Barriers to evidence-based practice implementation in physiotherapy: a systematic review and meta-analysis
Matteo Paci1, Gianni Faedda2, Alessandro Ugolini3
1Unit of Functional Rehabilitation, Azienda USL Toscana Centro, Viale Michelangiolo, 41, Florence 50125, Italy.
Summary
Physiotherapists face barriers to evidence-based practice (EBP), with lack of time being the most common. Implementing EBP requires addressing organizational issues and enhancing methodological skills, especially in developing countries.
Area of Science:
- Physiotherapy
- Evidence-Based Practice
- Healthcare Research
Background:
- Systematic review and meta-analysis of barriers to evidence-based practice (EBP) in physiotherapy.
- Identifies prevalent challenges hindering EBP implementation among physiotherapy professionals.
Purpose of the Study:
- To review and meta-analyze the prevalence of barriers to evidence-based practice (EBP) reported in physiotherapy.
- To compare reported barriers between developed and developing countries.
Main Methods:
- Extensive electronic database search (EMBASE, PubMed, Scopus, Web of Science, CINAHL) up to July 2020.
- Inclusion of studies investigating EBP barriers in physiotherapy professionals.
- Meta-analysis of reported barrier frequencies and sub-analyses by country classification.
Main Results:
- Lack of time (53.0%) was the most frequent barrier, followed by language (36.0%), access (34.0%), and statistical skills (31.0%).
- Barriers were reported more frequently in developing countries compared to developed countries.
- High heterogeneity observed across analyses, necessitating cautious interpretation of pooled data.
Conclusions:
- Organizational issues and methodological skills are critical for EBP implementation in physiotherapy.
- Enhanced organizational and training strategies are needed to facilitate EBP adoption.
- Findings highlight the need for targeted interventions to overcome EBP barriers, particularly in resource-limited settings.
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