Development and initial evaluation of an instrument to assess physiotherapists' clinical reasoning focused on clients' behavior change

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Elvén, Maria,1973-Mälardalens högskola,Hälsa och välfärd,BEME (author)

Development and initial evaluation of an instrument to assess physiotherapists' clinical reasoning focused on clients' behavior change

Article/chapterEnglish2018

Publisher, publication year, extent ...

2018-02-06
Informa UK Limited,2018
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:mdh-42887
https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-42887URI
https://doi.org/10.1080/09593985.2017.1419521DOI

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Language:English
Summary in:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
Behavior change
clinical reasoning
instrument development
physiotherapy
validity

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Hochwälder, JacekMälardalens högskola,Akademin för ekonomi, samhälle och teknik,Hälsa och välfärd(Swepub:mdh)jhr02 (author)
Dean, ElisabethDepartment of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada(Swepub:mdh)edn04 (author)
Söderlund, Anne,1957-Mälardalens högskola,Hälsa och välfärd(Swepub:mdh)asd04 (author)
Mälardalens högskolaHälsa och välfärd (creator_code:org_t)

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In:Physiotherapy Theory and Practice: Informa UK Limited34:5, s. 367-3830959-39851532-5040

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