publication
Publication
Reference
Quality
Categories | Variants | Number | Example indicator |
---|---|---|---|
Bibliometrics | Peer-review publication Publication Quality | 1 1 1 | Number of joint scientific publications Number of research reports published Production of high quality/scientifically sound literature reviews |
Collaboration Activities | Engagement Establishment Experience | 15 6 3 | Number of joint activities with other research organizations Develop research networks within and between institutions Collaborations characterized by trust & commitment and continue after award concludes |
Infrastructure | Suitability Procurement | 4 1 | Facilities and infrastructure are appropriate to research needs and researchers’ capacities Research equipment obtained at home institution |
Knowledge Translation | Dissemination Influence | 9 5 | Number of knowledge exchange events Examples of applying locally developed knowledge in strategy policy and practice |
Recognition | Reputation | 2 | Enhanced reputation & increased appeal of institutions |
Research Funding | Funds Received Allocation Expenditure | 3 1 1 | Obtaining more funding for research & research skill building training at host organisation Budget allocation for specific priority health research areas Proportion of funds spent according to workplans |
RMS | Organisational capacity Research investment Career support Resource access Sustainability Governance | 14 3 10 4 3 12 | Applying data systems for reporting at organizational level Funding to support practitioners & teams to disseminate findings Evidence of matching novice & experienced researchers Access to information technology Level of financial sustainability Growth & development of institution in line with vision & mission |
Skills/knowledge | Application Attainment Transfer | 6 11 2 | Applying new skills in financial management to research projects Strengthening capacities to carry out methodologically sound evaluations in the South Counselling master's and PhD students about appropriate research design and protocols |
Other | Research quality Career advancement Research production Research workforce Research process | 5 1 12 6 4 | Quality of research outputs Evidence of secondment opportunities offered & taken up Range & scale of research projects Levels of skills within workforce & skill mix of the skills across groups Evidence of supporting service user links in research |
Categories | Variants | Number | Example indicator |
---|---|---|---|
Bibliometrics | Publication | 1 | Proportion of TDR grantees' publications with first author [country] institutions |
Collaboration Activities | Engagement Establishment Experience | 4 9 1 | Changing how organizations work together to share/exchange information, research results Partnerships for research dialogue at local, regional & international levels TDR partnerships are perceived as useful & productive |
Knowledge Translation | Dissemination Influence | 2 14 | Media interest in health research Policy decision are influenced by research outputs |
Recognition | Reputation | 1 | Greater Sth-Sth respect between organisations leading to Sth-Sth learning activities |
Research Funding | Allocation Access | 6 3 | Level of funding of research by the Government Local responsive funding access & use |
RMS | National capacity National planning Governance Career support | 18 11 18 1 | Local ownership of research & health research system evaluation Harmonised regional research activities Governance of health research ethics Researcher salary on par or above other countries in region (by gender) |
Skills/knowledge | Transfer | 1 | Secondary benefits to students through training, travel & education made them ‘diffusers’ of new techniques between institutions |
Other | Research production Research workforce Research process Equity Research quality Miscellaneous | 11 5 7 4 1 2 | Generating new knowledge on a research problem at a regional level Evidence of brain drain or not Several institutions using/applying common methodology to conduct research towards common goal Equitable access to knowledge & experience across partnerships Proportion of positive satisfaction response from TDR staff Importance of multidisciplinary research over the past 5 years |
Table 4 presents the percentage of outcome indicators that met each of the four quality measures as well as the percentage that met all four quality indicators by indicator category. As shown, all outcome indicators implied a measurement focus (e.g. received a national grant or time spent on research activities), 21% presented a defined measure (e.g. had at least one publication), 13% presented a defined measure sensitive to change (e.g. number of publications presented in peer reviewed journals) and 5% presented a defined measure, sensitive to change and time bound (e.g. number of competitive grants won per year). Only 1% (6/400) of outcome indicators met all four quality criteria including: 1) Completed research projects written up and submitted to peer reviewed journals within 4 weeks of the course end; 2) Number of competitive grants won per year (independently or as a part of a team); 3) Number and evidence of projects transitioned to and sustained by institutions, organizations or agencies for at least two years; 4) Proportion of females among grantees/contract recipients (over total number and total funding); 5) Proportion of [Tropical Disease Research] grants/contracts awarded to [Disease Endemic Country] (over total number and total funding); and 6) Proportion of [Tropical Disease Research] grants/contracts awarded to low-income countries (over total number and total funding). Indicators pertaining to research funding and bibliometrics scored highest on the quality measures whereas indicators pertaining to research management and support and collaboration activities scored the lowest.
Level | No | Quality measure | All 4 quality measures evident | |||
---|---|---|---|---|---|---|
Implied | Defined | Sensitive to change | Time-Bound | |||
% | % | % | % | % | ||
Bibliometrics | 31 | 100 | 42 | 29 | 6 | 3 |
Collaboration Activities | 53 | 100 | 13 | 9 | 0 | 0 |
Infrastructure | 5 | 100 | 20 | 0 | 0 | 0 |
Knowledge Translation | 39 | 100 | 18 | 18 | 0 | 0 |
Recognition | 11 | 100 | 27 | 18 | 0 | 0 |
Research Funding | 25 | 100 | 56 | 40 | 12 | 12 |
RMS | 97 | 100 | 7 | 7 | 1 | 1 |
Skills/Knowledge | 62 | 100 | 27 | 0 | 21 | 0 |
Other | 77 | 100 | 19 | 19 | 1 | 1 |
The three impact indicators were all systemic-level indicators and were all coded to a ‘health and wellbeing’ theme; two to a sub-category of ‘people’, one to a sub-category of ‘disease’. The three impact indicators were: 1) Contribution to health of populations served; 2) Impact of project on patients' quality of life, including social capital and health gain; and 3) Estimated impact on disease control and prevention. All three met the ‘implied measure’ quality criteria. No indicators met any of the remaining three quality criteria.
This paper sought to inform the development of standardised RCS evaluation metrics through a systematic review of RCS indicators previously described in the published and grey literatures. The review found a spread between individual- (34%), institutional- (38%) and systemic-level (21%) indicators, implying both a need and interest in RCS metrics across all levels of the research system. This is consistent with contemporary RCS frameworks 10 , 19 , although the high proportion of institutional-level indicators is somewhat surprising given the continued predominance of individual-level RCS initiatives and activities such as scholarship provision, individual skills training and research-centred RCS consortia 20 .
Outcome indicators were the most common indicator type identified by the review, accounting for 59.5% (400/669) of the total. However, the large number of outcome indicators were subsequently assigned to a relatively small number of post-coded thematic categories (n=9), suggestive of considerable overlap and duplication among the existing indicator stock. Just under two-thirds of the outcome indicators pertained to four thematic domains (research management and support, skills/knowledge attainment or application, collaboration activities and knowledge translation) suggesting an even narrower focus in practice. It is not possible to determine on the basis of this review whether the relatively narrow focus of the reported indicators is reflective of greater interest in these areas or practical issues pertaining to outcome measurement (e.g. these domains may be inherently easier to measure); however, if standardised indicators in these key focal areas are identified and agreed, then they are likely to hold wide appeal.
