A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths.
Identifieur interne : 000072 ( Main/Exploration ); précédent : 000071; suivant : 000073A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths.
Auteurs : Gerard Alvarez [Espagne] ; Cristian Justribo [Espagne] ; Tobias Sundberg [Australie, Suède] ; Oliver P. Thomson [Royaume-Uni, Italie] ; Matthew J. Leach [Australie]Source :
- BMC health services research [ 1472-6963 ] ; 2021.
Abstract
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 Spanish osteopaths relate to EBP.
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 approximate response rate of 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 that 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 skills and use.
DOI: 10.1186/s12913-021-06128-6
PubMed: 33563266
PubMed Central: PMC7874623
Affiliations:
- Australie, Espagne, Italie, Royaume-Uni, Suède
- Angleterre, Catalogne, Grand Londres, Svealand
- Barcelone, Londres, Stockholm
Links toward previous steps (curation, corpus...)
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Hospital Sagrado Corazón de Barcelona, Barcelona, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Maxilofacial Institute Bara Gaseni - Hospital Sagrado Corazón de Barcelona, Barcelona</wicri:regionArea><placeName><settlement type="city">Barcelone</settlement><region nuts="2" type="region">Catalogne</region></placeName></affiliation></author><author><name sortKey="Sundberg, Tobias" sort="Sundberg, Tobias" uniqKey="Sundberg T" first="Tobias" last="Sundberg">Tobias Sundberg</name><affiliation wicri:level="1"><nlm:affiliation>Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:affiliation>Department of Health Promotion Sciences, Musculoskeletal and Sports Injury Epidemiology Center (MUSIC), Sophiahemmet University & Unit of Intervention and Implementation Research on Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Health Promotion Sciences, Musculoskeletal and Sports Injury Epidemiology Center (MUSIC), Sophiahemmet University & Unit of Intervention and Implementation Research on Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Thomson, Oliver P" sort="Thomson, Oliver P" uniqKey="Thomson O" first="Oliver P" last="Thomson">Oliver P. Thomson</name><affiliation wicri:level="3"><nlm:affiliation>University College of Osteopathy, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>University College of Osteopathy, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation><affiliation wicri:level="1"><nlm:affiliation>Clinical-based Human Research Department, Foundation COME Collaboration, Pescara, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Clinical-based Human Research Department, Foundation COME Collaboration, Pescara</wicri:regionArea><wicri:noRegion>Pescara</wicri:noRegion></affiliation></author><author><name sortKey="Leach, Matthew J" sort="Leach, Matthew J" uniqKey="Leach M" first="Matthew J" last="Leach">Matthew J. Leach</name><affiliation wicri:level="1"><nlm:affiliation>Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>National Centre for Naturopathic Medicine, Southern Cross University, Lismore, NSW, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>National Centre for Naturopathic Medicine, Southern Cross University, Lismore, NSW</wicri:regionArea><wicri:noRegion>NSW</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC health services research</title><idno type="eISSN">1472-6963</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>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 Spanish osteopaths relate to EBP.</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>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.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 567 osteopaths completed the survey which represents an approximate response rate of 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 that 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.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>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 skills and use.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">33563266</PMID><DateRevised><Year>2021</Year><Month>02</Month><Day>13</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6963</ISSN><JournalIssue CitedMedium="Internet"><Volume>21</Volume><Issue>1</Issue><PubDate><Year>2021</Year><Month>Feb</Month><Day>10</Day></PubDate></JournalIssue><Title>BMC health services research</Title><ISOAbbreviation>BMC Health Serv Res</ISOAbbreviation></Journal><ArticleTitle>A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths.</ArticleTitle><Pagination><MedlinePgn>130</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12913-021-06128-6</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="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 Spanish osteopaths relate to EBP.</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">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.</AbstractText><AbstractText Label="METHODS" NlmCategory="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.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 567 osteopaths completed the survey which represents an approximate response rate of 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 that 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.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="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 skills and use.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Alvarez</LastName><ForeName>Gerard</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Spain National Centre, Foundation COME Collaboration, Barcelona, Spain. gerardalv@gmail.com.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Iberoamerican Cochrane Centre-Biomedical Research Institute Sant Pau, IIB Sant Pau, Barcelona, Spain. gerardalv@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Justribo</LastName><ForeName>Cristian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Spain National Centre, Foundation COME Collaboration, Barcelona, Spain.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Maxilofacial Institute Bara Gaseni - Hospital Sagrado Corazón de Barcelona, Barcelona, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sundberg</LastName><ForeName>Tobias</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Health Promotion Sciences, Musculoskeletal and Sports Injury Epidemiology Center (MUSIC), Sophiahemmet University & Unit of Intervention and Implementation Research on Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thomson</LastName><ForeName>Oliver P</ForeName><Initials>OP</Initials><AffiliationInfo><Affiliation>University College of Osteopathy, London, UK.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Clinical-based Human Research Department, Foundation COME Collaboration, Pescara, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Leach</LastName><ForeName>Matthew J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>National Centre for Naturopathic Medicine, Southern Cross University, Lismore, NSW, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>02</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Health Serv Res</MedlineTA><NlmUniqueID>101088677</NlmUniqueID><ISSNLinking>1472-6963</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cross-sectional studies</Keyword><Keyword MajorTopicYN="N">Evidence-based practice</Keyword><Keyword MajorTopicYN="N">Health care surveys</Keyword><Keyword MajorTopicYN="N">Osteopathic medicine</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>11</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2021</Year><Month>01</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>2</Month><Day>10</Day><Hour>5</Hour><Minute>36</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>2</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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Leach</name><name sortKey="Leach, Matthew J" sort="Leach, Matthew J" uniqKey="Leach M" first="Matthew J" last="Leach">Matthew J. Leach</name></country><country name="Suède"><region name="Svealand"><name sortKey="Sundberg, Tobias" sort="Sundberg, Tobias" uniqKey="Sundberg T" first="Tobias" last="Sundberg">Tobias Sundberg</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Thomson, Oliver P" sort="Thomson, Oliver P" uniqKey="Thomson O" first="Oliver P" last="Thomson">Oliver P. Thomson</name></region></country><country name="Italie"><noRegion><name sortKey="Thomson, Oliver P" sort="Thomson, Oliver P" uniqKey="Thomson O" first="Oliver P" last="Thomson">Oliver P. Thomson</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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