title: Self-reported attitudes, skills and use of evidence-based practice among Canadian doctors of chiropractic: a national survey.
abstract: OBJECTIVE
  To identify Canadian chiropractors' attitudes, skills and use of evidence based practice (EBP), as well as their level of awareness of previously published chiropractic clinical practice guidelines (CPGs).
  
  
  METHODS
  7,200 members of the Canadian Chiropractic Association were invited by e-mail to complete an online version of the Evidence Based practice Attitude & utilisation SurvEy (EBASE); a valid and reliable measure of participant attitudes, skills and use of EBP.
  
  
  RESULTS
  Questionnaires were completed by 554 respondents. Most respondents (>75%) held positive attitudes toward EBP. Over half indicated a high level of self-reported skills in EBP, and over 90% expressed an interest in improving these skills. A majority of respondents (65%) reported over half of their practice was based on evidence from clinical research, and only half (52%) agreed that chiropractic CPGs significantly impacted on their practice.
  
  
  CONCLUSIONS
  While most Canadian chiropractors held positive attitudes towards EBP, believed EBP was useful, and were interested in improving their skills in EBP, many did not use research evidence or CPGs to guide clinical decision making. Our findings should be interpreted cautiously due to the low response rate.
authors.affiliation: Assistant Professor, School of Physical and Occupational Therapy, McGill University; Professor, Département Chiropratique, Université du Québec à Trois-Rivières.
authors.forename: André E
authors.initials: AE
authors.lastname: Bussières
authors.affiliation: Associate Professor, Department of Occupational Therapy and Health and Community Systems, University of Pittsburgh.
authors.forename: Lauren
authors.initials: L
authors.lastname: Terhorst
authors.affiliation: Senior Research Fellow, School of Nursing & Midwifery, University of South Australia.
authors.forename: Matthew
authors.initials: M
authors.lastname: Leach
authors.affiliation: Division of Graduate Education and Research, Canadian Memorial Chiropractic College.
authors.forename: Kent
authors.initials: K
authors.lastname: Stuber
authors.affiliation: Associate Professor, Center for Spirituality & Healing, Academic Health Center, University of Minnesota.
authors.forename: Roni
authors.initials: R
authors.lastname: Evans
authors.affiliation: Associate Professor, Department of Physical Therapy and Clinical and Translational Science Institute, University of Pittsburgh.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Schneider
keywords: chiropractic; complementary and alternative medicine; evidence-based practice; survey
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