The near absence of impact indicators is a finding of significant note, highlighting a lack of long-term evaluation of RCS interventions 8 as well as the inherent complexity in attempting to evaluate a multifaceted, long-term, continuous process subject to a diverse range of influences and assumptions. Theoretical models for evaluating complex interventions have been developed 33 , as have broad guidelines for applied evaluation of complex interventions 34 ; thus, the notion of evaluating ‘impact’ of RCS investment is not beyond the reach of contemporary evaluation science and evaluation frameworks tailored for RCS interventions have been proposed 11 . Attempting to measure RCS impact by classic, linear evaluation methodologies via precise, quantifiable metrics may not be the best path forward. However, the general dearth of any form of RCS impact indicator (as revealed in this review) or robust evaluative investigation 8 , 20 suggests an urgent need for investment in RCS evaluation frameworks and methodologies irrespective of typology.
The quality of retrieved indicators, as assessed by four specified criteria (measure for the stated indicator was implied by indicator description; measure clearly defined; defined measure was sensitive to change; and defined measure was time-bound) was uniformly poor. Only 1% (6/400) of outcome indicators and none of the impact indicators met all four criteria. Quality ratings were highest amongst indicators focused on measuring research funding or bibliometrics and lowest amongst research management and support and collaboration activities. This most likely reflects differences in the relative complexity of attempting to measure capacity gain across these different domain types; however, as ‘research management and support’ and ‘collaboration activity’ indicators were two of the most common outcome indicator types, this finding suggests that the quality of measurement is poorest in the RCS domains of most apparent interest. The quality data further suggest that RCS indicators retrieved by the review were most commonly (by design or otherwise) ‘expressions’ of the types of RCS outcomes that would be worthwhile measuring as opposed to well defined RCS metrics. For example, ‘links between research activities and national priorities’ 19 or ‘ease of access to research undertaken locally’ 22 are areas in which RCS outcome could be assessed, yet precise metrics to do so remain undescribed.
Despite the quality issues, it is possible to draw potential ‘candidate’ outcome indicators for each focal area, and at each research capacity level, from the amalgamated list (see Underlying data ) 18 . These candidate indicators could then be further developed or refined through remote decision-making processes, such as those applied to develop other indicator sets 37 , or through a dedicated conference or workshop as often used to determine health research priorities 38 . The same processes could also be used to identify potential impact indicators and/or additional focal areas and associated indicators for either outcome or impact assessment. Dedicated, inclusive and broad consultation of this type would appear to be an essential next step towards the development of a comprehensive set of standardised, widely applicable RCS outcome and impact indicators given the review findings.
RCS is a broad, multi-disciplinary endeavour without a standardised definition, lexicon or discipline-specific journals 8 . As such, relevant literature may have gone undetected by the search methodology. Similarly, it is quite likely that numerous RCS outcome or impact indicators exist solely in project specific log frames or other forms of project-specific documentation not accessible in the public domain or not readily accessible by conventional literature search methodologies. Furthermore, RCS outcome or impact indicators presented in a language other than English were excluded from review. The review findings, therefore, are unlikely to represent the complete collection of RCS indicators used by programme implementers and/or potentially accessible in the public domain. The quality measurement criteria were limited in scope, not accounting for factors such as relevance or feasibility, and were biased towards quantitative indicators. Qualitative indicators would have scored poorly by default. Nevertheless, the review findings represent the most comprehensive listing of currently available RCS indicators compiled to date (to the best of the authors’ knowledge) and the indicators retrieved are highly likely to be reflective of the range, type and quality of indicators in current use, even if not identified by the search methodology.
Numerous RCS outcome indicators are present in the public and grey literature, although across a relatively limited range. This suggests significant overlap and duplication in currently reported outcome indicators as well as common interest in key focal areas. Very few impact indicators were identified by this review and the quality of all indicators, both outcome and impact, was uniformly poor. Thus, on the basis of this review, it is possible to identify priority focal areas in which outcome and impact indicators could be developed, namely: research management and support, the attainment and application of new skills and knowledge, research collaboration and knowledge transfer. However, good examples of indicators in each of these areas now need to be developed. Priority next steps would be to identify and refine standardised outcome indicators in the focal areas of common interest, drawing on the best candidate indicators among those currently in use, and proposing potential impact indicators for subsequent testing and application.
[version 1; peer review: 4 approved]
This work was funded by the American Thoracic Society.
The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Meriel flint-o'kane.
1 Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
Summary: This paper provides a review and analysis of the quality and suitability of M&E metrics for funding that is allocated to strengthen research capacity in LMIC's. Published and grey literature has been reviewed to identify indicators used to measure the outputs, outcomes and impacts of relevant programmes and the findings have been assessed in terms of content and quality. The authors conclude that the outcome indicators identified were of low quality and impact indicators are almost always missing from RCS MEL frameworks and recommend further work to develop appropriate indicators to measure the outcomes and impacts of research capacity strengthening programmes/activities. Through the review of existing outcome indicators the authors have identified four focal areas against which indicators could be developed.
Is the work clearly and accurately presented and does it cite the current literature?
If applicable, is the statistical analysis and its interpretation appropriate?
Not applicable
Are all the source data underlying the results available to ensure full reproducibility?
Is the study design appropriate and is the work technically sound?
Are the conclusions drawn adequately supported by the results?
Are sufficient details of methods and analysis provided to allow replication by others?
Reviewer Expertise:
Global health, research capacity strengthening, higher education capacity
I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.
1 Global Development Network, New Delhi, Delhi, India
The article is an timely contribution to an urgent question: how do we know if research capacity strengthening is working? The analysis of the problem (a. the lack of a shared reference framework for evaluating research capacity strengthening, which in turn implies that b. the scope for systematic and cumulative learning remains limited) is convincing and valid. The methodology is clearly explained and up to existing standards and expectations for this kind of exercise. The conclusions are straightforward, and the limitations well articulated (the focus on English, and the bias towards quantitative measures being the most important ones.)
A few overall comments for the authors, keeping in mind the 'agenda' the article is trying to support (i.e. developing good examples of RCS indicators), and its potential uptake:
Research capacity building methodologies, political theory, international relations
We confirm that we have read this submission and believe that we have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.
1 Institute of Development Studies, Brighton, UK
The article addresses an issue that is receiving renewed interest in recent years - research capacity strengthening (RCS), and the particular challenge of evaluating outputs, outcomes and impacts of RCS initiatives.
The study undertook a structured review of RCS indicators in the published and grey literature. Key findings included the identification of rather few examples of quality RCS, with emphasis on four focal areas (research management and support, skill and knowledge development, research collaboration and knowledge transfer. The study concludes that there is significant room for development of indicators, and consequently the potential adoption of these to allow a more systematic approach to RCS approaches and to their subsequent evaluation.
The study is clearly presented and has a solid methodology. The validity of the findings rest on the extent to which the systematic review did identify published material that engages in this issue. As the authors note, it is likely that there is a wider body of grey literature in the form of project and program reports that were not located through the search. This suggests that there is need for more published work on this topic (making the paper therefore relevant and useful), and perhaps reinforces a wider view that many RCS efforts are inadequately evaluated (or not evaluated at all). An earlier World Bank Institute report on evaluation of training (Taschereau, 2010 1 ), for example, had highlighted challenges in evaluation of the impact of training and institutional development programs. The study refers briefly to RCS interventions, taking training as an example, but this only related to training which makes up a small percentage of the overall efforts towards RCS.
