Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Sep-Oct;28(5):101112.
doi: 10.1016/j.bjpt.2024.101112. Epub 2024 Sep 5.

Modified Fresno test to assess Physical therapists' use of evidence-based practice: measurement properties of the Brazilian-Portuguese short version: Modified Fresno test Brazilian-Portuguese short version

Anderson Martins da Silva  1 , Dafne Karen da Silva Vieira Rosa  2 , Rosimeire Simprini Padula  3
Affiliations

Modified Fresno test to assess Physical therapists' use of evidence-based practice: measurement properties of the Brazilian-Portuguese short version: Modified Fresno test Brazilian-Portuguese short version

Anderson Martins da Silva et al. Braz J Phys Ther. 2024 Sep-Oct.

Abstract

Background: The modified Fresno test is a questionnaire developed to evaluate Evidence-Based Practice among physical therapists. A previous study has indicated that a shorter version with 9 items would be more appropriate for Brazilian physical therapists.

Objectives: To test the measurement properties of the modified Fresno test - Brazilian-Portuguese short version.

Methods: To analyze the reliability of the modified Fresno test - Brazilian-Portuguese short version by two raters (intra and inter-rater) in a sample of 133 physical therapists. The intraclass correlation coefficient (ICC2,1) and standard error of measurement (SEM) was used to assess the test-retest reliability. Internal consistency was tested using the Cronbach's alpha coefficient. An expert committee analyzed content validity using the content validity index (CVI). Confirmatory factor analysis (CFA) using the principal components method was used to assess construct validity. Responsiveness was estimated using effect size, and ceiling and floor effects were also investigated.

Results: Inter-rater and intra-rater reliability were, respectively: ICC= 0.93 (95 % CI 0.91, 0.95); rater 1 - ICC= 0.95 (95 % CI 0.94, 0.97); rater 2 - ICC= 0.98 (95 % CI 0.98, 0.99). The agreement was very good (values ≤ 5 %). Internal consistency was good for most instrument items (≥ 0.80). The CVI showed agreement among the expert committee members (0.96). The Cronbach's alpha coefficients calculated for the corrected item total showed values greater than 0.40. In the CFA, the "model 2" showed acceptable indices (≥ 0.90). Responsiveness was classified as very small. No ceiling and floor effects.

Conclusion: The Fresno Modified Test - Brazilian-Portuguese short version has good to excellent reliability. CFA showed that the fit indices were adequate to be used in the population of interest.

Keywords: Clinical measurement; Evaluation; Evidence-based practice; Instrument; Short version.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest The authors declare no conflicts of interest.

Figures

Fig 1
Fig. 1
Confirmatory factor analysis diagram (CFA).
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Silva A.M., Costa L.C.M., Comper M.L., Padula R.S. Cross-cultural adaptation and reproducibility of the Brazilian-Portuguese version of the modified FRESNO Test to evaluate the competence in evidence based practice by physical therapists. Braz J Phys Ther. 2016;20:26–47. doi: 10.1590/bjpt-rbf.2014.0140. - DOI - PMC - PubMed
    1. Tilson J.K. Validation of the modified Fresno Test: assessing physical therapists’ evidence based practice knowledge and skills. BMC Med Educ. 2010;10:38. doi: 10.1186/1472-6920-10-38. - DOI - PMC - PubMed
    1. Herbert R., Jamtvedt G., Mead J., Hagen K.B. 2nd ed. Churchill Livingstone; London: 2011. Practical Evidence-Based Physiotherapy.
    1. Elkins M.R., Moseley A.M., Pinto R.Z. Usage evaluation of the physiotherapy evidence database (PEDro) among Brazilian physical therapists. Braz J Phys Ther. 2015;19 doi: 10.1590/bjpt-rbf.2014.0104. - DOI - PMC - PubMed
    1. Silva T.M., Costa L.C., LO Costa. Evidence-Based Practice: a survey regarding behavior, knowledge, skills, resources, opinions and perceived barriers of Brazilian physical therapists from São Paulo state. Braz J Phys Ther. 2015;19(4):294–303. - PMC - PubMed

LinkOut - more resources