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US chiropractors' attitudes, skills and use of evidence-based practice: A cross-sectional national survey

Schneider, MJ and Evans, R and Haas, M and Leach, M and Hawk, C and Long, C and Cramer, GD and Walters, O and Vihstadt, C and Terhorst, L (2015) US chiropractors' attitudes, skills and use of evidence-based practice: A cross-sectional national survey. Chiropractic and Manual Therapies, 23 (1).

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Abstract

© 2015 Schneider et al. Background: Evidence based practice (EBP) is being increasingly utilized by health care professionals as a means of improving the quality of health care. The introduction of EBP principles into the chiropractic profession is a relatively recent phenomenon. There is currently a lack of information about the EBP literacy level of US chiropractors and the barriers/facilitators to the use of EBP in the chiropractic profession. Methods: A nationwide EBP survey of US chiropractors was administered online (Nov 2012-Mar 2013) utilizing a validated self-report instrument (EBASE) in which three sub-scores are reported: attitudes, skills and use. Means, medians, and frequency distributions for each of the sub-scores were generated. Descriptive statistics were used to analyze the demographic characteristics of the sample. Means and proportions were calculated for all of the responses to each of the questions in the survey. Results: A total of 1,314 US chiropractors completed the EBASE survey; the sample appeared to be representative of the US chiropractic profession. Respondents were predominantly white (94.3%), male (75%), 47 (+/- 11.6) years of age, and in practice for more than 10 years (60%). EBASE sub-score means (possible ranges) were: attitudes, 31.4 (8-40); skills, 44.3 (13-65); and use, 10.3 (0-24). Survey participants generally held favorable attitudes toward EBP, but reported less use of EBP. A minority of participants indicated that EBP coursework (17%) and critical thinking (29%) were a major part of their chiropractic education. The most commonly reported barrier to the use of EBP was "lack of time". Almost 90% of the sample indicated that they were interested in improving their EBP skills. Conclusion: American chiropractors appear similar to chiropractors in other countries, and other health professionals regarding their favorable attitudes towards EBP, while expressing barriers related to EBP skills such as research relevance and lack of time. This suggests that the design of future EBP educational interventions should capitalize on the growing body of EBP implementation research developing in other health disciplines. This will likely include broadening the approach beyond a sole focus on EBP education, and taking a multilevel approach that also targets professional, organizational and health policy domains.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Schneider, MJmjs5@pitt.eduMJS5
Evans, R
Haas, M
Leach, M
Hawk, C
Long, C
Cramer, GD
Walters, O
Vihstadt, C
Terhorst, Llat15@pitt.eduLAT15
Date: 4 May 2015
Date Type: Publication
Journal or Publication Title: Chiropractic and Manual Therapies
Volume: 23
Number: 1
DOI or Unique Handle: 10.1186/s12998-015-0060-0
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science
Refereed: Yes
Date Deposited: 16 Aug 2016 14:21
Last Modified: 02 Feb 2019 14:56
URI: http://d-scholarship.pitt.edu/id/eprint/29278

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