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Abstract
This study investigated the efficacy of guidelines for a motivated class teacher to
enhance the application of back care principles, taught by a physical therapist, in
fifth-grade elementary schoolchildren. Testing consisted of a practical test before
and a practical test, knowledge test and candid camera evaluation 11 weeks after the
program. Three groups were compared: an intervention group of 38 pupils, with extra
guidelines for the teacher, an intervention group of 48 pupils, without extra guidelines
and 34 controls. The intervention plus guidelines group, compared to the intervention
group without extra teacher guidelines, obtained significantly higher posttest-pretest
gain scores for five of the seven practical test items and scored significantly higher
for seven of the nine items of the candid camera evaluation. Knowledge test scores
did not differ significantly between the two intervention groups. Study results indicate
that guidelines to a motivated class teacher improve efficacy of back care education
in elementary schoolchildren.