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FOSTERING THE USE OF AN EVIDENCE-BASED APPROACH AND STANDARD

Monitoring results is the final step that determines the impact of an evidencebased
practice (EBP) decision. A variety of health outcomes can be expected to change
following rehabilitation; therefore, outcome measures (OMs) are a major focus of EBP in
rehabilitation. For instance, in patients with hand injuries, physiotherapy (PT) services
focus on enabling patients to improve their functional use of the traumatized hand.
Examining current practice of physiotherapists (PTs) in Saudi Arabia with respect to use
of EBP and OMs can serve as a basis for understanding any identified gaps in knowledge
before the full effect of translation and adoption of new patient self-reported outcomes
(PROs) instruments can be seen in clinical practice. Therefore, this thesis was designed in
two phases, incorporating two papers, to address EBP and PROs and their adoption in the
evolving PT practice in Saudi. The first paper is a survey that aimed to determine the
current self-reported attitudes, skills, and knowledge of PTs in Saudi Arabia toward EBP
and outcome measures, including PROs. The second paper describes the process of crosscultural
Arabic translation and adaptation of the Patient-Rated Wrist and Hand Evaluation
(PRWHE) and reports estimates of the psychometrics properties of the translated
measure. Finally, the thesis addresses overall areas of limitations and includes
suggestions for future refinement and research in order to foster and facilitate EBP
implementation in the cultural context of the evolving physiotherapy profession in the
health systems of Saudi Arabia. / Thesis / Master of Science Rehabilitation Science (MSc)

Identiferoai:union.ndltd.org:mcmaster.ca/oai:macsphere.mcmaster.ca:11375/16557
Date January 2014
CreatorsHasani, Fatmah
ContributorsMacDermid, Joy, Tang, Ada, Kho, Michelle, Health
Source SetsMcMaster University
LanguageEnglish
Detected LanguageEnglish
TypeThesis

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