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Physiotherapists’ validating and invalidating communication before and after participating in brief cognitive functional therapy training: Test of concept study
Faculty of Sport and Health Sciences, University of Jyväskylä, Jyväskylä, Finland.ORCID iD: 0000-0002-2042-8624
Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.ORCID iD: 0000-0002-4254-4634
Örebro University, School of Law, Psychology and Social Work. (CHAMP)ORCID iD: 0000-0003-2314-486X
Örebro University, School of Law, Psychology and Social Work. (CHAMP)ORCID iD: 0000-0002-3736-1235
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2023 (English)In: European Journal of Physiotherapy, ISSN 2167-9169, E-ISSN 2167-9177, Vol. 25, no 2, p. 73-79Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to investigate physiotherapists' validating and invalidating communication, before and after brief Cognitive Functional Therapy (CFT) training that included a session on validation skills. Associations between validation/invalidation and the characteristics of the interviews and physiotherapists were also explored.

Methods: Eighteen physiotherapists treating patients with low back pain participated in the study. The study had a within-group design in which validation and invalidation for physiotherapists were rated before and after training using a reliable observational scale. We also collected data on interview length and physiotherapists' and patients' speech percentages.

Results: The physiotherapists' validating responses increased and invalidating responses decreased from pre- to post-training. The within-group effect size was large for validating responses and medium for invalidating responses. The interview length increased from pre- to post-training (large effect size). However, the reason for this was related to factors other than validation and invalidation. The results indicate that increased validation is associated with an increase in physiotherapists' speech percentage.

Conclusions: The results of this study show changes invalidating and invalidating communication among physiotherapists from pre- to post-CFT training. The study also found associations between specific interview characteristics and validating communication. Future studies with larger samples and control groups are needed.

Place, publisher, year, edition, pages
Taylor & Francis, 2023. Vol. 25, no 2, p. 73-79
Keywords [en]
Communication, validation, physiotherapy, cognitive functional therapy
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:oru:diva-94789DOI: 10.1080/21679169.2021.1967446ISI: 000698745100001Scopus ID: 2-s2.0-85115358622OAI: oai:DiVA.org:oru-94789DiVA, id: diva2:1600261
Available from: 2021-10-04 Created: 2021-10-04 Last updated: 2023-06-16Bibliographically approved

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Edlund, SaraCarstens-Söderstrand, JohanLinton, Steven J.

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Holopainen, RiikkaLausmaa, MikkoEdlund, SaraCarstens-Söderstrand, JohanKarppinen, JaroO’Sullivan, PeterLinton, Steven J.
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School of Law, Psychology and Social Work
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European Journal of Physiotherapy
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