Barriers against incorporating evidence-based practice in physical therapy in Colombia: current state and factors associated

Título traducido de la contribución: Barreras contra la incorporación de pruebas basadas en la evidencia práctica en fisioterapia en Colombia: estado actual y factores asociado

Robinson Ramírez-Vélez, M. Caridad Bagur-Calafat, Jorge Enrique Correa-Bautista, Montserrat Girabent-Farrés

Resultado de la investigación: Contribución a RevistaArtículo

8 Citas (Scopus)

Resumen

Antecedentes: La práctica basada en la evidencia (EBP) ha sido ampliamente implementada en diferentes áreas de fisioterapia. Sin embargo, pocos estudios han investigado las barreras relacionadas con la PEB entre los fisioterapeutas latinoamericanos que trabajan en la atención primaria. El objetivo principal de este estudio fue describir el estado actual con respecto al compromiso de barreras percibidas en la EBP entre la fisioterapia en Colombia. Un objetivo secundario fue identificar los factores asociados con las barreras para la implementación del PEB. El estudio involucró a fisioterapeutas que trabajaban en hospitales públicos y privados, que fueron contactados a través de redes profesionales (Email, Facebook®, ResearchGate® y Linked-In®) e invitados a participar. Se utilizaron la regresión logística múltiple (CRM) y el análisis de la correspondencia múltiple (ACM) para examinar los factores asociados con las barreras percibidas para incluir la PEB en su trabajo. Cuarenta y un por ciento de los encuestados indicaron que la "falta de habilidades de investigación" era la barrera más importante para que las pruebas se usaran en la práctica. El análisis de MLR sugirió que varias variables estaban asociadas con las barreras percibidas para incluir la PEB: por ejemplo, las horas de trabajo por semana, el papel principal actual en el centro de terapia y el grado universitario. El modelo de MCA estableció dos grupos de similitudes en cuanto a las diferentes barreras; la "falta de comprensión del análisis estadístico","tiempo insuficiente" y "comprensión del inglés en el que se escriben los artículos" se ponderaron más las barreras en el primer grupo (el segundo factor sobre MCA) y las demás barreras en el segundo grupo (primer factor sobre MCA).CONCLUSIONES: Aunque la mayoría de los fisioterapeutas tienen una opinión positiva sobre la PEB, consideran que necesitan mejorar sus conocimientos, habilidades y actitudes hacia la PEB. Las iniciativas para hacer avanzar la PBE en Colombia sin tradición académica o investigadora deberían centrarse principalmente en factores a nivel de los profesionales.
Idioma originalEnglish (US)
Páginas (desde-hasta)1
Número de páginas11
PublicaciónBMC Medical Education
Volumen15
N.º1
DOI
EstadoPublished - dic 12 2015

Huella dactilar

Colombia
correspondence analysis
evidence
therapist
logistics
physiotherapist
Group
lack
facebook
online survey
statistical analysis
regression analysis
regression

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Ramírez-Vélez, Robinson ; Bagur-Calafat, M. Caridad ; Correa-Bautista, Jorge Enrique ; Girabent-Farrés, Montserrat. / Barriers against incorporating evidence-based practice in physical therapy in Colombia: current state and factors associated. En: BMC Medical Education. 2015 ; Vol. 15, N.º 1. pp. 1.
@article{557e02202acd403ea488990d98ba4f9b,
title = "Barriers against incorporating evidence-based practice in physical therapy in Colombia: current state and factors associated",
abstract = "BACKGROUND: Evidence-based practice (EBP) has been widely implemented in differing areas of physiotherapy. Nevertheless, few studies have investigated EBP-related barriers amongst Latin-American physical therapists working in primary care. The primary objective of this study was to describe the current state concerning perceived barriers engagement in EBP among physical therapy in Colombia. A secondary objective was to identify factors associated with barriers to implementation EBP.\n\nMETHODS: A cross-sectional online survey was conducted. The study involved physical therapists working in public and private hospital who were contacted through professional networks (Email, Facebook{\circledR}, ResearchGate{\circledR} and Linked-In{\circledR}) and invited to participate. Multiple logistic regression (MLR) and multiple correspondence analysis (MCA) were used for examining factors associated with perceived barriers to including EBP in their work.\n\nRESULTS: The final sample size was 1064 (77.2 {\%} female). Forty-one percent of the respondents indicated that a {"}lack of research skills{"} was the most important barrier to evidence being used in practice. MLR analysis suggested that several variables were associated with perceived barriers to including EBP: i.e. hours of work per week, current main role in therapy center and undergraduate degree. The MCA model established two groups of similarities regarding the different barriers; the {"}lack of understanding of statistical analysis{"}, {"}insufficient time{"} and {"}understanding of the English in which articles are written{"} barriers were weighted more heavily regarding in the first group (the second factor on MCA) and the rest barriers on the second group (first factor on the MCA).\n\nCONCLUSIONS: Although most physiotherapists had a positive opinion regarding EBP, they considered that they needed to improve their knowledge, skills and attitudes towards EBP. Initiatives to advance EBP in Colombia with no academic or research tradition should primarily target practitioner-level factors.",
author = "Robinson Ram{\'i}rez-V{\'e}lez and Bagur-Calafat, {M. Caridad} and Correa-Bautista, {Jorge Enrique} and Montserrat Girabent-Farr{\'e}s",
year = "2015",
month = "12",
day = "12",
doi = "10.1186/s12909-015-0502-3",
language = "English (US)",
volume = "15",
pages = "1",
journal = "BMC Medical Education",
issn = "1472-6920",
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Barriers against incorporating evidence-based practice in physical therapy in Colombia: current state and factors associated. / Ramírez-Vélez, Robinson; Bagur-Calafat, M. Caridad; Correa-Bautista, Jorge Enrique; Girabent-Farrés, Montserrat.

