Attitudes, perceptions and barriers around evidence-based practice in sports physiotherapy in Kenya

Thomas K Mwololo; Benita Olivier; Wallace M Karuguti; Joseph M Matheri

doi:10.4102/sajp.v77i1.1561

Attitudes, perceptions and barriers around evidence-based practice in sports physiotherapy in Kenya

S Afr J Physiother. 2021 Aug 30;77(1):1561. doi: 10.4102/sajp.v77i1.1561. eCollection 2021.

Authors

Thomas K Mwololo¹, Benita Olivier², Wallace M Karuguti¹, Joseph M Matheri¹

Affiliations

¹ Department of Physiotherapy, School of Medicine, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya.
² Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Abstract

Background: Healthcare practitioners are required to integrate clinical experience with the best research evidence for the benefit of the patient.

Objective: Determine the attitudes, perceptions and barriers regarding evidence-based practice (EBP) in sports physiotherapy in Kenya.

Method: A quantitative crosssectional study was conducted among licensed physiotherapists in the Republic of Kenya through a self-administered questionnaire. Associations between selected sociodemographic characteristics (gender, age, training, experience, specialisation) and attitudes, perceptions and barriers were determined using a Chi-square test.

Results: A 55.9% (n = 391) response rate was recorded. A positive attitude towards EBP was reported by 94.6% (n = 370) of the respondents. The most obvious areas of agreement with attitude-and perception-related statements were that 'EBP is important in that patients can receive the best possible treatment' (95.9%; n = 375), and that it is important that 'evidence-based guidelines related to work exist' (84.6%; n = 331). There were no significant associations between the demographic characteristics (gender p = 0.104 [X ² = 2.638;1]; age p = 0.495 [X ² = 2.393;3]; training p = 0.590 [X ² = 4.644;6]; experience p = 0.980 [X ² = 0.426;4] and specialisation p = 0.649 [X ²= 0.207;1]); and attitudes and perceptions regarding EBP. Insufficient time was highlighted by 57.8% (n = 226) of the respondents as one of the 'most important barriers'.

Conclusion: Although physiotherapists presented with strong positive attitudes towards EBP in sports physiotherapy, barriers were identified which could hinder the implementation of EBP in sports physiotherapy.

Clinical implications: Barriers to applying EBP in sports physiotherapy may lead to inferior quality of care for athletes while addressing these barriers is crucial.

Keywords: Kenya; attitude; evidence-based practice; perceptions, EBP; sports physiotherapy; standards.