title: A modified evidence-based practice- knowledge, attitudes, behaviour and decisions/outcomes questionnaire is valid across multiple professions involved in pain management.
abstract: BACKGROUND
  A validated and reliable instrument was developed to knowledge, attitudes and behaviours with respect to evidence-based practice (EBB-KABQ) in medical trainees but requires further adaptation and validation to be applied across different health professionals.
  
  
  METHODS
  A modified 33-item evidence-based practice scale (EBP-KABQ) was developed to evaluate EBP perceptions and behaviors in clinicians. An international sample of 673 clinicians interested in treatment of pain (mean age = 45 years, 48% occupational therapists/physical therapists, 25% had more than 5 years of clinical training) completed an online English version of the questionnaire and demographics. Scaling properties (internal consistency, floor/ceiling effects) and construct validity (association with EBP activities, comparator constructs) were examined. A confirmatory factor analysis was used to assess the 4-domain structure EBP knowledge, attitudes, behavior, outcomes/decisions).
  
  
  RESULTS
  The EBP-KABQ scale demonstrated high internal consistency (Cronbach's alpha = 0.85), no evident floor/ceiling effects, and support for a priori construct validation hypotheses. A 4-factor structure provided the best fit statistics (CFI =0.89, TLI =0.86, and RMSEA = 0.06).
  
  
  CONCLUSIONS
  The EBP-KABQ scale demonstrates promising psychometric properties in this sample. Areas for improvement are described.
authors.affiliation: Health & Rehabilitation Sciences, Western University, Room 1014, Elborn College, 1201 Western Road, London, ON, N6G 1H1, Canada. qshi26@uwo.ca.|Hand and Upper Limb Centre Clinical Research Laboratory, St. Joseph's Health Centre, 268 Grosvenor St, London, ON, N6A 3A8, Canada. qshi26@uwo.ca.
authors.forename: Qiyun
authors.initials: Q
authors.lastname: Shi
authors.affiliation: School of Physical Therapy, Western University, London, ON, N6G 1H1, Canada. bcheswor@uwo.ca.|Department of Epidemiology and Biostatistics, Western University, London, ON, N6G 1H1, Canada. bcheswor@uwo.ca.
authors.forename: Bert M
authors.initials: BM
authors.lastname: Chesworth
authors.affiliation: The School of Rehabilitation Sciences, McMaster University, Hamilton, ON, L8S 4L8, Canada. lawm@mcmaster.ca.
authors.forename: Mary
authors.initials: M
authors.lastname: Law
authors.affiliation: Department of Clinical Epidemiology and Biostatistics and Department of Medicine, McMaster University, Hamilton, ON, L8S 4K1, Canada. bhaynes@mcmaster.ca.
authors.forename: R Brian
authors.initials: RB
authors.lastname: Haynes
authors.affiliation: Health & Rehabilitation Sciences, Western University, Room 1014, Elborn College, 1201 Western Road, London, ON, N6G 1H1, Canada. macderj@mcmaster.ca.|Hand and Upper Limb Centre Clinical Research Laboratory, St. Joseph's Health Centre, 268 Grosvenor St, London, ON, N6A 3A8, Canada. macderj@mcmaster.ca.|The School of Rehabilitation Sciences, McMaster University, Hamilton, ON, L8S 4L8, Canada. macderj@mcmaster.ca.|Department of Clinical Epidemiology and Biostatistics and Department of Medicine, McMaster University, Hamilton, ON, L8S 4K1, Canada. macderj@mcmaster.ca.
authors.forename: Joy C
authors.initials: JC
authors.lastname: MacDermid
mesh_terms: D000328:Adult; D003657:Decision Making; D055317:Evidence-Based Practice; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D059408:Pain Management; D011594:Psychometrics; D011795:Surveys and Questionnaires; D055815:Young Adult