Original Research|Articles in Press

Promoting Evidence-Based Practice: The Influence of Novel Structural Change to Accelerate Translational Rehabilitation

Published:March 14, 2023DOI:



      To evaluate changes in clinicians’ use of evidence-based practice, openness toward evidence-based practice, and their acceptance of organizational changes after a rehabilitation hospital transitioned to a new facility designed to accelerate clinician-researcher collaborations.


      Three repeated surveys of clinicians before, 7-9 months and 2.5 years after transition to the new facility.


      Inpatient rehabilitation hospital.


      Physicians, nurses, therapists, and other healthcare professionals (410, 442, and 448 respondents at time 1, 2, and 3 respectively).


      Implementation of physical (architecture, design) and team-focused (champions, leaders, incentives) changes in a new model of care to promote clinician-researcher collaborations.

      Main outcome measures

      Adapted versions of the Evidence-Based Practice Questionnaire (EBPQ), the Evidence-Based Practice Attitudes Scale (EBPAS), and the Organizational Change Recipients’ Beliefs Scale (OCRBS) were used. Open-ended survey questions were analyzed through exploratory content analysis.


      Response rates at Times 1, 2, and 3 were 67% (n=410), 69% (n=422), and 71% (n=448), respectively. After accounting for familiarity with the model of care, there was greater reported use of evidence-based practice at Time 3 compared to Time 2 (adjusted meant2=3.51, standard error (SE)=0.05; adj. meant3=3.64, SE=0.05; p=0.043). Attitudes toward evidence-based practices were similar over time. Acceptance of the new model of care was lower at Time 2 compared to Time 1, but rebounded at Time 3 (adjusted meant1=3.44, SE=0.04; adj. meant2=3.19, SE=0.04; p<.0001; adj. meant3=3.51, SE=0.04; p<.0001). Analysis of open-ended responses suggested that clinicians’ optimism for the model of care was greater over time, but continued quality improvement should focus on cultivating communication between clinicians and researchers.


      Accelerating clinician-researcher collaborations in a rehabilitation setting requires sustained effort for successful implementation beyond novel physical changes. Organizations must be responsive to clinicians’ changing concerns to adapt and sustain a collaborative translational medicine model and allow sufficient time, probably years, for such transitions to occur.

      Key words

      List of abbreviations:

      EBP (Evidence-based practice), SRAlab (Shirley Ryan AbilityLab), EBPQ (Evidence-Based Practice Questionnaire), EBPAS (Evidence-Based Practice Attitudes Scale), OCRBS (Organizational Change Recipients’ Beliefs Scale), ANOVA (Analysis of variance), SAS (Statistical Analysis System), Phys (Physicians), AH (Allied health)
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