Practitioner and Organizational Barriers to Evidence-based Practice of Physical Therapists for People With Stroke

Salbach, Nancy M.; Jaglal, Susan; Korner‐Bitensky, Nicol; Rappolt, Susan; Davis, Dave

doi:10.2522/ptj.20070040

Cited by 274 publications

(355 citation statements)

References 38 publications

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“…Self-efficacy-Six items that increased in the extent that individuals had to integrate and use research in their work were assessed [13]. Participants indicated their confidence levels to engage in knowledge translation activities such as formulating a question to guide a literature search (item 1) and appropriately applying evidence from the literature to inform the planning and decision-making process (item 6).…”

Section: Methodsmentioning

confidence: 99%

“…Attitudes-Three items adapted from Salbach and colleagues [13] assessed attitudes towards the use of research for program development rather than the practice of physical therapy. Participants indicated the extent to which they agree (1=strongly disagree to 7= strongly agree) that application of research evidence is necessary, places an unreasonable demand on them and helps them develop better programs.…”

Section: Methodsmentioning

confidence: 99%

“…Participants rated on a 1 (strongly disagree) to 7 (strongly agree) scale whether other employees of their organization were skeptical [13] or approved [16] of them using research. The items were correlated (r=.78).…”

Section: Methodsmentioning

confidence: 99%

“…Among employees of CBOs engaged in health promotion in the general population, time and availability of relevant research were determined as barriers [11], while time was also a key barrier to research use by nurses [12]. Lower levels of education have consistently been identified as an important barrier to research use across multiple studies [8,[13][14][15]. For instance, fitness trainers with lower levels of education were less likely to report using evidence from scientific sources (e.g.…”

Section: Researchmentioning

confidence: 99%

“…We investigated the facilitators of research use within the context of the theory of planned behaviour (TPB) [16]-a theory that has gained support in knowledge translation contexts. We used this theoretical approach because positive beliefs and attitudes about research [13,14], and greater confidence in applying research [17] have all been identified as facilitators of research use by health practitioners and are components of the TPB.…”

Section: Researchmentioning

confidence: 99%

See 4 more Smart Citations

Assessing the research use and needs of organizations promoting healthy living for adults with disabilities

Sweet

Latimer-Cheung

Bourne

et al. 2013

Behav. Med. Pract. Policy Res.

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The uptake of research in community-based organizations (CBOs) is low and still unknown in CBOs that promote active and healthy living in adults with a disability. Using the knowledge to action framework, the objectives of this study were to determine if a gap exists regarding the use of research in CBOs, to learn about the preferred method to receive/read research evidence and to identify the barriers and facilitators of research use. Sixty-two employees of CBOs answered an online questionnaire. A research use gap was found as only 53 % of employees indicated they often or always use research. Conferences, emails and short research summaries were the favoured method of receiving/reading research information. Education, time and financial resources were important barriers to research use, while attitudes, intentions and self-efficacy were facilitators. More efforts are needed to develop tools to help CBOs use research. KeywordsKnowledge translation, Theory of planned behaviour, Community-based organizations, Research use Health promotion is imperative for adults with a disability as these individuals are at an increased risk of being obese and developing chronic diseases [1]. Currently, the average body mass index (BMI) of adults with a physical disability [mean=28.2 kg/m 2 , 95 % confidence interval (CI)=27.8-28.6) is significantly higher than the average BMI of able-bodied samples (mean=26.0 kg/m 2 , 95 % CI=25.8-26.2) [1]. In addition, adults with a disability have a higher prevalence of cardiovascular disease, diabetes and asthma, higher levels of blood pressure and cholesterol [1] and are more likely to be inactive than adults without a disability (25.6 vs 12.8 %) [2]. Despite evidence of successful interventions improving the health of these populations [3][4][5], health discrepancies between adults with and without a disability still exist. Turning to community-based organizations (CBOs) may be the next step for health promotion. CBOs have the potential to play a pivotal role in helping to address these health disparities.CBOs are defined as not-for-profit organizations that have a structured organization (e.g. board of governors) and are guided by a strategic plan. These organizations habitually deliver programs and services to their community members who are often marginalized members of society (e.g. adults with a disability) [6]. As a result, CBOs are in direct, regular contact with adults with a disability [7] and are well positioned to implement and deliver evidence-based health promotion programs. However, virtually no structures or tools are in place to translate health promotion research into practice in CBOs [6,7]. Using research evidence to inform program development is important because it can improve the effectiveness of the programs currently delivered by CBOs [6]. Determining if CBOs use research and the factors associated with its use will provide a foundation for developing strategies to increase the uptake and application of research within these CBOs.The rate of research use is ...

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%