It would be very interesting to situate this welcome study in the context of broader discussions and debates on RCS, particularly as a contribution to theory and practice at strengthening research capacity at individual, organizational and system levels. The latter of these is the most complex to conceptualise, to implement, and to measure, and is receiving valuable attention from RCS stakeholders such as the Global Development Network (GDN, 2017 2 ) through their Doing Research Program - a growing source of literature for subsequent review.
As the authors of the study note, there is a danger in identifying RCS indicators that are seen as having universal application and attractiveness because they are relatively easy to measure. There is an equal, related danger that, due to relative measurability, a majority of RCS interventions become so streamlined in terms of their approach that they begin to follow recipe or blueprint approaches.
The study is agnostic on different approaches to RCS. Work undertaken by the Think Tank Initiative (TTI) for example (Weyrauch, 2014 3 ) has demonstrated a range of useful RCS approaches, including flexible financial support, accompanied learning supported by trusted advisors/program officers, action learning, training and others. In a final evaluation of the Think Tank Initiative (Christoplos et al. , 2019 4 ), training was viewed as having had the least value amongst several intervention types in terms of RCS outcomes, whilst flexible financial support and accompanied learning processes were viewed as being significantly more effective. It would be interesting to identify indicators of outcomes or even impacts that might relate to different types of RCS interventions which were not included in the publications reviewed by this study.
A key indicator of RCS identified by the TTI evaluation, which interestingly does not appear explicitly in the indicator list of this study, was leadership. As the authors indicate, there are likely to be other valuable indicators not surfaced through this review and this requires more work.
This study offers a very important contribution to a field currently being reinvigorated and is highly welcome. Rather than being valued because it may potentially offer a future blueprint list of indicators, (not least since, as the authors observe, the indicator list generated in this study is partial in comparison to a much wider potential range), its value lies particularly in its potential for contribution to further debate and dialogue on the theory and practice of RCS interventions and their evaluation; this dialogue can in turn be further informed by access to a more diverse set of grey literature and by engagement with stakeholders who have experience and interest in strengthening this work. Hopefully the authors of this study, and other researchers, will continue this important line of work and promote ongoing discussion and debate.
International development, organizational learning and development, research capacity strengthening
1 Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada
Public health research; evaluation
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS
A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.
CDC Approach to Evaluation
Indicators are measureable information used to determine if a program is implementing their program as expected and achieving their outcomes. Not only can indicators help understand what happened or changed, but can also help you to ask further questions about how these changes happened.
The choice of indicators will often inform the rest of the evaluation plan, including evaluation methods, data analysis, and reporting. Strong indicators can be quantitative or qualitative, and are part of the evaluation plan. In evaluation, the indicators should be reviewed and used for program improvement throughout the program’s life cycle.
Indicators can relate to any part of the program and its logic model or program description. Here are three big and most common categories of indicators.
When selecting indicators, programs should keep in mind that some indicators will be more time-consuming and costly than others to collect and analyze. You should consider using existing data sources if possible (e.g., census, existing surveys, surveillance) and if not available then factor in the burden needed to collect each indicator before requiring collection.
Strong indicators are simple, precise, and measurable. In addition, some programs aspire to indicators that are ‘SMART’: Specific, measurable, attainable, relevant, and timely.
E-mail: [email protected]
To receive email updates about this page, enter your email address:
BMC Medical Education volume 24 , Article number: 964 ( 2024 ) Cite this article
Metrics details
Manual therapy is a crucial component in rehabilitation education, yet there is a lack of models for evaluating learning in this area. This study aims to develop a foundational evaluation model for manual therapy learning among rehabilitation students, based on the Delphi method, and to analyze the theoretical basis and practical significance of this model.
An initial framework for evaluating the fundamentals of manual therapy learning was constructed through a literature review and theoretical analysis. Using the Delphi method, consultations were conducted with young experts in the field of rehabilitation from January 2024 to March 2024. Fifteen experts completed three rounds of consultation. Each round involved analysis using Dview software, refining and adjusting indicators based on expert opinions, and finally summarizing all retained indicators using Mindmaster.
The effective response rates for the three rounds of questionnaires were 88%, 100%, and 100%, respectively. Expert familiarity scores were 0.91, 0.95, and 0.95; coefficient of judgment were 0.92, 0.93, and 0.93; authority coefficients were 0.92, 0.94, and 0.94, respectively. Based on three rounds of consultation, the model established includes 3 primary indicators, 10 secondary indicators, 17 tertiary indicators, and 9 quaternary indicators. A total of 24 statistical indicators were finalized, with 8 under the Cognitive Abilities category, 10 under the Practical Skills category, and 6 under the Emotional Competence category.
This study has developed an evaluation model for manual therapy learning among rehabilitation students, based on the Delphi method. The model includes multi-level evaluation indicators covering the key dimensions of Cognitive Abilities, Practical Skills, and Emotional Competence. These indicators provide a preliminary evaluation framework for manual therapy education and a theoretical basis for future research.
Peer Review reports
The term “manual therapy” has traditionally been associated with physical therapists who examine and treat patients who have disorders related to the musculoskeletal system [ 1 ]. In vocational colleges in China, manual therapy techniques are an essential part of the rehabilitation education curriculum, integrating traditional Chinese medicine and modern medical teaching methods. These techniques include methods such as neurological rehabilitation, and the level of proficiency in these skills directly impacts the professional capabilities of students after graduation. In documents related to rehabilitation competency by the World Health Organization [ 2 , 3 , 4 ], it is noted that traditional teaching implicitly links the health needs of the population to the curriculum content. It also introduces competency-based education, which explicitly connects the health needs of the population to the competencies required of learners. The Rehabilitation Competency Framework (RCF) suggests a methodology for developing a rehabilitation education and training program and curriculum that can support competency-based education [ 5 ]. Research indicates that manual therapy education needs reform [ 6 ]. The existing evaluation models for manual therapy learning among rehabilitation students face several challenges: the use of equipment for objective assessments is cumbersome, the aspects of evaluation are not comprehensive, and there is a gap between the data from expert practices and the guidance provided to students. Some existing research has proposed models in specific manual therapy instruction. For example, the “Sequential Partial Task Practice (SPTP) strategy” was introduced in spinal manipulation (SM) teaching [ 7 ], and studies focusing on force-time characteristics [ 8 , 9 ] to summarize manual techniques for subsequent teaching. Some approaches apply specific techniques to specific diseases [ 10 ]. However, in terms of overall talent development, we may still need a more comprehensive and practical model.
Learning rehabilitation therapy techniques involves comprehensive skill development. Although some studies [ 11 , 12 ] have addressed the mechanisms of manual therapy, manual therapy based on mechanical actions should be considered one of the most important skills for rehabilitation therapists to focus on [ 13 ]. Currently, the training of rehabilitation students in vocational colleges primarily relies on course grades, clinical practice, and final-year exams to assess students before they enter society. However, these assessments often fail to meet the evaluation needs of employers, schools, teachers, patients/customers, and the students themselves regarding their rehabilitation capabilities. We lack a model for evaluating students’ manual therapy skills, especially for beginners. Developing a foundational evaluation model that integrates existing courses and clinical practice, in line with the World Health Organization’s Rehabilitation Competency Framework, holds significant practical and instructional value. This study aims to construct a foundational evaluation model for manual therapy learning among vocational school rehabilitation students through expert consultation. We present the following article following the CREDES reporting checklist (available at https://figshare.com/s/2886b42de467d58bd631 ) and the survey was performed according to the Delphi studies criteria [ 14 ].
