An investigation of Australian osteopaths' attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey.
Identifieur interne : 000629 ( Main/Exploration ); précédent : 000628; suivant : 000630An investigation of Australian osteopaths' attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey.
Auteurs : Matthew J. Leach [Australie] ; Tobias Sundberg [Australie, Suède] ; Gary Fryer [Australie] ; Philip Austin [Australie] ; Oliver P. Thomson [Royaume-Uni, Italie] ; Jon Adams [Australie]Source :
- BMC health services research [ 1472-6963 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Australie (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Médecins ostéopathes (psychologie), Médecins ostéopathes (statistiques et données numériques), Pratique factuelle (statistiques et données numériques), Sujet âgé (MeSH), Études transversales (MeSH).
- MESH :
- psychologie : Médecins ostéopathes.
- statistiques et données numériques : Médecins ostéopathes, Pratique factuelle.
- Adulte, Adulte d'âge moyen, Australie, Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Femelle, Humains, Jeune adulte, Mâle, Sujet âgé, Études transversales.
- Wicri :
- geographic : Australie.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Australia (MeSH), Cross-Sectional Studies (MeSH), Evidence-Based Practice (statistics & numerical data), Female (MeSH), Health Knowledge, Attitudes, Practice (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Osteopathic Physicians (psychology), Osteopathic Physicians (statistics & numerical data), Surveys and Questionnaires (MeSH), Young Adult (MeSH).
- MESH :
- geographic : Australia.
- psychology : Osteopathic Physicians.
- statistics & numerical data : Evidence-Based Practice, Osteopathic Physicians.
- Adult, Aged, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Surveys and Questionnaires, Young Adult.
Abstract
BACKGROUND
Osteopaths are an integral member of the health care team, playing a pivotal role in the provision of care for patients with musculoskeletal disorders. Osteopaths, like other health care providers, are under increasing pressure to deliver evidence-based health care and to improve patient outcomes. However, the extent to which osteopaths engage in evidence-based practice (EBP), particularly in Australia, is not well understood. This study therefore set out to investigate the attitudes, skills and use of EBP, and perceived barriers and enablers of EBP uptake, among osteopaths practicing in Australia.
METHODS
National cross-sectional survey of Australian registered osteopaths. Eligible participants were invited by email and other digital media recruitment strategies to complete the online Evidence-Based Practice Attitude and Utilisation Survey (EBASE).
RESULTS
A total of 332 osteopaths completed the survey. The demographic characteristics of respondents were generally consistent with the characteristics of the Australian osteopathy workforce. The respondents were mostly favourable of EBP, with the majority agreeing or strongly agreeing that EBP assists in making decisions about patient care (86.7%) and improves the quality of patient care (75.6%). While most respondents (88.3%) had some training in EBP, most reported a moderate level of perceived skill in EBP. The majority of respondents engaged infrequently (0-5 times) in EBP activities within the last month, and most indicated that a very small or small proportion of their clinical practice was based on clinical research evidence. Leading barriers to the uptake of EBP were lack of time and lack of clinical evidence in osteopathy. Key enablers of EBP uptake were access to the internet and online databases at work, and access to full-text articles and EBP education materials.
CONCLUSIONS
Osteopaths participating in the survey were largely supportive of evidence-based practice, yet engaged infrequently in EBP activities. An important next step in this research is to identify suitable strategies that effectively improve EBP uptake in osteopathy, and perchance, improve patient outcomes.
DOI: 10.1186/s12913-019-4329-1
PubMed: 31315615
PubMed Central: PMC6637614
Affiliations:
- Australie, Italie, Royaume-Uni, Suède
- Angleterre, Grand Londres, Nouvelle-Galles du Sud, Svealand
- Londres, Stockholm, Sydney
Links toward previous steps (curation, corpus...)
