An investigation of Australian osteopaths’ attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey

Leach, Matthew; Sundberg, Tobias; Fryer, Gary; Austin, Philip; Thomson, Oliver P.; Adams, Jon

doi:10.1186/s12913-019-4329-1

Cited by 50 publications

(82 citation statements)

References 53 publications

(75 reference statements)

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“…Attitudes toward EBP were generally positive among participating chiropractors. This corroborates the favourable perceptions of EBP reported among Canadian and Australian chiropractors [ 30 , 33 ], as well as other healthcare professions, including nurses, physicians, physiotherapists, osteopaths and occupational therapists [ 36 , 38 , 47 – 50 ]. The vast majority of our study participants agreed or strongly agreed that EBP aids clinical decision making, improves the quality of patient care, and is necessary in chiropractic practice.…”

Section: Discussionsupporting

confidence: 83%

Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association

et al. 2021

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Background Evidence-based practice (EBP) is integral to the delivery of high-quality health care. Chiropractic has been a licensed health profession in Sweden since 1989, but little is known of the uptake of EBP in this professional group. This study explored the self-reported skills, attitudes and uptake of EBP, and the enablers and barriers of EBP uptake, among licensed chiropractors in Sweden. Methods Licensed chiropractors (n = 172) of the Swedish Chiropractic Association (Legitimerade Kiropraktorers Riksorganisation) were invited to participate in an anonymous online questionnaire, using the Evidence-Based Practice Attitude and Utilisation Survey (EBASE) in February 2019. Results Fifty-six (33%) chiropractors completed the survey. Participants were predominantly male, aged 30–49 years, held a Master’s degree, and had received their highest qualification and practiced chiropractic for over a decade. Chiropractors rated their EBP skill-level mostly in the moderate to moderate-high range. The majority of chiropractors reported positive attitudes towards EBP, with most agreeing or strongly agreeing that EBP is necessary in the practice of chiropractic, and that EBP assists in making decisions about patient care. Chiropractors reported an average level of engagement in EBP activities. All participants indicated professional literature and research findings were useful in their day-to-day chiropractic practice. The main perceived enabler of EBP uptake was internet access in the workplace, whereas the main barrier to EBP uptake was lack of clinical evidence in chiropractic. Conclusions Participating chiropractors of the Swedish Chiropractic Association were generally favourable of EBP, though only reported modest levels of EBP-related skills and engagement in EBP activities. Our findings suggest future studies investigating interventions focussed on improving chiropractors’ skills and uptake of EBP are warranted.

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Section: Discussionsupporting

confidence: 83%

Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association

et al. 2021

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“…Notwithstanding, there appear to be few differences in EBP use between these countries. Similar to our sample, the use of EBP among osteopaths in Australia, UK and Sweden is reported to be generally low [26,31,40], as it is among US and Canadian chiropractors [9,52]. Existing evidence suggests physical therapists have a relatively greater level of engagement with EBP [43,53].…”

Section: Use Ebpsupporting

confidence: 67%

“…Although attitudes towards EBP were generally positive, a considerable number of respondents (30%) believed that EBP placed an unreasonable demand on their practice. This item was much less reported by Australian (17%) [31], UK (16%) [26] and Swedish osteopaths (17%) [40]. This suggests that almost one-third of our sample may be experiencing di culties in integrating EBP into their daily practice.…”

Section: Ebp Attitudesmentioning

confidence: 81%

Attitudes, Skills and Use of Evidence-Based Practice Amongst Spanish Osteopaths: A Cross-Sectional Survey

Alvarez¹,

Justribo²,

Sundberg³

et al. 2020

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Background: Although evidence-based practice (EBP) is largely supported across healthcare professions, its implementation in manual therapy professions such as osteopathy remains limited and debated. There is currently little knowledge of how EBP relates to osteopathy in Spain, and the attitudes, skills and utilisation of osteopaths.Objectives: The main aim of this study was to investigate the attitudes, skills and use of EBP among Spanish osteopaths. A secondary aim was to identify barriers and facilitators for the adoption of EBP in the Spanish osteopathic context.Methods: National cross-sectional survey of Spanish osteopaths registered and non-registered to an osteopathic association in Spain. Eligible participants were invited by a range of recruitment strategies including email and social media campaigns to complete the Spanish-translated Evidence-Based practice Attitude and utilization Survey (EBASE) anonymously online. Results: A total of 567 osteopaths completed the survey which represents an estimated response rate of approximately 9%. Participant’s attitudes toward EBP were largely positive. Most respondents agreed or strongly agreed that EBP was necessary in the practice of osteopathy (89.6%) and professional literature and research findings were useful to their day-to-day practice (88.9%). Levels of perceived skill in EBP were reported as low to moderate with lowest levels for items related to ‘research conduct’. Except reading/reviewing professional literature and using online search engines to find practice-related literature, participant engagement in all other EBP-related activities was generally infrequent. The perceived proportion of clinical practice that was based on clinical research evidence was reported to be very small. Main barriers to EBP uptake included a lack of clinical evidence in osteopathy and insufficient skills for applying research findings. Main facilitators of EBP uptake included access to full-text articles, internet at the workplace and online databases.Conclusions: Spanish osteopaths were largely supportive of evidence-based practice, had low to moderate skills in EBP and engaged in EBP activities infrequently. Formal regulation of the profession in Spain and the inclusion of osteopathic programs into the university sector would potentially improve EBP adhesion.

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“…The use of EBP in the osteopathic field is still a practice not followed in a decisive manner [20-21]. The reasons may be different.…”

Section: Reviewmentioning

confidence: 99%

The Benefits and Limitations of Evidence-based Practice in Osteopathy

Bordoni

2019

Cureus

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Evidence-based practice (EBP) arises from evidence-based medicine (EBM). The latter represents a movement of thought born in the second half of the 19th century, while the EBP is born since the new millennium, represented by different scientific figures and professional associations. The EBP is the research for the best practical and clinical strategies, with the ultimate goal of determining guidelines. The improvement of manual osteopathic practice derives from the balanced mix of scientific research, operator experience and patient experience. The text reviews the benefits and limitations of EBP in the osteopathic field. We must remember that knowledge, both theoretical and practical, is always evolving and we must not stop at what appears to be a dogma. Science and knowledge are always evolving, and hence, we must always study and update ourselves.

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An investigation of Australian osteopaths’ attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey

Cited by 50 publications

References 53 publications

Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association

Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association

Attitudes, Skills and Use of Evidence-Based Practice Amongst Spanish Osteopaths: A Cross-Sectional Survey

The Benefits and Limitations of Evidence-based Practice in Osteopathy

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