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Takasaki H, Ueno T. Possible solutions to enhance evidence-based practice proposed by rehabilitation professionals in Japan: a Delphi study. J Phys Ther Sci 2023; 35:31-39. [PMID: 36628142 PMCID: PMC9822816 DOI: 10.1589/jpts.35.31] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 10/03/2022] [Indexed: 01/01/2023] Open
Abstract
[Purpose] We aimed to identify possible solutions to enhance evidence-based practice (EBP) in rehabilitation professionals in Japan. [Participants and Methods] A three-round Delphi method was undertaken among a cohort of clinical therapists (328 physical therapists, 55 occupational therapists, and 6 speech therapists). In the first round, the participants listed possible solutions for promoting EBP, other than 12 solutions presented in a previous study; subsequently, a new list was created. In the second round, a newly-created list of solutions was presented, and the participants responded on a 5-point Likert scale on how much they agreed with the solutions promoting EBP in Japanese rehabilitation professionals. In the third round, the distribution of responses obtained in the second round was presented, and participant's agreement was again assessed on a 5-point Likert scale. [Results] Across the three rounds, data were collected from 33.7% to 47.0% of all eligible participants. After the first round, 17 possible solutions were developed, and a list of 29 solutions was used in the second round. After the third round, 10 solutions reached the predetermined criteria for consensus. [Conclusion] In this study, ten possible solutions to promote EBP were proposed by the Japanese rehabilitation professionals.
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Affiliation(s)
- Hiroshi Takasaki
- Department of Physical Therapy, Saitama Prefectural
University: 820 Sannomiya, Koshigaya-shi, Saitama 343-8540, Japan,Corresponding author. Hiroshi Takasaki (E-mail: )
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Fernández-Domínguez JC, De Pedro-Gómez JE, Jiménez-López R, Romero-Franco N, Bays Moneo AB, Oliva-Pascual-Vaca Á, Sesé-Abad A. Physiotherapists’ Evidence-Based Practice profiles by HS-EBP questionnaire in Spain: A cross-sectional normative study. PLoS One 2022; 17:e0269460. [PMID: 35658062 PMCID: PMC9165824 DOI: 10.1371/journal.pone.0269460] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Accepted: 05/20/2022] [Indexed: 11/18/2022] Open
Abstract
Evidence-Based Practice (EBP) is a cost-effective approach for improving the quality of clinical care and implementing only well-tested evidence. Health professions, especially physiotherapy, must embrace EBP principles. This paper presents normative data from the Spanish physiotherapist population using the Health-Sciences Evidence-Based Practice questionnaire and explores EBP clusters/profiles of professionals in practice. An intentional sample of 419 practicing physiotherapists was recruited from the Spanish Professional Council of Physiotherapy. Participants completed a cross-sectional online survey with 60 Likert items (scale 1–10) measuring 5 dimensions: 1) Beliefs and attitudes, 2) Results from literature, 3) Professional practice, 4) Assessment of results, and 5) Barriers and Facilitators. The protocol also included sociodemographic, training, and practice-related contrast variables. Normative data were estimated and tabulated for each dimension and then a K-means clustering procedure was implemented using the contrast variables. Results for normative data showed, in descending order, the following 50th percentile values for the five EBP factors: Beliefs and attitudes (8.25), Professional practice (8.00), Assessment of results (7.42), Results from literature (6.71), and EBP Barriers and Facilitators (5.17); all expressed on a scale of 1 to 10. Academic degree, EBP training level, and work time shared in healthcare activity, research, or teaching activity were all statistically significant for discriminating EBP dimension scores. Finally, six different clusters showed that when EBP level is low, the scores in all dimensions are equally low, and vice-versa. The EBP dimensions "Beliefs and attitudes", "Professional practice", and "Evaluation of results" obtained better normative scores overall than "Search for bibliographic evidence and its inclusion in practice" and especially "Perception of EBP barriers", which had the worst score. Normative data are useful for comparing individual scores and the reference population, and information about clusters will enable appropriate global EBP intervention programs to be designed and implemented.
