Article

Purpose: To examine a process for evaluating physiotherapy (PT) students'
knowledge of and adherence to the Ambassador Low Back Pain (LBP) guideline using
vignettes. Methods: The study used a cross-sectional survey design. Participants
were PT students who had received information related to the guideline as part of
their curriculum. Primary measures were responses to questions about the
management of four clinical vignettes. Adherence to guideline recommendations was
measured by comparing participant scores to a "guideline-based" set of responses
from a physiotherapist involved in developing the Ambassador guideline, which was
considered a criterion standard. Results: A total of 74 respondents provided
complete data, for a response rate of 89%; 65 (88%) reported no knowledge of the
guideline. Overall consistency with the criterion standard was high (>70%).
Respondents demonstrated high adherence when identifying red flags and deciding
whether to refer to another provider. Conclusion: Despite known exposure,
knowledge of the guideline was low in this sample of Canadian PT students.
Nevertheless, in several key areas, unconscious adherence was high relative to
the guideline-based criterion standard. With minor modifications, the vignettes
are suitable for evaluating the Ambassador LBP guidelines in a larger study.

Langue : ANGLAIS