Promoting physical therapists' use of research evidence to inform clinical practice: Part 2 - A mixed methods evaluation of the PEAK program

Julie K. Tilson, Sharon Mickan, Jonathan C. Sum, Maria Zibell, Jacquelyn M. Dylla, Robbin Howard

Research output: Contribution to journalArticleResearchpeer-review

14 Citations (Scopus)

Abstract

Clinicians need innovative educational programs to enhance their capacity for using research evidence to inform clinical decision-making. This paper and its companion paper introduce the Physical therapist-driven Education for Actionable Knowledge translation (PEAK) program, an educational program designed to promote physical therapists' integration of research evidence into clinical decision-making. This, second of two, papers reports a mixed methods feasibility study of the PEAK program among physical therapists at three university-based clinical facilities. Methods. A convenience sample of 18 physical therapists participated in the six-month educational program. Mixed methods were used to triangulate results from pre-post quantitative data analyzed concurrently with qualitative data from semi-structured interviews and focus groups. Feasibility of the program was assessed by evaluating change in participants' attitudes, self-efficacy, knowledge, skills, and self-reported behaviors in addition to their perceptions and reaction to the program. Results: All 18 therapists completed the program. The group experienced statistically significant improvements in evidence based practice self-efficacy and self-reported behavior (p < 0.001). Four themes were supported by integrated quantitative and qualitative results: 1. The collaborative nature of the PEAK program was engaging and motivating; 2. PEAK participants experienced improved self-efficacy, creating a positive cycle where success reinforces engagement with research evidence; 3. Participants' need to understand how to interpret statistics was not fully met; 4. Participants believed that the utilization of research evidence in their clinical practice would lead to better patient outcomes. Conclusions: The PEAK program is a feasible educational program for promoting physical therapists' use of research evidence in practice. A key ingredient seems to be guided small group work leading to a final product that guides local practice. Further investigation is recommended to assess long-term behavior change and to compare outcomes to alternative educational models.

Original languageEnglish
Article number126
JournalBMC Medical Education
Volume14
Issue number1
DOIs
Publication statusPublished - 25 Jun 2014
Externally publishedYes

Fingerprint

Physical Therapists
Program Evaluation
therapist
Self Efficacy
educational program
evaluation
Research
evidence
self-efficacy
Educational Models
Translational Medical Research
Evidence-Based Practice
Feasibility Studies
small group work
Focus Groups
decision making
Interviews
Education
Group
utilization

Cite this

Tilson, Julie K. ; Mickan, Sharon ; Sum, Jonathan C. ; Zibell, Maria ; Dylla, Jacquelyn M. ; Howard, Robbin. / Promoting physical therapists' use of research evidence to inform clinical practice : Part 2 - A mixed methods evaluation of the PEAK program. In: BMC Medical Education. 2014 ; Vol. 14, No. 1.
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abstract = "Clinicians need innovative educational programs to enhance their capacity for using research evidence to inform clinical decision-making. This paper and its companion paper introduce the Physical therapist-driven Education for Actionable Knowledge translation (PEAK) program, an educational program designed to promote physical therapists' integration of research evidence into clinical decision-making. This, second of two, papers reports a mixed methods feasibility study of the PEAK program among physical therapists at three university-based clinical facilities. Methods. A convenience sample of 18 physical therapists participated in the six-month educational program. Mixed methods were used to triangulate results from pre-post quantitative data analyzed concurrently with qualitative data from semi-structured interviews and focus groups. Feasibility of the program was assessed by evaluating change in participants' attitudes, self-efficacy, knowledge, skills, and self-reported behaviors in addition to their perceptions and reaction to the program. Results: All 18 therapists completed the program. The group experienced statistically significant improvements in evidence based practice self-efficacy and self-reported behavior (p < 0.001). Four themes were supported by integrated quantitative and qualitative results: 1. The collaborative nature of the PEAK program was engaging and motivating; 2. PEAK participants experienced improved self-efficacy, creating a positive cycle where success reinforces engagement with research evidence; 3. Participants' need to understand how to interpret statistics was not fully met; 4. Participants believed that the utilization of research evidence in their clinical practice would lead to better patient outcomes. Conclusions: The PEAK program is a feasible educational program for promoting physical therapists' use of research evidence in practice. A key ingredient seems to be guided small group work leading to a final product that guides local practice. Further investigation is recommended to assess long-term behavior change and to compare outcomes to alternative educational models.",
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Promoting physical therapists' use of research evidence to inform clinical practice : Part 2 - A mixed methods evaluation of the PEAK program. / Tilson, Julie K.; Mickan, Sharon; Sum, Jonathan C.; Zibell, Maria; Dylla, Jacquelyn M.; Howard, Robbin.

In: BMC Medical Education, Vol. 14, No. 1, 126, 25.06.2014.

Research output: Contribution to journalArticleResearchpeer-review

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