NCT03149146

Brief Summary

This study aims to improve the Clinical Decision Making (CDM) skills of a group of Myanmar physical therapists by series of educational workshops that will introduce them to and guide them through the decision making process by using the CDM workbook. Participants will be separated into two groups, CDM workshop group and CDM workbook group. There will be three time assessments; one pre-workshop/ workbook and two post-workshop/workbook assessments by using Clinical Decision Making (CDM) assessment worksheet.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
59

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2017

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 13, 2017

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

May 8, 2017

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 11, 2017

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 31, 2017

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 5, 2017

Completed
Last Updated

October 25, 2017

Status Verified

October 1, 2017

Enrollment Period

5 months

First QC Date

May 8, 2017

Last Update Submit

October 24, 2017

Conditions

Keywords

Clinical Decision MakingMyanmar Physical therapistsEducational workshop

Outcome Measures

Primary Outcomes (3)

  • Pre-Intervention Clinical Decision Making (CDM) Assessment

    The CDM worksheet represents the knowledge for four main elements of Clinical Decision Making (CDM) process; Health Condition, Examination, Evaluation and Intervention. These four elements represent the sequence of content which will include in the CDM education workshop. The CDM Assessment Worksheet includes three types of question: two categorical measurement level and one open-ended qualitative type of question.

    Baseline (before intervention)

  • Immediate-post Intervention Clinical Decision Making (CDM) Assessment

    The CDM worksheet represents the knowledge for four main elements of Clinical Decision Making (CDM) process; Health Condition, Examination, Evaluation and Intervention. These four elements represent the sequence of content which will include in the CDM education workshop. The CDM Assessment Worksheet includes three types of question: two categorical measurement level and one open-ended qualitative type of question.

    Immediate post-Intervention

  • One month post-Intervention Clinical Decision Making (CDM) Assessment

    The CDM worksheet represents the knowledge for four main elements of Clinical Decision Making (CDM) process; Health Condition, Examination, Evaluation and Intervention. These four elements represent the sequence of content which will include in the CDM education workshop. The CDM Assessment Worksheet includes three types of question: two categorical measurement level and one open-ended qualitative type of question.

    One-month post-Intervention

Study Arms (2)

Clinical Decision Making (CDM) Workshop

EXPERIMENTAL

Series of CDM educational workshop will be conducted for one group of participants and they will be guided the CDM process through the two clinical practice models; Therapeutic process (TP) and International Classification of Functioning, Disability and Health (ICF).

Other: Clinical Decision Making (CDM) Workshop

Clinical Decision Making Workbook

ACTIVE COMPARATOR

Participants will receive Clinical Decision Making (CDM) workbook which will be used to teach the Clinical Decision Making process in the four days workshop.

Other: Clinical Decision Making (CDM) Workbook

Interventions

Participants will be provided the Clinical Decision Making workbook which will be used as a guideline to practice decision making. A workshop was chosen rather than other methods of presenting the guideline so that participants could receive feedback and guidance from the instructors and from the other participants. Active learning educational environment will be encouraged and the workshop require group and individual participation and also assist the participants in reflection on their decisions.

Clinical Decision Making (CDM) Workshop

Participants are encouraged to read and do exercises which was written in the workbook for a week and they also are asked to recall their recent patient case or use their patient as the example case and answer the questions from the Clinical Decision Making workbook.

Clinical Decision Making Workbook

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Currently practicing physical therapists with at least two years of clinical experiences.
  • Participants have to be available to join all the 4 days of CDM workshop which will be held at the University of Medical Technology (UMT), Yangon, Myanmar.

You may not qualify if:

  • Physical therapists with less than 2 years of clinical experiences.
  • Physical therapists who were not educated in Myanmar.
  • Physical therapists who are not available to join all 4 days of CDM workshop.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Medical Technology

Yangon, Insein, 11011, Burma

Location

Related Publications (2)

  • Wainwright SF, Shepard KF, Harman LB, Stephens J. Factors that influence the clinical decision making of novice and experienced physical therapists. Phys Ther. 2011 Jan;91(1):87-101. doi: 10.2522/ptj.20100161. Epub 2010 Dec 2.

    PMID: 21127167BACKGROUND
  • Wainwright SF, Shepard KF, Harman LB, Stephens J. Novice and experienced physical therapist clinicians: a comparison of how reflection is used to inform the clinical decision-making process. Phys Ther. 2010 Jan;90(1):75-88. doi: 10.2522/ptj.20090077. Epub 2009 Nov 19.

    PMID: 19926680BACKGROUND

Study Officials

  • Phyu H Hlaing, PhD

    Mahidol University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD candidate

Study Record Dates

First Submitted

May 8, 2017

First Posted

May 11, 2017

Study Start

March 13, 2017

Primary Completion

July 31, 2017

Study Completion

October 5, 2017

Last Updated

October 25, 2017

Record last verified: 2017-10

Data Sharing

IPD Sharing
Will share

Locations