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Predictors of clinical reasoning focused on clients’ behavior change among physical therapy students
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (Beteendemedicin, hälsa och levnadsvanor)ORCID iD: 0000-0001-5356-916X
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (Beteendemedicin, hälsa och levnadsvanor)ORCID iD: 0000-0002-8865-6818
University of British Columbia, Canada .
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (Beteendemedicin, hälsa och levnadsvanor)ORCID iD: 0000-0002-4537-030X
2018 (English)In: Raisonnement Clinique 2018: Textes del la 4e Conférence Internationale de Montréal sur le Raisonnment Clinique. / [ed] Dyer, Joseph-Omer, 2018Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Although physical therapy students need to be well prepared to integrate strategies to effect health-related behavior change into their clinical reasoning, educators lack knowledge regarding which factors contribute to such competence. This study’s aim was to investigate the degree to which knowledge, cognitive, psychological and contextual factors as well as curriculum orientation influences students’ clinical reasoning focused on behavior change.

151 physical therapy students in the final semester completed the web-based Reasoning 4 Change instrument (1). 61 students attended a physical therapy education program with a behavioral medicine approach. Hierarchical multiple regression analysis was used to investigate the degree to which curriculum orientation, self-rated knowledge, cognition, metacognition, attitudes, self-efficacy and contextual factors influence three outcomes of the clinical reasoning process, i.e., Input from Client, Functional Behavioral Analysis (FBA) and Strategies for Behavior Change (SBC).

37% of the total variance in Input from Client was explained by all variables (p<.001), except contextual factors. Cognitive and metacognitive factors and attitudes were most important. Attending a physical therapy program with a behavioral medicine curriculum orientation was the only variable in the model that explained FBA (adjusted R2=.04;p<.05) and SBC (adjusted R2=.04;p<.01).

Place, publisher, year, edition, pages
2018.
National Category
Health Sciences
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:mdh:diva-41533ISBN: 978-2-89799-017-6 (electronic)OAI: oai:DiVA.org:mdh-41533DiVA, id: diva2:1269972
Conference
4th Montréal International Conference on Clinical Reasoning 2018 Montréal, Canada.
Available from: 2018-12-11 Created: 2018-12-11 Last updated: 2018-12-12Bibliographically approved

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https://www.rcudem.com/uploads/1/1/4/8/114811443/textes_sur_la_4e_conférence_internationale_de_montréal_sur_le_raisonnement_clinique.pdf

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Elvén, MariaHochwälder, JacekSöderlund, Anne

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