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Affiliation(s)
- Juan C. Fernández-Domínguez
- Care, Chronicity and Health Evidence (CurES) Research Group, Balearic Islands Health Research Institute (IdISBa), Palma, Spain
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Spain
| | - Joan E. De Pedro-Gómez
- Care, Chronicity and Health Evidence (CurES) Research Group, Balearic Islands Health Research Institute (IdISBa), Palma, Spain
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Spain
| | - Rafael Jiménez-López
- Balearic Islands Health Research Institute (IdISBa), Palma, Spain
- Department of Psychology, University of the Balearic Islands, Palma, Spain
- * E-mail:
| | - Natalia Romero-Franco
- Department of Nursing and Physiotherapy, University of the Balearic Islands, Palma, Spain
| | - Ana B. Bays Moneo
- Department of Health Sciences, Public University of Navarra, Navarra, Spain
| | - Ángel Oliva-Pascual-Vaca
- Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, Sevilla, Spain
- Escuela de Osteopatía de Madrid, Madrid, Spain
| | - Albert Sesé-Abad
- Balearic Islands Health Research Institute (IdISBa), Palma, Spain
- Department of Psychology, University of the Balearic Islands, Palma, Spain
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Płaszewski M, Krzepkowska W, Grantham W, Wroński Z, Makaruk H, Trębska J. Knowledge, behaviours and attitudes towards Evidence-Based Practice amongst physiotherapists in Poland. A nationwide cross-sectional survey and focus group study protocol. PLoS One 2022; 17:e0264531. [PMID: 35231040 PMCID: PMC8887773 DOI: 10.1371/journal.pone.0264531] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2021] [Accepted: 02/11/2022] [Indexed: 11/18/2022] Open
Abstract
Objectives
Evidence-Based Practice, EBP, is recognised, along with team work and patient-centred care, as a core competency in contemporary healthcare. However, dissemination and implementation of EBP remains problematic and is dependent on various external and internal factors, from personal through institutional to systemic, factors, with specific characteristics for different professions, contexts and settings. Knowledge, behaviours, attitudes, as well as facilitators and barriers towards EBP amongst physiotherapists, have been widely explored worldwide, but never in Poland. This study is part of a nationwide project, including dissemination actions addressing EBP in physiotherapists registered in Poland. Our purpose is to explore the issues of knowledge, behaviours, experiences, and attitudes of physiotherapists in Poland towards EBP. Descriptive research studies are warranted before analytical investigations and dissemination activities are conducted.
Methods
We plan to conduct a quantitative, cross-sectional study–an online survey amongst the total population of physiotherapists registered in Poland to assess knowledge, behaviours and use of EBP (Study 1), and a qualitative study to allow physiotherapists to voice their opinions and to explore their experiences and attitudes towards EBP (Study 2). The EBP2 questionnaire, Polish validated translation, will be used for Study 1, in a web-based survey. A focus group approach will be applied for Study 2, with purposive sampling to achieve a representative picture of physiotherapists with respect to setting, specialty, seniority, educational degrees, and age. We will follow an inductive approach, using topics rather than questions.
Results
We will present the results of the studies separately, as typically presented in relevant study types: Study 1 will be reported addressing the domains and items of the EBP2, in relation to the independent variables, and Study 2 will be discussed using the themes and illustrative quotes analyses.
Discussion
We are aware that significant non-response, spin and Hawthorne effect may potentially bias our findings.
