Carrera de Kinesiología, Escuela de Kinesiología, Facultad de Odontología y Ciencias de la Salud, Universidad San Sebastián, Concepción, Chile.
Programa de Fisioterapia, Facultad de Salud, Universidad Santiago de Cali, Cali, Colombia.
Sci Rep. 2024 Nov 9;14(1):27404. doi: 10.1038/s41598-024-78703-w.
Evidence-based practice (EBP) refers to the integration of scientific evidence into the clinical setting. This study aimed to determine whether Latin American physiotherapists use EBP, analyze the associated factors, barriers, and facilitators, and examine the relationships between these elements in clinical practice. To conduct this cross-sectional study, the web-based questionnaire survey method was chosen. Survey was self-administered questionnaires to assess understanding of various EBP-related terms and determine their knowledge and ability to apply these concepts in clinical practice. The association between attitudes, awareness, and knowledge scores and the demographic data such as age group, years of experience, professional membership registry, and self-reported education was assessed. The questionnaire was distributed to a total of 5000 physical therapists, of which 4099 (82%) responded from seven Latin American countries (Argentina, Bolivia, Chile, Colombia, México, Perú, and Venezuela), between June 1, 2020, and May 31, 2024. Overall, the physical therapists had positive attitudes, beliefs, and interests in EBP. Their educational background, knowledge, and skills related to assessing and interpreting information were associated to the use of EBP. In addition, 53% of respondents indicated that lack of time was the main obstacle to the use of EBP. The top 3 barriers included insufficient time (53%), lack of information resources (20.8%), and lack of research tools (13.6%). Among Latin American physical therapists, individual characteristics workplace, clinical experience, educational background, and demographic characteristics, may behave as facilitators or barriers when performing an EBP. Thus, identifying methods and strategies to support physical therapists in adopting EBP in the Latin American is necessary. The academization of physiotherapy training might change this in the future.
循证实践（EBP）是指将科学证据整合到临床环境中。本研究旨在确定拉丁美洲物理治疗师是否使用 EBP，分析相关因素、障碍和促进因素，并研究这些因素在临床实践中的关系。为了进行这项横断面研究，选择了基于网络的问卷调查方法。调查采用自我管理的问卷来评估对各种 EBP 相关术语的理解，并确定他们在临床实践中应用这些概念的知识和能力。评估了态度、意识和知识得分与年龄组、工作经验年限、专业会员注册和自我报告的教育等人口统计学数据之间的关系。问卷共分发给 5000 名物理治疗师，其中来自 7 个拉丁美洲国家（阿根廷、玻利维亚、智利、哥伦比亚、墨西哥、秘鲁和委内瑞拉）的 4099 名（82%）在 2020 年 6 月 1 日至 2024 年 5 月 31 日期间做出了回应。总体而言，物理治疗师对 EBP 持有积极的态度、信念和兴趣。他们与评估和解释信息相关的教育背景、知识和技能与 EBP 的使用相关。此外，53%的受访者表示缺乏时间是使用 EBP 的主要障碍。前 3 个障碍包括时间不足（53%）、信息资源不足（20.8%）和研究工具不足（13.6%）。在拉丁美洲物理治疗师中，个人特征、工作场所、临床经验、教育背景和人口统计学特征可能在执行 EBP 时成为促进或障碍因素。因此，有必要确定方法和策略来支持拉丁美洲物理治疗师采用 EBP。未来，物理治疗培训的学术化可能会改变这一现状。
