Development and initial evaluation of an instrument to assess physiotherapists’ clinical reasoning focused on clients’ behavior change.
Background and Aim: A systematically developed and evaluated instrument is needed to support investigations of physiotherapists’ clinical reasoning integrated with the process of clients’ behavior change. This study’s aim was to develop an instrument to assess physiotherapy students’ and physiothera...
| Published in: | Physiotherapy Theory & Practice Vol. 34; no. 5; pp. 367 - 384 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
May2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128103993&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 128103993 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09593985 BCJ jtl: Physiotherapy Theory & Practice issn: 09593985 maglogo: Y pubinfo: dt: May2018 vid: 34 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 128103993 128103993 128103993 10.1080/09593985.2017.1419521 128103993 ppf: 367 ppct: 17 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Development and initial evaluation of an instrument to assess physiotherapists’ clinical reasoning focused on clients’ behavior change. aug: au: Elvén, Maria Hochwälder, Jacek Dean, Elizabeth Söderlund, Anne affil: Division of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden sug: subj: Physical Therapists Behavioral Changes Patients Decision Making, Clinical Evaluation Critical Thinking Evaluation Instrument Construction Human Students, Physical Therapy Behavior Content Validity Interviews Delphi Technique Vignettes Consensus Exploratory Research Interview Guides Purposive Sample Audiorecording Male Female Adult Middle Age Aged Data Analysis Software Summated Rating Scaling Descriptive Statistics Scales Sweden Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background and Aim: A systematically developed and evaluated instrument is needed to support investigations of physiotherapists’ clinical reasoning integrated with the process of clients’ behavior change. This study’s aim was to develop an instrument to assess physiotherapy students’ and physiotherapists’ clinical reasoning focused on clients’ activity-related behavior and behavior change, and initiate its evaluation, including feasibility and content validity.Methods: The study was conducted in three phases: 1) determination of instrument structure and item generation, based on a model, guidelines for assessing clinical reasoning, and existing measures; 2) cognitive interviews with five physiotherapy students to evaluate item understanding and feasibility; and 3) a Delphi process with 18 experts to evaluate content relevance.Results: Phase 1 resulted in an instrument with four domains: Physiotherapist; Input from client; Functional behavioral analysis; and Strategies for behavior change. The instrument consists of case scenarios followed by items in which key features are identified, prioritized, or interpreted. Phase 2 resulted in revisions of problems and approval of feasibility. Phase 3 demonstrated high level of consensus regarding the instrument’s content relevance.Conclusions: This feasible and content-validated instrument shows potential for use in investigations of physiotherapy students’ and physiotherapists’ clinical reasoning, however continued development and testing are needed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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