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Affiliation(s)
- Maciej Płaszewski
- Department of Rehabilitation, Faculty of Physical Education and Health in Biała Podlaska, The Józef Piłsudski University of Physical Education, Warsaw, Poland
- * E-mail:
| | - Weronika Krzepkowska
- Department of International Cooperation, The Polish Chamber of Physiotherapists, Warsaw, Poland
| | - Weronika Grantham
- Faculty of Physical Education and Health in Biała Podlaska, The Józef Piłsudski University of Physical Education, Warsaw, Poland
| | - Zbigniew Wroński
- Department of Rehabilitation, Warsaw Medical University, Warsaw, Poland
| | - Hubert Makaruk
- Faculty of Physical Education and Health in Biała Podlaska, The Józef Piłsudski University of Physical Education, Warsaw, Poland
| | - Joanna Trębska
- Institute of Econometrics, University of Łódź, Łódź, Poland
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Fujimoto S, Ogawa T, Komukai K, Nakayama T. Effect of education on physical and occupational therapists’ perceptions of clinical practice guidelines and shared decision making: a randomized controlled trial. J Phys Ther Sci 2022; 34:445-453. [PMID: 35698556 PMCID: PMC9170488 DOI: 10.1589/jpts.34.445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 03/06/2022] [Indexed: 11/24/2022] Open
Affiliation(s)
- Shuhei Fujimoto
- Department of Graduate School of Public Health, Shizuoka Graduate University of Public Health: 4-27-2 Kita-ando, Aoi-ku, Shizuoka city, Shizuoka 420-0881, Japan
| | - Tatsuya Ogawa
- Kio University Graduate School of Health Science, Japan
| | - Kanako Komukai
- Department of Graduate School of Public Health, Shizuoka Graduate University of Public Health: 4-27-2 Kita-ando, Aoi-ku, Shizuoka city, Shizuoka 420-0881, Japan
| | - Takeo Nakayama
- Department of Health Informatics, Kyoto University Graduate School of Public Health, Japan
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Mikamo Y, Takasaki H. Pain Neurophysiology Knowledge Enhances Attitudes toward Biopsychosocial Management of Low Back Pain among Japanese Physical Therapists. Prog Rehabil Med 2021; 6:20210039. [PMID: 34712862 PMCID: PMC8511003 DOI: 10.2490/prm.20210039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 09/29/2021] [Indexed: 11/09/2022] Open
Abstract
Objectives: The aim of the current study was to investigate whether a postgraduate academic degree, longer clinical experience, and pain neurophysiology knowledge influence attitudes toward the balance between biomedical and biopsychosocial management of low back pain (LBP). Methods: Ninety Japanese physical therapists completed the revised Neurophysiology of Pain Questionnaire (revised NPQ), the Pain Attitudes and Beliefs Scale for Physiotherapists (PABS-PT) questionnaire, and a survey on their degree qualifications and clinical experience. Their attitudes toward the balance between biomedical and biopsychosocial management of LBP were assessed using the mean biomedical scale scores divided by the mean biopsychosocial scale scores of the PABS-PT. Multiple regression modeling of the attitudes toward the balance between biomedical and biopsychosocial management of LBP was carried out using three independent variables: possession of an undergraduate or postgraduate academic degree, length of clinical experience, and the score on the revised NPQ. Results: Of the 90 therapists, 72 had an undergraduate degree and 18 also had a postgraduate degree. Only the revised NPQ score (β=−0.364, P <0.001) was a statistically significant contributing factor to attitudes toward the balance between biomedical and biopsychosocial management of LBP (R2=0.14). Neither having a postgraduate degree (β=0.017, P=0.871) nor the length of clinical experience (β=−0.107, P=0.303) had a significant effect. Conclusions: This study demonstrated that pain neurophysiology knowledge, but not the possession of a postgraduate academic degree or the length of clinical experience, promotes attitudes toward biopsychosocial management of LBP among Japanese physical therapists.
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Affiliation(s)
- Yuri Mikamo
- Department of Physical Therapy, Saitama Prefectural University, Saitama, Japan
| | - Hiroshi Takasaki
- Department of Physical Therapy, Saitama Prefectural University, Saitama, Japan
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Evidence based physiotherapy practice in cardiopulmonary subdiscipline: A survey in United Arab Emirates. Heliyon 2021; 7:e08098. [PMID: 34632155 PMCID: PMC8488807 DOI: 10.1016/j.heliyon.2021.e08098] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Revised: 08/04/2021] [Accepted: 09/27/2021] [Indexed: 11/23/2022] Open
Abstract
Background Evidence based practice (EBP) is widely used by cardiopulmonary physical therapists worldwide. Therefore, it is important to identify whether the therapists have the required knowledge, skills and resources in order to deliver the best evidence-based practice. Objectives The main objective of this cross-sectional study is to analyse the self-reported characteristics of behaviour, knowledge, skills and resources, opinion and barriers related to evidence-based practice among cardiopulmonary physical therapists of United Arab Emirates (UAE). Methods An electronic questionnaire was circulated among 60 licensed cardiopulmonary physical therapists, of either gender, practicing in UAE with a minimum experience of 1 year via e-mail. The response was further subjected to descriptive analysis. Results The rate of response was 55% (33/60). The physical therapists of cardiopulmonary disciple reported that they understand the term Evidence Based Practice and frequently update themselves through scientific papers obtained via accessing various databases. Respondents also believe that the exposure in undergraduate or postgraduate course was not sufficient. However, they were also satisfied with amount of discussions taking place regarding EBP at their work place. The barriers commonly reported were difficulty in obtaining full-text papers, lack of time and lack of evidence-based training. Conclusion Thus, concluding that physical therapists from UAE who practiced in cardiopulmonary subdiscipline believe that they have knowledge and skills to use evidence-based practice. Although, they have favourable opinions regarding its application and they still encounter difficulties in implementing it successfully.
