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
Physiotherapists 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 i...
Gespeichert in:
| Veröffentlicht in: | PloS one 2015-04, Vol.10 (4), p.e0124332-e0124332 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0124332 |
|---|---|
| container_issue | 4 |
| container_start_page | e0124332 |
| container_title | PloS one |
| container_volume | 10 |
| creator | Olsen, Nina Rydland Bradley, Peter Espehaug, Birgitte Nortvedt, Monica Wammen Lygren, Hildegunn Frisk, Bente Bjordal, Jan Magnus |
| description | Physiotherapists 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.
We 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.
In 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.
A 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. |
| doi_str_mv | 10.1371/journal.pone.0124332 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_1674451819</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A423858750</galeid><doaj_id>oai_doaj_org_article_3169cd3ee8c842268e7a7f953e587220</doaj_id><sourcerecordid>A423858750</sourcerecordid><originalsourceid>FETCH-LOGICAL-c692t-4e9ce7ec6dcc2d78f8e9a3e65cfb6c54183763aa05be94a9a39a63f49d0023313</originalsourceid><addsrcrecordid>eNqNk29v0zAQxiMEYqPwDRBYQkIgrSWJ88-8QNqqARWDTdvgrXVzLqmLYxfbGZRvyrfBWbtpRXuB8iLR-XfPc-fLRdHTJJ4ktEzeLExvNajJ0micxEmaUZrei3YTRtNxkcb0_q3vneiRc4s4zmlVFA-jnTSvWJbnbDf6M-uWIDwxDQHyuVdeNiDQY01A12SqpJYClFqRmfbYWhhOzi2EsG7JiTUh1BGpyeGlrFELHB-AC8iJDaJSIDGafNLmp8K6xT1y9l0q5fbIASqJjbvyOMA5XMrQDIHOBNFrz-DovO2FN9YNDifzlZPGz9HCcvWW7JMvRo9Pg4Lp5O9gOTXaW6OCEznzfb16HD1oQDl8snmPoq_vD8-nH8dHxx9m0_2jsShY6scZMoEliqIWIq3LqqmQAcUiF81FIfIsqWhZUIA4v0CWQThjUNAmY3Ucp5QmdBQ9X-sulXF8MxXHk6LMsjypwgxG0WxN1AYWfGllB3bFDUh-FTC25WDDbSnkNCmYqCliJaosTYsKSygbllPMqzINkxxF7zZu_UWHtcDQNKgt0e0TLee8NZc8y2LKWBUEXm0ErPnRo_O8k06gUqDR9Ou6Wc6SYkBf_IPe3d2GaiE0IHVjgq8YRPl-ltIqFJ4PdU_uoMJTYydF-IUbGeJbCa-3EgLj8ZdvoXeOz85O_589_rbNvrzFzhGUnzujei-NdttgtgaFNc5ZbG4uOYn5sIHXt8GHDeSbDQxpz24P6CbpeuXoX0SELvU</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1674451819</pqid></control><display><type>article</type><title>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</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Public Library of Science (PLoS)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Olsen, Nina Rydland ; Bradley, Peter ; Espehaug, Birgitte ; Nortvedt, Monica Wammen ; Lygren, Hildegunn ; Frisk, Bente ; Bjordal, Jan Magnus</creator><contributor>Baradaran, Hamid Reza</contributor><creatorcontrib>Olsen, Nina Rydland ; Bradley, Peter ; Espehaug, Birgitte ; Nortvedt, Monica Wammen ; Lygren, Hildegunn ; Frisk, Bente ; Bjordal, Jan Magnus ; Baradaran, Hamid Reza</creatorcontrib><description>Physiotherapists 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.
We 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.
In 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.
