Research evidence uptake in a developing country: a survey of attitudes, education and self‐efficacy, engagement, and barriers among physical therapists in the Philippines
Identifieur interne : 000C83 ( Istex/Corpus ); précédent : 000C82; suivant : 000C84Research evidence uptake in a developing country: a survey of attitudes, education and self‐efficacy, engagement, and barriers among physical therapists in the Philippines
Auteurs : Edward James R. Gorgon ; Hazel Gaile T. Barrozo ; Laarni G. Mariano ; Emmalou F. RiveraSource :
- Journal of Evaluation in Clinical Practice [ 1356-1294 ] ; 2013-10.
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- KwdEn :
Abstract
Rationale and objective Use of evidence from systematic research is critical in evidence‐based physical therapy, yet this has not been described well in developing countries where its purported benefits are most needed. This study explored research evidence uptake among physical therapists in the Philippines.
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DOI: 10.1111/j.1365-2753.2012.01849.x
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ISTEX:B7EB0E41F3029CCB19296132E6383BCF5B2B0F42Le document en format XML
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Gorgon, Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, UP Manila Compound, Pedro Gil Street, Malate, Manila 1004, Philippines, E‐mail:</p></note><affiliation>Chair and Assistant Professor</affiliation></author><author xml:id="author-2"><persName><forename type="first">Hazel Gaile T.</forename><surname>Barrozo</surname></persName><roleName type="degree">PTRP</roleName><note type="biography">Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</note><affiliation>Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</affiliation><affiliation>Student</affiliation></author><author xml:id="author-3"><persName><forename type="first">Laarni G.</forename><surname>Mariano</surname></persName><roleName type="degree">PTRP</roleName><note type="biography">Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</note><affiliation>Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</affiliation><affiliation>Student</affiliation></author><author xml:id="author-4"><persName><forename type="first">Emmalou F.</forename><surname>Rivera</surname></persName><roleName type="degree">PTRP RPT</roleName><note type="biography">Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</note><affiliation>Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</affiliation><affiliation>Student, Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines</affiliation></author></analytic><monogr><title level="j">Journal of Evaluation in Clinical Practice</title><idno type="pISSN">1356-1294</idno><idno type="eISSN">1365-2753</idno><idno type="DOI">10.1111/(ISSN)1365-2753</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2013-10"></date><biblScope unit="volume">19</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="782">782</biblScope><biblScope unit="page" to="790">790</biblScope></imprint></monogr><idno type="istex">B7EB0E41F3029CCB19296132E6383BCF5B2B0F42</idno><idno type="DOI">10.1111/j.1365-2753.2012.01849.x</idno><idno type="ArticleID">JEP1849</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2013</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Rationale and objective Use of evidence from systematic research is critical in evidence‐based physical therapy, yet this has not been described well in developing countries where its purported benefits are most needed. This study explored research evidence uptake among physical therapists in the Philippines.</p></abstract><abstract><p>Method A probability survey of practitioners in tertiary hospitals in the Philippines' National Capital Region was conducted.</p></abstract><abstract><p>Results Of the 188 questionnaires distributed, 152 were returned for an 81% response rate. Positive attitudes were consistently reported (78–93%), although education and self‐efficacy related to key dimensions such as searching, appraising and integrating evidence were varied (53–82%). Less than 50% reported using research evidence routinely in five of six dimensions of clinical practice, except in selecting treatments (53%). Textbooks, own observations and expert opinion were consistently relied upon (74–96%) while average‐month approximations of engagement in relevant activities such as searching, reading, appraising and applying research literature were low (10–18%). Participants faced a number of barriers such as lack of time, resources, skills, access to research literature, supporting administrative policies, in‐service training and authority in decision making.</p></abstract><abstract><p>Conclusions The low research evidence uptake and heavy reliance on potentially biased evidence sources strongly indicate the need for effective professional education for practitioners to address current barriers as well as early intensive undergraduate education for students to ensure adequate preparation on being effective research evidence consumers. Given the profile of Filipino physical therapists, alternatives to ‘from scratch’ evidence searching and appraisal are required if widespread uptake is envisaged.