Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong; Hong Kong Institute of Integrative Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Xiangya School of Public Health, Central South University, No. 238, Shang-Ma-Yuan-ling Alley, Kai-Fu District, Changsha Hunan, China.
Complement Ther Med. 2019 Aug;45:38-44. doi: 10.1016/j.ctim.2019.05.004. Epub 2019 May 18.
WHO Traditional Medicine Strategy 2014-23 recommended evidence-based healthcare (EBHC) education for traditional and complementary medicine (T&CM) professionals, including Chinese medicine practitioners (CMPs). We evaluated the impact of a customized educational workshop on Hong Kong CMPs' knowledge, attitude and practice of EBHC. Two validated instruments, Evidence-based Practice Questionnaire (EPQ) and Evidence-based Practice Inventory (EPI), were used to assess the impact of EBHC education. Paired t-tests were used to compare scores before and after the workshop. Multiple linear regression was performed to explore the associations between changes in EPQ/EPI scores and CMPs' characteristics. CMPs who completed the workshop (n = 59) demonstrated significant improvements in the attitude (p = 0.013) and knowledge domains of the EPQ (p = 0.005). Significant improvements were also observed in the attitude, perceived behavioural control, decision making, and intention and behaviour domains of the EPI. CMPs who had never received prior EBHC training showed a larger magnitude of improvement in the EPI attitude (p = 0.032), decision making (p = 0.015), and intention and behaviour (p = 0.015) domains post-workshop. Our findings suggest that tailored workshop is effective in strengthening knowledge and in improving attitudes towards EBHC. Future RCTs should be conducted to affirm our findings. Future initiatives may consider incorporating this education approach into CMP curricula, as well as facilitating implementation of EBHC in routine Chinese medicine practice.
世界卫生组织 2014-2023 年传统医学战略建议为传统医学和补充医学（T&CM）专业人员，包括中医师，提供循证医疗（EBHC）教育。我们评估了定制教育研讨会对香港中医师 EBHC 知识、态度和实践的影响。使用了两个经过验证的工具，即循证实践问卷（EPQ）和循证实践清单（EPI），来评估 EBHC 教育的影响。采用配对 t 检验比较了研讨会前后的得分。进行了多元线性回归分析，以探讨 EPQ/EPI 评分变化与中医师特征之间的关联。完成研讨会的中医师（n=59）在 EPQ 的态度（p=0.013）和知识领域的得分显著提高。EPI 的态度、感知行为控制、决策、意图和行为领域也观察到了显著的改善。从未接受过 EBHC 培训的中医师在 EPI 的态度（p=0.032）、决策（p=0.015）和意图和行为（p=0.015）领域的课后改善幅度更大。我们的研究结果表明，定制研讨会在加强知识和改善对 EBHC 的态度方面是有效的。未来应进行 RCT 以证实我们的发现。未来的倡议可以考虑将这种教育方法纳入中医师的课程中，并促进 EBHC 在常规中医实践中的实施。
