Cross-cultural adaptation, internal consistency, test-retest reliability and feasibility of the German version of the evidence-based practice inventory

Braun, Tobias; Ehrenbrusthoff, Katja; Bahns, Carolin; Happe, Lisa; Kopkow, Christian

doi:10.1186/s12913-019-4273-0

Cited by 22 publications

(69 citation statements)

References 48 publications

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“…Rising implementation research efforts in German-speaking countries necessitate the development and psychometric examination of German instruments assessing implementation research constructs [ 52 ]. Regarding characteristics of individuals, additional well-suited instruments have been translated and validated during the course of our study, for example the Evidence-based Practice Inventory (EBPI) questionnaire [ 76 ]. The EBPI assesses health care providers’ adherence to EBP as well as barriers and facilitators for the use of EBP.…”

Section: Discussionmentioning

confidence: 99%

“…A total of 26 items load on five domains: attitude, subjective norm, perceived behavioral control, decision making and intention and behavior. A German version was adopted and its reliability was examined in a nationwide online survey [ 76 ]. The EBPI and EBPAS-36D could thus complement each other well in future implementation research studies, with the latter focusing on attitudes and capturing diverse aspects of positive and ambivalent attitudes toward EBP.…”

Section: Discussionmentioning

confidence: 99%

“…The total number of items of the survey would have been significantly reduced if we have had the EBPI available when we planned our study. It would have been fruitful to use it instead of the ISP to investigate the convergent validity of the EBPAS-36D not only due to its smaller item number but because of the availability of a German version instrument that has been psychometrically examined [ 76 ]. In future studies, this well-suited questionnaire might be used to further validate the EBPAS-36D.…”

Section: Discussionmentioning

confidence: 99%

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Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)

Szota

Thielemann

Christiansen

et al. 2021

Health Res Policy Sys

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Background The implementation of evidence-based practice (EBP) in mental health care confers many benefits to patients, and research into factors facilitating the implementation of EBP is needed. As an important factor affecting the implementation of EBP, service providers’ attitudes toward EBP emerged. The Evidence-Based Practice Attitude Scale (EBPAS-36) is an instrument with good psychometric characteristics that measures positive and ambivalent attitudes toward EBP. However, a German version is missing. The present study therefore aims to provide a validated German translation of the EBPAS-36. Methods The scale was translated and back-translated as recommended by standard procedures. German psychotherapists were recruited to participate in an online survey. They provided demographic and professional information, completed the EBPAS-36, the Implementation Climate Scale (ICS) and the Intention Scale for Providers (ISP). Standard item and reliability analyses were conducted. Construct validity was evaluated with exploratory (EFA) and confirmatory factor analyses (CFA) in two subsamples (random split). Convergent validity was tested by predicting a high positive correlation of the EBPAS-36D with two scores of attitudes of the ISP and an interest in EBP score. It was tested whether the EBPAS-36D predicts the intention to use EBP. Results N = 599 psychotherapists participated in the study. The item analyses showed a mean item difficulty of pi = 0.64, a mean inter-item correlation of r = 0.18, and a mean item-total correlation of ritc = 0.40. The internal consistency was very good for the total scale (α = 0.89) and ranged from adequate to very good for the subscales (0.65–0.89), indicating high reliability. The original factor structure showed an acceptable model fit (RMSEA = 0.064 (90% CI = 0.059–0.068); SRMR = 0.0922; AIC = 1400.77), confirming the 12-factor structure of the EBPAS-36. However, a second-order factor structure derived by the EFA had an even better model fit (RMSEA = 0.057 (90% CI = 0.052–0.062); SRMR = 0.0822; AIC = 1274.56). When the EBPAS-36D was entered in a hierarchical regression model with the criterion Intention to use EBP, the EBPAS-36D contributed significantly to the prediction (Change in R2 = 0.28, p < 0.001) over and above gender, age and participants’ report of ever having worked in a university context. Conclusions The present study confirms good psychometric properties and validity of a German version of the EBPAS-36 in a sample of psychotherapists.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)

Szota

Thielemann

Christiansen

et al. 2021

Health Res Policy Sys

View full text Add to dashboard Cite

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“…Dies lässt eine hohe fachliche Expertise der Teilnehmenden im Bereich Neurologie vermuten. Die langjährige Berufserfahrung und der Altersdurchschnitt mit knapp 50 Jahren sind relativ hoch im Vergleich zu anderen Umfragen unter (Physio-) Therapeut*innen in Deutschland (Braun et al, 2018;Braun et al, 2019). Dies könnte durch unser Einschlusskriterium bezogen auf die Behandlung von mindestens drei Personen mit Schlaganfall pro Jahr erklärt werden: Es ist wahrscheinlich, dass Therapeut*innen mit einer abgeschlossenen KG-ZNS-Fortbildung die Behandlung der Personen mit Schlaganfall in einer Praxis übernehmen.…”

