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Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 38, 2022 - Issue 12
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Research Report

Augmented behavioral medicine competencies in physical therapy students’ clinical reasoning with a targeted curriculum: a final-semester cohort-comparison study

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Pages 2007-2018 | Received 02 Jul 2020, Accepted 23 Jan 2021, Published online: 04 Mar 2021

References

  • Ajjawi R, Smith M. 2010. Clinical reasoning capability: Current understanding and implications for physiotherapy educators. Focus on Health Professional Education 12:60–73.
  • Alexanders J, Anderson A, Henderson S. 2015. Musculoskeletal physiotherapists’ use of psychological interventions: A systematic review of therapists’ perceptions and practice. Physiotherapy 1012:95–102. DOI: 10.1016/j.physio.2014.03.008.
  • Alexanders J, Douglas C. 2016. The role of psychological skills within physiotherapy: A narrative review of the profession and training. Physical Therapy Reviews 213–6:222–227. DOI: 10.1080/10833196.2016.1274352.
  • American Physical Therapy Association 2014 Guide to physical therapist practice 3.0. http://guidetoptpractice.apta.org/
  • Åsenlöf P, Denison E, Lindberg P. 2005. Individually tailored treatment targeting activity, motor behavior, and cognition reduces pain-related disability: A randomized controlled trial in patients with musculoskeletal pain. Journal of Pain 69:588–603. DOI: 10.1016/j.jpain.2005.03.008.
  • Bandura A. 1997. Self-efficacy: The exercise of control. Freeman and Company, New York.
  • Bodner ME, Rhodes RE, Miller WC, Dean E. 2013. Benchmarking curriculum content in entry-level health professional education with special reference to health promotion practice in physical therapy: A multi-institutional international study. Advances in Health Sciences Education 184:645–657. DOI: 10.1007/s10459-012-9404-x.
  • Bordage G, Page G. 2018. The key-features approach to assess clinical decisions: Validity evidence to date. Advances in Health Sciences Education 235:1005–1036. DOI: 10.1007/s10459-018-9830-5.
  • Christensen N, Black L, Furze J, Huhn K, Vendrely A, Wainwright S. 2017. Clinical reasoning: Survey of teaching methods, integration, and assessment in entry-level physical therapist academic education. Physical Therapy 972:175–186. DOI: 10.2522/ptj.20150320.
  • Cruz EB, Moore A, Cross V. 2012. A qualitative study of physiotherapy final year undergraduate students perceptions of clinical reasoning. Manual Therapy 17:549–553.
  • Darlow B, Fullen BM, Dean S, Hurley DA, Baxter GD, Dowell A. 2012. The association between health care professional attitudes and beliefs and the attitudes and beliefs, clinical management, and outcomes of patients with low back pain: A systematic review. European Journal of Pain 161:3–17. DOI: 10.1016/j.ejpain.2011.06.006.
  • De Vries C, Hagenaars L, Kiers H, Schmitt M 2014 The physical therapist – A professional profile. The Royal Dutch Society for Physical Therapy. https://www.kngf.nl/binaries/content/assets/kngf/onbeveiligd/vak-en-kwaliteit/beroepsprofiel/beroepsprofiel-engels.pdf
  • Dean E, Al-Obaidi S, De Andrade AD, Gosselink R, Umerah G, Al-Abdelwahab S, Anthony J, Bhise AR, Bruno S, Butcher S, et al. 2011. The first physical therapy summit on global health: Implications and recommendations for the 21st century. Physiotherapy Theory and Practice 27:531–547.
  • Dean E, De Andrade AD, O’Donoghue G, Skinner M, Umereh G, Beenen P, Cleaver S, Afzalzada D, Delaune MF, Footer C, et al. 2014. The second physical therapy summit on global health: Developing an action plan to promote health in daily practice and reduce the burden of non-communicable diseases. Physiotherapy Theory and Practice 30:261–275. DOI: 10.3109/09593985.2013.856977.
  • Dean E, Greig A, Murphy S, Roots R, Nembhard N, Rankin A, Bainbridge L, Anthony J, Hoens AM, Garland SJ. 2016. Raising the priority of lifestyle-related noncommunicable diseases in physical therapy curricula. Physical Therapy 967:940–948. DOI: 10.2522/ptj.20150141.
