The Physiotherapy eSkills Training Onlineresource improves performance of practical skills: a controlled trial

Preston, Elisabeth; Ada, Louise; Dean, Catherine M.; Stanton, Rosalyn; Waddington, Gordon; Canning, Colleen G.

doi:10.1186/1472-6920-12-119

Cited by 35 publications

(37 citation statements)

References 13 publications

(11 reference statements)

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“…We highlight this as a limitation of a sole reliance on web‐based learning for positively influencing and effectively translating from knowledge to actual practice behaviors. Using web‐based learning as an adjunct to skills development may be preferable, as demonstrated recently by Preston et al . Scores for 5 of the 6 clinically related statements were retained at 8 weeks, reinforcing the notion that RAP‐eL was relatively more effective in addressing knowledge gaps compared with clinical skills.…”

Section: Discussionmentioning

confidence: 53%

Policy‐Into‐Practice for Rheumatoid Arthritis: Randomized Controlled Trial and Cohort Study of E‐Learning Targeting Improved Physiotherapy Management

Fary

Slater

Chua

et al. 2015

Arthritis Care & Research

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Objective. To examine the effectiveness of a physiotherapy-specific, web-based e-learning platform, "RAP-el," in bestpractice management of rheumatoid arthritis (RA) using a single-blind, randomized controlled trial (RCT) and prospective cohort study. Methods. Australian-registered physiotherapists were electronically randomized into intervention and control groups. The intervention group accessed RAP-eL over 4 weeks. Change in self-reported confidence in knowledge and skills was compared between groups at the end of the RCT using linear regression conditioned for baseline scores by a blinded assessor, using intent-to-treat analysis. Secondary outcomes included physiotherapists' satisfaction with RA management and responses to RA-relevant clinical statements and practice-relevant vignettes. Retention was evaluated in a cohort study 8 weeks after the RCT. Results. Eighty physiotherapists were randomized into the intervention and 79 into the control groups. Fifty-six and 48, respectively, provided baseline data. Significant between-group differences were observed for change in confidence in knowledge (mean difference 8.51; 95% confidence interval [95% CI] 6.29, 10.73; effect size 1.62) and skills (mean difference 7.26; 95% CI 5.1, 9.4; effect size 1.54), with the intervention group performing better. Satisfaction in ability to manage RA, 4 of the 6 clinical statements, and responses to vignettes demonstrated significant improvement in the intervention group. Although 8-week scores showed declines in most outcomes, their clinical significance remains uncertain. Conclusion. RAP-eL can improve self-reported confidence, likely practice behaviors and satisfaction in physiotherapists' ability to manage people with RA, and improve their clinical knowledge in several areas of best-practice RA management in the short term.

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Section: Discussionmentioning

confidence: 53%

Policy‐Into‐Practice for Rheumatoid Arthritis: Randomized Controlled Trial and Cohort Study of E‐Learning Targeting Improved Physiotherapy Management

Fary

Slater

Chua

et al. 2015

Arthritis Care & Research

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“…Many publications have commented on the usefulness and variety of online resources for use in clinical practice, 2,9,24,25 continuing professional development, 26 and student education. 8,[27][28][29] Such resources include the use of social media in the workplace, with recent publications highlighting the potential clinical and professional value of these Internet networks as resources. 22,30 …”

Section: Discussionmentioning

confidence: 99%

Use of Clinical Anatomy Resources by Musculoskeletal Outpatient Physiotherapists in Australian Public Hospitals: A Cross-Sectional Study

Farrell¹,

Davies²,

Cornwall

2015

Physiotherapy Canada

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Purpose: To investigate how musculoskeletal outpatient physiotherapists in public hospitals interact with and perceive clinical anatomy resources in the workplace. Method: This cross-sectional study used a postal survey sent to musculoskeletal outpatient physiotherapists in 64 Australian public hospitals. Survey questions examined demographics, qualifications, experience, types of resources used, whether resources meet requirements, and what improvements could be made to current resources. Results: A total of 193 physiotherapists responded (75% response rate; 60% female), of whom 49% were age 35 years or younger; 67% had only an undergraduate qualification, and 37% had practised for 5 years or less. More experienced physiotherapists used resources significantly less frequently ([odds ratio] ¼ 1.35; 95% CI, 1.17-1.57), and we found no significant associations between preference for online versus printed resources and age, sex, qualifications, or experience. Trends included less experienced physiotherapists identifying the absence of online access as a barrier to resource use and provision of improved online facilities as necessary to improve access to clinical anatomy resources. Conclusion: Results indicate distinct trends in physiotherapists' use of clinical anatomy resources, including a desire for improved online resource access on the part of less experienced physiotherapists. The findings are relevant to hospital outpatient clinics, particularly those that employ less experienced physiotherapists.Key Words: anatomy; education; ambulatory care facilities; surveys. RÉ SUMÉObjet : Enquê ter sur la fac¸on dont les physiothé rapeutes externes spé cialistes de l'appareil locomoteur dans les hô pitaux publics interagissent avec les ressources en matiè re d'anatomie clinique et les perç oivent. Mé thode : Cette é tude transversale a é té mené e au moyen d'une enquê te posté e aux physiothé rapeutes externes spé cialistes de l'appareil locomoteur de 64 hô pitaux publics de l'Australie. Les questions de l'enquê te portaient sur les donné es dé mographiques, les qualifications, l'expé rience, les types de ressources utilisé es, la pertinence des ressources par rapport aux besoins et les amé liorations qui pourraient ê tre apporté es aux ressources actuelles. Ré sultats : Au total, 193 physiothé rapeutes ont pris part à l'enquê te (taux de ré ponse de 75 %; 60 % des ré pondants é taient des femmes). De ce nombre, 49 % é taient â gé s de 35 ans et moins, 67 % possé daient seulement des qualifications de premier cycle d'é tude universitaire, et 37 % comptaient 5 ans et moins de pratique. Les physiothé rapeutes expé rimenté s ont dit utiliser les ressources beaucoup moins fré quemment (RC 1,35; 95 % CI, 1,17 à 1,57), et aucune association importante n'est ressortie concernant la pré fé rence entre les ressources en ligne et les ressources imprimé es selon l'â ge, le sexe, les qualifications ou l'expé rience. En matiè re de tendances, les physiothé rapeutes moins expé rimenté s ont dé signé l'absence d'un accè s en ...

