Knowledge, Attitudes and Interest of Evidence Based Practice among Physical Therapist Working in Pakistan
Evidence Based Practice among Physical Therapist
DOI:
https://doi.org/10.54393/tt.v4i02.110Keywords:
Evidence-Based Practice, Knowledge, AttitudesAbstract
Evidence-Based Practice (EBP) is an approach that integrates the best available research evidence with clinical expertise and patient values to guide clinical decision-making. Objectives: To determine the knowledge, attitudes and interests towards Evidence-Based Practice (EBP) among physiotherapists in Pakistan. Methods: We surveyed 302 physical therapists working in Government and private settings in Pakistan via an online survey. The survey questionnaire encompassed four sections: (1) respondent characteristics; (2) knowledge of the principles of EBP as well as attitudes, interests, use and perceived efficacy of EBP. Data were analyzed using the SPSS version-23. Results: Overall 85% perceived EBP study is useful and necessary in PT clinical practice and 83% of respondents believed the importance of literature discoveries in regular practice and in improving the worth of patient care. Moreover, 77% showed interests to incorporate evidence increasingly in regular practice and 82% of participants were interested in seeking and enhancing proficiency to implement EBP in practice. Conclusions: Majority of physical therapists took part in this study held positive attitudes towards the role of EBP. Most participants were interested in incorporating their perceived roles in practice as a means of honing their skills
References
Sackett DL. Evidence-based medicine. InSeminars in perinatology. WB Saunders. 1997 Feb; 21(1): 3-5. doi: 10.1016/S0146-0005(97)80013-4.
Straus SE, Richardson WS, Glasziou P, Haynes RB. Evidence-based medicine: how to practice and teach EBM. BMJ. 2005 Jan; 312: 1-3.
Norman GR. Examining the assumptions of evidence‐based medicine. Journal of Evaluation in Clinical Practice. 1999 May; 5(2): 139-47. doi: 10.1046/j.1365-2753.1999.00197.x.
Law MC and MacDermid J. Evidence-based rehabilitation: A guide to practice: Slack Incorporated. 3rd Edition. 2008.
McColl A, Smith H, White P, Field J. General practitioners' perceptions of the route to evidence-based medicine: a questionnaire survey. Bmj. 1998 Jan; 316(7128): 361-5. doi: 10.1136/bmj.316.7128.361.
Craik J and Rappolt S. Theory of research utilization enhancement: A model for occupational therapy. Canadian Journal of Occupational Therapy. 2003 Dec; 70(5): 266-75. doi: 10.1177/000841740307000503.
Pollock AS, Legg L, Langhorne P, Sellars C. Barriers to achieving evidence-based stroke rehabilitation. Clinical Rehabilitation. 2000 Dec; 14(6): 611-7. doi: 10.1191/0269215500cr369oa.
Jette DU, Grover L, Keck CP. A qualitative study of clinical decision making in recommending discharge placement from the acute care setting. Physical Therapy. 2003 Mar; 83(3): 224-36. doi: 10.1093/ptj/83.3.224.
Turner PA and Whitfield TA. Physiotherapists' reasons for selection of treatment techniques: a cross-national survey. Physiotherapy Theory and Practice. 1999 Jan; 15(4): 235-46. doi: 10.1080/095939899307649.
Grimshaw JM, Shirran L, Thomas R, Mowatt G, Fraser C, Bero L, et al. Changing provider behavior: an overview of systematic reviews of interventions. Medical care. 2001 Aug; 39(8): II2-45. doi: 10.1097/00005650-200108002-00002.
Calculator.net. Sample Size Calculator. [Last Cited: 7th Jul 2023]. Available at: http://www.calculator.net/sample-size-calculator.html?type=1&cl=95&ci=5&ps=400&x=0&y=0.
Salbach NM, Guilcher SJ, Jaglal SB, Davis DA. Determinants of research use in clinical decision making among physical therapists providing services post-stroke: a cross-sectional study. Implementation Science. 2010 Dec; 5: 1-9.doi: 10.1186/1748-5908-5-77.
Bhor KB, Shetty V, Garcha V, Vinay V, Nimbulkar GC. Knowledge, attitude, and perceived barriers toward evidence-based practice among dental and medical academicians and private practitioners in Pune: A comparative cross-sectional study. Journal of Indian Association of Public Health Dentistry. 2019 Jan; 17(1): 48-53. doi: 10.4103/jiaphd.jiaphd_93_18.
Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, et al. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Physical Therapy. 2003 Sep; 83(9): 786-805. doi: 10.1093/ptj/83.9.786.
Lynn MR. Determination and quantification of content validity. Nursing Research. 1986 Nov; 35(6): 382-6. doi: 10.1097/00006199-198611000-00017.
Iles R and Davidson M. Evidence based practice: a survey of physiotherapists' current practice. Physiotherapy Research International. 2006 Jun; 11(2): 93-103. doi: 10.1002/pri.328.
Castellini G, Corbetta D, Cecchetto S, Gianola S. Twenty-five years after the introduction of Evidence-based Medicine: Knowledge, use, attitudes and barriers among physiotherapists in Italy—A cross-sectional study. BMJ Open. 2020 Jun; 10(6): e037133. doi: 10.1136/bmjopen-2020-037133.
Ramírez-Vélez R, Correa-Bautista JE, Muñoz-Rodríguez DI, Ramírez L, González-Ruíz K, Domínguez-Sánchez MA, et al. Evidence-based practice: beliefs, attitudes, knowledge, and skills among Colombian physical therapists. Colombia Médica. 2015 Mar; 46(1): 33-40. doi: 10.25100/cm.v46i1.1654.
Nascimento LR, Fernandes MOP, Teixeira-Salmela LF, Scianni AA. Personal and organizational characteristics associated with evidence-based practice reported by Brazilian physical therapists providing service to people with stroke: a cross-sectional mail survey. Brazilian Journal of Physical Therapy. 2020; 24(4): 349-57. doi: 10.1016/j.bjpt.2019.05.003.
Kamwendo K. What do Swedish physiotherapists feel about research? A survey of perceptions, attitudes, intentions and engagement. Physiotherapy Research International. 2002 Mar; 7(1): 23-34. doi: 10.1002/pri.238.
Salbach NM, Jaglal SB, Korner-Bitensky N, Rappolt S, Davis D. Practitioner and organizational barriers to evidence-based practice of physical therapists for people with stroke. Physical Therapy. 2007 Oct; 87(10): 1284-303. doi: 10.2522/ptj.20070040.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 THE THERAPIST (Journal of Therapies & Rehabilitation Sciences)
This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments editor@thetherapist.com.pk