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Reliability of ‘ACAPN’ Clinical Assessment Tool for Differential Diagnoses of Pathologies in Clinical Physiotherapy

Received: 14 November 2018    Accepted: 19 December 2018    Published: 7 March 2019
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Abstract

The standardization of assessment procedures is to ensure high quality clinical care. Considering variations in clinical training backgrounds of physiotherapists, there may be inconsistency in methods of documentation. The aims of this study were to develop a standard assessment tool and also determine its internal consistency (reliability). The tool was developed using the guidelines of University College London Guide. The tool was divided into 7 sections: sociodemographic data, history, vital signs, physical diagnostic tests, problem lists, differential diagnoses and therapeutic interventions. Ninety-five physiotherapists from purposively selected government hospitals participated in the cross-sectional survey study. They chose the level of agreement for each section of the developed tool on a 5 points likert scale (scored as 1 – 5). The same questionnaire was re-administered to same respondents with test-retest interval of 2 weeks. Cumulative agreement score was computed to have global scores for days 1 and 2. Descriptive Statistics of mean, frequency and percentages were used to summarize the data. Cronbach alpha was used to determine the internal consistency of the assessment tool. Spearman Rho was used to determine the relationship between the agreement scores of the two days. Alpha level was set at P<0.05. The mean age of the respondent was 33.62 ± 10.26 years while years of experience was 10.36 ± 6.22 years. The Cronbach Alpha obtained for the tool was 0.9 while that of individual sections ranged from 0.53 to 0.86. The mean global agreement score for day 1 was 169.44 ± 13.78 and after test-retest, it was 169.20 ± 13.61 (day 2). The result of the Spearman's rho showed that there was significant correlation between global agreement score for days 1 and 2 (r = 0.99, p = 0.001). There was also significant correlation between the age and experience of the respondent (r = 0.77, p = 0.01). In conclusion, the developed assessment tool has internal consistency and it was found to be reliable as a means of documentation for evaluating patients.

Published in International Journal of Clinical and Developmental Anatomy (Volume 4, Issue 2)
DOI 10.11648/j.ijcda.20180402.11
Page(s) 40-53
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Clinical Assessment Tool, Differential Diagnoses, Pathologies, Physiotherapy

References
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    Onigbinde Ayodele Teslim, Awotidebe Taofik Oluwole, Wahaab Oluwaseyi David. (2019). Reliability of ‘ACAPN’ Clinical Assessment Tool for Differential Diagnoses of Pathologies in Clinical Physiotherapy. International Journal of Clinical and Developmental Anatomy, 4(2), 40-53. https://doi.org/10.11648/j.ijcda.20180402.11

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    ACS Style

    Onigbinde Ayodele Teslim; Awotidebe Taofik Oluwole; Wahaab Oluwaseyi David. Reliability of ‘ACAPN’ Clinical Assessment Tool for Differential Diagnoses of Pathologies in Clinical Physiotherapy. Int. J. Clin. Dev. Anat. 2019, 4(2), 40-53. doi: 10.11648/j.ijcda.20180402.11

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    AMA Style

    Onigbinde Ayodele Teslim, Awotidebe Taofik Oluwole, Wahaab Oluwaseyi David. Reliability of ‘ACAPN’ Clinical Assessment Tool for Differential Diagnoses of Pathologies in Clinical Physiotherapy. Int J Clin Dev Anat. 2019;4(2):40-53. doi: 10.11648/j.ijcda.20180402.11

