Distance Education OnLine Intervention for Evidence Based Practice Literacy

描述（由申请人提供）：我们将测试在线循证实践（EBP）培训计划的有效性，其中包括补充和替代医学提供者，脊椎按摩医生（DC）。抽样将包括在全国征聘的250名区议会议员。dc将被随机分为两组；一组将立即接受在线EBP教育干预，另一组将作为候补组。结果测量将是一个经过验证的EBP调查工具；循证实践态度与利用调查（EBASE）。EBASE有3个分项：1)态度；2)技能，3)使用。EBASE将在基线（0个月）和项目完成后立即（6个月）进行管理。主要结果将是在教育干预前后发生的EBASE“态度”分值（主要结果测量）的变化幅度。次要结果测量包括EBASE“技能”和“使用”分值的变化。我们假设干预组在6个月时的EBP态度分值与等候名单对照组相比有显著更大的变化（组间比较）。我们还假设在干预组中，干预后（6个月）EBASE分值将从基线值提高。等待名单对照组将在6个月时接受相同的教育计划，随后在12个月（干预后6个月）进行组内比较。

DESCRIPTION (provided by applicant): We will test the effectiveness of an online evidence-based practice (EBP) training program with a subset of complementary and alternative medicine providers, doctors of chiropractic (DC). The sample will comprise of 250 DCs recruited nationally. DCs will be randomized into two groups; one group will be immediately exposed to the online EBP education intervention and the other group will serve as a wait-list control. The outcome measure will be a validated EBP survey instrument; the Evidence-Based practice Attitude and utilization Survey (EBASE). The EBASE has 3 sub-scores: 1) Attitude; 2) Skill, and 3) Use. The EBASE will be administered at baseline (0 months) and immediately after completion of the program (6 months). The primary outcome will be the magnitude of change in the EBASE "attitude" sub-score (primary outcome measure) that occurs before/after the educational intervention. Secondary outcome measures include changes in the EBASE "skill" and "use" sub-scores. We hypothesize that the intervention group will demonstrate a significantly greater change in EBP attitude sub- scores compared with the wait-list control group at 6 months (between-group comparison). We also postulate that within the intervention group the post-intervention (6 month) EBASE sub-scores will improve from baseline values. The wait-list control group will be exposed to the same educational program at 6 months, and a within-group comparison will be subsequently performed at 12 months (6 months post-intervention).