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Evidence-based practice in undergraduate physiotherapy programs in Brazil: A cross-sectional document analysis study
Nívea Renata Oliveira Monteiro1, Wueyla Nicoly Nascimento Santos1, André Silva Sousa2
1Department of Biological Sciences and Health, Federal University of Amapá - UNIFAP, Macapá, AP, Brazil.
Summary
Most Brazilian physiotherapy programs lack evidence-based practice (EBP) courses. This deficiency, particularly in critical appraisal skills, may hinder future professional practice and decision-making.
Area of Science:
- Physiotherapy Education
- Evidence-Based Practice (EBP)
- Curriculum Analysis
Background:
- Integrating evidence-based practice (EBP) is crucial for safe and effective physiotherapy services.
- Early exposure to EBP in university programs is essential for professional development.
Purpose of the Study:
- To map and analyze the availability and characteristics of EBP courses in Brazilian undergraduate physiotherapy programs.
- To assess the regional and institutional distribution of EBP education.
Main Methods:
- Web-based document analysis of physiotherapy program curricula in Brazil.
- Descriptive analysis of course syllabi and frequency of EBP content.
- Examination of EBP course distribution across regions and institution types (public vs. private).
Main Results:
- Only 9.4% of 809 analyzed curricula included EBP courses, with a mean duration of 44.3 hours.
- The North region showed a proportionally higher number of EBP courses.
- Public institutions (15.6%) were more likely to offer EBP content than private ones (8.9%).
- Critical appraisal was the most frequently covered EBP step in available syllabi.
Conclusions:
- A significant gap exists in EBP education within Brazilian physiotherapy undergraduate programs.
- The observed imbalance in EBP skill emphasis, particularly on critical appraisal, requires attention.
- Re-evaluation of physiotherapy curricula is necessary to integrate comprehensive EBP training and enhance future clinical practice.

