Purpose: Healthcare professionals are encouraged to use evidence-based practice (EBP) to improve the quality of care and the patient’s quality of life. Knowledge and skill set specific to EBP, critical resources such as time and accessibility to databases, and clinician’s attitude toward EBP are needed for successful implementation of EBP. However, little is currently known about these factors among Thai Physical Therapists (PTs). This study aimed to explore the patterns of attitudes, perceived knowledge, and barriers toward EBP in Thai PTs. Method: An online questionnaire was used to obtain information regarding attitudes, knowledge, and barriers from Thai PTs. Descriptive statistics were used to describe the responses. Multiple logistic regression was used to determine the association between personal and work characteristics and the responses related to attitude, knowledge, and barriers. Results: A total of 719 Thai PTs responded to the questionnaire. Based on this sample, Thai PTs had positive attitudes and perceived themselves as having sufficient background EBP education and skills. They were confident in performing a literature search, critically appraisal, and applying research in their practice. However, the frequencies of searching and reading of literature were relatively low. Less than half of respondents understood terms related to EBP asked in the survey instrument. The barriers to EBP were insufficient time and limited research and statistical skills. PTs who were younger and having higher education were more likely to have better attitudes and knowledge. Conclusions: Despite the positive attitude and perceived knowledge of EBP, time allocation, formal training of EBP skills during academic preparation, and continuing education are required to overcome the barriers toward EBP. The discrepancy between the perception and practice of EBP observed calls for further investigation of actual skills and the barriers to the implementation of EBP.
The purposes of the research were (1) to develop the physical therapy practical assessment system by using the multisource feedback (MSF) approach and (2) to investigate the effectiveness of the implementation of the developed physical therapy practical assessment system. The development of physical therapy practical assessment system by using MSF was determined by nine experts in physical therapy. Suitability and feasibility of the system for each sub-group were investigated. Five input factors, two process factors, two output factors, and two feedback factors were involved in the system. Level of suitability and feasibility of elements in each sub-group presented at high to the highest level. In system testing, 40 physical therapy students were participated. Raters consisted of clinical educators, students (self-assessment), friends (students who in the same practical group), and patients. Twice assessments during the period of clinical practice were performed. Data analysis for generalizability coefficient (G-coefficient) was evaluated by the EduG program. Quality of the system was evaluated 4 aspects including the utility, feasibility, propriety, and accuracy. These were calculated by mean ( ̅ ) and standard deviation (SD). The values of G-coefficient for absolute and relative were 0.86 and 0.88, respectively. In addition, quality of the system showed value at high to the highest level in all aspects.
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