  • Dekker J, Amitami M, Berman AH, Brown H, Cleal B, Figueiras MJ, Finney Rutten LJ, Fors EA, Griva K, Gu J, et al. 2020. Definition and characteristics of behavioral medicine, and main tasks and goals of the international society of behavioral medicine - An international Delphi study. International Journal of Behavioral Medicine . Online ahead of print. DOI: 10.1007/s12529-020-09928-y.
  • Driver C, Kean B, Oprescu F, Lovell GP. 2017. Knowledge, behaviors, attitudes and beliefs of physiotherapists towards the use of psychological interventions in physiotherapy practice: A systematic review. Disability and Rehabilitation 3922:2237–2249. DOI: 10.1080/09638288.2016.1223176.
  • Dukhu S, Purcell C, Bulley C. 2018. Person-centred care in the physiotherapeutic management of long-term conditions: A critical review of components, barriers and facilitators. International Practice Development Journal 82:2. DOI: 10.19043/ipdj.82.002.
  • Edwards I, Jones M, Carr J, Braunack-Mayer A, Jensen GM. 2004. Clinical reasoning strategies in physical therapy. Physical Therapy 844:312–330. DOI: 10.1093/ptj/84.4.312.
  • Eland ND, Kvale A, Ostelo R, De Vet HC, Strand LI. 2019. Discriminative validity of the pain attitudes and beliefs scale for physical therapists. Physical Therapy 993:339–353. DOI: 10.1093/ptj/pzy139.
  • Eland ND, Kvale A, Ostelo R, Strand LI. 2017. The pain attitudes and beliefs scale for physiotherapists: Dimensionality and internal consistency of the Norwegian version. Physiotherapy Research International 224:e1670. DOI: 10.1002/pri.1670.
  • Elvén M 2019 Clinical reasoning focused on clients’ behaviour change. Development and evaluation of the reasoning 4 change instrument. Doctoral Dissertation, p 58. Mälardalen University.
  • Elvén M, Hochwälder J, Dean E, Söderlund A. 2015. A clinical reasoning model focused on clients’ behaviour change with reference to physiotherapists: Its multiphase development and validation. Physiotherapy Theory and Practice 314:231–243. DOI: 10.3109/09593985.2014.994250.
  • Elvén M, Hochwälder J, Dean E, Söderlund A. 2018. Development and initial evaluation of an instrument to assess physiotherapists’ clinical reasoning focused on clients’ behavior change. Physiotherapy Theory and Practice 345:367–383. DOI: 10.1080/09593985.2017.1419521.
  • Elvén M, Hochwälder J, Dean E, Söderlund A. 2019. Predictors of clinical reasoning using the Reasoning 4 Change instrument with physical therapist students. Physical Therapy 998:964–976. DOI: 10.1093/ptj/pzz044.
  • Elvén M, Hochwälder J, Hällman O, Dean E, Söderlund A. 2018. Criterion scores, construct validity and reliability of a web-based instrument to assess physiotherapists’ clinical reasoning focused on behaviour change: ’Reasoning 4 Change’. AIMS Public Health 53:235–259. DOI: 10.3934/publichealth.2018.3.235.
  • Eva KW. 2004. What every teacher needs to know about clinical reasoning. Medical Education 391:98–106. DOI: 10.1111/j.1365-2929.2004.01972.x.
  • Field A. 2013. Discovering Statistics Using IBM SPSS Statistics. 4th. Sage, London.
  • Foster NE, Delitto A. 2011. Embedding psychosocial perspectives within clinical management of low back pain: Integration of psychosocially informed management principles into physical therapist practice - Challenges and opportunities. Physical Therapy 915:790–803. DOI: 10.2522/ptj.20100326.
  • Fritz J, Söderbäck M, Söderlund A, Sandborgh M. 2019. The complexity of integrating a behavioural medicine approach into physiotherapy clinical practice. Physiotherapy Theory and Practice 3512:1182–1193. DOI: 10.1080/09593985.2018.1476996.
  • Furze J, Black L, Hoffman J, Barr JB, Cochran TM, Jensen GM. 2015. Exploration of students’ clinical reasoning development in professional physical therapy education. Journal of Physical Therapy Education 293:22–33. DOI: 10.1097/00001416-201529030-00005.
  • Gilliland SJ. 2017. Physical therapist students’ development of diagnostic reasoning: A longitudinal study. Journal of Physical Therapy Education 311:31–48. DOI: 10.1097/00001416-201731010-00007.
