Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association

Abstract Background Evidence-based practice (EBP) is integral to the delivery of high-quality health care. Chiropractic has been a licensed health profession in Sweden since 1989, but little is known of the uptake of EBP in this professional group. This study explored the self-reported skills, attit...

Full description

Bibliographic Details
Main Authors: Matthew J. Leach, Per J. Palmgren, Oliver P. Thomson, Gary Fryer, Andreas Eklund, Stina Lilje, Jon Adams, Eva Skillgate, Tobias Sundberg
Format: Article
Language:English
Published: BMC 2021-01-01
Series:Chiropractic & Manual Therapies
Subjects:
Online Access:https://doi.org/10.1186/s12998-020-00359-w
id doaj-7e3129a3be9843a48b51daedf6222805
record_format Article
spelling doaj-7e3129a3be9843a48b51daedf62228052021-01-17T12:59:17ZengBMCChiropractic & Manual Therapies2045-709X2021-01-0129111210.1186/s12998-020-00359-wSkills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic AssociationMatthew J. Leach0Per J. Palmgren1Oliver P. Thomson2Gary Fryer3Andreas Eklund4Stina Lilje5Jon Adams6Eva Skillgate7Tobias Sundberg8National Centre for Naturopathic Medicine, Southern Cross UniversityDepartment of Learning, Informatics, Management and Ethics, Karolinska InstitutetResearch Centre, University College of OsteopathyCollege of Health & Biomedicine, Victoria UniversityUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska InstitutetUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska InstitutetAustralian Research Centre in Complementary and Integrative Medicine, School of Public Health, Faculty of Health, University of Technology SydneyUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska InstitutetAustralian Research Centre in Complementary and Integrative Medicine, School of Public Health, Faculty of Health, University of Technology SydneyAbstract Background Evidence-based practice (EBP) is integral to the delivery of high-quality health care. Chiropractic has been a licensed health profession in Sweden since 1989, but little is known of the uptake of EBP in this professional group. This study explored the self-reported skills, attitudes and uptake of EBP, and the enablers and barriers of EBP uptake, among licensed chiropractors in Sweden. Methods Licensed chiropractors (n = 172) of the Swedish Chiropractic Association (Legitimerade Kiropraktorers Riksorganisation) were invited to participate in an anonymous online questionnaire, using the Evidence-Based Practice Attitude and Utilisation Survey (EBASE) in February 2019. Results Fifty-six (33%) chiropractors completed the survey. Participants were predominantly male, aged 30–49 years, held a Master’s degree, and had received their highest qualification and practiced chiropractic for over a decade. Chiropractors rated their EBP skill-level mostly in the moderate to moderate-high range. The majority of chiropractors reported positive attitudes towards EBP, with most agreeing or strongly agreeing that EBP is necessary in the practice of chiropractic, and that EBP assists in making decisions about patient care. Chiropractors reported an average level of engagement in EBP activities. All participants indicated professional literature and research findings were useful in their day-to-day chiropractic practice. The main perceived enabler of EBP uptake was internet access in the workplace, whereas the main barrier to EBP uptake was lack of clinical evidence in chiropractic. Conclusions Participating chiropractors of the Swedish Chiropractic Association were generally favourable of EBP, though only reported modest levels of EBP-related skills and engagement in EBP activities. Our findings suggest future studies investigating interventions focussed on improving chiropractors’ skills and uptake of EBP are warranted.https://doi.org/10.1186/s12998-020-00359-wEvidence-based practiceChiropracticHealth care surveysCross-sectional studies
collection DOAJ
language English
format Article
sources DOAJ
author Matthew J. Leach
Per J. Palmgren
Oliver P. Thomson
Gary Fryer
Andreas Eklund
Stina Lilje
Jon Adams
Eva Skillgate
Tobias Sundberg
spellingShingle Matthew J. Leach
Per J. Palmgren
Oliver P. Thomson
Gary Fryer
Andreas Eklund
Stina Lilje
Jon Adams
Eva Skillgate
Tobias Sundberg
Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association
Chiropractic & Manual Therapies
Evidence-based practice
Chiropractic
Health care surveys
Cross-sectional studies
author_facet Matthew J. Leach
Per J. Palmgren
Oliver P. Thomson
Gary Fryer
Andreas Eklund
Stina Lilje
Jon Adams
Eva Skillgate
Tobias Sundberg
author_sort Matthew J. Leach
title Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association
title_short Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association
title_full Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association
title_fullStr Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association
title_full_unstemmed Skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the Swedish Chiropractic Association
title_sort skills, attitudes and uptake of evidence-based practice: a cross-sectional study of chiropractors in the swedish chiropractic association
publisher BMC
series Chiropractic & Manual Therapies
issn 2045-709X
publishDate 2021-01-01
description Abstract Background Evidence-based practice (EBP) is integral to the delivery of high-quality health care. Chiropractic has been a licensed health profession in Sweden since 1989, but little is known of the uptake of EBP in this professional group. This study explored the self-reported skills, attitudes and uptake of EBP, and the enablers and barriers of EBP uptake, among licensed chiropractors in Sweden. Methods Licensed chiropractors (n = 172) of the Swedish Chiropractic Association (Legitimerade Kiropraktorers Riksorganisation) were invited to participate in an anonymous online questionnaire, using the Evidence-Based Practice Attitude and Utilisation Survey (EBASE) in February 2019. Results Fifty-six (33%) chiropractors completed the survey. Participants were predominantly male, aged 30–49 years, held a Master’s degree, and had received their highest qualification and practiced chiropractic for over a decade. Chiropractors rated their EBP skill-level mostly in the moderate to moderate-high range. The majority of chiropractors reported positive attitudes towards EBP, with most agreeing or strongly agreeing that EBP is necessary in the practice of chiropractic, and that EBP assists in making decisions about patient care. Chiropractors reported an average level of engagement in EBP activities. All participants indicated professional literature and research findings were useful in their day-to-day chiropractic practice. The main perceived enabler of EBP uptake was internet access in the workplace, whereas the main barrier to EBP uptake was lack of clinical evidence in chiropractic. Conclusions Participating chiropractors of the Swedish Chiropractic Association were generally favourable of EBP, though only reported modest levels of EBP-related skills and engagement in EBP activities. Our findings suggest future studies investigating interventions focussed on improving chiropractors’ skills and uptake of EBP are warranted.
topic Evidence-based practice
Chiropractic
Health care surveys
Cross-sectional studies
url https://doi.org/10.1186/s12998-020-00359-w
work_keys_str_mv AT matthewjleach skillsattitudesanduptakeofevidencebasedpracticeacrosssectionalstudyofchiropractorsintheswedishchiropracticassociation
AT perjpalmgren skillsattitudesanduptakeofevidencebasedpracticeacrosssectionalstudyofchiropractorsintheswedishchiropracticassociation
AT oliverpthomson skillsattitudesanduptakeofevidencebasedpracticeacrosssectionalstudyofchiropractorsintheswedishchiropracticassociation
AT garyfryer skillsattitudesanduptakeofevidencebasedpracticeacrosssectionalstudyofchiropractorsintheswedishchiropracticassociation
AT andreaseklund skillsattitudesanduptakeofevidencebasedpracticeacrosssectionalstudyofchiropractorsintheswedishchiropracticassociation
AT stinalilje skillsattitudesanduptakeofevidencebasedpracticeacrosssectionalstudyofchiropractorsintheswedishchiropracticassociation
AT jonadams skillsattitudesanduptakeofevidencebasedpracticeacrosssectionalstudyofchiropractorsintheswedishchiropracticassociation
AT evaskillgate skillsattitudesanduptakeofevidencebasedpracticeacrosssectionalstudyofchiropractorsintheswedishchiropracticassociation
AT tobiassundberg skillsattitudesanduptakeofevidencebasedpracticeacrosssectionalstudyofchiropractorsintheswedishchiropracticassociation
_version_ 1724334058357391360