4.2 Review

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

Journal

Publisher

BMC
DOI: 10.1186/s12906-016-1175-0

Keywords

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

Funding

  1. Canadian Chiropractic Research Foundation

Ask authors/readers for more resources

Background: Evidence-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. Methods: A 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. Results: Nearly 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. Conclusion: Findings 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.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.2
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Rehabilitation

Knowledge translation in rehabilitation settings in low, lower-middle and upper-middle-income countries: a scoping review

I. C. R. Regalado, A. R. Lindquist, R. Cardoso, E. Longo, R. Lencucha, M. Hunt, A. Thomas, A. Bussieres, J. T. Boruff, K. Shikako

Summary: This review identifies the barriers and facilitators to knowledge use and Knowledge Translation (KT) strategies in rehabilitation in low, lower-middle, and upper-middle-income countries (LMICs). The individual-level barriers to KT include lack of skills, knowledge about EBP and English language, lack of motivation, and decision-making power. The organization-level barriers include lack of time, lack of financial resources, limited access to scientific journals, and applicability of research to rural settings. The facilitators include positive attitudes and motivation, adequate financial and physical resources, a supportive management environment, and the existence of training and continuing education programs.

DISABILITY AND REHABILITATION (2023)

Article Rheumatology

Effectiveness of a New Service Delivery Model for Management of Knee Osteoarthritis in Primary Care: A Cluster Randomized Controlled Trial

David J. J. Hunter, Jocelyn L. L. Bowden, Rana S. S. Hinman, Thorlene Egerton, Andrew M. M. Briggs, Stephen J. J. Bunker, Simon D. D. French, Marie Pirotta, Rupendra Shrestha, Deborah J. J. Schofield, Karen Schuck, Nicholas A. A. Zwar, S. Sandun M. Silva, Gillian Z. Z. Heller, Kim L. L. Bennell, PARTNER Study Team

Summary: This study evaluated the effectiveness and health costs of a new primary care service delivery model (the PARTNER model) compared to usual care for patients with knee osteoarthritis. The results showed that the PARTNER model improved knee pain and function more than usual care, although the clinical significance was limited to function improvement.

ARTHRITIS CARE & RESEARCH (2023)

Review Education & Educational Research

Scholarly practice in healthcare professions: findings from a scoping review

Marco Zaccagnini, Andre Bussieres, Susanne Mak, Jill Boruff, Andrew West, Aliki Thomas

Summary: This review aimed to explore scholarly practice in healthcare professionals. The findings revealed that there is no unified definition of scholarly practice and it is considered as an overarching concept rather than a specific entity. The conceptualizations of scholarly practice revolve around the interdependent relationship between scholarship and practice, advancing the profession's field, and being core to being a healthcare practitioner. The attributes of scholarly practitioners include commitment to excellence in practice, collaborative nature, virtuous characteristics, effective communication skills, and adaptive change ethos. There are similarities between scholarly practitioners and knowledge brokers in terms of attributes and operationalization of scholarly practice.

ADVANCES IN HEALTH SCIENCES EDUCATION (2023)

Review Health Care Sciences & Services

Challenges and future directions in the measurement of evidence-based practice: Qualitative analysis of umbrella review findings

Jacqueline Roberge-Dao, Lauren A. A. Maggio, Marco Zaccagnini, Annie Rochette, Keiko Shikako, Jill Boruff, Aliki Thomas

Summary: This study explores how to better measure evidence-based practice (EBP) in health professions. It identifies and describes the main challenges, recommendations for practice, and areas for future research in measuring EBP as reported by systematic reviews. The findings suggest that existing measures may not fully capture the multidimensional, contextual, and dynamic nature of EBP.

JOURNAL OF EVALUATION IN CLINICAL PRACTICE (2023)

Article Rheumatology

The osteoarthritis knowledge scale

Ben Darlow, Chris Krageloh, J. Haxby Abbott, Kim Bennell, Andrew M. Briggs, Melanie Brown, Jane Clark, Sarah Dean, Simon French, Rana S. Hinman, Belinda J. Lawford, Daniel O'Brien, Jackie L. Whittaker, James Stanley

Summary: This study aimed to assess the measurement properties of the Osteoarthritis Knowledge Scale (OAKS) and found that OAKS is a valid, unidimensional measure of important OA knowledge.

MUSCULOSKELETAL CARE (2023)

Article Surgery

Introducing Australia's clinical care standard for low back pain

Christopher G. Maher, Aline Archambeau, Rachelle Buchbinder, Simon D. French, Julia Morphet, Michael K. Nicholas, Peter O'Sullivan, Marie Pirotta, Michael J. Yelland, Leo Zeller, Nivene Saad, Elizabeth Marles, Alice L. Bhasale, Christina Lane

ANZ JOURNAL OF SURGERY (2023)

Article Health Care Sciences & Services

Methods and results of studies on reporting guideline adherence are poorly reported: a meta-research study

Tiffany Dal Santo, Danielle B. Rice, Lara S. N. Amiri, Amina Tasleem, Kexin Li, Jill T. Boruff, Marie-Claude Geoffroy, Andrea Benedetti, Brett D. Thombs

Summary: We investigated recent meta-research studies on adherence to reporting guidelines and found that most studies reported suboptimal adherence in health research. However, a small proportion of these studies provided enough information for verification or replication.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2023)

Article Rehabilitation

Perspectives from clinicians and managers: facilitators and barriers to the uptake of rehabilitation guidance for children with arthrogryposis

Kimberly McBain, Cameron Dinh, Melanie Haffar, Emily Steinberg, Sarah Cachecho, Andre Bussieres, Noemi Dahan-Oliel

Summary: The study aims to identify the facilitators and barriers to the uptake of expert guidance for rehabilitation of children with arthrogryposis multiplex congenita (AMC) among clinicians and managers. Through qualitative interviews and analysis using the Theoretical Domains Framework (TDF), the study reveals the shared relevant domains and individual factors influencing the uptake of guidance. The findings highlight the importance of collaboration, support, and awareness of facilitators and barriers for promoting the uptake of rehabilitation guidance.

