NCT07449026

Interrater Reliability and Feasibility of the Lasater Clinical Judgment Rubric for Use in Physical Therapy Simulation

Reliability and Feasibility of the Lasater Clinical Judgment Rubric Adapted for Physical Therapy (LCJR-PT) to Evaluate Clinical Judgment During Standardized Simulation Experiences in Doctor of Physical Therapy Students

• Status: Recruiting
• Phase: —
• Study type: Observational
• Enrollment: 40 (estimated)
• Sponsor: Youngstown State University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

This study examines whether physical therapy faculty can reliably and feasibly use the Lasater Clinical Judgment Rubric adapted for physical therapy (LCJR-PT) to score students' clinical judgment during a recorded simulation experience. Multiple trained faculty raters will independently score the same student videos, and the level of agreement between raters will be measured. Faculty will also report how long scoring takes and their perceptions of the rubric's usefulness.

Detailed description

Clinical judgment is a core competency for physical therapists required by the Commission on Accreditation of Physical Therapy Education (CAPTE), yet no validated, reliable tool specifically tested in physical therapy student populations currently exists for simulation-based assessment. The Lasater Clinical Judgment Rubric (LCJR), originally developed for nursing, implementing Tanner's clinical judgment model across four domains: noticing, interpreting, responding, and reflecting. This study adapts the LCJR for physical therapy (LCJR-PT) and examines its interrater reliability and feasibility when used to assess DPT students during a standardized acute care simulation. First and second year DPT students at Youngstown State University will complete a scripted 30-35 minute acute care simulation followed by a brief reflection. Sessions will be video-recorded. Three to five trained faculty raters will independently score each recording using the LCJR-PT. Raters will undergo standardized training including rubric anchor review, practice scoring, and calibration discussion. Primary outcomes are intraclass correlation coefficients (ICC) for total and domain scores. Secondary outcomes include average rater scoring time per student and faculty perceptions of usability and feasibility assessed via questionnaire.

Conditions

• Physical Therapy Education
• Clinical Judgement Assessment
• Simulation-based Learning

Interventions

Type	Name	Description
OTHER	Video Recorded Acute Care Simulation	Participants complete a routine, curriculum-based standardized acute care simulation (30-35 minutes including reflection).
OTHER	Faculty Rating of Acute Care Simulation Video Using the LCJR-PT	Faculty members will assess and rate each student acute care simulation video using the LCJR-PT tool.

Timeline

• Start date: 2026-03-09
• Primary completion: 2026-12-01
• Completion: 2026-12-01
• First posted: 2026-03-04
• Last updated: 2026-03-04

Locations

1 site across 1 country: United States