Le document en format XML
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Leach</name><affiliation wicri:level="1"><nlm:affiliation>Department of Rural Health, University of South Australia, Adelaide, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rural Health, University of South Australia, Adelaide</wicri:regionArea><wicri:noRegion>Adelaide</wicri:noRegion></affiliation><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></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>Musculoskeletal and Sports Injury Epidemiology Center (MUSIC), Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Musculoskeletal and Sports Injury Epidemiology Center (MUSIC), 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="Fryer, Gary" sort="Fryer, Gary" uniqKey="Fryer G" first="Gary" last="Fryer">Gary Fryer</name><affiliation wicri:level="1"><nlm:affiliation>College of Health & Biomedicine, Victoria University, Melbourne, Victoria, Australia. gary.fryer@vu.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>College of Health & Biomedicine, Victoria University, Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Austin, Philip" sort="Austin, Philip" uniqKey="Austin P" first="Philip" last="Austin">Philip Austin</name><affiliation wicri:level="3"><nlm:affiliation>Department of Pain Management, Greenwich Hospital, Sydney, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Pain Management, Greenwich Hospital, Sydney</wicri:regionArea><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</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, United Kingdom.</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, Centre for Osteopathic Medicine Collaboration (COME), Pescara, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Clinical-based Human Research Department, Centre for Osteopathic Medicine Collaboration (COME), Pescara</wicri:regionArea><wicri:noRegion>Pescara</wicri:noRegion></affiliation></author><author><name sortKey="Adams, Jon" sort="Adams, Jon" uniqKey="Adams J" first="Jon" last="Adams">Jon Adams</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></author></analytic><series><title level="j">BMC health services research</title><idno type="eISSN">1472-6963</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Australia (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Evidence-Based Practice (statistics & numerical data)</term><term>Female (MeSH)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Osteopathic Physicians (psychology)</term><term>Osteopathic Physicians (statistics & numerical data)</term><term>Surveys and Questionnaires (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Australie (MeSH)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Médecins ostéopathes (psychologie)</term><term>Médecins ostéopathes (statistiques et données numériques)</term><term>Pratique factuelle (statistiques et données numériques)</term><term>Sujet âgé (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Australia</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Médecins ostéopathes</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Osteopathic Physicians</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Evidence-Based Practice</term><term>Osteopathic Physicians</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Médecins ostéopathes</term><term>Pratique factuelle</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Surveys and Questionnaires</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Australie</term><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Sujet âgé</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Australie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Osteopaths are an integral member of the health care team, playing a pivotal role in the provision of care for patients with musculoskeletal disorders. Osteopaths, like other health care providers, are under increasing pressure to deliver evidence-based health care and to improve patient outcomes. However, the extent to which osteopaths engage in evidence-based practice (EBP), particularly in Australia, is not well understood. This study therefore set out to investigate the attitudes, skills and use of EBP, and perceived barriers and enablers of EBP uptake, among osteopaths practicing in Australia.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>National cross-sectional survey of Australian registered osteopaths. Eligible participants were invited by email and other digital media recruitment strategies to complete the online Evidence-Based Practice Attitude and Utilisation Survey (EBASE).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>A total of 332 osteopaths completed the survey. The demographic characteristics of respondents were generally consistent with the characteristics of the Australian osteopathy workforce. The respondents were mostly favourable of EBP, with the majority agreeing or strongly agreeing that EBP assists in making decisions about patient care (86.7%) and improves the quality of patient care (75.6%). While most respondents (88.3%) had some training in EBP, most reported a moderate level of perceived skill in EBP. The majority of respondents engaged infrequently (0-5 times) in EBP activities within the last month, and most indicated that a very small or small proportion of their clinical practice was based on clinical research evidence. Leading barriers to the uptake of EBP were lack of time and lack of clinical evidence in osteopathy. Key enablers of EBP uptake were access to the internet and online databases at work, and access to full-text articles and EBP education materials.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Osteopaths participating in the survey were largely supportive of evidence-based practice, yet engaged infrequently in EBP activities. An important next step in this research is to identify suitable strategies that effectively improve EBP uptake in osteopathy, and perchance, improve patient outcomes.