This study employs the Delphi method for the following reasons [ 5 , 15 , 16 , 17 , 18 ]: Different experts have different emphases in manual therapy evaluation, and we need to collect a wide range of opinions and suggestions; unlike a focus group discussion, the anonymity of the Delphi method can reduce some disturbances in achieving consensus; the Delphi method allows for multiple rounds of consultation, facilitating the optimization of the model and flexible adjustment of issues that arise during consultation; the Delphi method is also used in constructing competency models for rehabilitation and has been maturely applied in closely related fields such as nursing. The research is mainly carried out in three stages: (1) Preparatory phase; (2) Delphi phase; (3) Reach consensus (Fig. 1 ).
The flow chart of the research
We utilized databases from PubMed to search for and collect literature focused on the theme of rehabilitation education. With the MeSH terms related to “manual therapy” and “education” were used in PubMed. We also studied the World Health Organization’s (WHO) guidelines on rehabilitation competencies, gathered score sheets from national rehabilitation skills competitions, and collected training programs for students of rehabilitation therapy technology in vocational colleges in Jiangsu Province. This helped us to identify and organize the indicators that may be involved in the basic manual therapy learning of students.
The selection of experts for the study followed the principle of representativeness, considering factors such as educational qualifications, years of professional experience, and the type of workplace, which included schools, hospitals, and studios. It was ensured that each round included at least 15 experts [ 15 ]. Each round of questionnaires sent to experts is reviewed and tested. An initial list of 20 experts was created, and after a preliminary survey, the consultation list for the first round was determined randomly. The second round was organized based on the feedback and the collection of expert questionnaires from the first round, and the third round was set up following the second round’s feedback and questionnaire collection, continuing until the criteria for concluding the study were met. Inclusion criteria for experts included: (1) having a bachelor’s degree or higher; (2) at least two years of experience in teaching or mentoring; (3) achievements in provincial or national rehabilitation skills competitions or having guided students to such achievements; (4) high level of enthusiasm; and adherence to the principles of informed consent and voluntariness.
The main contents of expert consultation include the experts’ evaluation of the importance of the basic assessment indicators for students’ manual therapy learning, suggestions for building the model, basic information about the experts, and self-evaluations of the “basis for expert judgment” and “familiarity level”. Importance evaluation follows the Likert five-point rating scale, ranging from “very important” to “not important,” with scores assigned from 5 to 1, respectively. Expert Judgment Basis Coefficient (Ca): This includes aspects of work experience, theoretical analysis, understanding of domestic and international peers, and intuitive feelings, scored at three levels: high, medium, and low, with coefficients of 0.4, 0.3, 0.2 (work experience), 0.3, 0.2, 0.1 (theoretical analysis), 0.2, 0.1, 0.1 (understanding of peers), and 0.1, 0.1, 0.1 (intuitive feelings).Expert Familiarity Score (Cs): Rated over five levels: very familiar (1.0), familiar (0.8), moderately familiar (0.5), unfamiliar (0.2), and very unfamiliar (0.0). Expert Authority Coefficient (Cr): Indicates the level of expert authority, represented by the average of the Expert Judgment Basis Coefficient and Expert Familiarity Score. The prediction accuracy increases with the level of expert authority; an Expert Authority Coefficient ≥ 0.70 is considered acceptable, while this study uses an Expert Authority Coefficient > 0.8.
In this study, Excel and Dview software were used to analyze and process the data generated in each round. The degree of agreement among experts was analyzed using the coefficient of concordance and the coefficient of variation. The Kendall’s W coefficient of concordance, calculated through Dview software, is represented by W, which ranges from 0 to 1. A higher W value indicates better agreement among experts, and vice versa. If the P -value corresponding to W is less than 0.05, it can be considered that there is consistency in the experts’ ratings of the indicator system. The coefficient of variation (CV) is the ratio of the mean importance score of a certain indicator to its standard deviation; a smaller CV indicates a higher degree of agreement among experts about this indicator. This paper uses the coefficient of variation (CV) and Kendall’s W (W) to assess the level of agreement among expert opinions. A CV < 0.25 suggests a tendency towards consensus among experts. The concentration of expert opinions is represented by the arithmetic mean and the frequency of maximum scores. The arithmetic mean is the average of the experts’ importance scores for a particular indicator; a higher mean indicates greater importance of the indicator in the system. The frequency of maximum scores is the ratio of the number of experts who gave the highest score to an indicator to the total number of experts who rated that indicator; a higher frequency of maximum scores indicates greater importance of the indicator in the system.
During the indicator selection process, this paper adopts the “threshold method” for selecting indicators. The threshold calculation formulas used are as follows: For maximum score frequency and arithmetic mean, the threshold is calculated as “Threshold = Mean - Standard Deviation.” We will select indicators that score above this threshold. For the coefficient of variation, the threshold is calculated as “Threshold = Mean + Standard Deviation.” We will select indicators that score below this threshold. To ensure that key indicators are not eliminated, we will discard indicators that do not meet all three criteria. For indicators that do not meet one or two criteria, we will modify or discuss selection based on principles of rationality and systematicity. Modifications to the model content are generally confirmed by discussions between two experts. If the two experts cannot reach a consensus, a voting process is introduced for the disputed parts, and consensus is formed through expert voting. The process ends when all consulting experts no longer propose new suggestions for the overall model, and all indicators meet the inclusion criteria.
This study establishes two basic principles before constructing the target model. (1) The comprehensiveness of the model, where the dimensions of the assessment indicators built into the model are relatively comprehensive. (2) The flexibility of using the model, allows for flexible application across different scenarios, techniques, and personnel. Additionally, the model can be continuously supplemented and developed through further research. After consensus is reached, use MindMaster software to draw the final model.
The assignment for technical design, informed consent form, and data report form were approved by the Research Ethical Committee of Yancheng TCM Hospital Affiliated to Nanjing University of Chinese Medicine according to the World Medical Association Declaration of Helsinki Ethical. Approval number: KY230905-02.
In this study, an initial list of 20 experts was drafted. After a preliminary survey of their intentions, one expert who did not respond was excluded, and two with insufficient participation intentions were also excluded. This confirmed a list of 17 experts for the first round of consultation. After the first round, two experts whose authority coefficients were less than 0.8 were excluded, resulting in a final selection of 15 young experts from rehabilitation therapy-related schools, hospitals, and studios in Jiangsu Province (Table 1 ). The average age was 34.1 ± 6.6 years, and the average teaching tenure was 8.8 ± 7.7 years. Among them, one had an undergraduate degree, and 14 had graduate degrees or higher. All completed all three rounds of the survey. The level of expert engagement was indicated by the response rate of the expert consultation form, reflecting their concern for the study. The effective response rates were 88% for the first round, and 100% for the second and third rounds, all well above the 70% considered excellent. The average familiarity of the experts with the rounds was 0.91, 0.95, and 0.95 respectively, and the judgment basis coefficients were 0.92, 0.93, and 0.93. The authority coefficients were 0.92, 0.94, and 0.94 respectively.
