Physical Therapy Program, University of Colorado Anschutz Medical Campus, Education 2 South, Mailstop C244, 13121 East 17th Avenue, Aurora, CO 80045 (USA).
Doctor of Physical Therapy Division, Duke University, Durham, North Carolina.
Phys Ther. 2020 Aug 31;100(9):1645-1658. doi: 10.1093/ptj/pzaa056.
Physical therapists are well positioned to meet societal needs and reduce the global burden of noncommunicable diseases through the integration of evidence-based population health, prevention, health promotion, and wellness (PHPW) activities into practice. Little guidance exists regarding the specific PHPW competencies that entry-level clinicians ought to possess. The objective of this study was to establish consensus-based entry-level PHPW competencies for graduates of US-based physical therapist education programs.
In a 3-round modified Delphi study, a panel of experts (N = 37) informed the development of PHPW competencies for physical therapist professional education. The experts, including physical therapists representing diverse practice settings and geographical regions, assessed the relevance and clarity of 34 original competencies. Two criteria were used to establish consensus: a median score of 4 (very relevant) on a 5-point Likert scale, and 80% of participants perceiving the competency as very or extremely relevant.
Twenty-five competencies achieved final consensus in 3 broad domains: preventive services and health promotion (n = 18), foundations of population health (n = 4), and health systems and policy (n = 3).
Adoption of the 25 accepted competencies would promote consistency across physical therapist education programs and help guide physical therapist educators as they seek to integrate PHPW content into professional curricula.
This is the first study to establish consensus-based competencies in the areas of PHPW for physical therapist professional education in the United States. These competencies ought to guide educators who are considering including or expanding PHPW content in their curricula. Development of such competencies is critical as we seek to contribute to the amelioration of chronic disease and transform society to improve the human experience.
物理治疗师通过将基于证据的人群健康、预防、健康促进和健康养生（PHPW）活动整合到实践中，能够很好地满足社会需求并减轻全球非传染性疾病负担。对于入门级临床医生应具备的特定 PHPW 能力，几乎没有指导。本研究的目的是为美国物理治疗教育项目的毕业生建立基于共识的入门级 PHPW 能力。
在三轮修改后的 Delphi 研究中，一组专家（N=37）为物理治疗师专业教育制定了 PHPW 能力。这些专家包括来自不同实践环境和地理区域的物理治疗师，他们评估了 34 项原始能力的相关性和清晰度。使用两个标准来建立共识：5 分制的 4 分（非常相关）的中位数评分，以及 80%的参与者认为该能力非常相关或极其相关。
25 项能力在 3 个广泛领域达成最终共识：预防服务和健康促进（n=18）、人群健康基础（n=4）和卫生系统与政策（n=3）。
采用 25 项被接受的能力将促进全美物理治疗教育项目之间的一致性，并帮助物理治疗教育工作者在将 PHPW 内容纳入专业课程时提供指导。
这是第一项在美国物理治疗专业教育中建立基于共识的 PHPW 能力的研究。这些能力应该指导那些正在考虑在课程中纳入或扩大 PHPW 内容的教育工作者。制定这些能力标准至关重要，因为我们希望为改善慢性病和改变社会以改善人类体验做出贡献。
