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Title: Effect of a self-determination theory-based communication skills training program on physiotherapists' psychological support for their patients with chronic low back pain: a randomized controlled trial
Authors: Murray, Aileen
Hall, Amanda M.
Williams, Geoffrey C.
McDonough, Suzanne M.
Ntoumanis, Nikos
Taylor, Ian M.
Jackson, Ben
Matthews, James
Hurley, Deirdre A.
Lonsdale, Chris C.
Keywords: Communication
Motivation
Patient compliance
Physical therapists
Rehabilitation
Issue Date: 2015
Publisher: © Elsevier
Citation: MURRAY, A. ... et al., 2015. Effect of a self-determination theory-based communication skills training program on physiotherapists' psychological support for their patients with chronic low back pain: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 96(5), pp.809-816.
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.
Sponsor: This paper was supported by a Health Research Award from the Health Research Board (Ireland) (Ref: HRA_POR/2010/102).
Version: Accepted for publication
DOI: 10.1016/j.apmr.2014.11.007
Publisher Link: http://dx.doi.org/10.1016/j.apmr.2014.11.007
ISSN: 0003-9993
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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