The experts’ scoring data was organized in Excel and imported into DView software to calculate Kendall’s coefficient of concordance W, the progressive significance P value, chi-square, mean, coefficient of variation, and the frequency of full marks. The degree of opinion coordination and concentration of expert opinions across three rounds was summarized. The threshold method combined with expert views was applied to refine the model after three rounds of indicator screening. The table (Table 2 ) shows that the experts’ scoring on the indicator system was consistent across all three rounds.
This round still included input from experts number 6 and 9 (Table 1 ). After the first round of consultation, according to the threshold principle (Table 3 ), the arithmetic mean and full score frequency of the primary indicator “Knowledge” in “On-campus” under “Relevant course scores” and “Off-campus” under “Relevant Skills Knowledge” did not meet the threshold. In the primary indicator “Skill”, under “Force” for “Quantitative (Instrument)” the coefficient of variation did not meet the threshold (Table 4 ). These findings suggest that the indicators set under “Knowledge” and “Skill” require significant modification, combined with the feedback from the consolidated advice of the 17 experts. There were 7 suggestions for optimizing the “Knowledge” indicator, 4 suggestions for “Skill”, 6 suggestions for “Emotion,” and 7 suggestions for the overall framework. We have redefined the “Knowledge” category as “Cognition” to broaden its conceptual scope [ 19 ], incorporating the indicator evaluation dimension of “Clinical Reasoning in Rehabilitation“ [ 20 , 21 , 22 ]. For the “Skill” category, we included “Proficiency“ [ 23 , 24 ] and “Subject Evaluation/Effectiveness“ [ 25 ] as indicator evaluation dimensions and divided “Applicability Judgment“ [ 26 , 27 , 28 , 29 ] and “Positioning selection” into four levels of indicators. For the “Emotion” category, we revised the indicators of “Car” and “Respect” to “Conduct and Demeanor” and “Professional Conduct,” dividing “Conduct and Demeanor” into four levels and “Professional Conduct” into three levels [ 30 ]. These recommendations were integrated into the design of the second-round consultation form to further explore the scientific nature of the model.
After the second round of consultation, according to the threshold principle (Table 5 ), the primary indicator “Cognition” under “On-campus” for “Related Course Scores” did not meet the threshold for the arithmetic mean, and the coefficient of variation for “Clinical Practice Site Assessment” under “Off-campus” did not meet the threshold. Additionally, the average and full score frequency for “Related Skills and Knowledge Learning Ability Assessment” under “Off-campus” did not meet the threshold. For the primary indicator “Emotion”, under “Conduct and Demeanor”, the average and full score frequency for “Appearance and Dress” and the coefficient of variation for “Preparation of Materials” did not meet the threshold (Table 6 ). We consolidated the feedback from 15 experts and optimized the model. There were 11 optimization suggestions for the “Cognition” indicator, 3 for “Skill”, and 3 for “Emotion.” Regarding whether the tertiary indicator “Core Courses Scores” should be detailed into “Theoretical scores” and “Practical scores”, 13 experts chose “yes,” one chose “no,” and one was uncertain, thus it was adopted. Concerning whether to divide the tertiary indicators “Communication” and “Conduct and Behavior” into quaternary indicators, 7 experts chose “yes,” 7 chose “no,” and one was uncertain. Considering the actual application scenario and the simplicity of the model, we retained the quaternary indicators for “Communication” and removed the related quaternary indicators for “Conduct and Behavior”. Additionally, in the “Cognition” part of the “Clinical Reasoning in Rehabilitation”, we added “Science Popularization and Patient Education Awareness“ [ 31 , 32 ]; in “Skill”, we added “Palpation identification“ [ 33 , 34 , 35 ]; and in “Emotion” under “Professional Conduct,” we replaced “Respectful and Compassionate Thinking” with “Benevolent Physician Mindset”. After considering the content covered by nouns and the need for translation understanding, we further adjusted some expressions in the whole framework. The primary indicator “Cognitive”, “Skill” and “Emotion” were changed into “Cognitive Abilities”, “Practical Skills” and “Emotional Competence”. The secondary indicators “On-campus” and “Off-campus” are replaced by “Academic Performance” and “External Assessment”, and some other details are adjusted. These recommendations were integrated into the design of the third-round consultation form.
After the third round of consultation, according to the threshold principle (Table 7 ), the average for “Related Course Grades” under “Academic Performance” in the primary indicator “Cognition Abilities” did not meet the threshold, nor did the average and full score frequency for “Science Popularization and Patient Education Awareness” under “Clinical Reasoning in Rehabilitation”. Additionally, the coefficient of variation for “Professional Expression” under “Communication” in “Conduct and Demeanor” within “Emotional Competence” did not meet the threshold (Table 8 ). After expert discussion, it was considered acceptable that these three indicator thresholds were exceptional. The 15 experts did not suggest further modifications to the model’s framework or content of indicators, indicating a stable and ideal concentration of opinions. Consequently, it was decided not to proceed with a fourth round of questionnaire survey.
After the third round of research and investigation, we used Mindmaster software to draw the final model diagram (Fig. 2 ). Ultimately, three primary indicators, ten secondary indicators, seventeen tertiary indicators, and nine quaternary indicators were identified. Six experts evaluated the final model, and all agreed that it is relatively well-developed. Three experts raised concerns about the weighting of indicators, which may be the focus of our next phase of research. Additionally, one expert expressed great anticipation for feedback from the actual teaching application scenarios of this model.
The final model diagram
A key aspect of manual therapy education in rehabilitation lies in understanding the “practice and case” paradigm [ 36 , 37 , 38 ]. Students transition from classroom learning in school to stage-wise assessment of their learning outcomes before entering the professional sphere, where their clinical practice mindset may evolve [ 20 ] but remain consistent in principle throughout. In our model, there is a concept of a “simulated patient”, which involves simulating assessments using standardized patients or cases representing various types of illnesses. This allows beginners to quickly narrow the gap in operational skills compared to experts [ 25 ]. The advancement of teaching philosophies has posed challenges in integrating the biopsychosocial model into manual therapy practices [ 30 ]. Students’ expectations regarding manual skills in physical therapy, along with reflections on the experiences of touch, both receiving and administering, can foster an understanding of the philosophical aspects of science, ethics, and communication [ 19 ]. The COVID-19 pandemic has altered the clinical practice and education of manual therapy globally [ 39 ]. Past classical teaching methods, such as Peyton’s four-step approach to teaching complex spinal manipulation techniques, have been found superior to standard teaching methods, effectively imparting intricate spinal manipulation skills regardless of gender [ 40 ]. Additionally, other methods involving the integration of teaching with clinical practice [ 38 ], interdisciplinary group learning approaches [ 41 ], and utilization of instructional videos instead of live demonstrations [ 42 ] have also been explored. From the initial use of closed-circuit television in massage education [ 43 ], we have progressed to leveraging the internet to learn the operational strategies and steps of exemplary therapists worldwide. This includes practices such as utilizing Computer-Assisted Clinical Case (CACC) SOAP note exercises to assess students’ application of principles and practices in osteopathic therapy [ 44 ] or employing interactive interdisciplinary online teaching tools for biomechanics and physiology instruction [ 45 ]. Establishing an online practice community to support evidence-based physical therapy practices in manual therapy is also pivotal [ 46 ]. Moreover, the integration of real-time feedback tools and teaching aids has significantly enhanced the depth and engagement of learning [ 9 ].
