Détail de l'auteur
Auteur Chris Lonsdale
Documents disponibles écrits par cet auteur
trié(s) par (Pertinence décroissant(e), Titre croissant(e)) Faire une suggestion Affiner la recherche
Communication Skills Training for Practitioners to Increase Patient Adherence to Home-Based Rehabilitation for Chronic Low Back Pain: Results of a Cluster Randomized Controlled Trial / Chris Lonsdale in Archives of Physical Medicine and Rehabilitation, 2017/9 (2017)
Titre : Communication Skills Training for Practitioners to Increase Patient Adherence to Home-Based Rehabilitation for Chronic Low Back Pain: Results of a Cluster Randomized Controlled Trial Type de document : Article Auteurs : Chris Lonsdale ; Amanda M. Hall ; Aileen Murray Article en page(s) : p. 17321743 Langues : Anglais (eng) Descripteurs : HE Vinci
Autosoins ; Compétence professionnelle ; Motivation ; Observance par le patient ; Rééducation et réadaptation
Mots-clés : Professional Competence Self care Résumé : Objective
To assess the effect of an intervention designed to enhance physiotherapists' communication skills on patients' adherence to recommendations regarding home-based rehabilitation for chronic low back pain.
Cluster randomized controlled trial.
Publicly funded physiotherapy clinics.
A sample (N=308) of physiotherapists (n=53) and patients with chronic low back pain (n=255; 54% female patients; mean age, 45.3y).
Patients received publicly funded individual physiotherapy care. In the control arm, care was delivered by a physiotherapist who had completed a 1-hour workshop on evidence-based chronic low back pain management. Patients in the experimental arm received care from physiotherapists who had also completed 8 hours of communication skills training.
Main Outcome Measures
(1) Patient-reported adherence to their physiotherapists' recommendations regarding home-based rehabilitation measured at 1, 4, 12, and 24 weeks after the initial treatment session. (2) Pain and pain-related function measured at baseline and at 4, 12, and 24 weeks.
A linear mixed model analysis revealed that the experimental arm patients' ratings of adherence were higher than those of controls (overall mean difference, .41; 95% confidence interval, .10.72; d=.28; P=.01). Moderation analyses revealed that men, regardless of the intervention, showed improvements in pain-related function over time. Only women in the experimental arm showed functional improvements; female controls showed little change in function over time. The Communication Style and Exercise Compliance in Physiotherapy intervention did not influence patients' pain, regardless of their sex.
Communication skills training for physiotherapists had short-term positive effects on patient adherence. This training may provide a motivational basis for behavior change and could be a useful component in complex interventions to promote adherence. Communication skills training may also improve some clinical outcomes for women, but not for men.
Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/a [...] Permalink :
in Archives of Physical Medicine and Rehabilitation > 2017/9 (2017) . - p. 17321743[article]Physiotherapy for Sleep Disturbance in People With Chronic Low Back Pain: Results of a Feasibility Randomized Controlled Trial / Jennifer Eadie in Archives of Physical Medicine and Rehabilitation, 2013/11 (2013)
Titre : Physiotherapy for Sleep Disturbance in People With Chronic Low Back Pain: Results of a Feasibility Randomized Controlled Trial Type de document : Article Auteurs : Jennifer Eadie ; Alexander Van de Water ; Chris Lonsdale ; [et al.] Article en page(s) : pp. 2083-2092 Langues : Anglais (eng) Descripteurs : HE Vinci
Kinésithérapie (spécialité) ; Lombalgie ; Rééducation et réadaptation
Mots-clés : Actigraphy Actigraphie Dyssomnias Dyssomnies Low back pain Physical Therapy Specialty Résumé : Objective
To determine the feasibility of a randomized controlled trial investigating the effectiveness of physiotherapy for sleep disturbance in chronic low back pain (CLBP) (≥12wks).
Randomized controlled trial with evaluations at baseline, 3 months, and 6 months.
Outpatient physiotherapy department in an academic teaching hospital.
Participants with CLBP were randomly assigned to a walking program (n=20; mean age + SD, 46.4+13.8y), supervised exercise class (n=20; mean age + SD, 41.3+11.9y), or usual physiotherapy (n=20; mean age + SD, 47.1+14.3y). The 3-month evaluation was completed by 44 participants (73%), and 42 (70%) participants completed the 6-month evaluation.
Participants received a physiotherapy-delivered 8-week walking program, an 8-week group supervised exercise class (1 class/wk), or 1-to-1 usual physiotherapy (advice, manual therapy, and exercise).
Main Outcome Measures
Sleep was assessed by the self-reported Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Pittsburgh Sleep Diary, and objective actigraphy.
Groups were comparable at baseline. Most (95%, n=57) of the participants had sleep disturbance. The acceptability of actigraphy was excellent at baseline (58 of 60 participants), but dropped at 3 months (26 of 44 participants). There were improvements on the PSQI and ISI in all groups at 3 and 6 months, with predominantly medium effect sizes (Cohen d=0.20.5).
The high prevalence of sleep disturbance indicated the feasibility of good recruitment in future trials. The PSQI would be a suitable screening tool and outcome measure alongside an objective nonobtrusive sleep outcome measure. The effectiveness of physiotherapy for sleep disturbance in CLBP warrants investigation in a fully powered randomized controlled trial.
Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/a [...] Permalink :
in Archives of Physical Medicine and Rehabilitation > 2013/11 (2013) . - pp. 2083-2092[article]