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>allied health</term></item><item><term>developing countries</term></item><item><term>evidence‐based practice</term></item><item><term>low‐income countries</term></item><item><term>physical therapy</term></item><item><term>professional practice</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>article-category</head><item><term>Original Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2013-10">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/B7EB0E41F3029CCB19296132E6383BCF5B2B0F42/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2753</doi><issn type="print">1356-1294</issn><issn type="electronic">1365-2753</issn><idGroup><id type="product" value="JEP"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF EVALUATION IN CLINICAL PRACTICE">Journal of Evaluation in Clinical Practice</title></titleGroup></publicationMeta><publicationMeta level="part" position="10105"><doi>10.1111/jep.2013.19.issue-5</doi><copyright ownership="publisher">Copyright © 2013 John Wiley & Sons Ltd</copyright><numberingGroup><numbering number="19" type="journalVolume">19</numbering><numbering type="journalIssue">5</numbering></numberingGroup><coverDate startDate="2013-10">October 2013</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="90" status="forIssue"><doi origin="wiley">10.1111/j.1365-2753.2012.01849.x</doi><idGroup><id type="unit" value="JEP1849"></id></idGroup><countGroup><count type="pageTotal" number="9"></count></countGroup><titleGroup><title type="tocHeading1">Original Articles</title><title type="articleCategory">Original Article</title></titleGroup><copyright>© 2012 John Wiley & Sons Ltd</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.2.5 mode:FullText" date="2013-09-19"></event><event date="2013-09-20" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-05-15"></event><event type="firstOnline" date="2012-05-15"></event><event type="publishedOnlineFinalForm" date="2013-09-23"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-30"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-03"></event></eventGroup><numberingGroup><numbering type="pageFirst">782</numbering><numbering type="pageLast">790</numbering></numberingGroup><correspondenceTo>Professor Edward James R. Gorgon, Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, UP Manila Compound, Pedro Gil Street, Malate, Manila 1004, Philippines, E‐mail: <email>ejrgorgon@post.upm.edu.ph</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JEP.JEP1849.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication: 8 March 2012</unparsedEditorialHistory><countGroup><count type="figureTotal" number="3"></count><count type="tableTotal" number="2"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="33"></count><count type="wordTotal" number="5588"></count><count type="linksPubMed" number="0"></count><count type="linksCrossRef" number="0"></count></countGroup><titleGroup><title type="main">Research evidence uptake in a developing country: a survey of attitudes, education and self‐efficacy, engagement, and barriers among physical therapists in the Philippines</title><title type="shortAuthors">E.J.R. Gorgon <i>et al</i>.</title><title type="short">Research uptake in a developing country</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Edward James R.</givenNames><familyName>Gorgon</familyName><degrees>MPhysio PTRP</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2" noteRef="#fn1"><personName><givenNames>Hazel Gaile T.</givenNames><familyName>Barrozo</familyName><degrees>PTRP</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a3" noteRef="#fn1"><personName><givenNames>Laarni G.</givenNames><familyName>Mariano</familyName><degrees>PTRP</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a4" noteRef="#fn1"><personName><givenNames>Emmalou F.</givenNames><familyName>Rivera</familyName><degrees>PTRP RPT</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Chair and Assistant Professor</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Student</unparsedAffiliation></affiliation><affiliation xml:id="a3"><unparsedAffiliation>Student</unparsedAffiliation></affiliation><affiliation xml:id="a4" countryCode="PH"><unparsedAffiliation>Student, Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">allied health</keyword><keyword xml:id="k2">developing countries</keyword><keyword xml:id="k3">evidence‐based practice</keyword><keyword xml:id="k4">low‐income countries</keyword><keyword xml:id="k5">physical therapy</keyword><keyword xml:id="k6">professional practice</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p><b>Rationale and objective </b> Use of evidence from systematic research is critical in evidence‐based physical therapy, yet this has not been described well in developing countries where its purported benefits are most needed. This study explored research evidence uptake among physical therapists in the Philippines.</p><p><b>Method </b> A probability survey of practitioners in tertiary hospitals in the Philippines' National Capital Region was conducted.</p><p><b>Results </b> Of the 188 questionnaires distributed, 152 were returned for an 81% response rate. Positive attitudes were consistently reported (78–93%), although education and self‐efficacy related to key dimensions such as searching, appraising and integrating evidence were varied (53–82%). Less than 50% reported using research evidence routinely in five of six dimensions of clinical practice, except in selecting treatments (53%). Textbooks, own observations and expert opinion were consistently relied upon (74–96%) while average‐month approximations of engagement in relevant activities such as searching, reading, appraising and applying research literature were low (10–18%). Participants faced a number of barriers such as lack of time, resources, skills, access to research literature, supporting administrative policies, in‐service training and authority in decision making.</p><p><b>Conclusions </b> The low research evidence uptake and heavy reliance on potentially biased evidence sources strongly indicate the need for effective professional education for practitioners to address current barriers as well as early intensive undergraduate education for students to ensure adequate preparation on being effective research evidence consumers. Given the profile of Filipino physical therapists, alternatives to ‘from scratch’ evidence searching and appraisal are required if widespread uptake is envisaged.