RESULTS Knowledge translation interventions appear to have result ed in a positive change in physiotherapist beliefs , attitudes , skills and guideline awareness .
However , no consistent improvement in clinical practice , patient and economic outcomes were observed .
AND IMPLICATION OF KEY FINDINGS The intensity and type of knowledge translation intervention seem to have an effect on practice change .
BACKGROUND Many physiotherapists underuse evidence -based practice guidelines or recommendations when treating patients with musculoskeletal disorders , yet synthesis of knowledge translation interventions used within the field of physiotherapy fails to offer clear conclusions to guide the implementation of clinical practice guidelines .
OBJECTIVES To evaluate the effectiveness of various  knowledge translation interventions used to implement changes in the practice of current physiotherapists treating common musculoskeletal issues .
Effect of a self-determination theory-based communication skills training program on physiotherapists' psychological support for their patients with chronic low back pain: a randomized controlled trial.
OBJECTIVE To examine the effects of communication skills training on physiotherapists ' supportive behavior during clinical practice . DESIGN R and omized trial . SETTING Hospital outpatient physiotherapy clinics . PARTICIPANTS Physiotherapists ( N=24 ) and patients ( N=24 ) with chronic low back pain . INTERVENTIONS Two hospital clinics were r and omly assigned to the intervention arm . Physiotherapists ( n=12 ) received 8 hours of communication skills training focused on supporting patients ' psychological needs . Physiotherapists ( n=12 ) from 2 other hospital clinics formed a waitlist control arm . MAIN OUTCOME MEASURES Verbal communication between each physiotherapist and a patient was recorded on an audiotape , and independent , blinded raters used the Health Care Climate Question naire to assess physiotherapists ' needs-supportive behavior ( primary outcome ) . RESULTS Independent raters ' Health Care Climate Question naire scores favored the intervention arm ( Cohen 's d=2.27 ; P<.01 ) . CONCLUSIONS Compared with controls , independent ratings demonstrated that physiotherapists who completed the Communication style and exercise compliance in physiotherapy training were found to provide greater support for patients ' needs in a single assessed session . Long-term maintenance of this needs-supportive behavior should be examined
RESULTS Knowledge translation interventions appear to have result ed in a positive change in physiotherapist beliefs , attitudes , skills and guideline awareness .
However , no consistent improvement in clinical practice , patient and economic outcomes were observed .
AND IMPLICATION OF KEY FINDINGS The intensity and type of knowledge translation intervention seem to have an effect on practice change .
BACKGROUND Many physiotherapists underuse evidence -based practice guidelines or recommendations when treating patients with musculoskeletal disorders , yet synthesis of knowledge translation interventions used within the field of physiotherapy fails to offer clear conclusions to guide the implementation of clinical practice guidelines .
OBJECTIVES To evaluate the effectiveness of various  knowledge translation interventions used to implement changes in the practice of current physiotherapists treating common musculoskeletal issues .