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Measuring evidence-based practice in physical therapy: a mix-methods study.

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Portuguese physical therapists generally embrace evidence-based practice (EBP). Key factors influencing EBP implementation include therapist characteristics like age and education, alongside workplace and external influences.

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Area of Science:

  • Physical Therapy
  • Evidence-Based Practice Implementation
  • Health Professions Education

Background:

  • Evidence-based practice (EBP) is crucial for optimal patient management in physical therapy.
  • Gaps exist between ideal EBP and actual patient care, necessitating context-specific research.
  • Understanding EBP facilitators and barriers in Portugal's developing physical therapy sector is vital.

Purpose of the Study:

  • To assess the adoption of EBP among Portuguese physical therapists.
  • To identify and understand factors, barriers, and facilitators influencing EBP implementation in this population.

Main Methods:

  • A mixed-methods approach combining quantitative surveys and qualitative semi-structured interviews.
  • Surveys adapted from the EBP: Beliefs, Attitudes, Knowledge, and Behaviors of Physical Therapists questionnaire.
  • Thematic analysis of transcribed interviews, focusing on sociodemographic and survey-identified factors.

Main Results:

  • Positive beliefs, attitudes, knowledge, and behaviors towards EBP were reported by Portuguese physical therapists.
  • Younger age, higher education levels, and specific workplace settings (e.g., academic sector) correlated with EBP implementation.
  • External factors such as evidence availability, patient characteristics, clinical experience, and educational institutions also play a role.

Conclusions:

  • Portuguese physical therapists demonstrate a positive inclination towards EBP.
  • Therapist demographics, educational background, and work environment significantly impact EBP adoption.
  • A multifaceted approach addressing individual, professional, and systemic factors is needed to enhance EBP in Portugal.