Evidence-based practice, research utilization, and knowledge translation in chiropractic: a scoping review

BMC Complementary and Alternative Medicine

Research Article

Kent Stuber¹  Fadi Al Zoubi²  Aliki Thomas³  André E. Bussières⁴  Simon D. French⁵  Jill Boruff⁶  John Corrigan⁷ 

[1] Division of Graduate Education and Research, Canadian Memorial Chiropractic College, Toronto, Canada;School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montréal, Canada;School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montréal, Canada;Centre de Recherche Interdisciplinaire en Réadaptation (CRIR), Montréal, Canada;Center for Medical Education, Faculty of Medicine, McGill University, Montréal, Canada;School of Physical and Occupational Therapy, Faculty of Medicine, McGill University, Montréal, Canada;Département chiropratique, Université du Québec à Trois-Rivières, Trois-Rivières, Canada;Centre de Recherche Interdisciplinaire en Réadaptation (CRIR), Montréal, Canada;School of Rehabilitation Therapy, Faculty of Health Sciences, Queen’s University, Kingston, Canada;Schulich Library of Science and Engineering, McGill University, Montréal, Canada;The Canadian Chiropractic Guideline Initiative, Saskatchewan, Saskatoon, Canada;

关键词: Chiropractic;    Scoping review;    Evidence-based practice;    Research utilization;    Knowledge translation;   

DOI  :  10.1186/s12906-016-1175-0

 received in 2015-10-20, accepted in 2016-06-16,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundEvidence-based practice (EBP) gaps are widespread across health disciplines. Understanding factors supporting the uptake of evidence can inform the design of strategies to narrow these EBP gaps. Although research utilization (RU) and the factors associated with EBP have been reported in several health disciplines, to date this area has not been reviewed comprehensively in the chiropractic profession. The purpose of this review was to report on the current state of knowledge on EBP, RU, and knowledge translation (KT) in chiropractic.MethodsA scoping review using the Arksey and O’Malley framework was used to systematically select and summarize existing literature. Searches were conducted using a combination of keywords and MeSH terms from the earliest date available in each database to May 2015. Quantitative and thematic analyses of the selected literature were conducted.ResultsNearly 85 % (56/67) of the included studies were conducted in Canada, USA, UK or Australia. Thematic analysis for the three categories (EBP, RU, KT) revealed two themes related to EBP (attitudes and beliefs of chiropractors; implementation of EBP), three related to RU (guideline adherence; frequency and sources of information accessed; and perceived value of websites and search engines), and three related to KT (knowledge practice gaps; barriers and facilitators to knowledge use; and selection, tailoring, and implementation of interventions). EBP gaps were noted in the areas of assessment of activity limitation, determination of psychosocial factors influencing pain, general health indicators, establishing a prognosis, and exercise prescription. While most practitioners believed EBP and research to be important and a few studies suggested that traditional and online educational strategies could improve patient care, use of EBP and guideline adherence varied widely.ConclusionFindings suggest that the majority of chiropractors hold favourable attitudes and beliefs toward EBP. However, much remains to be done for chiropractors to routinely apply evidence into clinical practice. Educational strategies aimed at practicing chiropractors can lead to more EBP and improved patient care. The chiropractic profession requires more robust dissemination and implementation research to improve guideline adherence and patient health outcomes.

【 授权许可】

CC BY   
© The Author(s). 2016