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Takasaki H, Kikkawa K, Chiba H, Handa Y, Sesé-abad A, Fernández-domínguez JC. Cross-cultural Adaptation of the Health Sciences Evidence-based Practice Questionnaire into Japanese and Its Test-Retest Reliability in Undergraduate Students. Prog Rehabil Med 2021; 6:20210034. [PMID: 34557605 PMCID: PMC8418940 DOI: 10.2490/prm.20210034] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Accepted: 07/28/2021] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVES The Health Sciences Evidence-Based Practice (HS-EBP) questionnaire was recently developed for measuring five constructs of evidence-based clinical practice among Spanish health professionals by applying content and construct validity investigation. The current study aims to undertake a cross-cultural adaptation of the HS-EBP into Japanese and to investigate the internal consistency and test-retest reliability of the Japanese HS-EBP among undergraduate students of nursing and physical and occupational therapies. METHODS Cross-cultural adaptation was undertaken by following Beaton's five-step process. Subsequently, the Japanese HS-EBP test-retest reliability was assessed with a 2-week interval. Participants were recruited from among third and fourth grade undergraduate students of nursing and physical and occupational therapies with clinical training experience. RESULTS Pilot testing included 30 participants (11 nursing students, 11 physical therapy students, 8 occupational therapy students). Consequently, we developed the Japanese HS-EBP to be understandable for undergraduate students of nursing and physical and occupational therapies. Data from 52 participants who completed test-retest reliability questionnaires demonstrated adequate test-retest reliability in the total scores of Domains 1, 3, 4, and 5 [intraclass correlation coefficients were (ICC)=0.74, 0.70, 0.75, and 0.74, respectively]; the exception was Domain 2, which had an ICC of 0.66. Internal consistency (Cronbach's α) was adequate for Domains 1-5, for which α was 0.87, 0.94, 0.86, 0.93, and 0.95, respectively. CONCLUSIONS This study developed the Japanese version of HS-EBP and provided preliminary evidence of adequate internal consistency and test-retest reliability in most domains for undergraduate students of nursing and physical and occupational therapies.
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Affiliation(s)
- Hiroshi Takasaki
- Department of Physical Therapy, Saitama Prefectural
University, Koshigaya, Japan
| | - Kazuki Kikkawa
- Graduate School of Rehabilitation Science, Saitama
Prefectural University, Koshigaya, Japan
| | - Hiroki Chiba
- Graduate School of Rehabilitation Science, Saitama
Prefectural University, Koshigaya, Japan
| | - Yusuke Handa
- Graduate School of Rehabilitation Science, Saitama
Prefectural University, Koshigaya, Japan
| | - Albert Sesé-abad
- Department of Psychology, University of the Balearic
Islands, Palma de Mallorca, Spain
- Balearic Islands Health Research Institute (IdISBa), Palma
de Mallorca, Spain
| | - Juan Carlos Fernández-domínguez
- Balearic Islands Health Research Institute (IdISBa), Palma
de Mallorca, Spain
- Department of Nursing and Physiotherapy, University of the
Balearic Islands, Palma de Mallorca, Spain
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Ibikunle PO, Onwuakagba IU, Maduka EU, Okoye EC, Umunna JO. Perceived barriers to evidence-based practice in stroke management among physiotherapists in a developing country. J Eval Clin Pract 2021; 27:291-306. [PMID: 32424823 DOI: 10.1111/jep.13414] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Revised: 04/10/2020] [Accepted: 04/29/2020] [Indexed: 12/01/2022]
Abstract
BACKGROUND OF STUDY Like most healthcare disciplines, the physiotherapy profession has embraced the concept of evidence-based practice (EBP) worldwide. However, there is a discrepancy between the amount of research evidence that exists and its use in clinical decision making. AIMS To investigate the barriers physiotherapists in Nigeria encounter in implementing EBP in stroke management. METHODS This was a cross-sectional survey involving consecutively recruited 170 physiotherapists (mean age = 29.92 ± 5.72 years) from conveniently sampled centres in the six geopolitical zones in Nigeria. The Practitioner and Organizational Barriers to Evidence-based Stroke Rehabilitation Questionnaire was used to collect data on EBP among the physiotherapists. Data was summarized using frequency, percentage, mean, and SD and analysed using Spearman rank order, Kruskal-Wallis and Mann-Whitney U tests at alpha level of 