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S. Fujimoto1,2,3, T. Ogawa4, T. Nakayama2
1Shizuoka Graduate School of Public Health, Shizuoka, Japan, 2Kyoto University Graduate School of Public Health, Kyoto, Japan, 3Marty Healthcare Inc., Tokyo, Japan, 4Kio University Graduate School of Health Science, Nara, Japan
Background: The method for cooperating with the knowledge/attitude of clinical practice guidelines (CPGs) for patient communication in clinical practice is not systematized.
Purpose: To investigate the influence of the evidence-practice gap on physiotherapists and occupational therapists through shared decision making (SDM) education using clinical practice guidelines (CPGs).
Methods: The study design was a multicenter, blocked, randomized control trial. Participants included 126 therapists with 42 continuous samplings from the three institutions. Inclusion criteria were being a permanent employee from the institutions. Exclusion criteria were participants with disorders that may cause intervention (visual, auditory, attentional disorder). An allocator assigned masked the participation’s attribution until the allocation was completed. The evaluator and analyzer were masked. For the intervention group, workshop on SDM using the CPGs were conducted. The control group was lecture on the knowledge of CPGs (CPG group) and lecture on the knowledge of SDM (SDM group). The primary outcomes were education, attitudes and beliefs, and interest and perceived role in evidence-based practice (EPIC scale). The secondary outcome was the Evidence based practice (EBP) knowledge. To review the intervention effect of the education on SDM using CPGs, two-factor variance analysis (mixed model) was adopted to conduct Holm’s method in comparison to a post-hoc test.This study was registered in University Hospital Medical Information Network center (ID: UMIN000035448).
Results: Participants randomized and analysed in each group were 42. The EPIC scale showed significant difference between CPGs with SDM group and the CPG group (CPG with SDM group (mean ± standard deviation, pre/post): 2.4±0.9/4.4±1.7; CPG group: 3.0±1.5/3.5±2.0; SDM group: 2.6±1.2/ 3.3±1.8). The question item on EBP “I learned the foundations for EBP as part of my academic preparation” had significant differences between CPGs with SDM group and CPGs group (CPG with SDM group: 1.8±0.8/2.2±1.0; CPG group: 2.3±1.1/ 2.0±1.0).
Conclusion(s): EBP education on the SDM using CPGs increased confidence in using EBP for physiotherapists and occupational therapists.
Implications: These findings contribute education for physiotherapist and occupational therapist, and shown in order to conduct CPG-related education, SDM education should be concurrently conducted.
Funding, acknowledgements: This study was supported by grants from Japan Primary Care Association.
Keywords: Shared decision making, Health communication, Clinical practice guideline
Topic: Education: continuing professional development
Did this work require ethics approval? Yes
Institution: Ever Walk Inc.
Committee: Ever Walk Ethics Committee
Ethics number: 2
All authors, affiliations and abstracts have been published as submitted.
