Evidence-based practice in physiotherapy in Argentina: Barriers, perceptions and behaviors.

Argentina evidence-based practice physiotherapy

Journal

Physiotherapy research international : the journal for researchers and clinicians in physical therapy
ISSN: 1471-2865
Titre abrégé: Physiother Res Int
Pays: United States
ID NLM: 9612022

Informations de publication

Date de publication:
Oct 2023
Historique:
revised: 30 05 2023
received: 08 03 2023
accepted: 26 06 2023
pubmed: 7 7 2023
medline: 7 7 2023
entrez: 7 7 2023
Statut: ppublish

Résumé

Evidence-based practice (EBP) has been widely implemented in different areas of biomedical sciences. However, no precedents in Argentina have investigated the data regarding the knowledge and difficulties related to EBP in physiotherapists. The purpose was to describe the self-reported behavior, knowledge, skills, opinion, and barriers related to the EBP of Argentinian physiotherapists. A customized descriptive survey was conducted among 289 physical therapists in Argentina. The data were analyzed descriptively. The response rate was 56% (163/289). Argentinian physiotherapists update themselves through scientific articles, meetings, congresses, and courses. They reported having sufficient knowledge to use EBP, informing patients about treatment options, and considering their choices in the decision-making process. However, there were inconsistencies in responses regarding experience with EBP during undergraduate or postgraduate studies. The most frequently reported barriers were lack of time, difficulty in understanding statistics, and difficulties with the English language of scientific articles. EBP in Argentine physiotherapists is still poorly understood. Time, language, and difficulties in understanding statistics are the most important barriers to the implementation of EBP. Undergraduate and postgraduate courses are warranted to improve the clinical decision-making process.

Sections du résumé

BACKGROUND AND PURPOSE OBJECTIVE
Evidence-based practice (EBP) has been widely implemented in different areas of biomedical sciences. However, no precedents in Argentina have investigated the data regarding the knowledge and difficulties related to EBP in physiotherapists. The purpose was to describe the self-reported behavior, knowledge, skills, opinion, and barriers related to the EBP of Argentinian physiotherapists.
METHODS METHODS
A customized descriptive survey was conducted among 289 physical therapists in Argentina. The data were analyzed descriptively.
RESULTS RESULTS
The response rate was 56% (163/289). Argentinian physiotherapists update themselves through scientific articles, meetings, congresses, and courses. They reported having sufficient knowledge to use EBP, informing patients about treatment options, and considering their choices in the decision-making process. However, there were inconsistencies in responses regarding experience with EBP during undergraduate or postgraduate studies. The most frequently reported barriers were lack of time, difficulty in understanding statistics, and difficulties with the English language of scientific articles.
DISCUSSION CONCLUSIONS
EBP in Argentine physiotherapists is still poorly understood. Time, language, and difficulties in understanding statistics are the most important barriers to the implementation of EBP. Undergraduate and postgraduate courses are warranted to improve the clinical decision-making process.

Identifiants

pubmed: 37417546
doi: 10.1002/pri.2034
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e2034

Informations de copyright

© 2023 John Wiley & Sons Ltd.

