared more in line with clinical guidelines. However, not all
positive changes were maintained in the longer-term. CONCLUSIONS: Participating
in the BEEP trial training program increased physiotherapists' self-confidence
and changed their intended clinical behavior regarding exercise for knee pain,
but by 12 to 18 months later, some of these positive changes were lost. This
suggests that brief training programs are useful, but additional strategies are
likely needed to successfully maintain changes in clinical behavior over time.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS