What evidence is good evidence? A Masterclass in critical appraisal

Fawkes, Carol; Ward, Elena; Carnes, Dawn

doi:10.1016/j.ijosm.2015.01.002

Cited by 12 publications

(6 citation statements)

References 40 publications

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“…Healthcare professions have been asked to embrace the principles of EBP, and the osteopathic profession is not an exception [ 3 , 4 ]. With this ongoing movement towards EBP, osteopaths are required to take a more reflective stance towards their practice and to integrate research evidence into their clinical reasoning [ 5 , 6 , 7 , 8 ]. However, there is little information about EBP among osteopaths.…”

Section: Introductionmentioning

confidence: 99%

Health Sciences—Evidence Based Practice Questionnaire (HS-EBP): Normative Data and Differential Profiles in Spanish Osteopathic Professionals

Fernández-Domínguez

Escobio-Prieto

Sesé

et al. 2020

IJERPH

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The main goal of this study was to obtain normative data of the scores of the Health-Sciences Evidence Based Practice (HS-EBP) questionnaire, and to analyse evidence-based practice (EBP) among potential clusters of osteopathy professionals in Spain. An online descriptive cross-sectional study has been applied. A total number of 443 Spanish practicing osteopaths answered a survey including the 5 dimensions of the HS-EBP questionnaire and sociodemographic, training, and practice variables using the “LimeSurvey” online platform. Results point out that the median scores for each five HS-EBP questionnaire dimensions were 95.00, 86.00, 78.00, 84.00 and 62.00 considering that the range of possible scores in each of the dimensions was: from 12 to 120 in dimensions 1, 4 and 5; from 14–140 in dimension 2; and from 10–100 in dimension 3. A clustering algorithm extracted 6 different profiles across the five HS-EBP latent dimensions: low scores in all dimensions (cluster 1); low scores in all dimensions but with medium scores in dimension 1 (cluster 2); mixed pattern of scores, low in dimensions 2 and 5 and medium in the rest of the dimensions; medium scores in all dimensions (cluster 4); high scores in all dimensions and low scores in dimension 5 (cluster 5); and high scores in all dimensions (cluster 6). Significant relationship was found among the response patterns in the clusters and: academic degree level, EBP training and training level, and work time invested in healthcare activity, research and teaching activity. These results allow a description of the actual level of EBP and differential profiles of Osteopathy care practice in Spain. Knowledge of normative scores of the HS-EBP questionnaire and identification of different predictors of Spanish osteopaths’ EBP, e.g., academic degree, EBP training and training level, work time invested in healthcare activity, research, and teaching activity, and having a working relationship with an accredited educational centre, enable a comprehensive evaluation of the EBP of osteopathic professionals and can also be useful for developing and implementing formative intervention programs for improving EBP practice in osteopathic practice.

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Section: Introductionmentioning

confidence: 99%

Health Sciences—Evidence Based Practice Questionnaire (HS-EBP): Normative Data and Differential Profiles in Spanish Osteopathic Professionals

Fernández-Domínguez

Escobio-Prieto

Sesé

et al. 2020

IJERPH

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“…This may be partly due to a criticism of EBP in housing reliance on algorithm-driven decision-making; challenges in translating research evidence into patient-centred care and difficulties applying EBP to complex clinical presentations may present as additional barriers to EBP uptake [ 12 , 13 ]. These concerns have been highlighted by various disciplines, including healthcare philosophy [ 14 , 15 ], medicine [ 12 , 16 – 19 ], physiotherapy [ 20 – 22 ], and more recently, osteopathy [ 23 – 25 ].…”

Section: Introductionmentioning

confidence: 99%

Attitudes, skills and use of evidence-based practice among UK osteopaths: a national cross-sectional survey

Sundberg

Leach

Thomson

et al. 2018

BMC Musculoskelet Disord

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BackgroundEvidence-based practice (EBP) is a clinical decision-making framework that supports quality improvement in healthcare. While osteopaths are key providers of musculoskeletal healthcare, the extent to which osteopaths engage in EBP is unclear. Thus, the aim of this cross-sectional study was to investigate UK osteopaths’ attitudes, skills and use of EBP, and perceived barriers and facilitators of EBP uptake.MethodsUK-registered osteopaths were invited to complete the Evidence-Based Practice Attitude and Utilisation Survey (EBASE) online.ResultsOf the 5200 registered osteopaths in the UK, 9.9% (517/5200) responded to the invitation, and 7.2% (375/5200) completed the EBASE (< 20% incomplete answers). The demographic characteristics of the survey sample were largely similar to those of the UK osteopathy workforce. The osteopaths reported overall positive attitudes towards EBP, with most agreeing that EBP improves the quality of patient care (69.3%) and is necessary for osteopathy practice (76.5%). The majority reported moderate-level skills in EBP, and most (80.8%) were interested in improving these skills. Participating osteopaths typically engaged in EBP activities 1–5 times over the last month. Barriers to EBP uptake included a lack of time and clinical evidence in osteopathy. Main facilitators of EBP included having access to online databases, internet at work, full-text articles, and EBP education materials.ConclusionsUK osteopaths were generally supportive of evidence-based practice, had moderate-level skills in EBP and engaged in EBP activities infrequently. The development of effective interventions that improve osteopaths’ skills and the incorporation of EBP into clinical practice should be the focus of future research.

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“…This may be partly due to a criticism of EBP in housing reliance on algorithm-driven decision-making; challenges in translating research evidence into patient-centred care and difficulties applying EBP to complex clinical presentations may present as additional barriers to EBP uptake [12,13]. These concerns have been highlighted by various disciplines, including healthcare philosophy [14,15], medicine [12,[16][17][18][19], physiotherapy [20][21][22], and more recently, osteopathy [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

Attitudes, skills and use of evidence-based practice among UK Osteopaths: a national cross-sectional survey

Sundberg

Leach

Thomson

et al. 2019

Advances in Integrative Medicine

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Background: Evidence-based practice (EBP) is a clinical decision-making framework that supports quality improvement in healthcare. While osteopaths are key providers of musculoskeletal healthcare, the extent to which osteopaths engage in EBP is unclear. Thus, the aim of this cross-sectional study was to investigate UK osteopaths' attitudes, skills and use of EBP, and perceived barriers and facilitators of EBP uptake. Methods: UK-registered osteopaths were invited to complete the Evidence-Based Practice Attitude and Utilisation Survey (EBASE) online. Results: Of the 5200 registered osteopaths in the UK, 9.9% (517/5200) responded to the invitation, and 7.2% (375/ 5200) completed the EBASE (< 20% incomplete answers). The demographic characteristics of the survey sample were largely similar to those of the UK osteopathy workforce. The osteopaths reported overall positive attitudes towards EBP, with most agreeing that EBP improves the quality of patient care (69.3%) and is necessary for osteopathy practice (76.5%). The majority reported moderate-level skills in EBP, and most (80.8%) were interested in improving these skills. Participating osteopaths typically engaged in EBP activities 1-5 times over the last month. Barriers to EBP uptake included a lack of time and clinical evidence in osteopathy. Main facilitators of EBP included having access to online databases, internet at work, full-text articles, and EBP education materials. Conclusions: UK osteopaths were generally supportive of evidence-based practice, had moderate-level skills in EBP and engaged in EBP activities infrequently. The development of effective interventions that improve osteopaths' skills and the incorporation of EBP into clinical practice should be the focus of future research.

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What evidence is good evidence? A Masterclass in critical appraisal

Cited by 12 publications

References 40 publications

Health Sciences—Evidence Based Practice Questionnaire (HS-EBP): Normative Data and Differential Profiles in Spanish Osteopathic Professionals

Health Sciences—Evidence Based Practice Questionnaire (HS-EBP): Normative Data and Differential Profiles in Spanish Osteopathic Professionals

Attitudes, skills and use of evidence-based practice among UK osteopaths: a national cross-sectional survey

Attitudes, skills and use of evidence-based practice among UK Osteopaths: a national cross-sectional survey

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