Leach Matthew J, Aucoin Monique, Cooley Kieran
National Centre for Naturopathic Medicine, Faculty of Health, Southern Cross University, Lismore, Australia.
Canadian College of Naturopathic Medicine, Toronto, Canada.
J Integr Complement Med. 2022 Dec;28(12):955-964. doi: 10.1089/jicm.2022.0637. Epub 2022 Sep 9.
Despite the reported benefits of evidence-based practice (EBP), there are concerns that some practitioners, including naturopathic doctors (NDs), may be cautious about its use. The objective of this study was to explore Canadian ND perceptions, preparedness, and engagement in EBP, and the barriers and enablers to EBP uptake. The study was a national cross-sectional survey. NDs practicing in Canada were invited to complete the validated 84-item Evidence-Based Practice Attitudes and Utilization Survey between February and May 2020. A total of 252 Canadian NDs were recruited. Participant attitudes toward EBP were predominantly positive, with three-quarters of participants indicating that >50% of their practice was informed by clinical research evidence. One-half of participants self-reported a medium-high to high level of skill across most EBP-related activities. Notable barriers to EBP uptake were lack of clinical evidence in naturopathy, and lack of time. Access to the internet and online databases were identified as useful enablers to improving EBP engagement. By shedding light on Canadian ND engagement with, preparedness for, and perceptions of EBP, the findings will help guide the development of strategies to support EBP uptake in NDs with the expectation of improving quality of care.
尽管循证实践（EBP）已报道有诸多益处，但仍有人担心包括自然疗法医生（NDs）在内的一些从业者可能会对其使用持谨慎态度。本研究的目的是探讨加拿大自然疗法医生对循证实践的看法、准备情况和参与程度，以及循证实践应用的障碍和促进因素。该研究是一项全国性横断面调查。邀请在加拿大执业的自然疗法医生在2020年2月至5月期间完成经过验证的84项循证实践态度与利用调查问卷。共招募了252名加拿大自然疗法医生。参与者对循证实践的态度主要是积极的，四分之三的参与者表示其超过50%的临床实践是基于临床研究证据的。一半的参与者自我报告在大多数与循证实践相关的活动中具备中高水平至高水平的技能。循证实践应用的显著障碍是自然疗法缺乏临床证据以及时间不足。互联网和在线数据库的使用被确定为促进循证实践参与的有用因素。通过揭示加拿大自然疗法医生对循证实践的参与情况、准备情况和看法，这些发现将有助于指导制定支持自然疗法医生应用循证实践的策略，以期提高医疗质量。
