Trial Review

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Trial registered on ANZCTR


Registration number
ACTRN12619000038190
Ethics application status
Approved
Date submitted
12/11/2018
Date registered
14/01/2019
Date last updated
28/02/2019
Date data sharing statement initially provided
14/01/2019
Type of registration
Prospectively registered

Titles & IDs
Public title
Delivering better value healthcare starts with the evidence: training physiotherapists in South Western Sydney Local Health District to use high-quality clinical research to inform practice
Scientific title
Delivering better value healthcare starts with the evidence: training physiotherapists in South Western Sydney Local Health District to use high-quality clinical research to inform practice
Secondary ID [1] 296282 0
None
Universal Trial Number (UTN)
U1111-1220-9614
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Knowledge and skills in evidence-based practice 309993 0
barriers to evidence-based practice 310737 0
Condition category
Condition code
Public Health 308730 308730 0 0
Health service research

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
The training program will consist of:
1. 9 x 10 minute online educational lectures focussing on the 5 steps in Evidence Based Practice (ask, acquire, appraise, apply and assess). The 9 lectures will be made available to the participants via Vimeo in the PEDRO website
2. 3 x 1.5 hours of practical training sessions at each hospital in SWSLHD. Facilitators of these sessions will consolidate the online educational lectures with case examples and group work activities.
3. Sessional attendance checklists will be used to monitor attendance at each practical session. Website analytics will be used to monitor the number of views of each video. There will be an opportunity for staff who have not viewed the online lectures to watch them on the day prior to the practical session.
Intervention code [1] 312612 0
Treatment: Other
Comparator / control treatment
No control group
Control group
Uncontrolled

Outcomes
Primary outcome [1] 307712 0
Assessing Competency in Evidence-based Medicine scale - total score
Timepoint [1] 307712 0
Single time within 2-4 weeks pre and post training
Secondary outcome [1] 352625 0
Barriers and Facilitators to Using Research in Practice (BARRIERS) scale
This is a composite secondary outcome
Timepoint [1] 352625 0
Single time within 2-4 weeks pre and post training

Eligibility
Key inclusion criteria
1. Physiotherapists who are registered to practice in Australia
2. Employed in public hospitals in South Western Sydney Local Health District, and
3. Have provided informed consent.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
None

Study design
Purpose of the study
Educational / counselling / training
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Nil
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Nil
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Pre-post quantitative design to be implemented over 12 months.
Phase
Not Applicable
Type of endpoint/s
Efficacy
Statistical methods / analysis
Descriptive statistics (mean and standard deviation) will be used to quantify pre- and post-training scores for the total score for the Assessing Competency in Evidence-based Medicine scale and the total scores for the four subscales (Research, Healthcare Provider, Setting, Presentation) of the Barriers and Facilitators to Using Research in Practice (BARRIERS) scale. Frequency of responses to the 15 items in the Assessing Competency in Evidence-based Medicine scale and three open-ended questions (add and score other possible barriers, rank the three greatest barriers, and list factors perceived as facilitators of research utilisation) of the BARRIERS scale will be tabulated.

Recruitment
Recruitment status
Recruiting
Date of first participant enrolment
Anticipated
4/02/2019
Actual
6/02/2019
Date of last participant enrolment
Anticipated
29/03/2019
Actual
Date of last data collection
Anticipated
30/06/2019
Actual
Sample size
Target
60
Accrual to date
33
Final
Recruitment in Australia
Recruitment state(s)
NSW
Recruitment hospital [1] 12115 0
Liverpool Hospital - Liverpool
Recruitment hospital [2] 12116 0
Campbelltown Hospital - Campbelltown
Recruitment hospital [3] 12117 0
Bowral Hospital - Bowral
Recruitment hospital [4] 12118 0
Camden Hospital - Camden
Recruitment hospital [5] 12119 0
Bankstown-Lidcombe Hospital - Bankstown
Recruitment hospital [6] 12120 0
Fairfield Hospital - Prairiewood
Recruitment postcode(s) [1] 24283 0
2170 - Liverpool
Recruitment postcode(s) [2] 24288 0
2176 - Prairiewood
Recruitment postcode(s) [3] 24287 0
2200 - Bankstown
Recruitment postcode(s) [4] 24284 0
2560 - Campbelltown
Recruitment postcode(s) [5] 24286 0
2570 - Camden
Recruitment postcode(s) [6] 24285 0
2576 - Bowral

