title: Content and Evaluation of the Benefits of Effective Exercise for Older Adults With Knee Pain Trial Physiotherapist Training Program.
abstract: To explore whether participating in the Benefits of Effective Exercise for knee Pain (BEEP) trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain in older adults.
  
  
  
  Before/after training program evaluation. Physiotherapists were asked to complete a questionnaire before the BEEP trial training program, immediately after, and 12 to 18 months later (postintervention delivery in the BEEP trial). The questionnaire included a case vignette and associated clinical management questions. Questionnaire responses were compared over time and between physiotherapists trained to deliver each intervention within the BEEP trial.
  
  
  
  Primary care.
  
  
  
  Physiotherapists (N=53) who completed the BEEP trial training program.
  
  
  
  Not applicable.
  
  
  
  Self-confidence in the diagnosis and management of knee pain in older adults; and intended clinical behavior measured by a case vignette and associated clinical management questions.
  
  
  
  Fifty-two physiotherapists (98%) returned the pretraining questionnaire, and 44 (85%) and 39 (74%) returned the posttraining and postintervention questionnaires, respectively. Posttraining, self-confidence in managing older adults with knee pain increased, and intended clinical behavior regarding exercise for knee pain in older adults appeared more in line with clinical guidelines. However, not all positive changes were maintained in the longer-term.
  
  
  
  Participating in the BEEP trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain, but by 12 to 18 months later, some of these positive changes were lost. This suggests that brief training programs are useful, but additional strategies are likely needed to successfully maintain changes in clinical behavior over time.
authors.affiliation: Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire. Electronic address: m.holden@keele.ac.uk.
authors.forename: Melanie A
authors.initials: MA
authors.lastname: Holden
authors.affiliation: Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Whittle
authors.affiliation: Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire.
authors.forename: Emma L
authors.initials: EL
authors.lastname: Healey
authors.affiliation: Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire.
authors.forename: Susan
authors.initials: S
authors.lastname: Hill
authors.affiliation: The Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge.
authors.forename: Ricky
authors.initials: R
authors.lastname: Mullis
authors.affiliation: Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire; Staffordshire Rheumatology Centre, Haywood Hospital, Burslem, Stoke-on-Trent, United Kingdom.
authors.forename: Edward
authors.initials: E
authors.lastname: Roddy
authors.affiliation: Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire; Staffordshire Rheumatology Centre, Haywood Hospital, Burslem, Stoke-on-Trent, United Kingdom.
authors.forename: Gail
authors.initials: G
authors.lastname: Sowden
authors.affiliation: Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Tooth
authors.affiliation: Arthritis Research UK Primary Care Centre, Research Institute for Primary Care and Health Sciences, Keele University, Keele, Staffordshire.
authors.forename: Nadine E
authors.initials: NE
authors.lastname: Foster
mesh_terms: D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007719:Knee Joint; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000534:rehabilitation*; D059825:Physical Therapists / Q000193:education*; D017410:Practice Guidelines as Topic; D020377:Self Efficacy
keywords: Exercise; Osteoarthritis; Physical therapists; Rehabilitation