Designing teaching assessments is considered an “art”, and with the enrichment of teaching methods and tools, feedback strategies [ 47 ] in teaching are continuously optimized. The development of rehabilitation professional courses remains a focal point and challenge for educators. Reubenson A and Elkins MR summarize the models of clinical education for Australian physiotherapy students and analyze the current status of entry-level physiotherapy assessments, along with suggesting future directions for physiotherapy education [ 48 ]. Their study underscores the inclusivity of indicator construction in model development, enabling students from different internship sites to evaluate their manual therapy learning progress using the model. Moreover, the model can be utilized for assessment even in non-face-to-face scenarios. Tai J, Ajjawi R, et al.‘s study [ 49 ] summarized the historical development of teaching assessment, highlighting the transition of assessment models from simple knowledge or skill evaluation to more complex “complex appraisal.” This reflects the increased dimensions of educational assessment, the evolution of methods, and the emphasis on quality. From the Delphi outcomes, Sizer et al. identified eight key skill sets essential for proficiency in orthopedic manual therapy (OMT), as distilled through principal component factor analysis: manual joint assessment, fine sensorimotor proficiency, manual patient management, bilateral hand-eye coordination, gross manual characteristics of the upper extremity, gross manual characteristics of the lower extremity, control of self and patient movement, and discriminate touch [ 50 ]. Additionally, Rutledge CM et al.‘s study [ 51 ] focuses on developing remote health capabilities for nursing education and practice. Caliskan SA et al. [ 52 ]. established a consensus on artificial intelligence (AI)-related competencies in medical education curricula. These breakthroughs in teaching assessment concepts and formats that transcend spatial limitations are worth noting for the future. While existing research has established quantitative models for some challenging manual therapy operations, such as teaching and assessment of high-speed, low-amplitude techniques for the spine [ 53 ], a more comprehensive model is needed to assist beginners in manual therapy education.
In 1973, McClelland DC first introduced the concept of competence, emphasizing “Testing for competence rather than for intelligence,” highlighting the importance of distinguishing individual performance levels within specific job contexts [ 54 ]. In 2021, the World Health Organization introduced a competence model for rehabilitation practitioners, defining competence in five dimensions: Practice, Professionalism, Learning and Development, Management and Leadership, and Research. Each dimension outlines specific objectives from the perspectives of Competencies and Activities, with requirements for rehabilitation practitioners varying from basic to advanced levels, encompassing simple to more comprehensive skills, under general principles of talent development [ 2 ]. Our model draws inspiration and insights from the framework and concepts proposed by the World Health Organization, as well as the scoring criteria of the Rehabilitation Skills Competition. When constructing primary indicators, we initially identified three dimensions: knowledge, skills, and emotions. Subsequently, adjustments were made during three rounds of the Delphi method. The content within the three modules can be independently referenced or utilized for novice practitioners to conduct self-assessment or peer evaluation before entering the workplace.
In the Cognitive Abilities module, the model incorporates Academic Performance, External Assessment, and Clinical Reasoning in Rehabilitation. Apart from the conventional Core Course Grades and Related Course Grades from the school curriculum, it also integrates evaluations from students’ internship processes, including Clinical Practice Site Assessment and Related Skills and Knowledge Learning Ability Assessment. To emphasize the significance of professional course learning in school, we further divide Core Course Grades into Theoretical Grades and Practical Grades, aligning with the current pre-clinical internship assessments at our institution. Regarding health education, this model focuses on areas consistent with some related research directions [ 32 , 55 , 56 ]. The model highlights the importance of Clinical Reasoning in Rehabilitation by emphasizing Problem Analysis and Problem Solving in clinical practice, while also addressing the importance of Science Popularization and Patient Education Awareness.
In the Practical Skills module, this model allows for demonstration assessment based on simulated clinical scenarios, where students perform maneuvers on standardized patients, with evaluation conducted by instructors or other experts. During the operation process, we may involve assessment criteria such as Selection of techniques, Palpation Identification, Force Application, Proficiency, and ultimately, Subject Evaluation/Effectiveness. The selection of techniques involves assessing the condition of the subject, determining specific maneuvers, and appropriateness of progression and regression during maneuvers. Additionally, the selection also considers the positioning of both the operator and the subject. In assessing Force Application, besides traditional subjective evaluations, objective assessments can also be facilitated with the aid of instrumentation. Finally, for assessing Proficiency in operation, evaluations can be provided for the Overall Diagnostic and Treatment Process and Overall Operation Status. This serves as a complement to further standardizing the manual therapy process [ 16 , 53 ], as the model can be applied in evaluating the procedures of certain specialized manual techniques.
In the Emotional Competence module, the model is divided into Conduct and Demeanor, and Professional Conduct. We believe that the therapeutic process between therapists and patients inherently involves interpersonal communication, hence focusing on Conduct and Behavior. Therefore, in conjunction with score sheets from national rehabilitation skills competitions, we may introduce more detailed requirements for Fluent Expression, Professional Expression, and Clear and Comprehensive Response. Furthermore, from the perspective of rehabilitation therapists’ professional roles and in alignment with the competence model, we emphasize the importance of Professional Conduct. We consider aspects such as Benevolent Physician Mindset and Scientific Diagnostic and Therapeutic Reasoning to be particularly noteworthy.
The assessment model we designed holds relevance for skills or disciplines involving manual manipulation. Reviewing the literature on Manual Therapy [ 1 , 57 , 58 ] reveals that several terms are used interchangeably, such as Manipulative Therapy [ 59 ], Hands-on Therapy [ 31 ], Massage Therapy [ 24 , 60 ], Manipulative Physiotherapy [ 36 ], the Chiropractic Profession [ 61 ], and Osteopathy [ 62 ]. Threlkeld AJ once stated that manual therapy encompasses a broad range of techniques used to treat neuromusculoskeletal dysfunctions, primarily aiming to relieve pain and enhance joint mobility [ 58 ]. From a professional perspective, practitioners are often referred to as Physical Therapists [ 30 , 59 ], Manual Therapists [ 63 ], Manipulative Physiotherapists [ 33 ], and Massage Therapists [ 24 , 37 , 64 ]. Differences between Chiropractors and Massage Therapists have also been discussed in the literature [ 65 ]. The evolution of specific manual techniques such as Joint Mobilization [ 66 ], Osteopathic Manipulative Treatment (OMT) [ 67 , 68 ], Spinal Manipulation Therapy (SMT) [ 69 , 70 , 71 ], Posterior-to-Anterior (PA) High-Velocity-Low-Amplitude (HVLA) Manipulations [ 72 ], and Cervical Spine Manipulation [ 73 ] has provided more precise guidance for addressing common diseases and disorders. Furthermore, researchers have highlighted that the development of motor skills is an essential component of clinical training across various health disciplines including surgery, dentistry, obstetrics, chiropractic, osteopathy, and physical therapy [ 47 ]. In current rehabilitation education, manual therapy is a crucial component of physical therapy. We categorize physical therapy into physiotherapy and physical therapy exercises. Physiotherapy typically requires the use of special devices to perform interventions involving sound, light, electricity, heat, and magnetism. On the other hand, physical therapy exercises are generally performed manually, with some techniques occasionally requiring the use of simple assistive tools. As researchers have suggested with the concept of motor skills [ 47 ], our physical therapy exercises in teaching may not only be beneficial for a single discipline but could also enhance all disciplines that require “hands-on“ [ 31 ] or “human touch“ [ 13 ] operations.
