Chipchase L S, Cavaleri R, Jull G
The University of Queensland, Division of Physiotherapy, School of Health and Rehabilitation Sciences, St Lucia, Queensland 4069, Australia; Western Sydney University, Brain Rehabilitation and Neuroplasticity Unit, School of Science and Health, New South Wales 2560, Australia.
Western Sydney University, Brain Rehabilitation and Neuroplasticity Unit, School of Science and Health, New South Wales 2560, Australia.
Man Ther. 2016 Sep;25:87-93. doi: 10.1016/j.math.2016.06.010. Epub 2016 Jun 23.
Continuing professional development (CPD) is a fundamental component of physiotherapy practice. Follow-up sessions provide opportunity for the refinement of skills developed during CPD workshops. However, it is necessary to identify if such opportunity translates to improved physiotherapist performance and patient outcomes.
To determine whether a traditional CPD workshop with a follow-up session with the educator is more likely to change physiotherapists' practice behaviour and patient outcomes than a traditional workshop with no opportunity for follow-up.
A single-blind, randomised controlled trial.
Participants were stratified and randomly allocated to the intervention and control groups. The control group participated in a two-day workshop dedicated towards the management of neck disorders. The intervention group completed the two-day workshop and attended a five-hour follow-up session one month later. Outcome measures included self-reported physiotherapist practice behaviour and confidence, as well as patient clinical outcomes using the Neck Disability Index.
While all participants exhibited changes in confidence and practice behaviours, between-group differences were not significant for any response (p > 0.05). There were also no significant differences between the groups in terms of patient outcomes (Neck Disability Index: F = 0.36, p = 0.56).
A single follow-up session to a traditional workshop is insufficient to significantly influence practice behaviours or patient outcomes.
持续专业发展（CPD）是物理治疗实践的一个基本组成部分。后续课程为完善在CPD工作坊中培养的技能提供了机会。然而，有必要确定这样的机会是否能转化为物理治疗师表现的提升和患者的治疗效果改善。
确定与传统工作坊相比，参加带教育者后续课程的传统CPD工作坊是否更有可能改变物理治疗师的实践行为和患者的治疗效果，后者没有后续课程的机会。
单盲随机对照试验。
参与者被分层并随机分配到干预组和对照组。对照组参加了为期两天的颈部疾病管理工作坊。干预组完成了为期两天的工作坊，并在一个月后参加了为期五小时的后续课程。结果指标包括自我报告的物理治疗师实践行为和信心，以及使用颈部残疾指数的患者临床结果。
虽然所有参与者在信心和实践行为上都有变化，但任何反应的组间差异均无统计学意义（p>0.05）。两组在患者治疗效果方面也没有显著差异（颈部残疾指数：F=0.36，p=0.56）。
对传统工作坊进行单次后续课程不足以显著影响实践行为或患者治疗效果。
