Department of Orthodontics, Center for Advanced Dental Education, Saint Louis University, St Louis, MO, USA.
Am J Orthod Dentofacial Orthop. 2011 Sep;140(3):309-16.e2. doi: 10.1016/j.ajodo.2010.05.023.
The purpose of this study was to evaluate the attitudes, awareness, and barriers toward evidence-based practice.
A survey consisting of 35 questions pertaining to the use of scientific evidence in orthodontics was sent to 4771 members of the American Association of Orthodontists in the United States. Each respondent's age, attainment of a master's degree, and whether he or she was currently involved with teaching were ascertained. To minimize bias, the survey questions were phrased as an examination of the use of scientific literature in orthodontics.
A total of 1517 surveys were received (response rate, 32%). Most respondents had positive attitudes toward, but a poor understanding of, evidence-based practice. The major barrier identified was ambiguous and conflicting research. Younger orthodontists were more aware, had a greater understanding, and perceived more barriers than did older orthodontists. Orthodontists involved in teaching were more aware, had a greater understanding, and reported fewer barriers than those not involved with teaching. Those with master's degrees had a greater understanding of evidence-based practice than those without degrees.
Educational initiatives are needed to increase the understanding and use of evidence-based practice in orthodontics.
本研究旨在评估对循证实践的态度、意识和障碍。
一项关于正畸中科学证据应用的调查问卷共包含 35 个问题，寄给了美国正畸医师协会的 4771 名成员。确定了每位受访者的年龄、是否获得硕士学位以及是否正在参与教学。为了尽量减少偏差，调查问卷的问题表述为对正畸中科学文献使用情况的考察。
共收到 1517 份调查问卷（回复率为 32%）。大多数受访者对循证实践持积极态度，但理解较差。确定的主要障碍是研究结果不明确且存在冲突。年轻的正畸医师比年长的正畸医师更了解、理解程度更高、认为障碍更多。参与教学的正畸医师比不参与教学的正畸医师更了解、理解程度更高、报告的障碍更少。拥有硕士学位的人比没有学位的人更了解循证实践。
需要开展教育活动，以增加正畸中对循证实践的理解和应用。
