Abstract
BackgroundA validated and reliable instrument was developed to knowledge, attitudes and behaviours with respect to evidence-based practice (EBB-KABQ) in medical trainees but requires further adaptation and validation to be applied across different health professionals.MethodsA modified 33-item evidence-based practice scale (EBP-KABQ) was developed to evaluate EBP perceptions and behaviors in clinicians. An international sample of 673 clinicians interested in treatment of pain (mean age = 45 years, 48% occupational therapists/physical therapists, 25% had more than 5 years of clinical training) completed an online English version of the questionnaire and demographics. Scaling properties (internal consistency, floor/ceiling effects) and construct validity (association with EBP activities, comparator constructs) were examined. A confirmatory factor analysis was used to assess the 4-domain structure EBP knowledge, attitudes, behavior, outcomes/decisions).ResultsThe EBP-KABQ scale demonstrated high internal consistency (Cronbach’s alpha = 0.85), no evident floor/ceiling effects, and support for a priori construct validation hypotheses. A 4-factor structure provided the best fit statistics (CFI =0.89, TLI =0.86, and RMSEA = 0.06).ConclusionsThe EBP-KABQ scale demonstrates promising psychometric properties in this sample. Areas for improvement are described.Electronic supplementary materialThe online version of this article (doi:10.1186/s12909-014-0263-4) contains supplementary material, which is available to authorized users.
Highlights
A validated and reliable instrument was developed to knowledge, attitudes and behaviours with respect to evidence-based practice (EBB-KABQ) in medical trainees but requires further adaptation and validation to be applied across different health professionals
The goal of this study was to validate the modified scale (EBP-KABQ) for use in a multidisciplinary group of clinicians by determining: (1) Scaling properties- internal consistency, floor/ceiling effects, and (2) Construct validitybased on predetermined hypotheses on the relationship of subcomponents of Evidence-based practice (EBP), and (3) Structural validity: the integrity of a 4-domain structure based on confirmatory factor analysis
We evaluated the model fit with a number of goodness-of-fit statistics including Root Mean Square Error of Approximation (RMSEA)
Summary
A validated and reliable instrument was developed to knowledge, attitudes and behaviours with respect to evidence-based practice (EBB-KABQ) in medical trainees but requires further adaptation and validation to be applied across different health professionals. Evidence-based practice (EBP) is defined as the integration of the best research evidence with patients’ interests and clinical circumstances in decision making [1]. Application and use of EBP refers to whether health professionals are able to apply their EBP knowledge to the specific clinical scenarios. This includes: capability to generate clinical question(s) regarding disease prevention, diagnosis and management as well as implementation of evidence with integrity of clinical circumstances. EBP behaviors refer to practitioners’ performance of the instrumental activities associated with EBP such as searching and obtaining higher quality evidence in their own practice
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