A 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.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0124332</identifier><identifier>PMID: 25894559</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Attitude of Health Personnel ; Education ; Evidence-based medicine ; Evidence-Based Medicine - methods ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Intervention ; Male ; Mathematical models ; Middle Aged ; Norway ; Physical therapy ; Physical Therapy Modalities - education ; Physical Therapy Specialty - education ; Randomization ; Regression Analysis ; Reproducibility of Results ; Skills ; Statistical analysis ; Statistical significance ; Students ; Surveys and Questionnaires ; Teachers ; Training ; Young Adult</subject><ispartof>PloS one, 2015-04, Vol.10 (4), p.e0124332-e0124332</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Olsen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Olsen et al 2015 Olsen et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-4e9ce7ec6dcc2d78f8e9a3e65cfb6c54183763aa05be94a9a39a63f49d0023313</citedby><cites>FETCH-LOGICAL-c692t-4e9ce7ec6dcc2d78f8e9a3e65cfb6c54183763aa05be94a9a39a63f49d0023313</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4403998/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4403998/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2101,2927,23865,27923,27924,53790,53792,79471,79472</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25894559$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Baradaran, Hamid Reza</contributor><creatorcontrib>Olsen, Nina Rydland</creatorcontrib><creatorcontrib>Bradley, Peter</creatorcontrib><creatorcontrib>Espehaug, Birgitte</creatorcontrib><creatorcontrib>Nortvedt, Monica Wammen</creatorcontrib><creatorcontrib>Lygren, Hildegunn</creatorcontrib><creatorcontrib>Frisk, Bente</creatorcontrib><creatorcontrib>Bjordal, Jan Magnus</creatorcontrib><title>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</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Physiotherapists 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.
We 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.
In 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.
A 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.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Education</subject><subject>Evidence-based medicine</subject><subject>Evidence-Based Medicine - methods</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Intervention</subject><subject>Male</subject><subject>Mathematical models</subject><subject>Middle Aged</subject><subject>Norway</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities - education</subject><subject>Physical Therapy Specialty - education</subject><subject>Randomization</subject><subject>Regression Analysis</subject><subject>Reproducibility of Results</subject><subject>Skills</subject><subject>Statistical analysis</subject><subject>Statistical significance</subject><subject>Students</subject><subject>Surveys and Questionnaires</subject><subject>Teachers</subject><subject>Training</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk29v0zAQxiMEYqPwDRBYQkIgrSWJ88-8QNqqARWDTdvgrXVzLqmLYxfbGZRvyrfBWbtpRXuB8iLR-XfPc-fLRdHTJJ4ktEzeLExvNajJ0micxEmaUZrei3YTRtNxkcb0_q3vneiRc4s4zmlVFA-jnTSvWJbnbDf6M-uWIDwxDQHyuVdeNiDQY01A12SqpJYClFqRmfbYWhhOzi2EsG7JiTUh1BGpyeGlrFELHB-AC8iJDaJSIDGafNLmp8K6xT1y9l0q5fbIASqJjbvyOMA5XMrQDIHOBNFrz-DovO2FN9YNDifzlZPGz9HCcvWW7JMvRo9Pg4Lp5O9gOTXaW6OCEznzfb16HD1oQDl8snmPoq_vD8-nH8dHxx9m0_2jsShY6scZMoEliqIWIq3LqqmQAcUiF81FIfIsqWhZUIA4v0CWQThjUNAmY3Ucp5QmdBQ9X-sulXF8MxXHk6LMsjypwgxG0WxN1AYWfGllB3bFDUh-FTC25WDDbSnkNCmYqCliJaosTYsKSygbllPMqzINkxxF7zZu_UWHtcDQNKgt0e0TLee8NZc8y2LKWBUEXm0ErPnRo_O8k06gUqDR9Ou6Wc6SYkBf_IPe3d2GaiE0IHVjgq8YRPl-ltIqFJ4PdU_uoMJTYydF-IUbGeJbCa-3EgLj8ZdvoXeOz85O_589_rbNvrzFzhGUnzujei-NdttgtgaFNc5ZbG4uOYn5sIHXt8GHDeSbDQxpz24P6CbpeuXoX0SELvU</recordid><startdate>20150420</startdate><enddate>20150420</enddate><creator>Olsen, Nina Rydland</creator><creator>Bradley, Peter</creator><creator>Espehaug, Birgitte</creator><creator>Nortvedt, Monica