Funding & Sponsors
Funding source category [1] 300872 0
Government body
Name [1] 300872 0
South West Sydney Research Small Grant Scheme (2018 round)
Country [1] 300872 0
Australia
Primary sponsor type
Individual
Name
Mr David Wong
Address
Physiotherapy Head of Department, Liverpool Hospital
Level 2 Health Services Building, Corner Campbell and Goulbourn St, Liverpool NSW 2170
Country
Australia
Secondary sponsor category [1] 300438 0
None
Name [1] 300438 0
Address [1] 300438 0
Country [1] 300438 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 301649 0
South Western Sydney Local Health District Human Research Ethics Committee
Ethics committee address [1] 301649 0
South Western Sydney Local Health District (SWSLHD)
Locked Bag 7103 Liverpool BC NSW 1871
Ethics committee country [1] 301649 0
Australia
Date submitted for ethics approval [1] 301649 0
27/09/2018
Approval date [1] 301649 0
06/02/2019
Ethics approval number [1] 301649 0
HE18/267

Summary
Brief summary
Utilisation of evidence-based practice is important in delivering the most effective physiotherapy intervention to improve patient outcomes. Clinicians often find the implementation of evidence-based practice challenging due to a lack of time and skills or collegial attitudes to changing practice. Ability in evidence-based practice improves with training, however, published training programs rarely address all five steps involved in evidence-based practice (i.e., asking, acquiring, appraising, applying and assessing). The disproportionate focus on critical appraisal of research programs is likely to limit the impact of training. Also, not well defined in the research literature is how well physiotherapists implement the five steps in evidence-based practice.

Thus, the aims of this research project are to: (1) quantify physiotherapist’s knowledge and skills in evidence-based practice; (2) quantify the barriers to the application of research evidence in the clinical setting; and, (3) pilot test a tailored, multifaceted and integrated evidence-based practice training program for physiotherapists working in hospitals within the South Western Sydney Local Health District.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 87654 0
Mr David Wong
Address 87654 0
Physiotherapy Head of Department, Liverpool Hospital
Level 2 Health Services Building, Corner Campbell and Goulbourn St, Liverpool NSW 2170
Country 87654 0
Australia
Phone 87654 0
+61 2 8738 4710
Fax 87654 0
+61 2 8738 4744
Email 87654 0
david.wong4@health.nsw.gov.au
Contact person for public queries
Name 87655 0
Mr David Wong
Address 87655 0
Physiotherapy Head of Department, Liverpool Hospital
Level 2 Health Services Building, Corner Campbell and Goulbourn St, Liverpool NSW 2170
Country 87655 0
Australia
Phone 87655 0
+61 2 8738 4710
Fax 87655 0
+61 2 8738 4744
Email 87655 0
david.wong4@health.nsw.gov.au
Contact person for scientific queries
Name 87656 0
Mr David Wong
Address 87656 0
Physiotherapy Head of Department, Liverpool Hospital
Level 2 Health Services Building, Corner Campbell and Goulbourn St, Liverpool NSW 2170
Country 87656 0
Australia
Phone 87656 0
+61 2 8738 4710
Fax 87656 0
+61 2 8738 4744
Email 87656 0
david.wong4@health.nsw.gov.au

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
No/undecided IPD sharing reason/comment
Group data will be provided upon request.


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

Documents added manually
Current Study Results
No documents have been uploaded by study researchers.

Update to Study Results
Doc. No.TypeIs Peer Reviewed?DOICitations or Other DetailsAttachment
4103Plain language summaryNo 104 participants completed baseline data and 94 co... [More Details]
4738Study results articleYes Harrison L, Wong D, Traeger AC, Harmer AR, Jenning... [More Details] 376149-(Uploaded-28-10-2021-14-11-49)-Journal results publication.pdf

Documents added automatically
No additional documents have been identified.