Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey
Abstract Study Objectives The high burden of disease associated with musculoskeletal disorders severely impacts patients’ well-being. As primary care providers, Swiss chiropractors ought to contribute towards identifying and using effective treatment strategies. An established approach is the full i...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Chiropractic & Manual Therapies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12998-022-00462-0 |
| _version_ | 1797977367022403584 |
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| author | Arlette Albisser Petra Schweinhardt André Bussières Mirjam Baechler |
| author_facet | Arlette Albisser Petra Schweinhardt André Bussières Mirjam Baechler |
| author_sort | Arlette Albisser |
| collection | DOAJ |
| description | Abstract Study Objectives The high burden of disease associated with musculoskeletal disorders severely impacts patients’ well-being. As primary care providers, Swiss chiropractors ought to contribute towards identifying and using effective treatment strategies. An established approach is the full integration of evidence-based practice (EBP). This study aimed to investigate the attitudes, skills and use of EBP among Swiss chiropractors, as well as investigating potential facilitators and barriers for its adoption. Methods and material All 329 members of the Swiss Association of Chiropractic (ChiroSuisse) were invited in March 2021 to participate in this cross-sectional survey. Data were acquired anonymously online, using the Evidence-Based practice Attitude and utilization SurvEy (EBASE). The survey encompassed 55 questions measuring attitudes (n = 8, response range 1–5; total score range of 8–40), skills (n = 13, response range 1–5; total score range of range of 13–65) and use of EBP (n = 6, response range 0–4; total score range of 0–24). Results 228 (69.3%) chiropractors returned complete EBASE questionnaires. This sample was representative of all ChiroSuisse members with respect to gender, age groups and proportion of chiropractic residents. Respondents generally held positive attitudes towards EBP, as indicated by the high mean (31.2) and median (31) attitude sub-score (range 11–40). Self-reported skills had a mean sub-score of 40.2 and median of 40 (range 13–65). Knowledge about EBP-based clinical practice had been primarily obtained in chiropractic under- or postgraduate education (33.8% and 26.3%, respectively). Use of EBP achieved a lower sub-score, with mean and median values of 7.4 and 6, respectively (range 0–24). The most commonly identified barriers preventing EBP uptake were lack of time (67.9%) and lack of clinical evidence in chiropractic/manual therapy-related health fields (45.1%). Conclusion Swiss chiropractors held favourable attitudes and reported moderate to moderate-high skill levels in EBP. Nevertheless, similar to chiropractors in other countries, the self-reported use of EBP was relatively low, with lack of time and lack of clinical evidence being the most named barriers. |
| first_indexed | 2024-04-11T05:05:42Z |
| format | Article |
| id | doaj.art-d1dc293ecfe54133872d1c35f0f6686d |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-04-11T05:05:42Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-d1dc293ecfe54133872d1c35f0f6686d2022-12-25T12:23:30ZengBMCChiropractic & Manual Therapies2045-709X2022-12-0130112010.1186/s12998-022-00462-0Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national surveyArlette Albisser0Petra Schweinhardt1André Bussières2Mirjam Baechler3Faculty of Medicine, University of ZurichDepartment of Chiropractic Medicine, Balgrist University Hospital, University of ZurichDépartement Chiropratique, Université du Québec àDepartment of Chiropractic Medicine, Balgrist University Hospital, University of ZurichAbstract Study Objectives The high burden of disease associated with musculoskeletal disorders severely impacts patients’ well-being. As primary care providers, Swiss chiropractors ought to contribute towards identifying and using effective treatment strategies. An established approach is the full integration of evidence-based practice (EBP). This study aimed to investigate the attitudes, skills and use of EBP among Swiss chiropractors, as well as investigating potential facilitators and barriers for its adoption. Methods and material All 329 members of the Swiss Association of Chiropractic (ChiroSuisse) were invited in March 2021 to participate in this cross-sectional survey. Data were acquired anonymously online, using the Evidence-Based practice Attitude and utilization SurvEy (EBASE). The survey encompassed 55 questions measuring attitudes (n = 8, response range 1–5; total score range of 8–40), skills (n = 13, response range 1–5; total score range of range of 13–65) and use of EBP (n = 6, response range 0–4; total score range of 0–24). Results 228 (69.3%) chiropractors returned complete EBASE questionnaires. This sample was representative of all ChiroSuisse members with respect to gender, age groups and proportion of chiropractic residents. Respondents generally held positive attitudes towards EBP, as indicated by the high mean (31.2) and median (31) attitude sub-score (range 11–40). Self-reported skills had a mean sub-score of 40.2 and median of 40 (range 13–65). Knowledge about EBP-based clinical practice had been primarily obtained in chiropractic under- or postgraduate education (33.8% and 26.3%, respectively). Use of EBP achieved a lower sub-score, with mean and median values of 7.4 and 6, respectively (range 0–24). The most commonly identified barriers preventing EBP uptake were lack of time (67.9%) and lack of clinical evidence in chiropractic/manual therapy-related health fields (45.1%). Conclusion Swiss chiropractors held favourable attitudes and reported moderate to moderate-high skill levels in EBP. Nevertheless, similar to chiropractors in other countries, the self-reported use of EBP was relatively low, with lack of time and lack of clinical evidence being the most named barriers.https://doi.org/10.1186/s12998-022-00462-0Evidence-based practiceChiropracticSurveyKnowledge translationDissemination and implementation |
| spellingShingle | Arlette Albisser Petra Schweinhardt André Bussières Mirjam Baechler Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey Chiropractic & Manual Therapies Evidence-based practice Chiropractic Survey Knowledge translation Dissemination and implementation |
| title | Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey |
| title_full | Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey |
| title_fullStr | Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey |
| title_full_unstemmed | Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey |
| title_short | Self-reported attitudes, skills and use of evidence-based practice among Swiss chiropractors: a national survey |
| title_sort | self reported attitudes skills and use of evidence based practice among swiss chiropractors a national survey |
| topic | Evidence-based practice Chiropractic Survey Knowledge translation Dissemination and implementation |
| url | https://doi.org/10.1186/s12998-022-00462-0 |
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