Evidence map›Paper›PMID 40089875›Full record

Trial reportThe Journal of manual & manipulative therapy2025

Comparing the impact of interactive versus traditional e-learning on physiotherapists' knowledge, attitudes, and clinical decision-making in low back pain management: a randomized controlled trial.

Antoine Fourré, Jef Michielsen, Laurence Ris, Ben Darlow, Rob Vanderstraeten, Hilde Bastiaens, Christophe Demoulin, Nathalie Roussel

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in The Journal of manual & manipulative therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Antoine FourréDepartment of Neurosciences, Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium.ORCID 0000-0002-8494-4919
Jef MichielsenOrthopedic Department, University Hospital, Antwerp, Belgium.ORCID 0000-0002-4353-6601
Laurence RisDepartment of Neurosciences, Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium.ORCID 0000-0002-2140-8297
Ben DarlowDepartment of Primary Health Care and General Practice, University of Otago, Wellington, New Zealand.ORCID 0000-0002-6248-6814
Rob VanderstraetenFaculty of Medicine and Health Sciences, Rehabilitation Sciences and Physiotherapy (MOVANT), University of Antwerp, Antwerp, Belgium.ORCID 0000-0002-5780-5219
Hilde BastiaensFaculty of Medicine and Health Sciences, Rehabilitation Sciences and Physiotherapy (MOVANT), University of Antwerp, Antwerp, Belgium.ORCID 0000-0002-5509-3406
Christophe DemoulinDepartment of Sport and Rehabilitation Sciences, University of Liège, Liège, Belgium.ORCID 0000-0002-8280-834X
Nathalie RousselFaculty of Medicine and Health Sciences, Rehabilitation Sciences and Physiotherapy (MOVANT), University of Antwerp, Antwerp, Belgium.ORCID 0000-0002-7409-878X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDespite the recommendations to use a bio-psycho-social framework, many physiotherapists still manage their patients mainly from a biomedical point of view. The purpose of this study is to analyze the impact of two different e-learning interventions on knowledge, attitudes, and clinical decision-making of physiotherapists managing low back pain (LBP) to increase guideline-consistent care.

methodsPhysiotherapists were allocated (1/1) either to an experimental or a traditional e-learning intervention. Baseline and post-intervention assessment included the Health Care Providers' Pain and Impairment Relationship Scale (HC-PAIRS), Back Pain Attitudes Questionnaire (Back-PAQ), Neurophysiology of Pain Questionnaire (NPQ), and a clinical vignette. Participants had 2 weeks to complete the post-intervention assessment. Statistics were processed using ANCOVA and Fisher's t-tests.

resultsFour hundred nineteen physiotherapists were included in the analysis. Mean scores of HC-PAIRS, Back-PAQ, and NPQ significantly improved post-intervention in both groups. There was a significant effect of the intervention type (experimental versus traditional) on the scores of HC-PAIRS (

conclusionAn interactive e-learning intervention which includes concrete clinical examples and focused on patient's reassurance, self-management, and importance of screening psycho-social factors had more impact than a traditional e-learning intervention to enhance physiotherapists' knowledge, attitudes, and clinical decision-making regarding LBP.

Indexed as

Clinical Decision-MakingComputer-Assisted InstructionHealth Knowledge, Attitudes, PracticeLow Back PainPhysical TherapistsAdultAttitude of Health PersonnelFemaleHumansMaleMiddle AgedSurveys and Questionnairescomputer-assisted instructionLow back painphysical therapistsreturn to work

Identifiers

PMID40089875
PMCPMC12624964

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.