부산대학교 도서관

The UK Back pain Exercise And Manipulation (UK BEAM) trial is a large, national randomised trial of different physical treatments for back pain in primary care. Before the main trial, we undertook a feasibility study to test the practical application of various aspects of its design. As one part of the feasibility study, we trained general practice whole teams - clinical and support staff - in the evidence-based management of back pain. We included support staff so that all staff were aware of the patient information and resources available within practices and so that consistent messages were given to patients. We found that support staff were less happy with the training than clinical staff: they seemed unsure of the relevance of the topic and inhibited by the presence of clinical staff. Therefore, for the main UK BEAM trial we made changes to the sessions aimed at improving their experiences. First, we emphasised the importance of their involvement and the relevance to their work and home lives. Second, after a general training session, they discussed the topic away from clinical colleagues. Here we compare the acceptability of feasibility and main study training for support staff and clinical staff, using training evaluation forms completed by staff. We found an improvement in support staff's ratings of training usefulness from feasibility study to main trial. We recommend that those organizing training sessions for multidisciplinary teams are aware of the particular needs of support staff. [ABSTRACT FROM AUTHOR]