In the prospects of manual therapy education, the comprehensive neurophysiological model has revealed that manual therapy produces effects through multiple mechanisms [ 11 , 12 ]. Studies have indicated [ 12 , 74 ] that the correlation between manual assessments and clinical outcomes, mechanical measurements, and magnetic resonance imaging is poor. As measurement methodologies enrich, our teaching assessment methods will also continuously evolve. Moreover, the close connection of manual therapy with related disciplines such as anatomy and physiology [ 75 , 76 , 77 ] provides physical therapists with a comprehensive biomedical background, enhancing their clinical capabilities and multidisciplinary collaboration skills [ 13 ]. Secondly, the development of educational resources should emphasize the integration of practice and theory. Drawing on the educational content packaging model of dispatcher-assisted cardiopulmonary resuscitation (DA-CPR) [ 78 ], combining e-learning with practical training, and computer-related teaching models will enrich offline teaching [ 74 ], providing students with a comprehensive learning experience. This model not only increases flexibility and accessibility but also optimizes learning outcomes through continuous performance assessment. Finally, with the development of artificial intelligence and advanced simulation technologies [ 79 ], future manual therapy education could simulate complex human biomechanics and neurocentral processes, providing deeper and more intuitive learning tools. This will further enhance educational quality and lay a solid foundation for the lifelong learning and career development of physical therapy professionals.
The panel of experts consulted in this study is relatively concentrated among middle-aged and young professionals and exhibits noticeable regional characteristics. Consequently, the conclusions drawn may exhibit certain regional specificities. Moreover, during the translation process of professional terminology, some terms in the Chinese consultation form were uniform; however, modifications were made to ensure comprehension in the English context.
This study comprehensively utilized theoretical research, literature analysis, and the Delphi expert consultation method. The selected experts are highly authoritative, and there was a good level of activity across three rounds of consultations, with well-coordinated expert opinions. The model includes multi-level evaluation indicators covering the key dimensions of Cognitive Abilities, Practical Skills, and Emotional Competence. This research systematically and preliminarily constructed an evaluation system for foundational manual therapy learning in rehabilitation students.
The datasets generated and/or analysed during the current study are available in the “figshare” repository, available at https://figshare.com/s/2886b42de467d58bd631 .
Riddle DL. Measurement of accessory motion: critical issues and related concepts. Phys Ther. 1992;72(12):865–74.
Article Google Scholar
World Health Organization. Rehabilitation Competency Framework [M]. https://www.who.int/publications/i/item/9789240008281
World Health Organization. Adapting the WHO rehabilitation competency framework to a specific context [M]. https://www.who.int/publications/i/item/9789240015333 .
World Health Organization. Using a contextualized competency framework to develop rehabilitation programmes and their curricula [M]. https://www.who.int/publications/i/item/9789240016576 .
Li Y, Zheng D, Ma L, Luo Z, Wang X. Competency-based construction of a comprehensive curriculum system for undergraduate nursing majors in China: an in-depth interview and modified Delphi study. Ann Palliat Med. 2022;11(5):1786–98.
Kolb WH, McDevitt AW, Young J, Shamus E. The evolution of manual therapy education: what are we waiting for? J Man Manip Ther. 2020;28(1):1–3.
Wise CH, Schenk RJ, Lattanzi JB. A model for teaching and learning spinal thrust manipulation and its effect on participant confidence in technique performance. J Man Manip Ther. 2016;24(3):141–50.
Gorrell LM, Nyiro L, Pasquier M, Page I, Heneghan NR, Schweinhardt P, Descarreaux M. Spinal manipulation characteristics: a scoping literature review of force-time characteristics. Chiropr Man Th. 2023;31(1):36.
Gonzalez-Sanchez M, Ruiz-Munoz M, Avila-Bolivar AB, Cuesta-Vargas AI. Kinematic real-time feedback is more effective than traditional teaching method in learning ankle joint mobilisation: a randomised controlled trial. BMC Med Educ. 2016;16(1):261.
Maicki T, Bilski J, Szczygiel E, Trabka R. PNF and manual therapy treatment results of patients with cervical spine osteoarthritis. J Back Musculoskelet Rehabil. 2017;30(5):1095–101.
Bialosky JE, Bishop MD, Price DD, Robinson ME, George SZ. The mechanisms of manual therapy in the treatment of musculoskeletal pain: a comprehensive model. Man Ther. 2009;14(5):531–8.
Bialosky JE, Beneciuk JM, Bishop MD, Coronado RA, Penza CW, Simon CB, George SZ. Unraveling the mechanisms of manual therapy: modeling an approach. J Orthop Sports Phys Ther. 2018;48(1):8–18.
Geri T, Viceconti A, Minacci M, Testa M, Rossettini G. Manual therapy: exploiting the role of human touch. Musculoskelet Sci Pract. 2019;44:102044.
Junger S, Payne SA, Brine J, Radbruch L, Brearley SG. Guidance on conducting and reporting Delphi studies (CREDES) in palliative care: recommendations based on a methodological systematic review. Palliat Med. 2017;31(8):684–706.
de Villiers MR, de Villiers PJ, Kent AP. The Delphi technique in health sciences education research. Med Teach. 2005;27(7):639–43.
O’Donnell M, Smith JA, Abzug A, Kulig K. How should we teach lumbar manipulation? A consensus study. Man Ther. 2016;25:1–10.
Rushton A, Moore A. International identification of research priorities for postgraduate theses in musculoskeletal physiotherapy using a modified Delphi technique. Man Ther. 2010;15(2):142–8.
Keter D, Griswold D, Learman K, Cook C. Priorities in updating training paradigms in orthopedic manual therapy: an international Delphi study. J Educ Eval Health Prof. 2023;20:4.
Perry J, Green A, Harrison K. The impact of masters education in manual and manipulative therapy and the ‘knowledge acquisition model.’ Man Ther. 2011;16(3):285–90.
Constantine M, Carpenter C. Bringing masters’ level skills to the clinical setting: what is the experience like for graduates of the master of science in manual therapy programme? Physiother Theory Pract. 2012;28(8):595–603.
Cruz EB, Moore AP, Cross V. A qualitative study of physiotherapy final year undergraduate students’ perceptions of clinical reasoning. Man Ther. 2012;17(6):549–53.
Yamamoto K, Condotta L, Haldane C, Jaffrani S, Johnstone V, Jachyra P, Gibson BE, Yeung E. Exploring the teaching and learning of clinical reasoning, risks, and benefits of cervical spine manipulation. Physiother Theory Pract. 2018;34(2):91–100.
