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Table 3 Changes in scores on influential determinants of adherence after the Quality Improvement in Physical Therapy programme (1 = disagree to 5 = agree)

From: Evaluation of the theory-based Quality Improvement in Physical Therapy (QUIP) programme: a one-group, pre-test post-test pilot study

 

Nitems

α

Pretest mean (SD)

Post-test mean (SD)

t

df

p

Effect size Cohen’s d

(n = 25)

(n = 25)

Individual level

        

 Attention paid to the guideline

2

0.70

3.3 (0.6)

4.0 (0.6)

−4.047

24

.000**

1.17c

 Compatibility with way of working

4

0.70

3.3 (0.6)

3.5 (0.6)

−1.342

24

.192

0.33b

 Compatibility with patient demands

3

0.78

3.2 (0.8)

3.6 (0.5)

−3.166

24

.004**

0.60c

 Flexibility of the guideline

5

0.87

3.5 (0.6)

3.8 (0.5)

−2.120

24

.045*

0.54b

 Communicability of the guideline

3

0.82

4.0 (0.6)

4.2 (0.5)

−1.454

24

.159

0.36b

 Visibility of results of the guideline

4

0.89

2.9 (0.8)

3.3 (0.8)

−2.520

24

.019*

0.50b

 Feeling pride/confidence

6

0.86

3.0 (0.7)

3.6 (0.6)

−4.688

24

.000**

0.92c

 Feeling uncomfortable

6

0.81

3.0 (0.6)

2.5 (0.5)

3.594

24

.001**

- 0.90c

 Self-efficacy to apply questionnaires (behavioural SE)

5

0.71

3.5 (0.6)

4.0 (0.5)

−4.804

24

.000**

0.90c

 Self-efficacy to overcome barriers (tensional SE)

2

0.82

3.0 (0.8)

3.6 (0.8)

−3.343

24

.003**

0.75c

 Self-efficacy towards perceived social pressure (social SE)

5

0.84

3.6 (0.5)

3.9 (0.5)

−2.031

23

.031*

0.60c

 Self-efficacy to explain hands off policy to patients

1

--

3.8 (0.7)

4.2 (0.6)

−1.995

24

.058

0.61c

 Self-efficacy to deal with psychosocial factors

1

--

3.5 (1.0)

3.9 (0.7)

−2.089

24

.047*

0.46b

 Potential losses

5

0.85

2.0 (0.6)

1.7 (0.7)

1.815

24

.082

- 0.46b

 Social norm of colleagues

2

0.72

2.8 (0.8)

3.4 (0.8)

−3.055

24

.005**

0.75c

 Social norm: perceived behaviour of peers

1

--

2.9 (1.2)

3.3 (1.2)

−1.809

24

.083

0.33b

 Motivation to comply with colleagues

3

0.58

3.1 (0.7)

3.4 (0.7)

−2.413

24

.024**

0.43b

 Social norm of patient

1

--

2.7 (1.1)

2.8 (0.8)

−0.146

24

.885

0.10a

 Motivation to comply with patient

1

--

4.1 (0.7)

4.0 (0.8)

1.000

24

.327

- 0.13a

 Barriers logistic

5

0.81

2.6 (0.7)

2.3 (0.9)

1.394

24

.176

- 0.37b

 Barriers working part time

1

--

1.5 (0.8)

1.4 (0.7)

0.225

24

.824

- 0.13a

 Barriers market directed care

1

--

2.2 (1.0)

2.0 (1.1)

1.238

24

.228

- 0.19a

 Incompatibility other guidelines

2

0.69

2.0 (0.7)

1.8 (0.7)

1.429

24

.166

- 0.29a

 Feeling uncertain about position

3

0.76

2.4 (0.6)

1.9 (0.6)

2.850

24

.009**

- 0.83c

Practice level

        

 Regular deliberative meetings

1

--

3.4 (1.0)

3.9 (0.6)

−2.701

24

.012*

0.61c

 Practice arrangements about treatment of patients with low back pain

1

--

2.6 (1.4)

3.5 (1.3)

−3.366

24

.003**

0.67c

 Guideline is part of practices routine

1

--

3.0 (0.9)

3.3 (1.1)

−1.572

24

.129

0.30a

 Arrangements with other disciplines

2

0.82

2.3 (1.1)

2.6 (1.3)

−1.664

23

.110

0.25a

 Culture of education/training

1

--

4.3 (0.7)

4.2 (0.7)

0.527

24

.603

- 0.14a

 Handling measurement instruments

1

--

2.4 (0.9)

3.3 (1.1)

−4.028

24

.000**

0.90c

 Availability guidelines/instruments

3

0.79

4.5 (0.6)

4.6 (0.5)

−1.372

24

.183

0.20a

 Supportive practice culture

3

0.65

4.4 (0.5)

4.4 (0.5)

0.249

24

.805

0.0

  1. **p < .01, *p < .05, #p < .10.
  2. a = small ES, b = medium ES, c = large ES.