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Abstract
AstractBackgroundEvidence implementation continues to challenge health professionals most especially those from developing countries. Filipino physiotherapists represent a group of health professionals in a developing country who by tradition and historical practice, take direction from a doctor, on treatment options. Lack of autonomy in decision-making challenges their capacity to deliver evidence-based care. However, this scenario should not limit them from updating and up-skilling themselves on evidence- based practice (EBP). EBP training tailored to their needs and practice was developed to address this gap. This study will be conducted to assess the effectiveness of a tailored EBP-training program for Filipino physiotherapists, in improving knowledge, skills, attitudes and behaviour to EBP. Participation in this program aims to improve capacity to EBP and engage with referring doctors to determine the most effective treatments for their patients.Methods/DesignA double blind randomised controlled trial, assessing the effectiveness of the EBP training intervention, compared with a waitlist control, will be conducted. An adequately powered sample of 54 physiotherapists from the Philippines will be recruited and randomly allocated to EBP intervention or waitlist control.Intervention: The EBP program for Filipino physiotherapists is a one-day program on EBP principles and techniques, delivered using effective adult education strategies. It consists of lectures and practical workshops. A novel component in this program is the specially-developed recommendation form, which participants can use after completing their training, to assist them to negotiate with referring doctors regarding evidence-based treatment choices for their patients.Pre and post measures of EBP knowledge, skills and attitudes will be assessed in both groups using the Adapted Fresno Test and the Questions to EBP attitudes. Behaviour to EBP will be measured using activity diaries for a period of three months.DiscussionShould the EBP-training program be found to be effective in improving EBP-uptake in Filipino physiotherapists, it will form the basis of a much needed national intervention which is contextually appropriate to Filipino physiotherapists. It will therefore form the genesis for a model for building EBP capacity of other health professionals in the Philippines as well as physiotherapists in developing countries.Trial RegistrationCurrent Controlled Trials: ISRCTN74485061
Highlights
Evidence implementation continues to challenge health professionals most especially those from developing countries
Should the evidence- based practice (EBP)-training program be found to be effective in improving EBP-uptake in Filipino physiotherapists, it will form the basis of a much needed national intervention which is contextually appropriate to Filipino physiotherapists
It will form the genesis for a model for building EBP capacity of other health professionals in the Philippines as well as physiotherapists in developing countries
Summary
Evidence-based practice (EBP) has been defined as the “conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients” [1]. The South East Asia Optimising Reproductive and Child Health in Developing Countries known as the SEA-ORCHID project, is one of the few research-based projects which builds on this need to train health professionals (doctors, nurses and midwives) in evidencebased practice [13,14] This group tested the effectiveness of a multifaceted intervention designed to increase the capacity for EBP and research synthesis, of the health professionals involved in reproductive medicine. Specific to the needs of a group of allied health professionals, namely physiotherapists in the Philippines, we designed and pilot-tested an EBP training program to enhance their knowledge, skills, attitudes and behaviour to EBP This tailored, multifaceted EBP program builds on the concept of effective education, training and peer support as key solution to overcome barriers to EBP in developing countries. This training was viewed by participants as a medium to update physiotherapy practice and bridge the gap between theory and actual practice
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