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">31315615</PMID><DateCompleted><Year>2019</Year><Month>11</Month><Day>15</Day></DateCompleted><DateRevised><Year>2020</Year><Month>02</Month><Day>25</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1472-6963</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>Jul</Month><Day>17</Day></PubDate></JournalIssue><Title>BMC health services research</Title><ISOAbbreviation>BMC Health Serv Res</ISOAbbreviation></Journal><ArticleTitle>An investigation of Australian osteopaths' attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey.</ArticleTitle><Pagination><MedlinePgn>498</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s12913-019-4329-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Osteopaths are an integral member of the health care team, playing a pivotal role in the provision of care for patients with musculoskeletal disorders. Osteopaths, like other health care providers, are under increasing pressure to deliver evidence-based health care and to improve patient outcomes. However, the extent to which osteopaths engage in evidence-based practice (EBP), particularly in Australia, is not well understood. This study therefore set out to investigate the attitudes, skills and use of EBP, and perceived barriers and enablers of EBP uptake, among osteopaths practicing in Australia.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">National cross-sectional survey of Australian registered osteopaths. Eligible participants were invited by email and other digital media recruitment strategies to complete the online Evidence-Based Practice Attitude and Utilisation Survey (EBASE).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 332 osteopaths completed the survey. The demographic characteristics of respondents were generally consistent with the characteristics of the Australian osteopathy workforce. The respondents were mostly favourable of EBP, with the majority agreeing or strongly agreeing that EBP assists in making decisions about patient care (86.7%) and improves the quality of patient care (75.6%). While most respondents (88.3%) had some training in EBP, most reported a moderate level of perceived skill in EBP. The majority of respondents engaged infrequently (0-5 times) in EBP activities within the last month, and most indicated that a very small or small proportion of their clinical practice was based on clinical research evidence. Leading barriers to the uptake of EBP were lack of time and lack of clinical evidence in osteopathy. Key enablers of EBP uptake were access to the internet and online databases at work, and access to full-text articles and EBP education materials.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Osteopaths participating in the survey were largely supportive of evidence-based practice, yet engaged infrequently in EBP activities. An important next step in this research is to identify suitable strategies that effectively improve EBP uptake in osteopathy, and perchance, improve patient outcomes.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Leach</LastName><ForeName>Matthew J</ForeName><Initials>MJ</Initials><AffiliationInfo><Affiliation>Department of Rural Health, University of South Australia, Adelaide, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.</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>Musculoskeletal and Sports Injury Epidemiology Center (MUSIC), Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fryer</LastName><ForeName>Gary</ForeName><Initials>G</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-8151-7279</Identifier><AffiliationInfo><Affiliation>College of Health & Biomedicine, Victoria University, Melbourne, Victoria, Australia. gary.fryer@vu.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Austin</LastName><ForeName>Philip</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Pain Management, Greenwich Hospital, Sydney, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thomson</LastName><ForeName>Oliver P</ForeName><Initials>OP</Initials><AffiliationInfo><Affiliation>University College of Osteopathy, London, United Kingdom.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Clinical-based Human Research Department, Centre for Osteopathic Medicine Collaboration (COME), Pescara, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Adams</LastName><ForeName>Jon</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Australian Research Centre in Complementary and Integrative Medicine (ARCCIM), Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>07</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>BMC Health Serv Res</MedlineTA><NlmUniqueID>101088677</NlmUniqueID><ISSNLinking>1472-6963</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001315" MajorTopicYN="N" Type="Geographic">Australia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055317" MajorTopicYN="N">Evidence-Based Practice</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, 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Feb;21(1):3-5</Citation><ArticleIdList><ArticleId IdType="pubmed">9190027</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>Italie</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Nouvelle-Galles du Sud</li><li>Svealand</li></region><settlement><li>Londres</li><li>Stockholm</li><li>Sydney</li></settlement></list><tree><country name="Australie"><noRegion><name sortKey="Leach, Matthew J" sort="Leach, Matthew J" uniqKey="Leach M" first="Matthew J" last="Leach">Matthew J. Leach</name></noRegion><name sortKey="Adams, Jon" sort="Adams, Jon" uniqKey="Adams J" first="Jon" last="Adams">Jon Adams</name><name sortKey="Austin, Philip" sort="Austin, Philip" uniqKey="Austin P" first="Philip" last="Austin">Philip Austin</name><name sortKey="Fryer, Gary" sort="Fryer, Gary" uniqKey="Fryer G" first="Gary" last="Fryer">Gary Fryer</name><name sortKey="Leach, Matthew J" sort="Leach, Matthew J" uniqKey="Leach M" first="Matthew J" last="Leach">Matthew J. Leach</name><name sortKey="Sundberg, Tobias" sort="Sundberg, Tobias" uniqKey="Sundberg T" first="Tobias" last="Sundberg">Tobias Sundberg</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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