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. 2023 Apr 20;23(1):385.
doi: 10.1186/s12913-023-09354-2.

Investigating attitudes, skills, and use of evidence-based practice among Norwegian chiropractors; a national cross-sectional study

Birgitte Lawaetz Myhrvold  1   2 , Iben Axén  3   4 , Matthew J Leach  5 , Tobias Sundberg  6 , Anne Marie Gausel  3   7   8
Affiliations

Investigating attitudes, skills, and use of evidence-based practice among Norwegian chiropractors; a national cross-sectional study

Birgitte Lawaetz Myhrvold et al. BMC Health Serv Res. .

Abstract

Background: Evidence-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.

Methods: A 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.

Results: A 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.

Conclusion: Although 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.

Keywords: Attitudes; Barriers; Chiropractors; Evidence-based practice; Facilitators; Norwegian; Skills; Use.

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Conflict of interest statement

The authors declare that they have no competing interests.

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References

    1. Haines A, Donald A. Making better use of research findings. BMJ (Clinical research ed) 1998;317(7150):72. doi: 10.1136/bmj.317.7150.72. - DOI - PMC - PubMed
    1. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn’t. BMJ (Clinical research ed) 1996;312(7023):71–2. doi: 10.1136/bmj.312.7023.71. - DOI - PMC - PubMed
    1. Miles A, Loughlin M. Models in the balance: evidence-based medicine versus evidence-informed individualized care. J Eval Clin Pract. 2011;17(4):531–6. doi: 10.1111/j.1365-2753.2011.01713.x. - DOI - PubMed
    1. Leach MJ, Palmgren PJ, Thomson OP, Fryer G, Eklund A, Lilje S, et al. Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the swedish Chiropractic Association. Chiropr Man Ther. 2021;29(1):2. doi: 10.1186/s12998-020-00359-w. - DOI - PMC - PubMed
    1. Bussières AE, Terhorst L, Leach M, Stuber K, Evans R, Schneider MJ. Self-reported attitudes, skills and use of evidence-based practice among canadian doctors of chiropractic: a national survey. J Can Chiropr Assoc. 2015;59(4):332–48. - PMC - PubMed