Evidence map›Paper›PMID 25894559›Full record

ArticlePloS one2015

Impact of a Multifaceted and Clinically Integrated Training Program in Evidence-Based Practice on Knowledge, Skills, Beliefs and Behaviour among Clinical Instructors in Physiotherapy: A Non-Randomized Controlled Study.

Nina Rydland Olsen, Peter Bradley, Birgitte Espehaug, Monica Wammen Nortvedt, Hildegunn Lygren, Bente Frisk, Jan Magnus Bjordal

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Nina Rydland OlsenCentre for Evidence Based Practice, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway; Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Peter BradleyPublic Health Wales, Cardiff, United Kingdom.
Birgitte EspehaugCentre for Evidence Based Practice, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway.
Monica Wammen NortvedtCentre for Evidence Based Practice, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway.
Hildegunn LygrenDepartment of Physiotherapy, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway; Department of Physiotherapy, Haukeland University Hospital, Bergen, Norway.
Bente FriskCentre for Evidence Based Practice, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway; Department of Physiotherapy, Haukeland University Hospital, Bergen, Norway.
Jan Magnus BjordalCentre for Evidence Based Practice, Faculty of Health and Social Sciences, Bergen University College, Bergen, Norway; Physiotherapy Research Group, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
University of Bergen · NOHaukeland University Hospital · NOPublic Health Wales · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposePhysiotherapists practicing at clinical placement sites assigned the role as clinical instructors (CIs), are responsible for supervising physiotherapy students. For CIs to role model evidence-based practice (EBP) they need EBP competence. The aim of this study was to assess the short and long term impact of a six-month multifaceted and clinically integrated training program in EBP on the knowledge, skills, beliefs and behaviour of CIs supervising physiotherapy students.

methodsWe invited 37 CIs to participate in this non-randomized controlled study. Three self-administered questionnaires were used pre- and post-intervention, and at six-month follow-up: 1) The Adapted Fresno test (AFT), 2) the EBP Belief Scale and 3) the EBP Implementation Scale. The analysis approach was linear regression modeling using Generalized Estimating Equations.

resultsIn total, 29 CIs agreed to participate in the study: 14 were invited to participate in the intervention group and 15 were invited to participate in the control group. One in the intervention group and five in the control group were lost to follow-up. At follow-up, the group difference was statistically significant for the AFT (mean difference = 37, 95% CI (15.9 -58.1), p < 0.001) and the EBP Beliefs scale (mean difference = 8.1, 95% CI (3.1 -13.2), p = 0.002), but not for the EBP Implementation scale (mean difference = 1.8. 95% CI (-4.5-8.1), p = 0.574). Comparing measurements over time, we found a statistically significant increase in mean scores related to all outcome measures for the intervention group only.

conclusionsA multifaceted and clinically integrated training program in EBP was successful in improving EBP knowledge, skills and beliefs among CIs. Future studies need to ensure long-term EBP behaviour change, in addition to assessing CIs' abilities to apply EBP knowledge and skills when supervising students.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeSurveys and QuestionnairesAdultEducationEvidence-Based MedicineFemaleHumansMaleMiddle AgedNorwayPhysical Therapy ModalitiesPhysical Therapy SpecialtyRegression AnalysisReproducibility of ResultsStudents

Identifiers

PMID25894559
PMCPMC4403998
OpenAlexW1967317508

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.