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p> Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Research evidence uptake in a developing country: a survey of attitudes, education and self‐efficacy, engagement, and barriers among physical therapists in the Philippines</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Research uptake in a developing country</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Research evidence uptake in a developing country: a survey of attitudes, education and self‐efficacy, engagement, and barriers among physical therapists in the Philippines</title></titleInfo><name type="personal"><namePart type="given">Edward James R.</namePart><namePart type="family">Gorgon</namePart><namePart type="termsOfAddress">MPhysio PTRP</namePart><affiliation>Chair and Assistant Professor</affiliation><description>Correspondence: Professor Edward James R. Gorgon, Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, UP Manila Compound, Pedro Gil Street, Malate, Manila 1004, Philippines, E‐mail: </description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Hazel Gaile T.</namePart><namePart type="family">Barrozo</namePart><namePart type="termsOfAddress">PTRP</namePart><affiliation>Student</affiliation><description>Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Laarni G.</namePart><namePart type="family">Mariano</namePart><namePart type="termsOfAddress">PTRP</namePart><affiliation>Student</affiliation><description>Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Emmalou F.</namePart><namePart type="family">Rivera</namePart><namePart type="termsOfAddress">PTRP RPT</namePart><affiliation>Student, Department of Physical Therapy, College of Allied Medical Professions, University of the Philippines Manila, Manila, Philippines</affiliation><description>Present addresses: HGT Barrozo, College of Medicine, Pamantasan ng Lungsod ng Maynila, Manila, Philippines; LG Mariano, Service Management Office – Health, Environment and Safety, Chevron Holdings Inc., Makati City, Philippines; EF Rivera, Visiting Nurse Service of New York, Brooklyn, NY, USA.</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2013-10</dateIssued><edition>Accepted for publication: 8 March 2012</edition><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">3</extent><extent unit="tables">2</extent><extent unit="references">33</extent><extent unit="words">5588</extent></physicalDescription><abstract>Rationale and objective Use of evidence from systematic research is critical in evidence‐based physical therapy, yet this has not been described well in developing countries where its purported benefits are most needed. This study explored research evidence uptake among physical therapists in the Philippines.</abstract><abstract>Method A probability survey of practitioners in tertiary hospitals in the Philippines' National Capital Region was conducted.</abstract><abstract>Results Of the 188 questionnaires distributed, 152 were returned for an 81% response rate. Positive attitudes were consistently reported (78–93%), although education and self‐efficacy related to key dimensions such as searching, appraising and integrating evidence were varied (53–82%). Less than 50% reported using research evidence routinely in five of six dimensions of clinical practice, except in selecting treatments (53%). Textbooks, own observations and expert opinion were consistently relied upon (74–96%) while average‐month approximations of engagement in relevant activities such as searching, reading, appraising and applying research literature were low (10–18%). Participants faced a number of barriers such as lack of time, resources, skills, access to research literature, supporting administrative policies, in‐service training and authority in decision making.</abstract><abstract>Conclusions The low research evidence uptake and heavy reliance on potentially biased evidence sources strongly indicate the need for effective professional education for practitioners to address current barriers as well as early intensive undergraduate education for students to ensure adequate preparation on being effective research evidence consumers. Given the profile of Filipino physical therapists, alternatives to ‘from scratch’ evidence searching and appraisal are required if widespread uptake is envisaged.</abstract><subject lang="en"><genre>keywords</genre><topic>allied health</topic><topic>developing countries</topic><topic>evidence‐based practice</topic><topic>low‐income countries</topic><topic>physical therapy</topic><topic>professional practice</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Evaluation in Clinical Practice</title></titleInfo><genre type="journal">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic></subject><identifier type="ISSN">1356-1294</identifier><identifier type="eISSN">1365-2753</identifier><identifier type="DOI">10.1111/(ISSN)1365-2753</identifier><identifier type="PublisherID">JEP</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>19</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>782</start><end>790</end><total>9</total></extent></part></relatedItem><identifier type="istex">B7EB0E41F3029CCB19296132E6383BCF5B2B0F42</identifier><identifier type="DOI">10.1111/j.1365-2753.2012.01849.x</identifier><identifier type="ArticleID">JEP1849</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2013 John Wiley & Sons Ltd© 2012 John Wiley & Sons Ltd</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><enrichments><json:item><type>multicat</type><uri>https://api.istex.fr/document/B7EB0E41F3029CCB19296132E6383BCF5B2B0F42/enrichments/multicat</uri></json:item></enrichments><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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