Wammen</creator><creator>Lygren, Hildegunn</creator><creator>Frisk, Bente</creator><creator>Bjordal, Jan Magnus</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20150420</creationdate><title>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</title><author>Olsen, Nina Rydland ; Bradley, Peter ; Espehaug, Birgitte ; Nortvedt, Monica Wammen ; Lygren, Hildegunn ; Frisk, Bente ; Bjordal, Jan Magnus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-4e9ce7ec6dcc2d78f8e9a3e65cfb6c54183763aa05be94a9a39a63f49d0023313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Education</topic><topic>Evidence-based medicine</topic><topic>Evidence-Based Medicine - methods</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Intervention</topic><topic>Male</topic><topic>Mathematical models</topic><topic>Middle Aged</topic><topic>Norway</topic><topic>Physical therapy</topic><topic>Physical Therapy Modalities - education</topic><topic>Physical Therapy Specialty - education</topic><topic>Randomization</topic><topic>Regression Analysis</topic><topic>Reproducibility of Results</topic><topic>Skills</topic><topic>Statistical analysis</topic><topic>Statistical significance</topic><topic>Students</topic><topic>Surveys and Questionnaires</topic><topic>Teachers</topic><topic>Training</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Olsen, Nina Rydland</creatorcontrib><creatorcontrib>Bradley, Peter</creatorcontrib><creatorcontrib>Espehaug, Birgitte</creatorcontrib><creatorcontrib>Nortvedt, Monica Wammen</creatorcontrib><creatorcontrib>Lygren, Hildegunn</creatorcontrib><creatorcontrib>Frisk, Bente</creatorcontrib><creatorcontrib>Bjordal, Jan Magnus</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Olsen, Nina Rydland</au><au>Bradley, Peter</au><au>Espehaug, Birgitte</au><au>Nortvedt, Monica Wammen</au><au>Lygren, Hildegunn</au><au>Frisk, Bente</au><au>Bjordal, Jan Magnus</au><au>Baradaran, Hamid Reza</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-04-20</date><risdate>2015</risdate><volume>10</volume><issue>4</issue><spage>e0124332</spage><epage>e0124332</epage><pages>e0124332-e0124332</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Physiotherapists 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.
We 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.
In 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.
A 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.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25894559</pmid><doi>10.1371/journal.pone.0124332</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2015-04, Vol.10 (4), p.e0124332-e0124332 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1674451819 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adult Attitude of Health Personnel Education Evidence-based medicine Evidence-Based Medicine - methods Female Health Knowledge, Attitudes, Practice Humans Intervention Male Mathematical models Middle Aged Norway Physical therapy Physical Therapy Modalities - education Physical Therapy Specialty - education Randomization Regression Analysis Reproducibility of Results Skills Statistical analysis Statistical significance Students Surveys and Questionnaires Teachers Training Young Adult |
| title | 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 |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T12%3A08%3A16IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20a%20Multifaceted%20and%20Clinically%20Integrated%20Training%20Program%20in%20Evidence-Based%20Practice%20on%20Knowledge,%20Skills,%20Beliefs%20and%20Behaviour%20among%20Clinical%20Instructors%20in%20Physiotherapy:%20A%20Non-Randomized%20Controlled%20Study&rft.jtitle=PloS%20one&rft.au=Olsen,%20Nina%20Rydland&rft.date=2015-04-20&rft.volume=10&rft.issue=4&rft.spage=e0124332&rft.epage=e0124332&rft.pages=e0124332-e0124332&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0124332&rft_dat=%3Cgale_plos_%3EA423858750%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1674451819&rft_id=info:pmid/25894559&rft_galeid=A423858750&rft_doaj_id=oai_doaj_org_article_3169cd3ee8c842268e7a7f953e587220&rfr_iscdi=true |