Abstract
Purpose
This pilot study tested the feasibility of a self-determination theory-based communication skills training programme designed to increase physiotherapists' psychological needs supportive behaviour when treating patients with chronic low back pain (CLBP>12 weeks).
Methods
Both control (n = 4) and intervention (n = 3) physiotherapists received one hour of evidence-based CLBP management education. Intervention group physiotherapists also received six hours of autonomy-support training, utilizing the ‘5A’ health behaviour change model. Consenting participants [intervention n=16, mean (SD) age = 49.00 years (14.91); control n=12, mean (SD) age = 43.42 (11.70yrs)] completed the primary [self-reported PA, adherence to prescribed exercises, pain, disability, satisfaction] and secondary outcomes [psychological needs support, autonomous motivation, competence] at Week 1 and at Week 4.
Results
Compared with controls, intervention group participants reported more PA (d = .26 in Week 1, d = .50 in Week 4), greater adherence to home exercises (d = .40 in Week 1, d = .15 in Week 4) and larger improvements in satisfaction (d = .41). Decreases in pain levels were similar in both groups and improvements in functional outcomes were less for the intervention group (d =. 25), who also reported similar or higher levels of autonomy support (d = .24 in Week 1, no difference in Week 4), autonomous motivation (no difference in Week 1, d = .21 in Week 4), and perceived competence (d = .32 in Week 1, d = .46 in Week 4).
Conclusion
Findings provided preliminary evidence supporting the feasibility of this intervention and a fully powered RCT is planned.
Conflicts of interest - None
Sources of funding - None
This abstract has not been previously published in whole or substantial part nor has it been presented previously at a national meeting.
