Institute for Human Movement Studies, Department of Physiotherapy and Research Centre for Innovation in Health Care, University of Applied Sciences, Bolognalaan 101, 3584 CJ Utrecht, The Netherlands.
Clin Rehabil. 2009 Nov;23(11):1005-17. doi: 10.1177/0269215509338999. Epub 2009 Sep 28.
To determine the influence of tutor expertise on the uptake of a physiotherapists' educational programme intended to promote the use of outcome measures in the management of patients with stroke.
Pilot randomized controlled trial.
Thirty physiotherapists involved in stroke management were randomized into two groups and participated in five tutor-guided educational sessions (the Physiotherapists' Educational Programme on Clinimetrics in Stroke, PEPCiS). Groups differed from each other with respect to tutors: one experienced and one inexperienced in stroke care. Primary outcome was 'actual use' (the frequencies of data of seven recommended outcome measures in the patient records of the participating physiotherapists).
The actual use of instruments shifted from a median of 3 to 6 in the expert tutor group and from 3 to 4 in the non-expert tutor group (P = 0.07). Physiotherapists educated by the expert tutor used a broader variety of instruments and appreciated the educational programme, their own knowledge gain and all three scales of tutor style aspects significantly more than their colleagues of the non-expert tutor group (all P<0.05). Univariate analysis on the entire set of data revealed eight factors, including tutors' performance, that were associated with a change score of the use of two or more outcome measures by individual physiotherapists after the educational programme.
In this pilot trial it was not proven that tutor expertise in stroke care influences the actual use of outcome measures, but it warrants a future study with sufficient power to investigate the influence of the tutor.
确定导师专长对物理治疗师教育计划的接受程度的影响，该计划旨在促进在脑卒中患者管理中使用结局测量。
试点随机对照试验。
30 名参与脑卒中管理的物理治疗师被随机分为两组，并参加了 5 次导师指导的教育课程（中风临床计量学物理治疗师教育计划，PEPCiS）。两组的导师不同：一位在脑卒中护理方面经验丰富，另一位经验不足。主要结局是“实际使用”（参与的物理治疗师患者记录中推荐的 7 种结局测量工具的使用频率）。
在专家导师组，实际使用的仪器从中位数 3 项增加到 6 项，而非专家导师组则从 3 项增加到 4 项（P = 0.07）。接受专家导师教育的物理治疗师使用了更广泛的工具，并高度评价了教育计划、自身知识的提高以及导师风格的所有三个方面的量表，明显高于非专家导师组的同事（均 P<0.05）。对全部数据进行的单变量分析揭示了 8 个因素，包括导师的表现，这些因素与接受教育计划后个别物理治疗师使用两种或更多结局测量工具的变化得分相关。
在这项试点试验中，没有证明脑卒中护理方面的导师专长会影响结局测量的实际使用，但需要进行一项未来的研究，以充分的力量来调查导师的影响。
