Holden, MA, Whittle, R, Healey, EL, Hill, S, Mullis, R, Roddy, E, Sowden, G, Tooth, S and Foster, NE ORCID: 0000-0003-4429-9756 (2016) Content and evaluation of the Benefits of Effective Exercise for Older Adults with Knee Pain trial physiotherapist training programme. Archives of Physical Medicine and Rehabilitation, 98 (5). pp. 866-873. ISSN 0003-9993

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Abstract

Objective
To explore whether participating in the Benefits of Effective Exercise for knee Pain (BEEP) trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain in older adults.

Design
Before/after training program evaluation. Physiotherapists were asked to complete a questionnaire before the BEEP trial training program, immediately after, and 12 to 18 months later (postintervention delivery in the BEEP trial). The questionnaire included a case vignette and associated clinical management questions. Questionnaire responses were compared over time and between physiotherapists trained to deliver each intervention within the BEEP trial.

Setting
Primary care.

Participants
Physiotherapists (N=53) who completed the BEEP trial training program.

Interventions
Not applicable.

Main Outcome Measures
Self-confidence in the diagnosis and management of knee pain in older adults; and intended clinical behavior measured by a case vignette and associated clinical management questions.

Results
Fifty-two physiotherapists (98%) returned the pretraining questionnaire, and 44 (85%) and 39 (74%) returned the posttraining and postintervention questionnaires, respectively. Posttraining, self-confidence in managing older adults with knee pain increased, and intended clinical behavior regarding exercise for knee pain in older adults appeared more in line with clinical guidelines. However, not all positive changes were maintained in the longer-term.

Conclusions
Participating in the BEEP trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain, but by 12 to 18 months later, some of these positive changes were lost. This suggests that brief training programs are useful, but additional strategies are likely needed to successfully maintain changes in clinical behavior over time.

Item Type: Article
Additional Information: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via Elsevier at https://doi.org/10.1016/j.apmr.2016.10.017 Please refer to any applicable terms of use of the publisher.
Uncontrolled Keywords: physiotherapists; exercise; knee pain; older adults; training programme
Subjects: R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine and Health Sciences > Primary Care Health Sciences
Depositing User: Symplectic
Date Deposited: 28 Nov 2016 08:56
Last Modified: 05 Jul 2018 12:07
URI: http://eprints.keele.ac.uk/id/eprint/2533

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