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“…Current evidence, which predominantly involves undergraduate HCP students [18,19], suggests e-learning shows similar effectiveness to traditional methods for knowledge acquisition [20] and user satisfaction [21], but further research regarding the effectiveness of e-learning on HCP behavioral change and the translation of learning to clinical practice has been advocated [22]. Hence, we evaluated E-SOLAS in the same manner utilised in our face-to-face training.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of an E-Learning Training Program to Support Implementation of a Group-Based, Theory-Driven, Self-Management Intervention For Osteoarthritis and Low-Back Pain: Pre-Post Study (Preprint)

Hurley¹,

Keogh²,

Ardle³

et al. 2018

Preprint

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Background: The Self-management of Osteoarthritis and Low back pain through Activity and Skills (SOLAS) (ISRCTN49875385) feasibility trial included physical therapists (PTs) completing two days small group face-to-face training to deliver the six week group-based intervention. While the effectiveness of this training program has been established, potential upscaling to a definitive national trial and future implementation is limited by travel, time, and cost constraints for PTs. Therefore, an asynchronous, interactive, web-based E-learning training program (E-SOLAS) underpinned by behavior and learning theories was developed.Objective: This study investigated the effectiveness of the E-SOLAS training program on relevant outcomes for effective training and implementation.Methods: Thirteen PT's from across Ireland were trained via E-SOLAS using mixed methods and seven PTs progressed to intervention implementation. The effectiveness of E-SOLAS was evaluated using the Kirkpatrick model at the levels of (1) Reaction: PTs engagement and satisfaction with E-SOLAS training methods and content, (2) Learning: pre to post-training changes in PTs a) confidence and b) knowledge in delivering SOLAS content and self-determination theory (SDT)-based communication strategies, administered via a SurveyMonkey questionnaire and (3) Behavior: Fidelity to delivery of SOLAS content using PT-completed weekly checklists. During implementation, five PTs audio-recorded delivery of one class and the communication between PTs and clients was assessed using the Health Care Climate Questionnaire (HCCQ), the Controlling Coach Behavior Scale (CCBS), and an intervention specific measure (ISM; 7-point Likert scales). A range of implementation outcomes were evaluated during training and delivery (i.e. acceptability, appropriateness, feasibility, fidelity and sustainability of E-SOLAS) using a post-training feedback questionnaire and individual semi-structured telephone interviews. median CCBS = 6.6 (1.0); 5.6-7.0; median ISM = 4.5 (1.2); 2.8-4.8). Fidelity scores were high for SOLAS content delivery (total % mean (SD) fidelity score = 93.5% (4.9)). The post-training questionnaire and post-delivery qualitative interviews showed PTs found E-SOLAS acceptable, appropriate, feasible and sustainable within primary care services to support the implementation of the SOLAS intervention. Conclusions:This study provides preliminary evidence of the effectiveness, acceptability and 2 feasibility of an e-learning program to train PTs to deliver a group-based self-management complex intervention in primary care settings that is equivalent to face to face training outcomes and would support inclusion of PTs in a definitive trial of SOLAS.Keywords: technology-enhanced learning; evaluation; e-learning; digital learning; program evaluation; effectiveness; physical therapy; implementation; osteoarthritis; low back pain. 3 IntroductionInternational clinical guidelines for osteoarthritis (OA) and low back pain (LBP) endorse selfmanagement (SM), exercise and phy...

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The Physiotherapy eSkills Training Onlineresource improves performance of practical skills: a controlled trial

Cited by 35 publications

References 13 publications

Policy‐Into‐Practice for Rheumatoid Arthritis: Randomized Controlled Trial and Cohort Study of E‐Learning Targeting Improved Physiotherapy Management

Policy‐Into‐Practice for Rheumatoid Arthritis: Randomized Controlled Trial and Cohort Study of E‐Learning Targeting Improved Physiotherapy Management

Use of Clinical Anatomy Resources by Musculoskeletal Outpatient Physiotherapists in Australian Public Hospitals: A Cross-Sectional Study

Evaluation of an E-Learning Training Program to Support Implementation of a Group-Based, Theory-Driven, Self-Management Intervention For Osteoarthritis and Low-Back Pain: Pre-Post Study (Preprint)

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