Abstract

BackgroundEarly education on the foundations of evidence based practice (EBP) is advocated as a potent intervention toward enhancing EBP uptake among physical therapists. Little is known about the extent to which EBP is integrated in educational curricula in developing countries where the benefits of EBP are more acutely needed. This study sought to describe EBP education in Philippine physical therapy schools, including the challenges encountered by educators in teaching EBP.MethodsA national survey of higher education institutions offering an undergraduate degree program in physical therapy was conducted from August 2011 through January 2012. A 35-item questionnaire was developed to gather data on whether or not EBP was taught, specific EBP content covered and courses in which content was covered, teaching and evaluation methods, and challenges in teaching EBP. Data were analyzed descriptively.ResultsThe study had a response rate of 55.7% (34/61). Majority of the participating educational institutions (82%, 28/34) reported teaching EBP by incorporating EBP content in the professional courses. Among those that did not teach EBP, inadequate educator competence was the leading barrier. Courses commonly used to teach EBP were those on research (78.6%, 22/28), therapy planning (71.4%, 20/28), treatment skills (57.1-64.3%, 16-18/28), and undergraduate thesis (60.7%, 17/28). Various EBP contents were covered, with statistical concepts more frequently taught compared with critical EBP content. Lectures and journal reports were the usual teaching methods (96.4%, 27/28 and 89.3%, 25/28, respectively) while written examinations, completion of an undergraduate thesis, and oral reports (82.1%, 23/28, 78.6%, 22/28, and 78.6%, 22/28, respectively) were often used in evaluation. Students’ inadequate knowledge of statistics and lack of curricular structure for EBP were identified as leading challenges to teaching (75%, 21/28 and 50%, 14/28, respectively).ConclusionsMany physical therapy faculties across the Philippines are incorporating EBP content in teaching. However, there is arbitrary and fragmented coverage of EBP content and inadequate emphasis on clinically oriented teaching-learning and assessment methods. These findings suggest the need to design appropriate entry-level educational programs on EBP. Effective ‘educating the educators’ strategies are urgently needed and can have far-reaching positive repercussions on EBP uptake in physical therapist practice.

Highlights

  • Education on the foundations of evidence based practice (EBP) is advocated as a potent intervention toward enhancing EBP uptake among physical therapists

  • Preprofessional education may be the most opportune time to commence capacity building in EBP. This highlights the strong potential of effective early education as a tool to address the insufficient EBP uptake that pervades professional practice [2,19,20], especially in developing country contexts where such education can be of potent impact [19] and where the benefits of EBP are more acutely needed

  • Of the 88 higher education institutions (HEI) in the Philippines with an undergraduate physical therapy (PT) program regulated by the Commission on Higher Education (CHED), 61 (69.3%) met the inclusion criteria

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Summary

Introduction

Education on the foundations of evidence based practice (EBP) is advocated as a potent intervention toward enhancing EBP uptake among physical therapists. The World Confederation for Physical Therapy advocates that physical therapists implement EBP in patient care [3] and doing so requires competence in integrating best evidence from systematic research with one’s clinical expertise and patients’ values [6]. Preprofessional education may be the most opportune time to commence capacity building in EBP This highlights the strong potential of effective early education as a tool to address the insufficient EBP uptake that pervades professional practice [2,19,20], especially in developing country contexts where such education can be of potent impact [19] and where the benefits of EBP are more acutely needed

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