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Article Abstract
Introduction: This study explored the self-leadership and evidence-based practice (EBP) beliefs among Doctor of Physical Therapy (DPT) students and licensed physical therapists (PTs).
Review Of The Literature: Evidence-based practice offers health care professionals a systematic approach to applying research to improve patient outcomes. Despite positive attitudes toward EBP, PTs often struggle to translate scientific knowledge into clinical practice. While many frameworks emphasize the importance of organizational leadership in EBP, self-leadership, directing oneself toward personal goals, remains underexplored.
Subjects: The study included 860 participants: 158 DPT students, 235 early-career PTs with less than 10 years of clinical experience, and 467 late-career PTs with 10 or more years of experience.
Methods: A cross-sectional online survey explored the relationship and group differences between Revised Self-Leadership Questionnaire scores and Evidence-Based Practice (EBP) Beliefs Scale scores among physical therapists and DPT students. The statistical analysis approaches included Spearman's Rank Correlations, Kruskal-Wallis H tests, and multiple stepwise regressions.
Results: Weak correlations existed between self-leadership and EBP beliefs in DPT students and late-career PTs, while a moderate correlation was observed in early-career PTs. Although self-leadership and EBP beliefs varied between groups, the differences were minor. Intrinsic DPT student and physical therapist characteristics showed minimal predictive value for EBP beliefs, highlighting the continued complexity of understanding EBP beliefs and implementation within the physical therapy profession.
Discussion And Conclusion: A persistent gap exists in understanding the clinician-specific factors influencing EBP beliefs in physical therapy. These findings emphasize the need to identify and cultivate factors positively affecting EBP adoption and self-leadership among physical therapists and students. Future research should look to understand the complex interplay between personal attributes and organizational dynamics to enhance EBP implementation in clinical practice.
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