Evidence-based Practice (EBP): beliefs, knowledge and behavior of physiotherapists. A survey research.

Abstract

An analytical observational study was conduct using a web-based questionnaire. Evidence-based practice is one of the most relevant concern of all health professions. This research has been done taking account of demographic information, attitudes and skills in reference to Evidence Based Practice (EBP) for application in the daily clinical practice. To describe beliefs and behaviors of physiotherapists from two Italian regions about EBP and its implementation in clinical practice, their knowledge in this field and the perception of its benefits and barrier in application in clinical practice. The participants completed a designed questionnaire, whose purpose was to determine beliefs, attitudes, knowledge, and behaviors regarding EBP, as well as demographic information about themselves and their practice settings. This survey was activated through the TSRM-PSTRP registers of Marche and Umbria regions that sent the questionnaire to all the registered physiotherapists. There was a response rate of 7.64% for Marche region, equal to a sample of 132 physiotherapists, and a response rate of 12.99% for Umbria region, equal to a sample of 110 physiotherapists, for a total sample of 242 physiotherapists. The questionnaire was filled out through an online Google platform called “Forms”. The responses were summarized for each item and the logistic regression analyses and the chi-square test were used to examine relationships among variables. The respondents agreed that the use of evidence in practice was necessary, that the literature was helpful in their practices and that the quality of patient care was better when evidence were used. For physiotherapists from Umbria, with more than 15 years of qualification, the following answers are statistically significant (p<0.05): “the application of EBP is necessary in the practice of physical therapy, EBP helps me making decisions about patient care and I actively seek practice guidelines pertaining to areas of my practice and EBP improves the quality of patient care”. For physiotherapists from Marche, with more than 15 years of qualification, the following answers are statistically significant (p<0.05): “EBP helps me making decisions about patient care, I actively seek practice guidelines pertaining to areas of my practice and I am confident in my ability to find relevant research to answer my clinical questions”. Training, familiarity with and confidence in search strategies, use of databases, and critical appraisal tended to be associated to younger therapists with fewer years of qualification. Physical therapists stated they have a positive attitude about EBP and they are interested in learning or improving the necessary skills to implement EBP. They noticed that they needed to increase the use of evidence in their daily practice.

Evidence-based practice — implementation level and attitude among physical, occupational, and speech and language therapists in Germany: status quo

“…The results of Braun et al 26 showed that approximately 70%-80% of German physiotherapists, regardless of their level of education, have a generally positive attitude toward EBP and believe that EBP guidelines are helpful in clinical practice. This finding is consistent with surveys conducted in other non-European countries, such as Argentina, 30 the UAE, 31 and European countries such as Austria, 32,33 Italy, 34 Spain, 35 and Sweden. 36 However, non-academic therapists do not have EBP education courses as part of their curriculum in Germany and the concept appears difficult to put into practice.…”

“…The concept of EBP as part of the curriculum and academization can help reduce barriers to EPB, 30 such as lack of access to full-text versions of studies, lack of time to read, and limited skills and experience in searching for scientific evidence 10 . The same limitations have already been noted in other international studies 31–36 . In contrast to academically educated therapists, non-academically educated therapists were less aware of EBP, as confirmed in a similar report on medical technicians 10,40 .…”

“…10 The same limitations have already been noted in other international studies. [31][32][33][34][35][36] In contrast to academically educated therapists, non-academically educated therapists were less aware of EBP, as confirmed in a similar report on medical technicians. 10,40 This could be seen as a negative predictor of EBP implementation among non-academically educated therapists.…”

Expert*innen-Interviews zur Einschätzung der Implementation, Barrieren und Ressourcen der Evidenzbasierten Praxis (EBP) in der Physio-, Ergo- und Sprachtherapie in Deutschland, basierend auf den Ergebnissen einer EBP-Umfrage

“…In den vorliegenden Interviews wird zudem ein Bezug zu äußeren Faktoren hergestellt, die in den Kategorien "Wahrnehmung", "Stellung und Image der Therapieberufe" und "Wissenschaftsfundierung" zu finden sind. Ähnliche Ergebnisse wurden international auch von italienischen Physiotherapeut*innen [24], schwedischen Ergotherapeut*innen [25] und belgischen Logopäd*innen [26] beschrieben. Dabei ist zu beachten, dass in diesen Ländern die Akademisierung zwar abgeschlossen ist, aber intrinsische und extrinsische Faktoren weiterhin eine Rolle bei der Umsetzung von EBP spielen.…”