Ezzat Allison M, Schneeberg Amy, Huisman Elise S, White Lynita D, Kennedy Carol, Levesque Lenerdene A, Scott Alex, Hoens Alison M
a School of Population and Public Health, University of British Columbia , Vancouver , BC , Canada.
b Child and Family Research Institute , Vancouver , BC , Canada.
Disabil Rehabil. 2017 Apr;39(7):671-676. doi: 10.3109/09638288.2016.1160447. Epub 2016 Mar 23.
To evaluate the awareness and use of the Achilles tendinopathy toolkit (ATT), a knowledge translation (KT) strategy supporting evidence-informed management of midportion Achilles Tendinopathy (AT), by British Columbian physiotherapists (PTs). Secondarily, to assess PTs strategies for AT management by examining the association between exploring the ATT and following best practice in clinical care as recommended by the ATT.
Members of the Physiotherapy Association of British Columbia (BC) completed an online cross-sectional survey collecting information on demographics; awareness and exposure; perceptions, usability and applicability to clinical practice; knowledge; and attitudes. A clinical vignette assessed if respondents adhered to recommendations made by the ATT. Multi-variable logistic regression examined the association between exploring the ATT and following its recommendations.
Of 238 participants, 81% (n = 154) were aware of the ATT and of those 53% (n = 81) explored its contents. Time was the most frequent barrier. Bi-variable analyses showed those who explored the ATT had over double the odds of following the best practice (odds ratio = OR = 2.8; 95% confidence interval = 95% CI = 1.3-6.0). This did not remain significant in the final adjusted model (OR = 2.2; 95% CI = 0.9-5.4).
Evaluation of KT strategies is critical. This study revealed high awareness and moderate use of the ATT. Future work should consider the impact of toolkits on patient outcomes. Implications for Rehabilitation A toolkit is a novel knowledge translation (KT) strategy designed to provide accessibleevidence-informed resources to facilitate best practice by clinicians. The evaluation of the Achilles tendinopathy toolkit (ATT) revealed favourable findingsregarding the impact of this KT strategy on the knowledge and attitudes of British Columbia(BC) PTs and the possibility of a positive impact on best practice in clinical care. This research suggests toolkits are a feasible and meaningful KT strategy to provide clinicianswith valuable synthesized resources that have the potential to benefit patient outcomes.
评估不列颠哥伦比亚省物理治疗师对跟腱病工具包（ATT）的知晓度和使用情况，ATT是一种知识转化（KT）策略，旨在支持对中部跟腱病（AT）进行循证管理。其次，通过研究探索ATT与遵循ATT推荐的临床护理最佳实践之间的关联，评估物理治疗师管理AT的策略。
不列颠哥伦比亚省物理治疗协会（BC）的成员完成了一项在线横断面调查，收集有关人口统计学、知晓度和接触情况、对临床实践的看法、可用性和适用性、知识以及态度的信息。一个临床案例评估了受访者是否遵循ATT提出的建议。多变量逻辑回归分析了探索ATT与遵循其建议之间的关联。
在238名参与者中，81%（n = 154）知晓ATT，其中53%（n = 81）探索了其内容。时间是最常见的障碍。双变量分析显示，探索ATT的人遵循最佳实践的几率是其他人的两倍多（优势比 = OR = 2.8；95%置信区间 = 95%CI = 1.3 - 6.0）。在最终调整模型中，这一结果不再显著（OR = 2.2；95%CI = 0.9 - 5.4）。
对知识转化策略的评估至关重要。本研究显示对ATT的知晓度较高但使用率中等。未来的工作应考虑工具包对患者结局的影响。康复启示 工具包是一种新颖的知识转化（KT）策略，旨在提供易于获取的循证资源，以促进临床医生的最佳实践。对跟腱病工具包（ATT）的评估揭示了关于该KT策略对不列颠哥伦比亚省（BC）物理治疗师的知识和态度的影响以及对临床护理最佳实践产生积极影响的可能性的有利结果。这项研究表明，工具包是一种可行且有意义的KT策略，可为临床医生提供有价值的综合资源，有可能使患者受益。
