Type of Article:  Original Research

Volume 6; Issue 6 (December 2018)

Page No.: 2922-2930

DOI: https://dx.doi.org/10.16965/ijpr.2018.164


Pranali Thakkar *.

*Assistant Professor at SPB Physiotherapy College, Surat, Gujarat, India.

Address for Correspondence: Dr. Pranali Thakkar (MPT Pediatrics), 301- Deepwilla appartment, Nr.Pyramid marble, Ugat Bhesan road, Surat, Gujarat, India. E-Mail: dr.pranalithakkar27@gmail.com


Background & Purpose :  Evidence based Practice is the explicit use of current best evidence in making decisions about the care of individual patients and is a concept of growing importance for Physiotherapy. The physiotherapy profession has been undergoing a period of change and has been encouraged to prove the effectiveness of clinical interventions by scientific evidence. Little research has been done regarding attitudes and behaviors of physical therapists relative to the use of evidence in practice. The purpose of this study was to explore the Beliefs, attitudes, knowledge & Behaviors of Physical therapists in Gujarat, India and to generate relationship between attributes & personal Practice.

Methodology: A total of 185 Physiotherapists from 224 were volunteer to participate in studies who are qualified Practicing Physical therapists in Gujarat India. Personal interview method of data collection was used.  Participants completed a questionnaire designed to determine beliefs, attitudes Knowledge and behaviors regarding EBP as well as demographic information about themselves and their practice settings. Responses were summarized for each item and frequency & percentage values were analyzed

Result: Our result suggests that Physical therapists have generally a positive attitude regard for EBP. More so experienced clinicians who treat patients with similar problems on day to day basis may not find it necessary to refer frequently to the literature. The fact that large no. of PTs do not have access to relevant databases and the internet at their facilities (i.e Place of work ).  Training , familiarity with and confidence in search strategies , use of databases and critical appraisal tended to be associated with younger therapists. According to our respondents the primary barrier to implementing EBP was insufficient time

Discussion and Conclusion: The respondents had a positive attitude towards EBP and were interested in improving the skills necessary to implement EBP. There was a need to increase the use of EBP in clinical practice and decision making among Physiotherapists. The respondents who were recently licensed and those with post graduate education expressed more positive attitudes towards EBP than those who were not.

Key words: Evidence Based Practice, Physiotherapists.


