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dc.contributor.authorFary, Robyn
dc.contributor.authorSlater, Helen
dc.contributor.authorChua, J.
dc.contributor.authorRanelli, Sonia
dc.contributor.authorChan, M.
dc.contributor.authorBriggs, Andrew
dc.date.accessioned2017-01-30T13:46:20Z
dc.date.available2017-01-30T13:46:20Z
dc.date.created2015-10-29T04:08:46Z
dc.date.issued2015
dc.identifier.citationFary, R. and Slater, H. and Chua, J. and Ranelli, S. and Chan, M. and Briggs, A. 2015. Policy-into-practice for rheumatoid arthritis: Randomized controlled trial and cohort study of E-learning targeting improved physiotherapy management. Arthritis Care and Research. 67 (7): pp. 913-922.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/34892
dc.identifier.doi10.1002/acr.22535
dc.description.abstract

Objective To examine the effectiveness of a physiotherapy-specific, web-based e-learning platform, "RAP-el," in best-practice management of rheumatoid arthritis (RA) using a single-blind, randomized controlled trial (RCT) and prospective cohort study. Methods Australian-registered physiotherapists were electronically randomized into intervention and control groups. The intervention group accessed RAP-eL over 4 weeks. Change in self-reported confidence in knowledge and skills was compared between groups at the end of the RCT using linear regression conditioned for baseline scores by a blinded assessor, using intent-to-treat analysis. Secondary outcomes included physiotherapists' satisfaction with RA management and responses to RA-relevant clinical statements and practice-relevant vignettes. Retention was evaluated in a cohort study 8 weeks after the RCT. Results Eighty physiotherapists were randomized into the intervention and 79 into the control groups. Fifty-six and 48, respectively, provided baseline data. Significant between-group differences were observed for change in confidence in knowledge (mean difference 8.51; 95% confidence interval [95% CI] 6.29, 10.73; effect size 1.62) and skills (mean difference 7.26; 95% CI 5.1, 9.4; effect size 1.54), with the intervention group performing better. Satisfaction in ability to manage RA, 4 of the 6 clinical statements, and responses to vignettes demonstrated significant improvement in the intervention group. Although 8-week scores showed declines in most outcomes, their clinical significance remains uncertain. Conclusion RAP-eL can improve self-reported confidence, likely practice behaviors and satisfaction in physiotherapists' ability to manage people with RA, and improve their clinical knowledge in several areas of best-practice RA management in the short term.

dc.publisherJohn Wiley and Sons Inc.
dc.titlePolicy-into-practice for rheumatoid arthritis: Randomized controlled trial and cohort study of E-learning targeting improved physiotherapy management
dc.typeJournal Article
dcterms.source.volume67
dcterms.source.number7
dcterms.source.startPage913
dcterms.source.endPage922
dcterms.source.issn2151-464X
dcterms.source.titleArthritis Care and Research
curtin.departmentSchool of Physiotherapy and Exercise Science
curtin.accessStatusOpen access via publisher


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