Abstract
BackgroundThis study evaluated the effectiveness of the contextualized EBP training program for Filipino physical therapists in terms of knowledge, skills, attitudes and behavior.MethodsA randomized controlled trial was designed to assess the effectiveness of the EBP training program. Fifty four physical therapists were randomly allocated to the EBP group (intervention) and waitlist (control) group. The EBP group had a one day face-to-face training with an online support, whilst the control was waitlisted. There were three measurement points which were pre, post, and three months post intervention for knowledge, skills and attitudes. Activity diaries were used to measure behavior. The diaries were collected after three months. Data analysis was by intention to treat in EBP domains of knowledge, skills and attitudes.ResultsFifty-four physical therapists were included in the study. Fifty two (52) completed the post training assessment and 26 completed the 3 months post training assessment for EBP knowledge, skills and attitudes. There were significant improvements in these domains in the EBP group from pre to post training and over a period of three months (p < 0.05) compared with the waitlist control group. Thirty seven (37) physical therapists completed their activity diaries over three months. Behavior significantly improved in the EBP group in terms of EBP behaviors (formulating PICO, searching, appraising and applying the evidence) when faced with both new/unique and usual case scenarios (p < 0.05). More physical therapists in the waitlist control group significantly performed non-EBP behaviors (asking doctors and reading textbooks) when faced with new/unique cases compared with the EBP group (p < 0.05). No differences were noted between groups regarding non-EBP behaviors (asking colleagues and doctors and reading textbooks) particularly when faced with usual cases.ConclusionThe contextually designed EBP training program for Filipino physical therapists was effective in improving knowledge, skills and attitudes to EBP from pre to post training. Improvements were also observed at three months post training in knowledge, skills, attitudes and behavior to EBP. This model of training can be modified as needed based on the needs of the local context. Findings need to be interpreted with caution due to study limitations.Current controlled trialsISRCTN74485061 (Registration date: February 9, 2011).
Highlights
This study evaluated the effectiveness of the contextualized Evidence-based practice (EBP) training program for Filipino physical therapists in terms of knowledge, skills, attitudes and behavior
This paper presents the findings of research into a model of an EBP training program designed to build capacity and promote EBP among physical therapists in a developing country, the Philippines
A total of 54 physical therapists were randomized to the EBP training group (N = 27) and the waitlist control (N = 27) groups
Summary
This study evaluated the effectiveness of the contextualized EBP training program for Filipino physical therapists in terms of knowledge, skills, attitudes and behavior. Achieving best patient outcomes and optimising use of health resources should be the goal of every health system, whether in developed or developing countries. Evidence-based practice (EBP) has become an integral component of healthcare and strategies to ensure that health care is underpinned by the best evidence are well established in most developed countries [2]. In the developed world, training for health professionals to put evidence into practice (Evidence-based practice (EBP) programs) is widely available and regularly evaluated at undergraduate and post graduate levels, and for continuing professional development [3,4,5]. The evidence for many health interventions for the management of a range of conditions have been summarized, and made accessible for the use of health professionals, policy makers and patients [6,7,8,9]. Common are the development, implementation and evaluation of clinical guidelines based from the evidence and present recommendations for practice [10,11]
Sign-in/Register to view highlights & summary 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.
