Evidence-based physiotherapy: A survey of knowledge, behaviour, attitudes and prerequisites

The purpose was to describe knowledge, attitude, behaviour, and prerequisites regarding evidence-based physiotherapy (EBPT) and to evaluate potential differences related to employment sectors and levels of education. A cross-sectional study was conducted using a web-based questionnaire to a random sample of 2,160 physiotherapists (PTs). Self-rated knowledge of evidence-based medicine (EBM) was rather high (median=69; IQ1; IQ3 50-77), although only 12-36% correctly identified all EBM components. Approximately 70% reported good ability to formulate clinical questions and critically appraise scientific literature. Only 28% performed database searches weekly or monthly. Eighty-six per cent reported using evidence-based guidelines in clinical practice. Lack of time (86%), advisors (80%), knowledge (55%) and superiors' lack of interest in EBM (46%) were common barriers. EBM was considered important (median=82, IQ1;IQ3 75-91) and believed to improve the quality of care (median=80, IQ1;IQ3 74-90). Employment sector differences were most obvious for behaviour and prerequisites with a disadvantage for municipality-employed PTs. The higher the level of education, the greater the knowledge, the more positive the attitudes, the better the prerequisites and the fewer the barriers reported. Higher levels of education positively affect EBPT. Behaviour and prerequisites differ depending on employment sector.