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.

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.

journal_name

Arch Phys Med Rehabil

authors

Murray A,Hall AM,Williams GC,McDonough SM,Ntoumanis N,Taylor IM,Jackson B,Matthews J,Hurley DA,Lonsdale C

doi

10.1016/j.apmr.2014.11.007

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

809-16

issue

5

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(14)01270-2

journal_volume

96

pub_type

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