DISABILITY AND REHABILITATION (2023)

Article Rehabilitation

Stakeholders' priorities in the development of evidence-based practice competencies in rehabilitation students: a nominal group technique study

Marie-Christine Halle, Andre Bussieres, Liliane Asseraf-Pasin, Caroline Storr, Susanne Mak, Kelly Root, Heather Owens, Fatima Amari, Aliki Thomas

Summary: This study aimed to identify strategies to support the development of evidence-based practice (EBP) competencies among students in occupational therapy (OT), physical therapy (PT), and speech-language pathology (S-LP) programs. The top strategies identified in OT/PT included developing a flexible definition of EBP and providing clinicians with more access to teaching content. In S-LP, the top strategies were providing students with decision-making opportunities with experienced clinicians and increasing interactions between faculty and preceptors.

DISABILITY AND REHABILITATION (2023)

Article Health Care Sciences & Services

What scholarly practice means to respiratory therapists: An interpretive description study

Marco Zaccagnini, Andre Bussieres, Sungha Kim, Peter Nugus, Andrew West, Aliki Thomas

Summary: Engagement in scholarly practice is associated with professional empowerment and improvements in care delivery and patient outcomes. However, scholarly practice is excluded from competency frameworks in evolving professions like respiratory therapy, resulting in a gap in education and application of this competency. Exploring scholarly practice in respiratory therapy can provide insights into addressing the tensions between meeting competency requirements and providing quality healthcare.

JOURNAL OF EVALUATION IN CLINICAL PRACTICE (2023)

Article Rehabilitation

Drivers, barriers, and response to care of Australian pregnant women seeking chiropractic care for low back and pelvic girdle pain: a qualitative case study

Maria Bernard-Giglio, Simon D. French, Corrie Myburgh, Katie de Luca

CHIROPRACTIC & MANUAL THERAPIES (2023)

Article Clinical Neurology

SPINE20 recommendations 2023: One Earth, one family, one future WITHOUT spine DISABILITY

Harvinder S. Chhabra, Koji Tamai, Hana Alsebayel, Sami AlEissa, Yahya Alqahtani, Markus Arand, Saumyajit Basu, Thomas R. Blattert, Andre Bussieres, Marco Campello, Giuseppe Costanzo, Pierre Cote, Bambang Darwano, Jorg Franke, Bhavuk Garg, Rumaisah Hasan, Manabu Ito, Komal Kamra, Frank Kandziora, Nishad Kassim, So Kato, Donna Lahey, Ketna Mehta, Cristiano M. Menezes, Eric J. Muehlbauer, Rajani Mullerpatan, Paulo Pereira, Lisa Roberts, Carlo Ruosi, William Sullivan, Ajoy P. Shetty, Carlos Tucci, Sanjay Wadhwa, Ahmed Alturkistany, Jamiu O. Busari, Jeffrey C. Wang, Marco G. A. Teli, Shanmuganathan Rajasekaran, Raghava D. Mulukutla, Michael Piccirillo, Patrick C. Hsieh, Edward J. Dohring, Sudhir K. Srivastava, Jeremie Larouche, Adriaan Vlok, Margareta Nordin

Summary: SPINE20 proposes seven recommendations to advocate for evidence-based spine care globally, aiming to reduce spine disability, associated poverty, and increase productivity of the G20 nations.

BRAIN AND SPINE (2023)

Article Health Care Sciences & Services

Adapting a Clinical Practice Guideline for Management of Patients with Knee and Hip Osteoarthritis by Hong Kong Physiotherapists

Fadi M. Al Zoubi, Arnold Y. L. Wong, Gladys L. Y. Cheing, Jason P. Y. Cheung, Siu Ngor Fu, Helen H. L. Tsang, Rainbow K. Y. Law, Billy Chun Lung So, Raymond Tsang, Sharon Tsang, Chunyi Wen, Michael Wong, Yim Ching Yau, Andre E. Bussieres

Summary: This study used the ADAPTE framework to adapt high-quality guideline recommendations for knee and hip osteoarthritis in Hong Kong. A total of 28 recommendations for knee osteoarthritis and 20 recommendations for hip osteoarthritis were adapted. The study recommends a multimodal treatment approach, including exercise therapy, patient education, and self-management.

HEALTHCARE (2023)

Article Rehabilitation

The effect of clinical guidelines on the utilisation of radiographs in chiropractic clinics in Denmark - an interrupted time series analysis

Pernille Schaldemose Reibke, Henriette Godskesen, Rikke Krueger Jensen, Simon D. French, Andre Bussieres, Henrik Wulff Christensen, Tue Secher Jensen

Summary: The proportion of Danish chiropractic patients undergoing radiography was halved from 2010 to 2020. However, the dissemination of clinical imaging guidelines recommendations and policy changes showed little meaningful change in the monthly utilisation of radiographs in the same period.

CHIROPRACTIC & MANUAL THERAPIES (2023)

No Data Available