Details

Autor(en) / Beteiligte

• Lonsdale, Chris, PhD
• Hall, Amanda M., PhD
• Murray, Aileen, MSc
• Williams, Geoffrey C., PhD
• McDonough, Suzanne M., PhD
• Ntoumanis, Nikos, PhD
• University, Curtin
• Owen, Katherine, Hons
• Schwarzer, Ralf, PhD
• Parker, Phillip, PhD
• Kolt, Gregory S., PhD
• Hurley, Deirdre A., PhD

Titel

Communication Skills Training for Practitioners to Increase Patient Adherence to Home-based Rehabilitation for Chronic Low Back Pain: Results of a Cluster Randomized Controlled Trial

Ist Teil von

• Archives of physical medicine and rehabilitation, 2017-09, Vol.98 (9), p.1732-1743.e7

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2017

Link zum Volltext

Quelle

Elsevier ScienceDirect Journals Complete

Beschreibungen/Notizen

• Abstract Objective To assess the effect of an intervention designed to enhance physiotherapists’ communication skills on chronic low back pain patients’ adherence to home-based rehabilitation recommendations. Design Cluster randomized controlled trial. Setting Publicly funded physiotherapy clinics in Dublin, Ireland; Participants Physiotherapists ( N = 53) and patients with chronic low back pain ( N = 255, 54% female, M age = 45.3 years). Interventions. Patients received publicly funded individual physiotherapy care. In the control arm, care was delivered by a physiotherapist who had completed a 1-hour workshop on evidence-based chronic low back pain management. Patients in the experimental arm received care from physiotherapists who had also completed 8 hours of communications skills training. Main Outcome Measure. Patient-reported adherence to their physiotherapist’s recommendations regarding home-based rehabilitation, measured at 1, 4, 12, and 24 weeks after initial treatment session. Pain and pain-related function measured at baseline, 4, 12 and 24 weeks. Results Linear mixed model analysis showed the experimental arm patients’ ratings of adherence were greater than controls (overall mean difference = .41 [95% CI = .10 to .72, d = .28, p = .01). Moderation analyses showed that men, regardless of intervention, showed improvements in pain-related function over time. Only women in the experimental condition showed functional improvements; female controls saw little change in function over time. The CONNECT intervention did not influence patients’ pain, regardless of their sex. Conclusions Communication skills training for physiotherapists had short-term positive effects on patient adherence. This training may provide a motivational basis for behavior change and could be a useful component in complex interventions to promote adherence. Communication skills training may also improve some clinical outcomes for women, but not men. Trial registration: ISRCTN63723433.