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Measuring evidence-based practice in physical therapy: a mix-methods study

2022Journal article Open access
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dc.contributor.authorFerreira, Ricardo M.
dc.contributor.authorMartins, Pedro N.
dc.contributor.authorPimenta, Nuno
dc.contributor.authorGonçalves, Rui Soles
dc.date.accessioned2022-02-04T18:14:23Z
dc.date.available2022-02-04T18:14:23Z
dc.date.issued2022
dc.description.abstractBackground: Evidence-based practice (EBP) is considered the "holy grail" to manage patients by health practitioners (such as physical therapists). However, sometimes, patients are not treated with the best interventions for their condition. Although studies already explored the facilitators and barriers for this issue, they increase in the level of importance if the information gathered are context appropriated. As the profession is relatively new in Portugal, currently little is known about the implementation of EBP in Portuguese physical therapists context. So, the aim of this study is to know if the Portuguese physical therapists use an EBP, and collect and deeper understand the factors, barriers and facilitators associated with EBP. Methods: This study incorporated a mixed-methods design (quantitative and qualitative). In an attempt to ensure the correct population sample, a national professional association e-mail database and the e-mails of past students from national schools were requested. For the quantitative data it was choose an e-survey, adapted from the EBP: Beliefs, Attitudes, Knowledge, and Behaviors of Physical Therapists Portuguese version questionnaire, consisted of 55 close-ended questions. It was analyzed response frequencies and associations between variables with logistic regression analyses. For the qualitative data, it was choose to perform semi-structured interviews in purposefully selected physical therapists to include different sociodemographic factors (especially those found to be statistically significant in the logistic regression) and survey responses regarding the physical therapists' beliefs, attitudes, knowledge, and behaviors. The interviews were performed in an online software, where only audio contact was performed. The audios were anonymized and verbatim transcribed, and the texts explored by the thematic approach. Results: From the 277 physical therapists that shown interest in participating in the study, 193 fully completed the questionnaire and, from those, 10 participated in the interviews. The Portuguese physical therapists reported positive beliefs, attitudes, knowledge, and behaviors regarding EBP. Among the physical therapists characteristics it seems that age (younger therapists), education (participating in continuing education courses; belonging to practice-orientated organizations; having a doctorate degree; pursuing a higher academic degree; and being a clinical instructor), and workplace (working for someone else account; and academic sector) are the main factors in the Portuguese EBP implementation. The Portuguese physical therapists, beyond the physical therapists individual characteristics and workplace, also stated that evidence, patients, clinical experience, schools, country and physical therapy characteristics, may behave as facilitators or barriers when performing an EBP.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFerreira RM, Martins PN, Pimenta N, Gonçalves RS. 2022. Measuring evidence-based practice in physical therapy: a mix-methods study. PeerJ 9:e12666 DOI 10.7717/peerj.12666pt_PT
dc.identifier.doi10.7717/peerj.12666pt_PT
dc.identifier.eissn2167-8359
dc.identifier.urihttp://hdl.handle.net/10400.26/39185
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherPeerJpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectOrthopedicspt_PT
dc.subjectRheumatologypt_PT
dc.subjectSports injurypt_PT
dc.subjectRehabilitationpt_PT
dc.subjectSports medicinept_PT
dc.subjectEvidence-based practicept_PT
dc.subjectPhysical therapypt_PT
dc.subjectMix-methodspt_PT
dc.titleMeasuring evidence-based practice in physical therapy: a mix-methods studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage32pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titlePeerJ – the Journal of Life & Environmental Sciencespt_PT
person.familyNamePimenta
person.familyNameMONTEIRO SOLES GONÇALVES
person.givenNameNuno
person.givenNameRUI MIGUEL
person.identifierB-8049-2010
person.identifier.ciencia-idDC14-5961-949F
person.identifier.ciencia-id3A11-9BA3-C302
person.identifier.orcid0000-0001-8390-1370
person.identifier.orcid0000-0002-6118-0338
person.identifier.scopus-author-id37123831200
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication70a4c16a-40e0-4180-83ac-a79861e629a9
relation.isAuthorOfPublication77c2004d-350b-47be-814d-5cf9b6156d4d
relation.isAuthorOfPublication.latestForDiscovery70a4c16a-40e0-4180-83ac-a79861e629a9

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