scholarly journals Predictors of Clinical Reasoning Using the Reasoning 4 Change Instrument With Physical Therapist Students

2019 ◽  
Vol 99 (8) ◽  
pp. 964-976 ◽  
Author(s):  
Maria Elvén ◽  
Jacek Hochwälder ◽  
Elizabeth Dean ◽  
Anne Söderlund

AbstractBackgroundAlthough physical therapist students must be well prepared to integrate biopsychosocial and behavioral perspectives into their clinical reasoning, there is a lack of knowledge regarding factors that influence such competence.ObjectiveThis study explored the associations among the independent variables—knowledge, cognition, metacognition, psychological factors, contextual factors, and curriculum orientation vis-à-vis behavioral medicine competencies—and the dependent variables—outcomes of input from client (IC), functional behavioral analysis (FBA), and strategies for behavior change (SBC) as levels in physical therapist students’ clinical reasoning processes.DesignThis study used an exploratory cross-sectional design.MethodsThe Reasoning 4 Change instrument was completed by 151 final-semester physical therapist students. Hierarchical multiple regression analyses for IC, FBA, and SBC were conducted. In the first step, curriculum orientation was inserted into the model; in the second step, self-rated knowledge, cognition, and metacognition; and in the third step, psychological factors.ResultsAll independent variables except contextual factors explained 37% of the variance in the outcome of IC. Curriculum orientation explained 3%, cognitive and metacognitive factors an additional 22%, and attitudes another 15%. Variance in the outcomes of FBA and SBC were explained by curriculum orientation only (FBA change in R2 = 0.04; SBC change in R2 = 0.05). Higher scores of the dependent variables were associated with a curriculum having behavioral medicine competencies.LimitationsThe limitations of this study are that it was cross-sectional.ConclusionsCognitive and metacognitive capabilities and skills and positive attitudes are important predictors of physical therapist students’ clinical reasoning focused on behavior change at the IC level. Curricula with behavioral medicine competencies are associated with positive outcomes at all clinical reasoning levels.

2013 ◽  
Vol 93 (3) ◽  
pp. 384-392 ◽  
Author(s):  
Magdalena Dąbrowska-Galas ◽  
Ryszard Plinta ◽  
Jolanta Dąbrowska ◽  
Violetta Skrzypulec-Plinta

BackgroundMedical students and other health care professionals have substantial knowledge of the benefits of regular physical activity. Furthermore, as they have an ethical obligation to prescribe suitable exercises, they can influence their patients' attitude toward physical activity and can become role models for their patients. Physical therapists, who are primary care practitioners, have great potential for promoting physical activity; however, their role is still underestimated by patients and health care professionals.ObjectiveThe objectives of this study were to evaluate physical activity level in students of the Medical University of Silesia in Poland and to focus on the role of physical therapist students in promoting physical activity.DesignThis was a cross-sectional study.MethodsThe final analysis included 300 students from the schools of physical therapy, midwifery, nursing, pharmacy, cosmetology, and medicine at the Medical University of Silesia. The short form of the International Physical Activity Questionnaire (IPAQ) was used to evaluate physical activity level.ResultsPhysical therapist students demonstrated the highest level of physical activity, with 46% demonstrating a high level of physical activity, 54% a moderate level of physical activity, and none a low level of physical activity. The largest group of students with a low level of physical activity comprised students from the school of medicine (26%).LimitationsThe number of respondents was relatively small. The main study limitations included its cross-sectional nature and the possibility of self-report biases. Further research is warranted to expand the study nationally and determine which factors influence physical activity.ConclusionsThere was a large group of medical students who, despite being aware of benefits of physical activity, did not meet the recommended level of physical activity. Physical therapist students are well trained and qualified to promote healthy habits and encourage individuals to undertake regular physical activity.


2017 ◽  
Vol 97 (5) ◽  
pp. 499-511 ◽  
Author(s):  
Sarah Gilliland ◽  
Susan Flannery Wainwright

2018 ◽  
Vol 5 (2) ◽  
pp. 35-45
Author(s):  
Sumini Sumini ◽  
Arifatul Rosidah

Taman Posyandu is development of posyandu purnama or independent which give additional service to develop early childhood and bina keluarga balita. Total data of toddler in posyandu pos 3 Cokromenggalan Village has 52 people. At 2016, in posyandu pos 3 Cokromenggalan Village has 22 toddler that followed Taman Posyandu.  Based on study of preliminary studies there are 6 from 10 mother of toddler is lack of knowledge about Taman Posyandu. The purpose of  research is to know The connection knowledge  mother of toddler with interest to the mother of toddler about Taman Posyandu in posyandu pos 3 Cokromenggalan, Cokromenggalan Village, Ponorogo District, Ponorogo Regency. This type of research is quantitative. The research design used Cross Sectional and this research was conducted at Posyandu Pos 3 Cokromenggalan in January 2017. The population is all the mothers of toddler with the number of 52, the number of samples 30, with the technique of Accidental Sampling. Independent variables (knowledge) and dependent variables (interests). Instrument with questionnaire, and Spearman Rank statistical test at 0.05 significance level. Based on research result of knowledge about taman posyandu half of 15 respondents (50%) with less knowledge. Interest in following the taman posyandu almost half of 16 respondents (53.3%) with negative interest. The result of statistic test by using Spearman Rank shows that ρ = 0,000 with correlation coefficient value 0.803, ρ which can be <0.05 so that H0 is rejected which means there is the correlations knowledge of mother toddler with interest to the mother of toddler about taman posyandu  in posyandu post 3 Cokromenggalan,Cokromenggalan village, Ponorogo district,  Ponorogo regency with a level flatness is very strong. The conclusion is that mother have low knowledge about Taman Posyandu can cause the interest mother about Taman Posyandu is low. It is recommended that local health personnel to improve the extension of the importance of the visit to the Taman Posyandu to toddler and useful for enhance mother of knowledge about the importance of monitoring, detecting growth for children, providing health services and stimulation of education early.


