Postgraduate education to increase adherence to a Dutch physiotherapy practice guideline for hip and knee OA: a randomized controlled trial

To compare the effectiveness of two educational courses aiming to improve adherence to recommendations in a Dutch physiotherapy practice guideline for hip and knee OA. Physiotherapists (PTs) from three regions in The Netherlands were invited to participate in a study comparing an interactive worksho...

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Bibliographic Details
Published in:Rheumatology (Oxford, England) England), 2013-02, Vol.52 (2), p.368-375
Main Authors: Peter, Wilfred F, van der Wees, Philip J, Verhoef, John, de Jong, Zuzana, van Bodegom-Vos, Leti, Hilberdink, Wim K H A, Fiocco, Marta, Vliet Vlieland, Thea P M
Format: Article
Language:English
Subjects:
Adult
Education, Graduate - standards
Female
Guideline Adherence - standards
Humans
Male
Middle Aged
Netherlands
Osteoarthritis, Hip - therapy
Osteoarthritis, Knee - therapy
Personal Satisfaction
Physical Therapy Specialty - education
Practice Guidelines as Topic
Surveys and Questionnaires
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Summary:To compare the effectiveness of two educational courses aiming to improve adherence to recommendations in a Dutch physiotherapy practice guideline for hip and knee OA. Physiotherapists (PTs) from three regions in The Netherlands were invited to participate in a study comparing an interactive workshop (IW) with conventional education (CE). Participants were randomly assigned to one of the two courses. Satisfaction with the course (scale 0-10), knowledge (score range 0-76) and guideline adherence (score range 0-72) were measured at baseline, immediately after the educational course and 3 months after that. Data were analysed using a linear mixed model. In total, 203 (10%) PTs participated in the IW (n = 108) and the CE (n = 95). There were no differences between groups at baseline. Satisfaction was significantly higher in the IW than in the CE group [mean scores (S.D.) 7.5 (1.1) and 6.7 (1.6), respectively (P < 0.001)]. A significantly greater improvement in adherence was seen over time in the IW group compared with the CE group (F = 3.763, P = 0.024), whereas the difference in improvement of knowledge was not significant (F = 1.283, P = 0.278). An IW led to greater satisfaction and was more effective in improving adherence to recommendations in a PT guideline on hip and knee OA than CE, whereas the increase in knowledge did not differ significantly.
ISSN:1462-0324
1462-0332
DOI:10.1093/rheumatology/kes264