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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 36, 2020 - Issue 2
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Research Report

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

, MSc, PT, , MSc, PTORCID Icon, , PhD, PT & , MSc
Pages 267-275 | Received 02 Oct 2017, Accepted 17 Apr 2018, Published online: 20 Jun 2018
 

ABSTRACT

Background: 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. Aims: 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. Design: A prospective interventional cohort study (pilot). Methods: 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). Results: 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; p = 0.003). HC-Pairs and BCQ results showed a nonstatistically significant trend toward the target behavior. Conclusions: 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.

Declaration of interest

All authors disclose that no personal, financial, or other factors exist that could inappropriately influence or bias this work.

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