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  • @article{10.11648/j.ijcda.20180402.11,
      author = {Onigbinde Ayodele Teslim and Awotidebe Taofik Oluwole and Wahaab Oluwaseyi David},
      title = {Reliability of ‘ACAPN’ Clinical Assessment Tool for Differential Diagnoses of Pathologies in Clinical Physiotherapy},
      journal = {International Journal of Clinical and Developmental Anatomy},
      volume = {4},
      number = {2},
      pages = {40-53},
      doi = {10.11648/j.ijcda.20180402.11},
      url = {https://doi.org/10.11648/j.ijcda.20180402.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcda.20180402.11},
      abstract = {The standardization of assessment procedures is to ensure high quality clinical care. Considering variations in clinical training backgrounds of physiotherapists, there may be inconsistency in methods of documentation. The aims of this study were to develop a standard assessment tool and also determine its internal consistency (reliability). The tool was developed using the guidelines of University College London Guide. The tool was divided into 7 sections: sociodemographic data, history, vital signs, physical diagnostic tests, problem lists, differential diagnoses and therapeutic interventions. Ninety-five physiotherapists from purposively selected government hospitals participated in the cross-sectional survey study. They chose the level of agreement for each section of the developed tool on a 5 points likert scale (scored as 1 – 5). The same questionnaire was re-administered to same respondents with test-retest interval of 2 weeks. Cumulative agreement score was computed to have global scores for days 1 and 2. Descriptive Statistics of mean, frequency and percentages were used to summarize the data. Cronbach alpha was used to determine the internal consistency of the assessment tool. Spearman Rho was used to determine the relationship between the agreement scores of the two days. Alpha level was set at P<0.05. The mean age of the respondent was 33.62 ± 10.26 years while years of experience was 10.36 ± 6.22 years. The Cronbach Alpha obtained for the tool was 0.9 while that of individual sections ranged from 0.53 to 0.86. The mean global agreement score for day 1 was 169.44 ± 13.78 and after test-retest, it was 169.20 ± 13.61 (day 2). The result of the Spearman's rho showed that there was significant correlation between global agreement score for days 1 and 2 (r = 0.99, p = 0.001). There was also significant correlation between the age and experience of the respondent (r = 0.77, p = 0.01). In conclusion, the developed assessment tool has internal consistency and it was found to be reliable as a means of documentation for evaluating patients.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Reliability of ‘ACAPN’ Clinical Assessment Tool for Differential Diagnoses of Pathologies in Clinical Physiotherapy
    AU  - Onigbinde Ayodele Teslim
    AU  - Awotidebe Taofik Oluwole
    AU  - Wahaab Oluwaseyi David
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    DO  - 10.11648/j.ijcda.20180402.11
    T2  - International Journal of Clinical and Developmental Anatomy
    JF  - International Journal of Clinical and Developmental Anatomy
    JO  - International Journal of Clinical and Developmental Anatomy
    SP  - 40
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    PB  - Science Publishing Group
    SN  - 2469-8008
    UR  - https://doi.org/10.11648/j.ijcda.20180402.11
    AB  - The standardization of assessment procedures is to ensure high quality clinical care. Considering variations in clinical training backgrounds of physiotherapists, there may be inconsistency in methods of documentation. The aims of this study were to develop a standard assessment tool and also determine its internal consistency (reliability). The tool was developed using the guidelines of University College London Guide. The tool was divided into 7 sections: sociodemographic data, history, vital signs, physical diagnostic tests, problem lists, differential diagnoses and therapeutic interventions. Ninety-five physiotherapists from purposively selected government hospitals participated in the cross-sectional survey study. They chose the level of agreement for each section of the developed tool on a 5 points likert scale (scored as 1 – 5). The same questionnaire was re-administered to same respondents with test-retest interval of 2 weeks. Cumulative agreement score was computed to have global scores for days 1 and 2. Descriptive Statistics of mean, frequency and percentages were used to summarize the data. Cronbach alpha was used to determine the internal consistency of the assessment tool. Spearman Rho was used to determine the relationship between the agreement scores of the two days. Alpha level was set at P<0.05. The mean age of the respondent was 33.62 ± 10.26 years while years of experience was 10.36 ± 6.22 years. The Cronbach Alpha obtained for the tool was 0.9 while that of individual sections ranged from 0.53 to 0.86. The mean global agreement score for day 1 was 169.44 ± 13.78 and after test-retest, it was 169.20 ± 13.61 (day 2). The result of the Spearman's rho showed that there was significant correlation between global agreement score for days 1 and 2 (r = 0.99, p = 0.001). There was also significant correlation between the age and experience of the respondent (r = 0.77, p = 0.01). In conclusion, the developed assessment tool has internal consistency and it was found to be reliable as a means of documentation for evaluating patients.
    VL  - 4
    IS  - 2
    ER  - 

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Author Information
  • Institute of Consortium for Advanced Leadership and Academic Training, Association of Clinical and Academic Physiotherapists of Nigeria, Ile - Ife, Nigeria

  • Institute of Consortium for Advanced Leadership and Academic Training, Association of Clinical and Academic Physiotherapists of Nigeria, Ile - Ife, Nigeria

  • Institute of Consortium for Advanced Leadership and Academic Training, Association of Clinical and Academic Physiotherapists of Nigeria, Ile - Ife, Nigeria

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