Section: Charakteristika Der Teilnehmendenunclassified

Current practice of physical therapists in outpatient stroke rehabilitation: a cross-sectional survey in Baden-Württemberg and Thuringia / Arbeitsweise von Physiotherapeut*innen in der ambulanten Schlaganfallrehabilitation: eine Querschnittsumfrage in Baden-Württemberg und Thüringen

Diermayr

Schomberg

Barthelmes

et al. 2021

International Journal of Health Professions

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Objective Guidelines recommend task-oriented training and the use of standardized assessments to improve stroke-related mobility deficits. However, the German outpatient physical therapy prescription catalogue does not include these recommendations resulting in a possible gap between guideline recommendations and clinical practice. Therefore, the purpose of this study was to describe physical therapy practice patterns of stroke-related mobility deficits in the outpatient setting exemplified by the states Baden-Württemberg and Thuringia. Methods Using an online survey, physical therapists treating people with stroke in outpatient settings in Baden-Württemberg and Thuringia were recruited. The questionnaire was developed using a multi-step procedure. Using a case vignette and open-ended questions, preferred evaluation and treatment methods were assessed. Data were analyzed using content analysis and descriptive statistics. Results Data from 63 physical therapists were included in the analysis. Answers to the open questions showed a wide range of different citations. Of 186 citations on evaluation methods, 28 (15,1 %) were classified as “standardized assessments”, while 158 citations (84,9 %) were classified as “basic physical therapy evaluation (non-standardized)”. Standardized assessments were cited by 25% of participants. Of 182 citations on treatment methods, 69 (35,2%) were classified as “traditional therapies”. These traditional therapies were cited by 81 % of participants. Task-oriented training was not cited. Discussion Despite the small sample size our data confirm the insufficient guideline use in German physical therapy and contribute results on practice patterns in outpatient stroke settings. These results will be used to initiate theory-based implementation strategies aiming to optimize physical therapy for people with stroke.

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“…We considered that this theory would also apply to the complex skills involved in the application of EBM, and might help in understanding why stand-alone EBM education has limited effects on learners' application of this knowledge and these skills in clinical practice [3,12,13]. Although the effects were small, they exceeded the minimally important differences of 1.0-1.5 points for the different EBPi subscales [24,29]. Our results align with deliberate practice theory whereby repeated and ongoing exposure to EBM tasks and activities may contribute to developing more positive attitudes towards and greater use of EBM in practice.…”

Section: Discussionmentioning

confidence: 99%

Impact of deliberate practice on evidence-based medicine attitudes and behaviours of health care professionals

et al. 2020

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Introduction Although evidence-based medicine (EBM) teaching activities may improve short-term EBM knowledge and skills, they have little long-term impact on learners’ EBM attitudes and behaviour. This study examined the effects of learning EBM through stand-alone workshops or various forms of deliberate EBM practice. Methods We assessed EBM attitudes and behaviour with the evidence based practice inventory questionnaire, in paediatric health care professionals who had only participated in a stand-alone EBM workshop (controls), participants with a completed PhD in clinical research (PhDs), those who had completed part of their paediatric residency at a department (Isala Hospital) which systematically implemented EBM in its clinical and teaching activities (former Isala residents), and a reference group of paediatric professionals currently employed at Isala’s paediatric department (current Isala participants). Results Compared to controls (n = 16), current Isala participants (n = 13) reported more positive EBM attitudes (p < 0.01), gave more priority to using EBM in decision making (p = 0.001) and reported more EBM behaviour (p = 0.007). PhDs (n = 20) gave more priority to using EBM in medical decision making (p < 0.001) and reported more EBM behaviour than controls (p = 0.016). Discussion Health care professionals exposed to deliberate practice of EBM, either in the daily routines of their department or by completing a PhD in clinical research, view EBM as more useful and are more likely to use it in decision making than their peers who only followed a standard EBM workshop. These findings support the use of deliberate practice as the basis for postgraduate EBM educational activities.

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Cross-cultural adaptation, internal consistency, test-retest reliability and feasibility of the German version of the evidence-based practice inventory

Cited by 22 publications

References 48 publications

Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)

Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)

Current practice of physical therapists in outpatient stroke rehabilitation: a cross-sectional survey in Baden-Württemberg and Thuringia / Arbeitsweise von Physiotherapeut*innen in der ambulanten Schlaganfallrehabilitation: eine Querschnittsumfrage in Baden-Württemberg und Thüringen

Impact of deliberate practice on evidence-based medicine attitudes and behaviours of health care professionals

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