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 .
Do physical therapists change their beliefs, attitudes, knowledge, skills and behaviour after a biopsychosocially orientated university course?
AIM The aim of this study is to examine the effects of an 8-day university-based training course , aim ed at identifying and addressing psychosocial prognostic factors during physiotherapy treatment , in shifting therapists towards a more biopsychosocial orientation as measured by changes in beliefs/attitudes , knowledge , skills and behaviour . METHOD We combined a r and omized controlled trail with a pre-post design . Forty-two physiotherapists applied for a university-accredited training course design ed to enhance knowledge and management of psychosocial factors in their practice with patients suffering from musculoskeletal pain . The course participants were r and omized either to receiving the course or to a waiting list for training . Attitudes and beliefs towards , and knowledge of psychosocial factors , patient vignettes and a video of an imaginary patient were tested before and after training . The patients of the course participants were asked to fill out a question naire with background questions at treatment start . The patients also received a question naire about the physical therapists ' behaviour and patient satisfaction 6 weeks after treatment start . RESULTS The results show that physical therapists ' attitudes and believes became more biopsychosocially and less biomedically orientated , they were less convinced that pain justifies disability and limitation of activities , and their knowledge and skills on psychosocial risk factors increased after a university-accredited training course . Yet despite these changes their patients perceived their practice behaviour before and after the course as similar and were equally satisfied with their treatment and treatment result . CONCLUSION A course , which enhanced biopsychosocial attitudes and beliefs , as well as increased such knowledge and skills did not change the way patients perceived their physical therapists . A future question is whether it improves patient outcome
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 .