Current practices and factors affecting evidence-based occupational therapy practice for patients with dementia in Japan.
Ai Hasegawa, Risa Takashima, Kazuki Yoshida and 3 others
PMID 33815026WHAT IT FOUND
Just under half of surveyed Japanese occupational therapists reported practicing evidence-based care frequently.
The strongest barrier was self-rated ability to understand scientific papers, followed by access to information and availability of advice from colleagues.
Key findings
0146.3% of respondents reported practicing evidence-based occupational therapy somewhat frequently or more often.
02Ability to understand scientific papers was the factor most strongly associated with frequency of evidence-based practice.
03Frequency of evidence-based practice was weakly correlated with the number of dementia treatment programmes a therapist had experienced.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
Response rate was 31.3%, so results may reflect only therapists already engaged with evidence-based practice. Participants were selected by department heads, introducing potential selection bias. Only therapists in designated dementia care centres were surveyed, excluding those in other settings. All data were self-reported, so actual behaviour may differ from perceived behaviour. The regression model explained only 31.8% of variance, meaning most influencing factors were not captured.
Declared interests
The authors declared no conflicts of interest and received no funding for this research.
The easy way to misread this
Do not interpret the three identified factors as proof that improving them will increase evidence-based practice. This is a cross-sectional self-report survey showing association only, and the model accounted for less than one third of the variance in practice frequency.