  • Gilliland SJ. 2020. A curricular perspective on teaching clinical reasoning in entry-level education. Clinical reasoning and decision-making in physical therapy: Facilitation, assessment, and implementation Musolino GM, Jensen GM. Eds, 91–101. SLACK Incorporated, Thorofare.
  • Gilliland SJ, Wainwright SF. 2017. Patterns of clinical reasoning in physical therapist students. Physical Therapy 975:499–511. DOI: 10.1093/ptj/pzx028.
  • Glanz K, Rimer BK, Viswanath K. 2015. Health Behaviour: Theory, Research and Practice. 5th. Jossey-Bass, San Francisco.
  • Godin G, Bélanger-Gravel A, Eccles M, Grimshaw J. 2008. Healthcare professionals’ intentions and behaviours: A systematic review of studies based on social cognitive theories. Implementation Science 31:36. DOI: 10.1186/1748-5908-3-36.
  • Häger-Ross C, Sundelin G. 2007. Physiotherapy education in Sweden. Physical Therapy Reviews 122:139–144. DOI: 10.1179/108331907X175122.
  • Harden RM. 2001. AMEE Guide No. 21: Curriculum mapping: A tool for transparent and authentic teaching and learning. Medical Teacher 232:123–137. DOI: 10.1080/01421590120036547.
  • Hendrick P, Bond C, Duncan E, Hale L. 2009. Clinical reasoning in musculoskeletal practice: Students’ conceptualizations. Physical Therapy 895:430–442. DOI: 10.2522/ptj.20080150.
  • Higgs J, Jones MA. 2008. Clinical decision making and multiple problem spaces. Clinical reasoning in the health professions, 3rd. Higgs J, Jones MA, Loftus S, Christensen N. Eds, 3–18. Butterworth-Heinemann, Amsterdam.
  • Holdar U, Wallin L, Heiwe S. 2013. Why do we do as we do? Factors influencing clinical reasoning and decision-making among physiotherapists in an acute setting. Physiotherapy Research International 18:220–229. DOI: 10.1002/pri.1551.
  • Holopainen R, Simpson P, Piirainen A, Karppinen J, Schutze R, Smith A, O’Sullivan P, Kent P. 2020. Physiotherapists’ perceptions of learning and implementing a biopsychosocial intervention to treat musculoskeletal pain conditions: A systematic review and metasynthesis of qualitative studies. Pain 161:1150–1168. DOI: 10.1097/j.pain.0000000000001809.
  • Houben RM, Ostelo RW, Vlaeyen JW, Wolters PM, Peters M, Berg SGMS-V. 2005. Stomp-van den Berg SG 2005 Health care providers’ orientations towards common low back pain predict perceived harmfulness of physical activities and recommendations regarding return to normal activity. European Journal of Pain 9:173–183. DOI: 10.1016/j.ejpain.2004.05.002.
  • Jones M, Edwards I, Jensen GM. 2019. Clinical reasoning in physiotherapy. Clinical reasoning in the health professions, 4th. Higgs J, Jensen GM, Loftus S, Christensen N. Eds, 247–260. Elsevier, Edinburgh.
  • Jones M, Jensen G, Edwards I. 2008. Clinical reasoning in physiotherapy. Clinical reasoning in the health professions, 3rd. Higgs J, M A J, Loftus S, Christensen N. Eds, 245–256. Elsevier, Amsterdam.
  • McGlinchey MP, Davenport S. 2015. Exploring the decision-making process in the delivery of physiotherapy in a stroke unit. Disability and Rehabilitation 3714:1277–1284. DOI: 10.3109/09638288.2014.962106.
  • Mutsaers JH, Peters R, Pool-Goudzwaard AL, Koes BW, Verhagen AP. 2012. Psychometric properties of the pain attitudes and beliefs scale for physiotherapists: A systematic review. Manual Therapy 17:213–218. DOI: 10.1016/j.math.2011.12.010.
  • National Physiotherapy Advisory Group 2017 NPAG competency profile for physiotherapists in Canada. https://physiotherapy.ca/essential-competency-profile
  • Norman G. 2005. Research in clinical reasoning: Past history and current trends. Medical Education 394:418–427. DOI: 10.1111/j.1365-2929.2005.02127.x.
  • Norman G, Monteiro SD, Sherbino J, Ilgen JS, Schmidt HG, Mamede S. 2017. The causes of errors in clinical reasoning: Cognitive biases, knowledge deficits, and dual process thinking. Academic Medicine 921:23–30. DOI: 10.1097/ACM.0000000000001421.
