Table 2.
Change in physiotherapists’ confidence and knowledge of self-determination theory-based communication strategies.
| SDTa-based communication strategies | Confidenceb | Knowledgec | |||||
| Median pretraining score (interquartile range), min-max | Median posttraining score (interquartile range), min-max | Z score | P value | Median pretraining scores (% of physiotherapists) | Median posttraining score (% of physiotherapists) | P value | |
| Total | 4.5 (1.0), 2.7-5.4 | 5.0 (0.8), 3.6-5.9 | –2.08 | .037 | 8.0 (2.0), 5.0-9.0d | 7.5 (2.0), 6.0-9.0d | .70 |
| Offer a meaningful rationale | 5.0 (2.0), 3.0-7.0 | 7.0 (1.0), 0.0-7.0 | –1.80 | .07 | 11.0 (84.6) | 8.0 (61.5) | .38 |
| Provide opportunities for patient input and choice | 4.0 (3.0), 2.0-7.0 | 6.0 (1.0), 4.0-7.0 | –2.59 | .009 | 6.0 (46.2) | 10.0 (76.9) | .22 |
| Use support and encouragement rather than pressurising behaviours | 4.0 (2.0), 2.0-6.0 | 6.0 (2.0), 4.0-7.0 | –2.45 | .01 | 3.0 (23.1) | 7.0 (53.8) | .29 |
| Set clear expectations and provide directione | 5.00 (2.0), 3.0-6.0 | 6.00 (2.0), 5.0-7.0 | –2.85 | .004f | Not assessed | Not assessed | Not assessed |
| Collaborative goal setting and action planningg | 5.0 (3.0), 2.0-7.0 | 6.0 (1.0), 5.0-7.0 | –2.54 | .01 | 12.0 (92.3) | 12.0 (92.3) | 1.00 |
| Collaborative problem solving | N/Ah | N/A | N/A | N/A | 4.0 (30.8) | 8.0 (61.5) | 0.13 |
| Provide positive information rich feedback | 6.0 (1.0), 4.0-7.0 | 7.0 (1.0), 4.0-7.0 | –1.84 | .07 | 2.0 (15.4) | 2.0 (15.4) | 1.00 |
| Provide opportunities to practice behaviors | 6.0 (2.0), 2.0-6.0 | 6.0 (1.0), 4.0-7.0 | –2.04 | .04 | 3.0 (23.1) | 1.0 (7.7) | .63 |
| Acknowledge patients’ feelings and perspectives | 6.0 (2.0), 2.0-7.0 | 7.0 (1.0), 4.0-7.0 | –2.09 | .04 | 6.0 (46.2) | 9.0 (69.2) | .38 |
| Building relationships | 6.0 (1.0), 4.0-7.0 | 7.0 (1.0), 6.0-7.0 | –1.61 | .11 | 12.0 (92.3) | 12.0 (92.3) | 1.00 |
aSDT: self-determination theory.
bScale range: 1 (not at all good) to 7 (very good).
cPercentage of physiotherapists is calculated on the basis of the presence/absence of each SDT strategy in the narrative response.
dValues are presented as median (interquartile range), min-max
e“Setting clear expectations” was not included in the narrative component of the assessment, as it was not expected to be delivered within the context of the case study.
fSignificant after Bonferroni adjustment for multiplicity.
gProblem solving was considered under the heading of goal setting within the confidence scale.
hN/A: not applicable.