The influence of a topic-specific, research-based presentation on physical therapists' beliefs and practices regarding evidence-based practice
Abstract
Background/purpose Evidence-based practice (EBP) is an important objective as physical therapists strive for autonomous practice. The most commonly identified barrier to EBP is clinicians' lack of time. Purposes of this study were to determine (1) clinicians' opinions of EBP; (2) whether EBP presentations would influence clinicians' beliefs and practices; and (3) if additional barriers would be identified. Methods Twenty-four physical therapists, representing four clinical settings, participated. Each facility selected one presentation topic. Presenations were prepared, then given at each facility. Data were collected from three surveys. Results The majority of participants agreed that EBP is an essential component of practice. Most reported a willingness to change their practice to be more aligned with research. The top three barriers identified were lack of time, access to publications, and research in specific areas. Most reported gaining new information and integration of the material. Conclusions EBP is considered essential by most clinicians, but lack of time is consistently identified as a primary barrier. Clinicians found it helpful to have EB information presented to them. Many would welcome additional presentations. Clinicians may increase their use of EBP if the barrier "lack of time" is lessened by locating, synthesizing, and presenting this information to them.
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Gaps between research and practice can result from multiple factors, including educational/knowledge deficiencies and/or disagreements, time constraints for practitioners, lack of decision support tools and feedback mechanisms, poorly aligned incentives, and organizational climate and cultural factors.
“Thus far, the literature indicates that gaps between research and practice can result from multiple factors, including educational/knowledge deficiencies and/or disagreements,10,11 time constraints for practitioners,12,13 lack of decision support tools and feedback mechanisms,13 poorly aligned incentives,14 and a host of other organizational climate and cultural factors.2,15,16”
From Effectiveness-implementation Hybrid Designs: Combining Elements of Clinical Effectiveness and Implementation Research to Enhance Public Health Impact (2012) · cites this paper as [12]
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- Authors
- Fruth, S. J., Van Veld, R. D., Despos, C. A., Martin, R. D., Hecker, A., & Sincroft, E. E.
- Affiliations
- University of Indianapolis (US)
- Cincinnati Children's Hospital Medical Center (US)
- Rehabilitation Hospital of Indiana (US)
- Corresponding author
- Fruth, Stacie J
- ORCID
- Fruth, Stacie J
- Venue
- Physiotherapy Theory and Practice
- Publisher
- Informa UK Limited
- Published
- 2010-07-22
- Volume
- 26
- Issue
- 8
- Pages
- 537-557
- ISSN
- 0959-3985 (ISSN-L)
- 1532-5040
- OpenAlex
- W2149029744
- Cited by
- 43
- References
- 28
- Citations by year
- 2026: 1 · 2024: 4 · 2023: 2 · 2022: 5 · 2021: 2 · 2019: 1 · 2018: 6 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 7 · 2013: 5 · 2012: 3
- FWCI
- 5.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Physiotherapy Theory and Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- evidence-based practice, physiotherapists, clinician beliefs, barriers to evidence-based practice, time constraints, research utilization, clinical practice change
- MeSH terms
- Adult, Attitude of Health Personnel, Culture, Education, Continuing, Female, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Professional Competence, Time Factors, Professional Autonomy, Access to Information, Physical Therapy Specialty, Evidence-Based Practice, Young Adult
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