2020 ◽  
Vol 4 (1) ◽  
pp. 1-10
Author(s):  
Ade Dita Puteri ◽  
Azimah Mardiatun Nisa

Safety Driving is the basis for further driving training that pays attention to the safety of drivers and passengers. Safety Driving is influenced by human factors such as age, education, length of work, knowledge, vehicle factors such as passenger load capacity, environmental factors in this condition of road and weather. The purpose of this study is to know the factors relating to correlation safety driving of travel driver at PT. Libra Wisata Transport Pekanbaru year 2019. This research is a quantitative study of analytics with a cross-sectional approach. This research was conducted on June 20-25, 2019 with the population in this research is the travel driver of PT. Libra Wisata Transport Pekanbaru, which was 40 people using the Total Sampling technique. independent variables are age, employment, education, length of work, knowledge, and driving completeness, while the dependent variables are the behavior of Safety Driving. The instruments used in data collection are questionnaires. Data analysis is conducted with the analysis of univariate and bivariate with Chi-Square test. The results of the research can be a relationship between age, employment, education, duration of work, knowledge and completeness of driving with the behavior of Safety Driving. It is suggested to the travel to be able to conduct training on Safety Driving to the all of driver, and conduct evaluation on the implementation of Safety Driving training, so that the results of the training can make the driver Act securely In driving. In addition, the driver is expected to always obey the ordinances of the traffic provisions.


2013 ◽  
Vol 93 (3) ◽  
pp. 413-420 ◽  
Author(s):  
Lisa K. Kenyon

Pediatric physical therapist practice presents unique challenges to the clinical reasoning processes of novice clinicians and physical therapist students. The purpose of this article is to present the Hypothesis-Oriented Pediatric Focused Algorithm (HOP-FA), a clinical framework designed to guide the clinical reasoning process in pediatric physical therapist practice. The HOP-FA provides a systematic, stepwise guide to the patient/client management process wherein the therapist is asked to consider various factors and issues that may affect the clinical reasoning process for a particular child and family. The framework provided by the HOP-FA is not built upon a specific therapeutic philosophy and may be useful as a tool in clinical education, in the classroom, and for clinicians who are new to or re-entering pediatric practice.


2010 ◽  
Vol 90 (9) ◽  
pp. 1311-1322 ◽  
Author(s):  
Debra Shirley ◽  
Hidde P. van der Ploeg ◽  
Adrian E. Bauman

Background Physical inactivity is a major risk factor for chronic disease. Primary health care practitioners are well placed to promote a physically active lifestyle. The perceptions and practice of physical therapists on their role in physical activity promotion are not well known. Objective The objective of this study was to determine the knowledge, confidence, role perception, barriers, feasibility, and counseling practice of physical therapists and physical therapist students regarding the promotion of nontreatment physical activity for better health. Design A cross-sectional survey was conducted. Methods In 2008, 321 (54%) of a random sample of all physical therapists registered in New South Wales, Australia, responded to a survey on their knowledge, confidence, role perception, barriers, feasibility, and counseling practice with regard to promoting a physically active lifestyles to their patients. Physical therapist students (n=279) completed the same survey but without the questions on barriers and counseling practice. Results Physical therapists and physical therapist students consider that it is part of their role to give their patients nontreatment physical activity advice. Overall, they reported having adequate knowledge and skills to undertake this role. Incorporating advice into normal consultations is deemed the most feasible form of lifestyle physical activity promotion in physical therapist practice. Limitations The cross-sectional nature of this study makes it difficult to determine cause and effect relationships. Some selection bias may have occurred, as the physical therapists who completed the questionnaires may have been those most interested in physical activity promotion. Conclusions Physical therapist practice appears to be an excellent avenue for promoting a physically active lifestyle and could potentially play an important public health role.


2020 ◽  
Vol 13 (1) ◽  
pp. 97-104
Author(s):  
Rahmad Gunawan ◽  
Heru Rahmadhany ◽  
Iman Dwi Winanto

Objective : The purposeofthis study wastoanalyzetheabilityof TRISS in predictingthe prognosis ofpolytraumapatients in the Haji Adam Malik General Hospital Medan, January 2016 toDecember 2018. Material and Method : This type of research is an analytic study with cross sectional design, which is a study by measuring independent variables and dependent variables at the same time, which aims to analyze the ability of TRISS in predicting the prognosis of patients in Haji Adam Malik General Hospital Medan January 2016 to December 2018. Results : From January 2016 - December 2018, a total 175 polytrauma patients which mostly was adult patient (>18 y.o) observed. Based on sex, referral status and diagnosis, patients with polytrauma dominated in patients with male sex(143 patients), referred patient (68patients) and diagnosed with head injury (29 patients). Conclusion : There is an influence between TRISS Score on the prognosis of polytrauma patients.


2018 ◽  
Vol 3 (3) ◽  
pp. 413-422
Author(s):  
Margaretha Margaretha ◽  
Donant Alananto Iskandar

The purpose of this research is to understand the influence of social, personal, and psychological factors towards purchase decision of JKT48 Theater’s Tickets. Data were collected from 126 fans of JKT48 in DKI Jakarta who have bought tickets three times or more. The result of this research shows that psychological factors significantly influence the purchase decision. Brand love moderates the relationship of all independent variables with the dependent variables. The existence of brand love as a moderating variable will weaken the influence of social factors on purchasing decisions.  The implications of this research can be a reference for the management team in formulating JKT48 Theater’s Tickets sales strategy related to social, personal, and psychological factors. Keywords: social,brand love, purchase decision


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