Research activities contributing to evidence-based practice implementation in Japanese rehabilitation professionals.
Haruka Mizuno, Takahiro Ueno, Hiroshi Takasaki
PMID 37131351WHAT IT FOUND
Doing case studies and cross-sectional research linked to better evidence-based practice habits in Japanese therapists, but not to their beliefs.
Most participants reported poor access to training and workplace support for this work.
Key findings
01Participating in case studies and cross-sectional research was statistically linked to higher scores in implementing evidence-based practice, specifically in using research findings, developing professional practice, and assessing results.
02None of the sociodemographic variables or research activities predicted therapists' underlying beliefs and attitudes toward evidence-based practice.
03Japanese therapists scored significantly lower than Spanish norms on most measures of evidence-based practice implementation, with large effect sizes indicating a gap in applying research to care.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The sample is heavily skewed toward physical therapists (328 PTs vs 55 OTs vs 6 SLPs), so the results cannot be generalized to occupational or speech therapy professions. The statistical models had very low explanatory power (R-squared < 0.3), meaning these factors explain only a tiny fraction of why therapists engage in evidence-based practice. Research activity was self-reported and low overall, which may have made it hard to detect strong effects. The study is cross-sectional, so it cannot prove that doing research causes better evidence-based practice; therapists who are already good at EBP might simply be more likely to do research. Only 42.9% of eligible therapists responded, raising the possibility that those who answered are more interested in EBP than the average therapist.
Declared interests
The authors declared no conflicts of interest and no funding.
The easy way to misread this
Do not conclude that doing research changes a therapist's attitude toward evidence-based practice. The study found no link between research activities and beliefs/attitudes, only between research activities and the practical implementation of EBP. Furthermore, because the sample was overwhelmingly physical therapists, you cannot apply these findings directly to occupational or speech therapy practice.