Clinical reasoning skills of German and Dutch manual therapists: a cross-sectional study

Reflective clinical reasoning (CR) is believed to play a crucial role in achieving an efficient therapy process, supported by evidence-based approaches that improve patient outcomes. The aim of this study was to evaluate the CR process of German manual therapists (MTs) using the CR skills of Dutch M...

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Bibliographic Details
Published in:The Journal of manual & manipulative therapy 2024-09, Vol.32 (5), p.1-539
Main Authors: Veenstra, Myrthe, Klemm, Riccarda, Szikszay, Tibor M, Luedtke, Kerstin, Jung, Andres
Format: Article
Language:English
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Summary:Reflective clinical reasoning (CR) is believed to play a crucial role in achieving an efficient therapy process, supported by evidence-based approaches that improve patient outcomes. The aim of this study was to evaluate the CR process of German manual therapists (MTs) using the CR skills of Dutch MTs as a reference. This cross-sectional study evaluated the CR process and diagnostic ability of German MTs. Dutch MTs served as the reference standard due to their experience with direct access. The CR skills were assessed using the Diagnostic Thinking Inventory (DTI), a questionnaire measuring diagnostic competence. Descriptive and inferential statistics were conducted to compare the groups. Subgroup analyses were performed to analyze the influence of work experience (in years) and the level of education on CR. 396 manual therapists (229 German and 167 Dutch) completed the DTI. Dutch MTs revealed higher DTI sum-scores compared to German MTs (  
ISSN:1066-9817
2042-6186
2042-6186
DOI:10.1080/10669817.2024.2330775