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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: a randomized controlled trial

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posted on 2015-03-27, 10:57 authored by Aileen Murray, Amanda M. Hall, Geoffrey C. Williams, Suzanne M. McDonough, Nikos Ntoumanis, Ian TaylorIan Taylor, Ben Jackson, James Matthews, Deirdre A. Hurley, Chris C. Lonsdale
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.

Funding

This paper was supported by a Health Research Award from the Health Research Board (Ireland) (Ref: HRA_POR/2010/102).

History

School

  • Sport, Exercise and Health Sciences

Published in

Archives of Physical Medicine and Rehabilitation

Volume

96

Issue

5

Pages

809-816

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.

Publisher

© Elsevier

Version

  • AM (Accepted Manuscript)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Publication date

2014-11-26

Copyright date

2015

ISSN

0003-9993

eISSN

1532-821X

Other identifier

S0003-9993(14)01270-2

Language

  • en

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