Literature DB >> 23675799

Use of evidence-based practice among athletic training educators, clinicians, and students, part 1: perceived importance, knowledge, and confidence.

Dorice A Hankemeier1, Jessica M Walter, Cailee W McCarty, Eric J Newton, Stacy E Walker, Shana L Pribesh, Beth E Jamali, Sarah A Manspeaker, Bonnie L Van Lunen.   

Abstract

CONTEXT: Although evidence-based practice (EBP) has become more prevalent, athletic trainers' perceptions of importance and knowledge of these concepts and their confidence in EBP are largely unknown.
OBJECTIVE: To assess perceived importance and knowledge of and confidence in EBP concepts in athletic trainers in various roles and with different degree levels.
DESIGN: Cross-sectional study.
SETTING: Online survey instrument. PATIENTS OR OTHER PARTICIPANTS: The survey was sent to 6702 athletic training educators, clinicians, and postprofessional students. A total of 1209 completed the survey, for a response rate of 18.04%. MAIN OUTCOME MEASURE(S): Demographic information and perceived importance and knowledge of and confidence in the steps of EBP were obtained. One-way analysis of variance, a Kruskal-Wallis test, and an independent-samples t test were used to determine differences in scores among the demographic variables.
RESULTS: Athletic trainers demonstrated low knowledge scores (64.2% ± 1.29%) and mild to moderate confidence (2.71 ± 0.55 out of 4.0). They valued EBP as moderately to extremely important (3.49 ± 0.41 out of 4.0). Perceived importance scores differed among roles (clinicians unaffiliated with an education program scored lower than postprofessional educators, P = .001) and highest educational degree attained (athletic trainers with terminal degrees scored higher than those with bachelor's or master's degrees, P < .001). Postprofessional athletic training students demonstrated the highest total EBP knowledge scores (4.65 ± 0.91), whereas clinicians demonstrated the lowest scores (3.62 ± 1.35). Individuals with terminal degrees had higher (P < .001) total knowledge scores (4.31 ± 1.24) than those with bachelor's (3.78 ± 1.2) or master's degrees (3.76 ± 1.35). Postprofessional educators demonstrated greater confidence in knowledge scores (3.36 ± 0.40 out of 4.0) than did those in all other athletic training roles (P < .001).
CONCLUSIONS: Overall knowledge of the basic EBP steps remained low across the various athletic trainers' roles. The higher level of importance indicated that athletic trainers valued EBP, but this value was not reflected in the knowledge of EBP concepts. Individuals with a terminal degree possessed higher knowledge scores than those with other educational preparations; however, EBP knowledge needs to increase across all demographics of the profession.

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Mesh:

Year:  2013        PMID: 23675799      PMCID: PMC3655753          DOI: 10.4085/1062-6050-48.2.16

Source DB:  PubMed          Journal:  J Athl Train        ISSN: 1062-6050            Impact factor:   2.860


  28 in total

1.  Development and validation of a questionnaire to evaluate the effectiveness of evidence-based practice teaching.

Authors:  R Taylor; B Reeves; R Mears; J Keast; S Binns; P Ewings; K Khan
Journal:  Med Educ       Date:  2001-06       Impact factor: 6.251

Review 2.  The development and validation of a knowledge, attitude and behaviour questionnaire to assess undergraduate evidence-based practice teaching and learning.

Authors:  Janice M Johnston; Gabriel M Leung; Richard Fielding; Keith Y K Tin; Lai-Ming Ho
Journal:  Med Educ       Date:  2003-11       Impact factor: 6.251

3.  Validation of the Fresno test of competence in evidence based medicine.

Authors:  Kathleen D Ramos; Sean Schafer; Susan M Tracz
Journal:  BMJ       Date:  2003-02-08

4.  Educational History, Employment Characteristics, and Desired Competencies of Doctoral-Educated Athletic Trainers.

Authors:  Jay Hertel; Thomas F. West; W E Buckley; Craig R. Denegar
Journal:  J Athl Train       Date:  2001-03       Impact factor: 2.860

5.  Scholarly Productivity of Athletic Training Faculty Members.

Authors:  Chad Starkey; Christopher D. Ingersoll
Journal:  J Athl Train       Date:  2001-06       Impact factor: 2.860

6.  Advancing patient care: everyone wins.

Authors:  Craig R Denegar
Journal:  J Athl Train       Date:  2008 Jul-Aug       Impact factor: 2.860

Review 7.  Development and initial validation of an instrument to measure physicians' use of, knowledge about, and attitudes toward computers.

Authors:  R D Cork; W M Detmer; C P Friedman
Journal:  J Am Med Inform Assoc       Date:  1998 Mar-Apr       Impact factor: 4.497

8.  Evidence based medicine: what it is and what it isn't.

Authors:  D L Sackett; W M Rosenberg; J A Gray; R B Haynes; W S Richardson
Journal:  BMJ       Date:  1996-01-13

9.  Evidence-Based Medicine: What Is It and How Does It Apply to Athletic Training?

Authors:  Russell Steves; Jennifer M. Hootman
Journal:  J Athl Train       Date:  2004-03       Impact factor: 2.860

Review 10.  Continuing education meetings and workshops: effects on professional practice and health care outcomes.

Authors:  Louise Forsetlund; Arild Bjørndal; Arash Rashidian; Gro Jamtvedt; Mary Ann O'Brien; Fredric Wolf; Dave Davis; Jan Odgaard-Jensen; Andrew D Oxman
Journal:  Cochrane Database Syst Rev       Date:  2009-04-15
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  6 in total

1.  Concussion Knowledge and Clinical Experience Among Athletic Trainers: Implications for Concussion Health Care Practices.

Authors:  Landon B Lempke; Julianne D Schmidt; Robert C Lynall
Journal:  J Athl Train       Date:  2020-07-01       Impact factor: 2.860

2.  Future directions of evidence-based practice in athletic training: perceived strategies to enhance the use of evidence-based practice.

Authors:  Cailee E Welch; Dorice A Hankemeier; Aimee L Wyant; Danica G Hays; William A Pitney; Bonnie L Van Lunen
Journal:  J Athl Train       Date:  2014-02-25       Impact factor: 2.860

3.  Athletic Trainers' Concussion-Assessment and Concussion-Management Practices: An Update.

Authors:  Landon B Lempke; Julianne D Schmidt; Robert C Lynall
Journal:  J Athl Train       Date:  2019-12-19       Impact factor: 2.860

4.  Perceived outcomes of web-based modules designed to enhance athletic trainers' knowledge of evidence-based practice.

Authors:  Cailee E Welch; Bonnie L Van Lunen; Dorice A Hankemeier; Aimee L Wyant; Jessica M Mutchler; William A Pitney; Danica G Hays
Journal:  J Athl Train       Date:  2014-02-27       Impact factor: 2.860

5.  Use of evidence-based practice among athletic training educators, clinicians, and students, part 2: attitudes, beliefs, accessibility, and barriers.

Authors:  Cailee W McCarty; Dorice A Hankemeier; Jessica M Walter; Eric J Newton; Bonnie L Van Lunen
Journal:  J Athl Train       Date:  2013-02-20       Impact factor: 2.860

6.  Athletic Trainers' Beliefs About and Implementation of Evidence-Based Practice.

Authors:  Kimberly Keeley; Stacy E Walker; Dorice A Hankemeier; Malissa Martin; Thomas A Cappaert
Journal:  J Athl Train       Date:  2016-02-04       Impact factor: 2.860

  6 in total

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