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Evaluation of a tai...
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Bernhardsson, Susanne,1958Linköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet,Region Västra Götaland
(author)
Evaluation of a tailored, multi-component intervention for implementation of evidence-based clinical practice guidelines in primary care physical therapy: a non-randomized controlled trial
- Article/chapterEnglish2014
Publisher, publication year, extent ...
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2014-03-04
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Springer Science and Business Media LLC,2014
Numbers
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LIBRIS-ID:oai:gup.ub.gu.se/196705
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https://gup.ub.gu.se/publication/196705URI
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https://doi.org/10.1186/1472-6963-14-105DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-105610URI
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
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Abstract Background Clinical practice guidelines are important for transmitting research findings into practice and facilitating the application of evidence-based practice (EBP). There is a paucity of knowledge about the impact of guideline implementation strategies in primary care physical therapy. The aim of this study was to evaluate the effect of a guideline implementation intervention in primary care physical therapy in western Sweden. Methods An implementation strategy based on theory and current evidence was developed. A tailored, multi-component implementation intervention, addressing earlier identified determinants, was carried out in three areas comprising 28 physical therapy practices including 277 physical therapists (PTs) (intervention group). In two adjacent areas, 171 PTs at 32 practices received no intervention (control group). The core component of the intervention was an implementation seminar with group discussions. Among other components were a website and email reminders. Data were collected at baseline and follow-up with a web-based questionnaire. Primary outcomes were the self-reported awareness of, knowledge of, access to, and use of guidelines. Secondary outcomes were self-reported attitudes toward EBP and guidelines. Analyses were performed using Pearson’s χ2 test and approximative z-test. Results 168 PTs (60.6%) in the intervention group and 88 PTs (51.5%) in the control group responded to the follow-up questionnaire. 186/277 PTs (67.1%) participated in the implementation seminars, of which 97 (52.2%) responded. The proportions of PTs reporting awareness of (absolute difference in change 20.6%, p = 0.023), knowledge where to find (20.4%, p = 0.007), access to (21.7%, p < 0.001), and frequent use of (9.5%, NS) guidelines increased more in the intervention group than in the control group. The proportion of PTs reporting frequent guideline use after participation in the implementation seminar was 15.2% (p = 0.043) higher than the proportion in the control group. A higher proportion considered EBP helpful in decision making (p = 0.018). There were no other significant differences in secondary outcomes. Conclusions A tailored, theory- and evidence-informed, multi-component intervention for the implementation of clinical practice guidelines had a modest, positive effect on awareness of, knowledge of, access to, and use of guidelines, among PTs in primary care in western Sweden. In general, attitudes to EBP and guidelines were not affected.
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Larsson, Maria E H,1969Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation,Region Västra Götaland, Göteborgs universitet(Swepub:gu)xlmarx
(author)
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Eggertsen, Robert,1948Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Region Västra Götaland, Göteborgs universitet(Swepub:gu)xeggro
(author)
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Fagevik Olsén, Monika,1964Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation(Swepub:gu)xfagmo
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Johansson, KajsaLinköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet(Swepub:liu)kajjo92
(author)
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Nilsen, PerLinköpings universitet,Avdelningen för hälso- och sjukvårdsanalys,Hälsouniversitetet(Swepub:liu)perni31
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Nordeman, Lena MargaretaRegion Västra Götaland(Swepub:gu)xnoled
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van Tulder, MauritsVU University, Amsterdam, The Netherlands
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Öberg, BirgittaLinköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet(Swepub:liu)birob80
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Linköpings universitetAvdelningen för sjukgymnastik
(creator_code:org_t)
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In:BMC Health Services Research: Springer Science and Business Media LLC14:11472-6963
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