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March 16, 2025Journal of Manual & Manipulative TherapyOpen Access

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

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Authors

AFAntoine FourréJMJozef MichielsenLRLaurence Ris

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Overview

Randomized trial demonstrates that interactive e-learning improves clinical decision-making and attitudes in physiotherapists, highlighting the benefit of case-based biopsychosocial education.

Key Points

  • Determine whether an interactive e-learning intervention is superior to traditional e-learning for improving physiotherapists' knowledge, attitudes, and guideline-adherent clinical decision-making in low back pain management.
  • Randomized controlled trial allocating physiotherapists (1:1) to either an experimental interactive e-learning program or a traditional e-learning intervention.
  • Evaluated outcomes at baseline and 2 weeks post-intervention using 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.
  • Analyzed between-group post-intervention differences using ANCOVA and Fisher's t-tests.
  • Physiotherapists assigned to interactive e-learning demonstrated statistically significant superior outcomes across evaluated measures compared to the traditional group (p < .001 post-intervention).
  • Interactive training incorporating concrete clinical vignettes, reassurance strategies, self-management, and psychosocial screening produced substantially greater alignment with guideline-recommended care.

Cite This Study

Fourré et al. (2025) studied this question.

synapsesocial.com/papers/6a001668b124fe581985c192https://doi.org/10.1080/10669817.2025.2476670
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