  1. Smith R: Filling the lacuna between research and practice : an interview with Michael peckham BMJ 1993;307: 1403-1407.
  2. Taylor pillae PE.Establishing Evidence Based Practice. Issues and implication in critical care nursing. Intensive care Nursing 1998;14:30-37.
  3. Herbert R, Jamtvedt G, Mead j, hagen KB. Practical evidence based Physiotherapy.Butterworth Heinemann,2005;170-197.
  4. Sackett DL,Rosenberg WMC ,Muir Gray JA ,et al.Evidence based Medicine: what it is and what it isn’t.BMJ.1996;312:71-72.
  5. Sackett D, straus S, Richardson W, Rosenberg W, Haynes R. Evidence Based Medicine (EBM): How to teach and Practice EBM ; 2ndEdinburgh,Scotland;Churchill Livingstone 2000: pp 87-93.
  6. Mc coll A, smith H, White P, et al: General practitioners’perception of the route to evidence based medicine: a questionnaire survey. BMJ 1998;316:361-366.
  7. Mayer J, Piterman L: The attitudes of Australian GPs to evidence based medicine ; A focus group study Br J Gen Pract 1999;16:627-632.
  8. Young JM, ward JE: Evidence based medicine in general practice : beliefs and barriers among Australian GPs J Eval clin Pract 2001;7:201-210.
  9. Young JM, Glasziou P, Ward JE: General Practitioners’ self rating of skills in evidence based medicine : validation study BMJ2002;324:950-951.
  10. Harrison M. Evidence Based practice: Practice based evidence Physiotherapy Theory and practice 1996;12:129-130.
  11. Ciccone CD.Does Acetic Acid Iontophresis Accelerate the resorpion of calcium deposits in calcified tendonitis of the shoulder? Physical therapy2003;83:68-74.
  12. Whitman JM , Fritz JM Boyes RE Recalcitrant Adhesive capsulitis of the shoulder ? Physical therapy 2003;83:486-496.
  13. Bithell C, Evidence based physiotherapy : some thoughts on ‘best evidence’ Physiotherapy 2000;86:58-60.
  14. Guyatt GH, Haynes RB , Jaeschke RZ. Users guide to the medical literature , XXV : evidence based medicine principles for applyingthe user’s guide to patient care. JAMA 2000;284:1290-1296.
  15. Panzer RJ, Black ER, Griner PF.Diagnostic Strategies for common Medical problems.First ed.Philadelphia,American college of Physician Press 1991;19:93-100.
  16. Harrison M. Evidence Based Practice : Challenges in Practice Based on Evidence.Physiotherapy Theory and Practice 2002;25:80-112.
  17. Sherrington C, Herbert RD, Maher CG and Moseley AM: PEDro: A database of randomized trials and systemic reviews in physiotherapy. Manual Therapy ,2005;223-226.
  18. Morris LR. Facilitating a culture of Evidence in Physiotherapy Practice.Health policy Resource 2003;1:12-17.
  19. Oxman AD, Feightner JW. The Eidence Based Resource group,Evidence based care. Setting guidelines: How should we manage this problem? canadian Medical association 1994; 150:1417-1423.
  20. Turner PA, Whitefield TWA. Journal readership amongst Australian Physiotherapist: A cross national replication.Australian journal of Physiothrapy 1997;43:197-202.
  21. Rothstein JCE Caveat Emptor(Editorial).Physical Therapy 1990;70:278-279.
  22. Jette D.U., Bacon K, Batty c, Carlson M, ferland A, Heming way R.D, et al. Evidence based Practice: Beliefs,attitudes,knowledge and behavior of Physical therapists.Physical therapy ,2003;83(9):786-805.
  23. Straus S.E, Richardson w s., Glasziou P & Haynes,R B.(2005).Evidence based medicine. How to practice and teach EBM (3rd): Elsevier Churchill Livingstone.
  24. Sackett D, Straus s, Richardson W, Rosenberg W, Haynes R. Introduction Evidence based medicine : How to teach and practice EBM 2000:1.
  25. Del mar C, Glasziou P, Mayer D.Teaching evidence based medicine (Editorial)British medic al Journal 2004;329:989-990.
  26. Basmajian J. Research or retrench: The rehabilitation professions challenged.Physical therapy 1975;607-610.
  27. Bohanon R, LeveauB.clinician’s use of research finding physical therapy 1986;66:45-50
  28. New ham D.Practical Research Physiotherapy 1994;80:337-339.
  29. Freeman AC,Sweeney K.why general Practitioners do not implement evidence: qualitativestudy. British Medical journal 2001;323:1101-1102.
  30. Flores G ,Lee M , Bauchner H, Kastner B. Pediatrician’s attitude,beliefs and practice Regarding Clinical Practice Guidelines: A National Survey Pediatrics 2000 ;105,496-501.
  31. Retsas A. Barriers to using research evidence in nursing practice J Adv Nurs.2000;31:599-606.
  32. Cranney M, Warren E,Barton S, et al. Why do GPs not implement evidence based guidelines ? A descriptive study Farm pract 2001;18 359-363.
  33. Haines A, Donald A. Getting research finding into practice: making better use of research findings BMJ 1998;317:72-75.

Cite this article: Pranali Thakkar. SURVEY ON “EVIDENCE BASED PRACTICE”: BELIEFS, ATTITUDES, KNOWLEDGE & BEHAVIORS OF PHYSICAL THERAPISTS IN GUJARAT, INDIA. Int J Physiother Res 2018;6(6):2922-2930. DOI: 10.16965/ijpr.2018.164