0.05. RESULTS Insufficient time (47.6%), lack of information resources (42.9%), lack of organizational mandate (42.9%), lack of research skills (30.6%), and poor ability to critically appraise literature (29.4%) were the mostly reported barriers. Most participants had received formal training about EBP, had positive attitude and beliefs about EBP, were highly confident in their abilities to implement EBP, were aware of their roles in EBP, and were interested in acquiring and improving the skills necessary to implement EBP. There was unavailability of resources and support to promote evidence-based practice. EBP uptake was significantly facilitated by having more education on EBP, higher academic degree, less daily workload, more years of experience in stroke rehabilitation, more participation time in research and teaching, and belonging to professional association (P < .05). CONCLUSION Insufficient time, lack of organizational mandates, lack of research skills, poor ability to critically appraise literature and unavailability of resources and organizational support are key barriers to EBP among Nigerian physiotherapists. Nigerian physiotherapists, their regulatory board, and Government need to work in tandem to improve EBP among Nigerian physiotherapists.
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Affiliation(s)
- Peter O Ibikunle
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Awka, Nigeria.,Department of Physiotherapy, Faculty of Allied Health Sciences, University of Calabar, Nigeria
| | - Ifeoma U Onwuakagba
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Awka, Nigeria
| | - Esther U Maduka
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Awka, Nigeria
| | - Emmanuel C Okoye
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Awka, Nigeria
| | - Joseph O Umunna
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Awka, Nigeria
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Fernández-Domínguez JC, Escobio-Prieto I, Sesé-Abad A, Jiménez-López R, Romero-Franco N, Oliva-Pascual-Vaca Á. Health Sciences-Evidence Based Practice Questionnaire (HS-EBP): Normative Data and Differential Profiles in Spanish Osteopathic Professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228454. [PMID: 33203126 PMCID: PMC7696302 DOI: 10.3390/ijerph17228454] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/16/2020] [Revised: 11/11/2020] [Accepted: 11/13/2020] [Indexed: 12/20/2022]
Abstract
The main goal of this study was to obtain normative data of the scores of the Health-Sciences Evidence Based Practice (HS-EBP) questionnaire, and to analyse evidence-based practice (EBP) among potential clusters of osteopathy professionals in Spain. An online descriptive cross-sectional study has been applied. A total number of 443 Spanish practicing osteopaths answered a survey including the 5 dimensions of the HS-EBP questionnaire and sociodemographic, training, and practice variables using the “LimeSurvey” online platform. Results point out that the median scores for each five HS-EBP questionnaire dimensions were 95.00, 86.00, 78.00, 84.00 and 62.00 considering that the range of possible scores in each of the dimensions was: from 12 to 120 in dimensions 1, 4 and 5; from 14–140 in dimension 2; and from 10–100 in dimension 3. A clustering algorithm extracted 6 different profiles across the five HS-EBP latent dimensions: low scores in all dimensions (cluster 1); low scores in all dimensions but with medium scores in dimension 1 (cluster 2); mixed pattern of scores, low in dimensions 2 and 5 and medium in the rest of the dimensions; medium scores in all dimensions (cluster 4); high scores in all dimensions and low scores in dimension 5 (cluster 5); and high scores in all dimensions (cluster 6). Significant relationship was found among the response patterns in the clusters and: academic degree level, EBP training and training level, and work time invested in healthcare activity, research and teaching activity. These results allow a description of the actual level of EBP and differential profiles of Osteopathy care practice in Spain. Knowledge of normative scores of the HS-EBP questionnaire and identification of different predictors of Spanish osteopaths’ EBP, e.g., academic degree, EBP training and training level, work time invested in healthcare activity, research, and teaching activity, and having a working relationship with an accredited educational centre, enable a comprehensive evaluation of the EBP of osteopathic professionals and can also be useful for developing and implementing formative intervention programs for improving EBP practice in osteopathic practice.
