A global view of osteopathic practice – mirror or echo chamber?

McGrath, Maurice Christopher

doi:10.1016/j.ijosm.2015.01.004

Cited by 21 publications

(17 citation statements)

References 24 publications

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“…Osteopathy is considered a manual therapy discipline in which its therapeutic base has been traditionally embedded within a specific conceptual framework and principles [17][18][19]. However, several authors have questioned the validity, plausibility and utility of these traditional osteopathic models in the context of contemporary evidence-based healthcare [20][21][22][23]. Despite the passing of time, most of these osteopathic models have not been updated in response to the evidence, yielding to an uncritical development of the profession [23].…”

Section: Introductionmentioning

confidence: 99%

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

Alvarez

Justribo

Sundberg

et al. 2021

BMC Health Serv Res

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Background Although evidence-based practice (EBP) is largely supported across healthcare professions, its implementation in manual therapy professions such as osteopathy remains limited and debated. There is currently little knowledge of how Spanish osteopaths relate to EBP. Objectives The main aim of this study was to investigate the attitudes, skills and use of EBP among Spanish osteopaths. A secondary aim was to identify barriers and facilitators for the adoption of EBP in the Spanish osteopathic context. Methods National cross-sectional survey of Spanish osteopaths registered and non-registered to an osteopathic association in Spain. Eligible participants were invited by a range of recruitment strategies including email and social media campaigns to complete the Spanish-translated Evidence-Based practice Attitude and utilization Survey (EBASE) anonymously online. Results A total of 567 osteopaths completed the survey which represents an approximate response rate of 9%. Participant’s attitudes toward EBP were largely positive. Most respondents agreed or strongly agreed that EBP was necessary in the practice of osteopathy (89.6%) and that professional literature and research findings were useful to their day-to-day practice (88.9%). Levels of perceived skill in EBP were reported as low to moderate with lowest levels for items related to ‘research conduct’. Except reading/reviewing professional literature and using online search engines to find practice-related literature, participant engagement in all other EBP-related activities was generally infrequent. The perceived proportion of clinical practice that was based on clinical research evidence was reported to be very small. Main barriers to EBP uptake included a lack of clinical evidence in osteopathy and insufficient skills for applying research findings. Main facilitators of EBP uptake included access to full-text articles, internet at the workplace and online databases. Conclusions Spanish osteopaths were largely supportive of evidence-based practice, had low to moderate skills in EBP and engaged in EBP activities infrequently. Formal regulation of the profession in Spain and the inclusion of osteopathic programs into the university sector would potentially improve EBP skills and use.

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Section: Introductionmentioning

confidence: 99%

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

Alvarez

Justribo

Sundberg

et al. 2021

BMC Health Serv Res

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“…In 2013, the Osteopathic International Alliance (OIA) attempted to identify the number of osteopaths working worldwide [4]. Although this was an essential preliminary stage in describing the scope and characteristics of osteopathic practice, this approach produced a significant reporting bias, particularly in those countries where osteopathy is still unregulated as is the case in Spain [5]. Within this uncertain scenario, the Spanish Ministry of Health, Social Policy and Equality published in 2011 the report "Analysis of the situation of natural therapies".…”

Section: Introductionmentioning

confidence: 99%

The Spanish Osteopathic Practitioners Estimates and RAtes (OPERA) study: A cross-sectional survey

Alvarez

Roura²,

Cerritelli³

et al. 2020

PLoS ONE

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Background Despite the growth of the osteopathic profession in Spain in the last few years, reliable information regarding professional profile and prevalence is still lacking. The Osteopathic Practitioners Estimates and RAtes (OPERA) project was developed as a European-based survey dedicated to profiling the osteopathic profession across Europe. The present study aims to describe the characteristics of osteopathic practitioners, their professional profile and the features of their clinical practice.

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“…In a first attempt to identify the number of osteopaths worldwide, the OIA [4] asked the various national voluntary registers, professional associations and regulatory bodies in osteopathy, to provide estimates of the numbers of practitioners working in their respective countries. Although this was an important preliminary stage in describing the scope and characteristics of osteopathic practice, this approach produced a significant reporting bias, particularly in those countries where the unregulated nature of osteopathy is still a major concern [5]. In several countries where osteopathy is statutorily regulated, workforce surveys are regularly conducted [6–17]; however, the prevalence of osteopathic practitioners, their professional profile and features of clinical practice, particularly where statutory regulation does not exist, are still significantly underreported.…”

Section: Introductionmentioning

confidence: 99%

The Italian Osteopathic Practitioners Estimates and RAtes (OPERA) study: A cross sectional survey

Cerritelli¹,

Dun²,

Esteves

et al. 2019

PLoS ONE

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The prevalence of osteopathic practitioners, their professional profile and features of their clinical practice, particularly where statutory regulation does not yet exist, are still significantly underreported. The Osteopathic Practitioners Estimates and RAtes (OPERA) project was developed as an European-based census dedicated to profiling the osteopathic profession across Europe. The present study aimed to describe the osteopathic practitioners and the profession in Italy. A voluntary, online based, closed-ended survey was distributed across Italy in the period between February and June 2017. An e-based campaign was set up to reach the Italian osteopathic professionals. Participants were asked to complete the forms by filling in the information regarding the demographics, working status and professional activities, education, consultation fees, patient complaints, treatment and management. The survey was completed by 4816 individuals. 196 people started the survey but did not finish, which corresponds to a 4% attrition rate. The majority of respondents were males (66.7%). The modal age group was 30–39 (40.0%). 73.8% of respondents had a previous academic degree, mainly in the fields of sports science (36.4%) and physiotherapy (25.3%). 25.6% declared not to have a previous academic degree. The majority of respondents declared to work alone (58.4%), while the remaining declared to work in association with other professionals. The osteopaths /citizens ratio was 8.0 osteopaths/100,000 citizens. The profile of osteopaths in Italy seems to be characterised by a self-employed young adult male working mostly as a sole practitioner, who has been trained as osteopath through a part-time curriculum and had a previous degree mostly in the fields of sports science or physiotherapy. These results provide important insights into the osteopathic profession in Italy. The varied professional educational backgrounds need to be considered with regard to the implementation of a professional licensing process and future pre-registration education in the country. The number of respondents is an estimate of the actual number of Italian osteopaths. Only the completion of the regulatory process and the creation of the mandatory official register will allow to know the number of Italy based osteopaths.

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A global view of osteopathic practice – mirror or echo chamber?

Cited by 21 publications

References 24 publications

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

A national cross-sectional survey of the attitudes, skills and use of evidence-based practice amongst Spanish osteopaths

The Spanish Osteopathic Practitioners Estimates and RAtes (OPERA) study: A cross-sectional survey

The Italian Osteopathic Practitioners Estimates and RAtes (OPERA) study: A cross sectional survey

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