Références

Adriazola, J., Cocio, N., & Arteaga, R. (2018). PBE en el ejercicio profesional de los Kinesiólogos pertenecientes al Servicio de Salud Valdivia, Chile 2015. Reem, 5(1).
Aldajah, S., Etoom, M., Mysore, S. B., Alawneh, A., Hadoush, H., Al Jarrah, M., & Abdullahi, A. (2022). Evidence-based physiotherapy practice in Jordan: Evaluation and identification of implementation factors. Physiotherapy theory and practice, 1-17, 1-17. https://doi.org/10.1080/09593985.2022.2098212
Alketbi, H., Hegazy, F., Alnaqbi, A., & Shousha, T. (2021). Evidence-based practice by physiotherapists in UAE: Investigating behavior, attitudes, awareness, knowledge and barriers. PLoS One, 16(6), e0253215. https://doi.org/10.1371/journal.pone.0253215
Arnadottir, S. A., & Gudjonsdottir, B. (2016). Icelandic physical therapists' attitudes toward adoption of new knowledge and evidence-based practice: Cross-sectional web-based survey. Physical Therapy, 96(11), 1724-1733. https://doi.org/10.2522/ptj.20150428
Bozzolan, M., Simoni, G., Balboni, M., Fiorini, F., Bombardi, S., Bertin, N., & Da Roit, M. (2014). Undergraduate physiotherapy students' competencies, attitudes and perceptions after integrated educational pathways in evidence-based practice: A mixed methods study. Physiotherapy Theory and Practice, 30(8), 557-571. https://doi.org/10.3109/09593985.2014.910285
Carrasco, J., Aros, N., & Arteaga San Martin, R. (2018). Práctica Basada en la Evidencia en el Ejercicio Profesional de los Kinesiólogos Pertenecientes al Servicio de Salud de Valdivia, Chile 2015. Revista de estudios en movimiento, 5(1).
Claudino, R., de Pietro Simoes, N., & da Silva, T. (2019). Evidence-based practice: A survey of Brazilian physical therapists from the dermatology subdiscipline. Brazilian Journal of Physical Therapy, 23(5), 395-401. https://doi.org/10.1016/j.bjpt.2018.10.002
Cobo-Sevilla, V., de Oliveira-Ferreira, I., Moposita-Baño, L., Paredes-Sánchez, V., & Ramos-Guevara, J. (2019). Evidence-based physiotherapy clinical practice in the public health-care service in Ecuador. Physiotherapy Research International : The Journal for Researchers and Clinicians in Physical Therapy, 24(1), e1745. https://doi.org/10.1002/pri.1745
Coomarasamy, A., & Khan, K. (2004). What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ (Clinical research ed.), 329(7473), 1017. https://doi.org/10.1136/bmj.329.7473.1017
Dao, H. T., Pichaiyongwongdee, S., Sullivan, P. E., Prasertsukdee, S., & Apinonkul, B. (2018). Are physical therapists in Viet Nam ready to implement evidence-based practice? A survey. BMC Medical Education, 18(1), 317. https://doi.org/10.1186/s12909-018-1428-3
da Silva, T., Costa, L., Garcia, A., & Costa, L. (2015). What do physical therapists think about evidence-based practice? A systematic review. Manual Therapy, 20(3), 388-401. https://doi.org/10.1016/j.math.2014.10.009
Diermayr, G., Schachner, H., Eidenberger, M., Lohkamp, M., & Salbach, N. M. (2015). Evidence-based practice in physical therapy in Austria: Current state and factors associated with EBP engagement. Journal of Evaluation in Clinical Practice, 21(6), 1219-1234. https://doi.org/10.1111/jep.12415
Dizon, J. M., Grimmer-Somers, K., & Kumar, S. (2014). Effectiveness of the tailored evidence based practice training program for Filipino physical therapists: A randomized controlled trial. BMC Medical Education, 14(1), 147. https://doi.org/10.1186/1472-6920-14-147
Eysenbach, G. (2004). Improving the quality of Web surveys: The checklist for reporting results of internet E-surveys (CHERRIES). Journal of Medical Internet Research, 6(3), e34. https://doi.org/10.2196/jmir.6.3.e34
Flores-Mateo, G., & Argimon, J. M. (2007). Evidence based practice in postgraduate healthcare education: A systematic review. BMC Health Services Research, 7(1), 119. https://doi.org/10.1186/1472-6963-7-119
Herbert, R., Jamtvedt, G., Hagen, K. B., & Mead, J. (2011). Practical evidence-based physiotherapy (2nd ed.). Elsevier.
Kamper, S. (2018). Evidence in practice: A new series for clinicians. Journal of Orthopaedic & Sports Physical Therapy, 48(6), 429. https://doi.org/10.2519/jospt.2018.0105
McEvoy, M., Williams, M., & Olds, T. (2010). Evidence based practice profiles: Differences among allied health professions. BMC Medical Education, 10(1), 69. https://doi.org/10.1186/1472-6920-10-69
McEvoy, M. P., Lewis, L. K., & Luker, J. (2018). Changes in physiotherapy students' knowledge and perceptions of EBP from first year to graduation: A mixed methods study. BMC Medical Education, 18(1), 109. https://doi.org/10.1186/s12909-018-1212-4
Mwololo, T. K., Olivier, B., Karuguti, W. M., & Matheri, J. M. (2021). Attitudes, perceptions and barriers around evidence-based practice in sports physiotherapy in Kenya. South African Journal of Physiotherapy, 77(1), 1561. https://doi.org/10.4102/sajp.v77i1.1561
Olsen, N. R., Lygren, H., Espehaug, B., Nortvedt, M. W., Bradley, P., & Bjordal, J. M. (2014). Evidence-based practice exposure and physiotherapy students' behaviour during clinical placements: A survey. Physiotherapy Research International, 19(4), 238-247. https://doi.org/10.1002/pri.1590
Ramírez-Vélez, R., Bagur-Calafat, M. C., Correa-Bautista, J. E., & Girabent-Farrés, M. (2015). Barriers against incorporating evidence-based practice in physical therapy in Colombia: Current state and factors associated. BMC Medical Education, 15(1), 220. https://doi.org/10.1186/s12909-015-0502-3
Sackett, D. L., Straus, S. E., Richardson, W. S., Rosenberg, W., & Haynes, R. B. (2000). Evidence-based medicine. How to practice and teach EBM (2nd ed.). Churchill Livingstone.
Silva, T., Costa, L., & Costa, L. (2015). Evidence-based practice: A survey regarding behaviour, knowledge, skills, resources, opinions and perceived barriers of Brazilian physical therapists from São Paulo state. Brazilian Journal of Physical Therapy, 19(4), 294-303. https://doi.org/10.1590/bjpt-rbf.2014.0102
Zimerman, A. L. (2013). Evidence-based medicine: A short history of a modern medical movement. Virtual Mentor, 15(1), 71-76. Published 2013 Jan 1.

Auteurs

Nicolás Bevacqua (N)

Musculoskeletal Research Unit, University Center of Assistance, Teaching and Research, University of Gran Rosario, Rosario, Argentina.

Leonardo Intelangelo (L)

Musculoskeletal Research Unit, University Center of Assistance, Teaching and Research, University of Gran Rosario, Rosario, Argentina.

Classifications MeSH