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Evidence-based practice among Italian osteopaths: a national cross-sectional survey

BACKGROUND: While evidence-based practice (EBP) is widely accepted across healthcare professions, research investigating its implementation in manual therapy professions such as osteopathy is limited. The primary aim of this study was to investigate Italian osteopaths’ attitudes, skills, and use of...

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Autores principales: Cerritelli, Francesco, Iacopini, Alessio, Galli, Matteo, Thomson, Oliver P., Sundberg, Tobias, Leach, Matthew J., Adams, Jon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8496002/
https://www.ncbi.nlm.nih.gov/pubmed/34620142
http://dx.doi.org/10.1186/s12906-021-03430-y
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author Cerritelli, Francesco
Iacopini, Alessio
Galli, Matteo
Thomson, Oliver P.
Sundberg, Tobias
Leach, Matthew J.
Adams, Jon
author_facet Cerritelli, Francesco
Iacopini, Alessio
Galli, Matteo
Thomson, Oliver P.
Sundberg, Tobias
Leach, Matthew J.
Adams, Jon
author_sort Cerritelli, Francesco
collection PubMed
description BACKGROUND: While evidence-based practice (EBP) is widely accepted across healthcare professions, research investigating its implementation in manual therapy professions such as osteopathy is limited. The primary aim of this study was to investigate Italian osteopaths’ attitudes, skills, and use of EBP. A secondary purpose was to understand the obstacles and enablers to EBP adoption in the Italian osteopathic context. METHODS: A cross-sectional national survey was conducted (April to June 2020) among a sample of Italian osteopaths. Eligible participants were invited to complete the Italian-translated Evidence-Based practice Attitude and Utilization Survey (EBASE) anonymously online using various recruitment strategies, including email and social media campaigns. In addition to the three EBASE sub-scores (attitudes, skills and use), the demographic characteristics of the sample were considered. RESULTS: A total of 473 osteopaths responded to the survey. The sample appeared to represent the Italian osteopathic profession. The majority of participants had a favorable attitude toward EBP. Eighty-eight percent of respondents agreed that EBP was necessary for osteopathy practice and that scientific literature and research findings were beneficial to their clinical scenario (95%). Perceived skill levels in EBP were rated as moderate, with the lowest scores for items relating to clinical research and systematic review conduct. Apart from reading/reviewing scientific literature and using online search engines to locate relevant research papers, participant engagement in all other EBP-related activities was generally low. Clinical practice was perceived to be based on a very small proportion of clinical research evidence. The primary obstacles to EBP implementation were a dearth of clinical evidence in osteopathy, and poor skills in applying research findings. The primary enablers of EBP adoption were access to full-text articles, internet connectivity at work, and access to online databases. CONCLUSIONS: Italian osteopaths were largely supportive of evidence-based practice but lacked basic skills in EBP and rarely engaged in EBP activities. The updating of osteopathic training curriculum and professional formal regulation in Italy could provide a suitable framework to improve EBP skills and use.
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spelling pubmed-84960022021-10-07 Evidence-based practice among Italian osteopaths: a national cross-sectional survey Cerritelli, Francesco Iacopini, Alessio Galli, Matteo Thomson, Oliver P. Sundberg, Tobias Leach, Matthew J. Adams, Jon BMC Complement Med Ther Research BACKGROUND: While evidence-based practice (EBP) is widely accepted across healthcare professions, research investigating its implementation in manual therapy professions such as osteopathy is limited. The primary aim of this study was to investigate Italian osteopaths’ attitudes, skills, and use of EBP. A secondary purpose was to understand the obstacles and enablers to EBP adoption in the Italian osteopathic context. METHODS: A cross-sectional national survey was conducted (April to June 2020) among a sample of Italian osteopaths. Eligible participants were invited to complete the Italian-translated Evidence-Based practice Attitude and Utilization Survey (EBASE) anonymously online using various recruitment strategies, including email and social media campaigns. In addition to the three EBASE sub-scores (attitudes, skills and use), the demographic characteristics of the sample were considered. RESULTS: A total of 473 osteopaths responded to the survey. The sample appeared to represent the Italian osteopathic profession. The majority of participants had a favorable attitude toward EBP. Eighty-eight percent of respondents agreed that EBP was necessary for osteopathy practice and that scientific literature and research findings were beneficial to their clinical scenario (95%). Perceived skill levels in EBP were rated as moderate, with the lowest scores for items relating to clinical research and systematic review conduct. Apart from reading/reviewing scientific literature and using online search engines to locate relevant research papers, participant engagement in all other EBP-related activities was generally low. Clinical practice was perceived to be based on a very small proportion of clinical research evidence. The primary obstacles to EBP implementation were a dearth of clinical evidence in osteopathy, and poor skills in applying research findings. The primary enablers of EBP adoption were access to full-text articles, internet connectivity at work, and access to online databases. CONCLUSIONS: Italian osteopaths were largely supportive of evidence-based practice but lacked basic skills in EBP and rarely engaged in EBP activities. The updating of osteopathic training curriculum and professional formal regulation in Italy could provide a suitable framework to improve EBP skills and use. BioMed Central 2021-10-07 /pmc/articles/PMC8496002/ /pubmed/34620142 http://dx.doi.org/10.1186/s12906-021-03430-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Cerritelli, Francesco
Iacopini, Alessio
Galli, Matteo
Thomson, Oliver P.
Sundberg, Tobias
Leach, Matthew J.
Adams, Jon
Evidence-based practice among Italian osteopaths: a national cross-sectional survey
title Evidence-based practice among Italian osteopaths: a national cross-sectional survey
title_full Evidence-based practice among Italian osteopaths: a national cross-sectional survey
title_fullStr Evidence-based practice among Italian osteopaths: a national cross-sectional survey
title_full_unstemmed Evidence-based practice among Italian osteopaths: a national cross-sectional survey
title_short Evidence-based practice among Italian osteopaths: a national cross-sectional survey
title_sort evidence-based practice among italian osteopaths: a national cross-sectional survey
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8496002/
https://www.ncbi.nlm.nih.gov/pubmed/34620142
http://dx.doi.org/10.1186/s12906-021-03430-y
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