  • O’Sullivan PB, Caneiro JP, O’Keeffe M, Smith A, Dankaerts W, Fersum K, O’Sullivan K. 2018. Cognitive functional therapy: An integrated behavioral approach for the targeted management of disabling low back pain. Physical Therapy 985:408–423. DOI: 10.1093/ptj/pzy022.
  • Ostelo RW, Stomp-van Den Berg SGM, Vlaeyen JWS, Wolters PMJC, De Vet HCW. 2003. Stomp-van den Berg SG, Vlaeyen JW, Wolters PM, de Vet HC 2003 Health care provider’s attitudes and beliefs towards chronic low back pain: The development of a questionnaire. Manual Therapy 84:214–222. DOI: 10.1016/S1356-689X(03)00013-4.
  • Overmeer T, Boersma K, Main CJ, Linton SJ. 2009. Do physical therapists change their beliefs, attitudes, knowledge, skills and behaviour after a biopsychosocially orientated university course? Journal of Evaluation in Clinical Practice 154:724–732. DOI: 10.1111/j.1365-2753.2008.01089.x.
  • Physiotherapy Board of Australia and Physiotherapy Board of New Zealand 2015 Physiotherapy practice thresholds in Australia and Aotearoa New Zealand. https://physiocouncil.com.au/wp-content/uploads/2017/10/Physiotherapy-Board-Physiotherapy-practice-thresholds-in-Australia-and-Aotearoa-New-Zealand.pdf
  • Sandborgh M, Dean E, Denison E, Elvén M, Fritz J, Wǻgert Pvh, Moberg J, Overmeer T, Snöljung A, Johansson AC, et al. 2020. Integration of behavioral medicine competencies into physiotherapy curriculum in an exemplary Swedish program: Rationale, process, and review. Physiotherapy Theory and Practice 36:365–377. DOI: 10.1080/09593985.2018.1488192.
  • Simmonds MJ, Derghazarian T, Vlaeyen JW. 2012. Physiotherapists’ knowledge, attitudes, and intolerance of uncertainty influence decision making in low back pain. Clinical Journal of Pain 28:467–474. DOI: 10.1097/AJP.0b013e31825bfe65.
  • Smith M, Higgs J, Ellis E. 2008. Characteristics and processes of physiotherapy clinical decision making: A study of acute care cardiorespiratory physiotherapy. Physiotherapy Research International 13:209–222. DOI: 10.1002/pri.419.
  • Smith MK. 2000. Curriculum Theory and Practice. The Encyclopedia of Pedagogy and Informal Education www.infed.org/biblio/b-curric.htm
  • Solvang PK, Fougner M. 2016. Professional roles in physiotherapy practice: Educating for self-management, relational matching, and coaching for everyday life. Physiotherapy Theory and Practice 32:591–602. DOI: 10.1080/09593985.2016.1228018.
  • Stoikov S, Maxwell L, Butler J, Shardlow K, Gooding M, Kuys S. 2020. The transition from physiotherapy student to new graduate: Are they prepared? Physiotherapy Theory and Practice Online ahead of print. DOI: 10.1080/09593985.2020.1744206.
  • Swedish Council for Higher Education. 1993. The higher education ordinance (1993:100). Ministry of Education and Research, Stockholm. https://www.uhr.se/en/start/laws-and-regulations/Laws-and-regulations/The-Higher-Education-Ordinance/
  • Synnott A, O’Keeffe M, Bunzli S, Dankaerts W, O’Sullivan P, O’Sullivan K. 2015. Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: A systematic review. Journal of Physiotherapy 61:68–76. DOI: 10.1016/j.jphys.2015.02.016.
  • World Confederation for Physical Therapy 2011 Guideline for physical therapist professional entry level education. http://www.wcpt.org/guidelines/entry-level-education
  • World Confederation for Physical Therapy 2015 Policy Statement: Description of Physical Therapy. https://www.wcpt.org/policy/ps-descriptionPT
  • World Health Organization 2001 International Classification of Functioning, Disability, and Health (ICF). http://www.who.int/classifications/icf/en/
  • World Health Organization 2018 WHO Global Coordination Mechanism on the Prevention and Control of Noncommunicable Diseases: Final Report: WHO GCM/NCD Working Group on the Alignment of International Cooperation with National NCD Plans (‎Working Group 3.2, 2016–2017) License: CC BY-NC-SA 3.0 IGO. https://apps.who.int/iris/handle/10665/312273