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使用电子学习模块为物理治疗师提供关于重返工作的建议 - 一项前瞻性队列研究。

The use of an e-learning module on return to work advice for physiotherapists - A prospective cohort study.

机构信息

Employee Health & Wellbeing Service, Manchester University NHS Foundation Trust, Manchester, UK.

Allied Health Research Unit, University of Central Lancashire, Preston, UK.

出版信息

Physiother Theory Pract. 2020 Feb;36(2):267-275. doi: 10.1080/09593985.2018.1485193. Epub 2018 Jun 20.

DOI:10.1080/09593985.2018.1485193
PMID:29924673
Abstract

: Nonspecific low back pain (LBP) can progress to chronic disability and prolonged absence from work. Despite clinical and professional guidelines, physiotherapists often fail to address return to work outcomes. : The aim of this exploratory study was to determine whether an e-learning resource tailored to physiotherapy practice could affect physiotherapists' attitudes and beliefs regarding return to work advice for their patients. : A prospective interventional cohort study (pilot). : Participants were recruited via the Chartered Society of Physiotherapy website. Responses on a clinical vignette, the Health Care Providers' Pain and Impairment Scale (HC-Pairs), and the Behavioral Constructs Questionnaire (BCQ) were collected online at baseline (Q1) and 2-months post-intervention (Q2). : Fifty-four physiotherapists completed Q1 and the response rate for Q2 was 44/54 (81%). Changes in the degree of agreement with guidelines indicated that the intervention made an impact on respondents (kappa 0.345;  = 0.003). HC-Pairs and BCQ results showed a nonstatistically significant trend toward the target behavior. : There is a need for interventions to improve adherence with advice for return to work following nonspecific LBP. An e-learning tool for physiotherapists on advising patients regarding return to work has potential to positively affect self-reported clinical behavior.

摘要

非特异性下腰痛(LBP)可进展为慢性残疾和长时间缺勤。尽管有临床和专业指南,但物理治疗师经常未能解决重返工作岗位的结果。本探索性研究旨在确定针对物理治疗实践定制的电子学习资源是否会影响物理治疗师对其患者重返工作岗位建议的态度和信念。一项前瞻性干预队列研究(试点研究)。参与者通过特许物理治疗师学会网站招募。在基线(Q1)和干预后 2 个月(Q2)在线收集临床病例、医疗保健提供者疼痛和损伤量表(HC-Pairs)和行为结构问卷(BCQ)上的临床病例回答。54 名物理治疗师完成了 Q1,Q2 的回复率为 44/54(81%)。与指南的一致性程度的变化表明干预对受访者产生了影响(kappa 0.345;= 0.003)。HC-Pairs 和 BCQ 的结果显示出朝着目标行为的非统计学显著趋势。需要干预措施来提高对非特异性 LBP 后重返工作岗位建议的依从性。针对物理治疗师关于重返工作岗位建议的电子学习工具有可能对自我报告的临床行为产生积极影响。

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