Evidence-based practice: what are dietitians' perceptions, attitudes, and knowledge?

J Am Diet Assoc. 2005 Oct;105(10):1574-81. doi: 10.1016/j.jada.2005.07.007.

Abstract

Objective: The objective of this study was to measure dietitians' perceptions, attitudes, and knowledge of evidence-based practice (PAK score), and to determine whether antecedent factors (eg, sociodemographic characteristics, education and training, professional experiences, and employment setting) predicted PAK score.

Design: This cross-sectional, descriptive study used the Dietitian Research Involvement Survey following the Tailored Design Method.

Subjects/setting: This study surveyed 500 randomly selected registered dietitians from seven dietetic practice groups of the American Dietetic Association.

Statistical analyses performed: Bivariate relationships were examined between antecedent factors and PAK score. Multiple linear regression analyses were conducted to test whether these factors predicted PAK score.

Results: Higher PAK scores were associated with registered dietitians who completed more years of education (r=0.28, P<.0005), had taken a research course (r=0.28, P<.0005), frequently read research articles (r=0.41, P<.0005), earned an advanced-level board certification (r=0.18, P=.004), worked full-time (r=0.26, P<.0005), or belonged to professional organizations (r=0.18, P=.003). The strongest predictors for PAK score were "last time read research" (beta=.33, P<.0005), work status (beta=.20, P<.0005), level of education (beta=.19, P=.001), and association memberships (beta=.14, P=.01).

Conclusions: Results indicated that dietitians' ability to incorporate an evidence-based approach is largely determined by their education and training, work experience, and professional association involvement. This study identified a need to integrate concepts and principles of evidence-based practice into dietetics curriculums so that practitioners are able to routinely apply research findings to clinical practice.

MeSH terms

  • Adult
  • Aged
  • Clinical Competence*
  • Cross-Sectional Studies
  • Data Collection
  • Dietetics / standards*
  • Educational Status
  • Employment
  • Evidence-Based Medicine*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Predictive Value of Tests