Robinson A J, DePalma M T, McCall M
Department of Physical Therapy, School of Health Sciences and Human Performance, Ithaca College, NY 14850, USA.
Phys Ther. 1995 Dec;75(12):1054-64; discussion 1064-6. doi: 10.1093/ptj/75.12.1054.
This study investigated physical therapist assistants' (PTAs) perceptions of the documented roles of PTAs and compared those perceptions with those of physical therapists from a previous study.
A questionnaire that described 79 physical therapy activities was distributed to a sample (n = 400) of PTAs derived from the American Physical Therapy Association membership. The response rate was 56% (n = 225). Respondents indicated whether each activity was included in the documentation describing PTA roles. Discriminant analyses were used to determine whether demographic factors predicted the pattern of responses. In addition, meta-analytic techniques were used to determine whether PTA responses were different from those of physical therapists gathered previously.
The greatest agreement of PTA opinions with published guidelines occurred for treatment implementation activities, and the lowest level of agreement occurred for items designated as administrative activities. Responses of PTAs were different from those of physical therapists on 21 of the 79 activities. The greatest number of these differences occurred for evaluative functions (n = 9). Physical therapist assistants' perceptions of documented PTA roles were generally less consistent with published guidelines than were those of physical therapists.
Physical therapist assistants' perceptions of the roles of the PTA were, for some activities, not consistent with written guidelines. Using the data provided in this study, discussions to revise the documentation of the scope of PTA practice may focus on those activities for which disagreement between PTAs and physical therapists exists and for which opinions differ markedly from published guidelines. [Robinson AJ, DePalma MT, McCall M. Physical therapist assistants' perceptions of the documented roles of the physical therapist assistant.
本研究调查了物理治疗师助理（PTA）对PTA已记录角色的看法，并将这些看法与之前一项研究中物理治疗师的看法进行比较。
向从美国物理治疗协会会员中抽取的400名PTA样本（n = 400）发放了一份描述79项物理治疗活动的问卷。回复率为56%（n = 225）。受访者指出每项活动是否包含在描述PTA角色的记录中。采用判别分析来确定人口统计学因素是否能预测回答模式。此外，还使用了荟萃分析技术来确定PTA的回答是否与之前收集的物理治疗师的回答不同。
PTA的意见与已发表指南在治疗实施活动方面的一致性最高，而在指定为行政活动的项目上一致性最低。在79项活动中的21项上，PTA的回答与物理治疗师的回答不同。其中差异最大的是评估功能（n = 9）。与物理治疗师相比，物理治疗师助理对PTA已记录角色的看法总体上与已发表指南的一致性较低。
对于某些活动，物理治疗师助理对PTA角色的看法与书面指南不一致。利用本研究提供的数据，关于修订PTA实践范围记录的讨论可能集中在PTA与物理治疗师存在分歧且意见明显不同于已发表指南的那些活动上。[罗宾逊AJ，德帕尔马MT，麦考尔M。物理治疗师助理对物理治疗师助理已记录角色的看法。
