TY - JOUR AU - Hurley, Deirdre A AU - Keogh, Alison AU - Mc Ardle, Danielle AU - Hall, Amanda M AU - Richmond, Helen AU - Guerin, Suzanne AU - Magdalinski, Tara AU - Matthews, James PY - 2019 DA - 2019/03/07 TI -支持实施基于群体的、理论驱动的、对骨关节炎和腰背痛的自我管理干预的E-Learning训练计划的评估:前后研究JO - J医学互联网Res SP - e11123 VL - 21 IS - 3kw -技术增强学习KW -评估KW -电子学习KW -数字学习KW -程序评估KW -有效性KW -理疗KW -实施KW -骨关节炎KW -腰痛AB -背景:通过调整之前在骨关节炎和腰痛自我管理中通过活动和技能(SOLAS)可行性试验中使用的面对面物理治疗师培训计划，开发了一个基于行为和学习理论的异步、交互式、基于web的电子学习培训计划(E-SOLAS)。目的:本研究探讨E-SOLAS培训计划对有效培训和实施相关结果的影响。方法:来自爱尔兰各地的13名物理治疗师通过E-SOLAS进行混合方法培训，7名物理治疗师进展到实施为期6周的以小组为基础的SOLAS干预。使用Kirkpatrick模型在反应(物理治疗师对E-SOLAS培训方法和内容的参与度和满意度)、学习(物理治疗师在提供SOLAS内容和基于自我决定理论的沟通策略方面的信心和知识在培训前后的变化，通过SurveyMonkey问卷进行管理)、行为(使用物理治疗师完成的每周检查表，忠实地交付SOLAS内容)。在实施过程中，五名物理治疗师录制了一堂课的授课，物理治疗师与客户之间的沟通使用医疗保健氛围问卷(HCCQ)、控制性教练行为量表(CCBS)和特定干预措施(ISM;7点李克特量表)。在培训和交付期间，使用培训后反馈问卷和个别半结构化电话访谈评估了一系列实施结果(即E-SOLAS的可接受性、适当性、可行性、保真度和可持续性)。 Results: With regard to their reaction, physiotherapists (n=13) were very satisfied with E-SOLAS posttraining (median 5.0; interquartile range 1.0; min-max 4.0-5.0) and completed training within 3-4 weeks. With regard to learning, there were significant increases in physiotherapists’ confidence and knowledge in delivery of all SOLAS intervention components (P<.05). Physiotherapists’ confidence in 7 of 10 self-determination theory-based communication strategies increased (P<.05), whereas physiotherapists’ knowledge of self-determination theory-based strategies remained high posttraining (P>.05). In terms of behavior, physiotherapists delivered SOLAS in a needs supportive manner (HCCQ: median 5.2, interquartile range 1.3, min-max 3.7-5.8; CCBS: median 6.6, interquartile range 1.0, min-max 5.6-7.0; ISM: median 4.5, interquartile range 1.2, min-max 2.8-4.8). Fidelity scores were high for SOLAS content delivery (total %mean fidelity score 93.5%; SD 4.9%). The posttraining questionnaire and postdelivery qualitative interviews showed that physiotherapists 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 feasibility of an e-learning program to train physiotherapists to deliver a group-based self-management complex intervention in primary care settings, which is equivalent to face-to-face training outcomes and would support inclusion of physiotherapists in a definitive trial of SOLAS. SN - 1438-8871 UR - //www.mybigtv.com/2019/3/e11123/ UR - https://doi.org/10.2196/11123 UR - http://www.ncbi.nlm.nih.gov/pubmed/30843863 DO - 10.2196/11123 ID - info:doi/10.2196/11123 ER -