Utilizing Behavior Change Techniques to Elicit Adherence to Clinical Practice Guidelines.
BACKGROUND
Two 2-day continuing education seminars were developed to address the orthopedic physical therapy deficits in Guyana. Material was presented in a way to address all stages of behavior change.


METHODS
Surveys evaluating preseminar and postseminar knowledge was conducted. Chart reviews to establish adherence to clinical practice guidelines were performed.


RESULTS
Preseminar surveys revealed minimal knowledge of clinical practice guidelines, which was consistent with preseminar chart review data. Postseminar data indicate improvements in both knowledge and adherence to guidelines.


CONCLUSIONS
A brief series of two 2-day seminars utilizing behavior change strategies to improve adherence to clinical practice guidelines shows promise for countries and regions that rely on international health volunteers to provide clinical instruction. Because this study is limited to one situation, further studies with longer follow-up in a variety of clinical settings are recommended to support generalizability of findings.
Center for Sports Medicine, Concord Hospital , Concord, NH , USA.
Daniel
D
Ferreira
behavior change; best practice; clinical practice guidelines; continuing education; orthopedic pain management