ArticleBMC health services research2023
Investigating attitudes, skills, and use of evidence-based practice among Norwegian chiropractors; a national cross-sectional study.
Article in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 13 citations in OpenAlex.
- Chiropractic patient compensation claims in Norway from 2013 to 2024.Chiropractic & manual therapies · 2026Article
- Between a rock and a hard place: balancing roles of clinician and co-researcher in a primary health care setting - A qualitative study.Chiropractic & manual therapies · 2026Article
- Exploring knowledge, confidence and barriers to evidence-based practice implementation of self-management strategy for low back pain during chiropractic training in France: a mixed method study.BMC complementary medicine and therapies · 2025Article
- Use of the Evidence-Based practice Attitude and utilization SurvEy to determine the use of evidence-based practice by chiropractic students.The Journal of chiropractic education · 2025Article
- Chiropractic attitude and utilisation of evidence-based practice in South Africa: a secondary analysis.Chiropractic & manual therapies · 2024Article
- Enablers and barriers to evidence implementation in complementary medicine: A systematic review.Integrative medicine research · 2022Review
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence-based practice (EBP) is essential in improving the quality of healthcare and of importance for all health care personnel. No study in Norway has investigated attitudes, skills and use related to EBP among chiropractors. The aim of this study was to describe Norwegian chiropractors' attitudes, skills, and use of EBP, as well as the barriers and facilitators to their use of EBP.
methodsA national cross-sectional survey, the online version of the Evidence Based practice Attitudes & Utilisation SurvEy (EBASE), was sent by email to 770 Norwegian practicing chiropractors, all members of the Norwegian Chiropractic Association. Three EBASE sub-scores were generated (Attitudes, Skills and Use), and the demographic characteristics of the sample were reported. Linear regression analyses were conducted to examine the association between responses of the three sub-scores and demographic characteristics. Information on main barriers and facilitators of EBP was collected and described.
resultsA total of 312 (41%) chiropractors responded to the survey, and 95% agreed that EBP is necessary for chiropractic practice. While overall use of EBP activities was low participants were interested in learning and improving their skills to incorporate EBP into practice. Chiropractors' attitudes, skills, and use of EBP were positively associated with being female and having spent more than one hour per week on research, but negatively associated with having practiced more than 10 years. Main barriers of EBP were lack of skills to critically evaluate, interpret, and apply research findings to practice. Main facilitators of EBP included access to the internet and free online databases in the workplace.
conclusionAlthough chiropractors in Norway reported positive attitudes and moderate skills in EBP, their use of EBP activities was limited. The main barriers and facilitators to EBP were primarily related to perceived skills deficits, whilst enablers of EBP were mostly related to infrastructure requirements.
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