The availability of increasing amounts of research has led to the development of clinical guidelines to facilitate evidence-based decisions. However, effective implementation must be evaluated. A survey was carried out to evaluate a clinical guideline for osteoporosis, endorsed by the Chartered Society of Physiotherapy (CSP). A stratified proportional sample of 588 relevant National Health Service providers was selected from Strategic Health Authorities/Health Boards throughout the UK. Random samples of 31 independent hospitals and 102 private practitioners were obtained from lists of seven UK-based service providers and the CSP website. One hundred and twenty further surveys were sent through the clinical interest group, AGILE. The survey was developed to investigate awareness and use of the clinical guideline, current implementation strategies and barriers to implementation. Of the clinical sites sampled, 25% responded, giving 243 usable surveys. While guidelines were available in 62% of responding sites, only 35% reported its use - although this was higher in services with a primary osteoporosis caseload (45%). Only 6% reported formal implementation. Barriers to guideline use frequently highlighted a lack of resources and training. Survey responses indicate a lack of guideline use; this should be facilitated through formal implementation strategies, requiring training and resources
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