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Affiliation(s)
- Juan Carlos Fernández-Domínguez
- Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain; (J.C.F.-D.); (A.S.-A.); (R.J.-L.)
- Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma, Spain;
| | - Isabel Escobio-Prieto
- Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Sevilla, Spain;
- Correspondence:
| | - Albert Sesé-Abad
- Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain; (J.C.F.-D.); (A.S.-A.); (R.J.-L.)
- Department of Psychology, University of the Balearic Islands, 07122 Palma, Spain
| | - Rafael Jiménez-López
- Balearic Islands Health Research Institute (IdISBa), 07120 Palma, Spain; (J.C.F.-D.); (A.S.-A.); (R.J.-L.)
- Department of Psychology, University of the Balearic Islands, 07122 Palma, Spain
| | - Natalia Romero-Franco
- Department of Nursing and Physiotherapy, University of the Balearic Islands, 07122 Palma, Spain;
| | - Ángel Oliva-Pascual-Vaca
- Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, Universidad de Sevilla, 41009 Sevilla, Spain;
- Escuela de Osteopatía de Madrid, 28002 Madrid, Spain
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Fujimoto S, Kobayashi M, Fujimoto S, Komukai K, Nakayama T. Inclusion of rehabilitation approach in Japanese clinical practice guidelines: a descriptive analysis. J Phys Ther Sci 2019; 31:429-434. [PMID: 31164780 PMCID: PMC6511511 DOI: 10.1589/jpts.31.429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 02/01/2019] [Indexed: 11/24/2022] Open
Affiliation(s)
- Shuhei Fujimoto
- Department of Public Health, Kyoto University Graduate School of Medicine: Yoshidakonoe-cho, Sakyo-ku, Kyoto city, Kyoto 606-8501, Japan
| | | | - Shizuka Fujimoto
- Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology, Japan
| | | | - Takeo Nakayama
- Department of Public Health, Kyoto University Graduate School of Medicine: Yoshidakonoe-cho, Sakyo-ku, Kyoto city, Kyoto 606-8501, Japan
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Claudino R, de Pietro Simoes N, da Silva T. Evidence-Based Practice: a survey of Brazilian physical therapists from the dermatology subdiscipline. Braz J Phys Ther 2018; 23:395-401. [PMID: 30366844 DOI: 10.1016/j.bjpt.2018.10.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Revised: 10/02/2018] [Accepted: 10/03/2018] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND Dermatology is a relatively new subdiscipline of physical therapy with growth potential. Therefore, it is important to identify whether professionals from this area have the knowledge and skills required to offer the best available service based on evidence-based practice. OBJECTIVES To describe the self-reported behavior, knowledge, skills, opinion, and barriers related to the evidence-based practice of Brazilian physical therapists from the dermatology subdiscipline. METHODS An adapted electronic questionnaire was sent by the Brazilian Association of Dermatology Physical Therapy via email to all registered members. The data were analyzed descriptively. RESULTS The response rate was 40.4% (101/250). Brazilian physical therapists from the dermatology subdiscipline reported that they update themselves equally through scientific papers and courses, and access preferentially databases that offer scientific papers in the Portuguese language. Respondents believe they have sufficient knowledge to use evidence-based practice, inform patients about treatment options and consider their choices in the decision-making process. However, there were inconsistencies in responses regarding the experience with evidence-based practice during undergraduate or postgraduate degree, as well as having discussions about evidence-based practice in the workplace. The barriers most frequently reported were difficulty to obtain full-text papers, lack of quality of the scientific papers, applicability of the findings into clinical practice, lack of evidence-based practice training and difficulty to understand the statistics. CONCLUSION Brazilian physical therapists from the dermatology subdiscipline have positive perceived behavior, believe that they have sufficient knowledge and skills, and have favorable opinion related to evidence-based practice. However, there are inconsistencies related to some aspects of knowledge and skills set.
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Affiliation(s)
- Renato Claudino
- Centro Universitário Estácio de Santa Catarina, São José, Santa Catarina, Brazil
| | | | - Tatiane da Silva
- Department of Health Professions, Macquarie University, Sydney, Australia.
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