En: BMC Medical Education, Vol. 15, N.º 1, 12.12.2015, p. 1.

Resultado de la investigación: Contribución a RevistaArtículo

TY - JOUR

T1 - Barriers against incorporating evidence-based practice in physical therapy in Colombia: current state and factors associated

AU - Ramírez-Vélez, Robinson

AU - Bagur-Calafat, M. Caridad

AU - Correa-Bautista, Jorge Enrique

AU - Girabent-Farrés, Montserrat

PY - 2015/12/12

Y1 - 2015/12/12

N2 - BACKGROUND: Evidence-based practice (EBP) has been widely implemented in differing areas of physiotherapy. Nevertheless, few studies have investigated EBP-related barriers amongst Latin-American physical therapists working in primary care. The primary objective of this study was to describe the current state concerning perceived barriers engagement in EBP among physical therapy in Colombia. A secondary objective was to identify factors associated with barriers to implementation EBP.\n\nMETHODS: A cross-sectional online survey was conducted. The study involved physical therapists working in public and private hospital who were contacted through professional networks (Email, Facebook®, ResearchGate® and Linked-In®) and invited to participate. Multiple logistic regression (MLR) and multiple correspondence analysis (MCA) were used for examining factors associated with perceived barriers to including EBP in their work.\n\nRESULTS: The final sample size was 1064 (77.2 % female). Forty-one percent of the respondents indicated that a "lack of research skills" was the most important barrier to evidence being used in practice. MLR analysis suggested that several variables were associated with perceived barriers to including EBP: i.e. hours of work per week, current main role in therapy center and undergraduate degree. The MCA model established two groups of similarities regarding the different barriers; the "lack of understanding of statistical analysis", "insufficient time" and "understanding of the English in which articles are written" barriers were weighted more heavily regarding in the first group (the second factor on MCA) and the rest barriers on the second group (first factor on the MCA).\n\nCONCLUSIONS: Although most physiotherapists had a positive opinion regarding EBP, they considered that they needed to improve their knowledge, skills and attitudes towards EBP. Initiatives to advance EBP in Colombia with no academic or research tradition should primarily target practitioner-level factors.

AB - BACKGROUND: Evidence-based practice (EBP) has been widely implemented in differing areas of physiotherapy. Nevertheless, few studies have investigated EBP-related barriers amongst Latin-American physical therapists working in primary care. The primary objective of this study was to describe the current state concerning perceived barriers engagement in EBP among physical therapy in Colombia. A secondary objective was to identify factors associated with barriers to implementation EBP.\n\nMETHODS: A cross-sectional online survey was conducted. The study involved physical therapists working in public and private hospital who were contacted through professional networks (Email, Facebook®, ResearchGate® and Linked-In®) and invited to participate. Multiple logistic regression (MLR) and multiple correspondence analysis (MCA) were used for examining factors associated with perceived barriers to including EBP in their work.\n\nRESULTS: The final sample size was 1064 (77.2 % female). Forty-one percent of the respondents indicated that a "lack of research skills" was the most important barrier to evidence being used in practice. MLR analysis suggested that several variables were associated with perceived barriers to including EBP: i.e. hours of work per week, current main role in therapy center and undergraduate degree. The MCA model established two groups of similarities regarding the different barriers; the "lack of understanding of statistical analysis", "insufficient time" and "understanding of the English in which articles are written" barriers were weighted more heavily regarding in the first group (the second factor on MCA) and the rest barriers on the second group (first factor on the MCA).\n\nCONCLUSIONS: Although most physiotherapists had a positive opinion regarding EBP, they considered that they needed to improve their knowledge, skills and attitudes towards EBP. Initiatives to advance EBP in Colombia with no academic or research tradition should primarily target practitioner-level factors.

U2 - 10.1186/s12909-015-0502-3

DO - 10.1186/s12909-015-0502-3

M3 - Article

C2 - 26655253

VL - 15

SP - 1

JO - BMC Medical Education

JF - BMC Medical Education

SN - 1472-6920

IS - 1

ER -