Przekop PR Jr, Tulgan H, Przekop A, DeMarco WJ, Campbell N, Kisiel S. Implementation of an osteopathic manipulative medicine clinic at an allopathic teaching hospital: a research-based experience. J Am Osteopath Assoc. 2003;103(11):543–9.
Google Scholar
Donoyama N, Shibasaki M. Differences in practitioners’ proficiency affect the effectiveness of massage therapy on physical and psychological states. J Bodyw Mov Ther. 2010;14(3):239–44.
Whitman JM, Fritz JM, Childs JD. The influence of experience and specialty certifications on clinical outcomes for patients with low back pain treated within a standardized physical therapy management program. J Orthop Sports Phys Ther. 2004;34(11):662–72 discussion 672 – 665.
Thomson OP, Petty NJ, Moore AP. Clinical decision-making and therapeutic approaches in osteopathy - a qualitative grounded theory study. Man Ther. 2014;19(1):44–51.
Hansen BE, Simonsen T, Leboeuf-Yde C. Motion palpation of the lumbar spine–a problem with the test or the tester? J Manipulative Physiol Ther. 2006;29(3):208–12.
Pool J, Cagnie B, Pool-Goudzwaard A. Risks in teaching manipulation techniques in master programmes. Man Ther. 2016;25:e1-4.
Goncalves G, Demortier M, Leboeuf-Yde C, Wedderkopp N. Chiropractic conservatism and the ability to determine contra-indications, non-indications, and indications to chiropractic care: a cross-sectional survey of chiropractic students. Chiropr Man Th. 2019;27:3.
Jones M, Edwards I, Gifford L. Conceptual models for implementing biopsychosocial theory in clinical practice. Man Ther. 2002;7(1):2–9.
Pesco MS, Chosa E, Tajima N. Comparative study of hands-on therapy with active exercises vs education with active exercises for the management of upper back pain. J Manipulative Physiol Ther. 2006;29(3):228–35.
Eilayyan O, Thomas A, Halle MC, Ahmed S, Tibbles AC, Jacobs C, Mior S, Davis C, Evans R, Schneider MJ, et al. Promoting the use of self-management in novice chiropractors treating individuals with spine pain: the design of a theory-based knowledge translation intervention. BMC Musculoskelet Disord. 2018;19(1):328.
Downey BJ, Taylor NF, Niere KR. Manipulative physiotherapists can reliably palpate nominated lumbar spinal levels. Man Ther. 1999;4(3):151–6.
Harlick JC, Milosavljevic S, Milburn PD. Palpation identification of spinous processes in the lumbar spine. Man Ther. 2007;12(1):56–62.
Phillips DR, Barnard S, Mullee MA, Hurley MV. Simple anatomical information improves the accuracy of locating specific spinous processes during manual examination of the low back. Man Ther. 2009;14(3):346–50.
Rushton A, Lindsay G. Defining the construct of masters level clinical practice in manipulative physiotherapy. Man Ther. 2010;15(1):93–9.
Sherman KJ, Cherkin DC, Kahn J, Erro J, Hrbek A, Deyo RA, Eisenberg DM. A survey of training and practice patterns of massage therapists in two US states. BMC Complement Altern Med. 2005;5: 13.
Flynn TW, Wainner RS, Fritz JM. Spinal manipulation in physical therapist professional degree education: a model for teaching and integration into clinical practice. J Orthop Sports Phys Ther. 2006;36(8):577–87.
MacDonald CW, Lonnemann E, Petersen SM, Rivett DA, Osmotherly PG, Brismee JM. COVID 19 and manual therapy: international lessons and perspectives on current and future clinical practice and education. J Man Manip Ther. 2020;28(3):134–45.
Gradl-Dietsch G, Lubke C, Horst K, Simon M, Modabber A, Sonmez TT, Munker R, Nebelung S, Knobe M. Peyton’s four-step approach for teaching complex spinal manipulation techniques - a prospective randomized trial. BMC Med Educ. 2016;16(1):284.
Schuit D, Diers D, Vendrely A. Interdisciplinary group learning in a kinesiology course: a novel approach. J Allied Health. 2013;42(4):e91-96.
Seals R, Gustowski SM, Kominski C, Li F. Does replacing live demonstration with instructional videos improve student satisfaction and osteopathic manipulative treatment examination performance? J Am Osteopath Assoc. 2016;116(11):726–34.
Norkin CC, Chiswell J. Use of closed-circuit television in teaching massage. Phys Ther. 1975;55(1):41–2.
Chamberlain NR, Yates HA. Use of a computer-assisted clinical case (CACC) SOAP note exercise to assess students’ application of osteopathic principles and practice. J Am Osteopath Assoc. 2000;100(7):437–40.
Martay JLB, Martay H, Carpes FP. BodyWorks: interactive interdisciplinary online teaching tools for biomechanics and physiology teaching. Adv Physiol Educ. 2021;45(4):715–9.
Evans C, Yeung E, Markoulakis R, Guilcher S. An online community of practice to support evidence-based physiotherapy practice in manual therapy. J Contin Educ Health Prof. 2014;34(4):215–23.
Triano JJ, Descarreaux M, Dugas C. Biomechanics–review of approaches for performance training in spinal manipulation. J Electromyogr Kinesiol. 2012;22(5):732–9.
Reubenson A, Elkins MR. Clinical education of physiotherapy students. J Physiother. 2022;68(3):153–5.
Tai J, Ajjawi R, Boud D, Dawson P, Panadero E. Developing evaluative judgement: enabling students to make decisions about the quality of work. High Educ. 2017;76(3):467–81.
Sizer PS Jr, Felstehausen V, Sawyer S, Dornier L, Matthews P, Cook C. Eight critical skill sets required for manual therapy competency: a Delphi study and factor analysis of physical therapy educators of manual therapy. J Allied Health. 2007;36(1):30–40.
Rutledge CM, O’Rourke J, Mason AM, Chike-Harris K, Behnke L, Melhado L, Downes L, Gustin T. Telehealth competencies for nursing education and practice: the four P’s of telehealth. Nurse Educ. 2021;46(5):300–5.
Caliskan SA, Demir K, Karaca O. Artificial intelligence in medical education curriculum: an e-Delphi study for competencies. PLoS ONE. 2022;17(7):e0271872.
Channell MK. Teaching and assessment of high-velocity, low-amplitude techniques for the spine in predoctoral medical education. J Am Osteopath Assoc. 2016;116(9):610–8.
McClelland DC. Testing for competence rather than for intelligence. Am Psychol. 1973;28(1):1–14.
Blickenstaff C, Pearson N. Reconciling movement and exercise with pain neuroscience education: a case for consistent education. Physiother Theory Pract. 2016;32(5):396–407.
Marcano-Fernandez FA, Fillat-Goma F, Balaguer-Castro M, Rafols-Perramon O, Serrano-Sanz J, Torner P. Can patients learn how to reduce their shoulder dislocation? A one-year follow-up of the randomized clinical trial between the boss-holzach-matter self-assisted technique and the spaso method. Acta Orthop Traumatol Turc. 2020;54(5):516–8.
Farrell JP, Jensen GM. Manual therapy: a critical assessment of role in the profession of physical therapy. Phys Ther. 1992;72(12):843–52.
Threlkeld AJ. The effects of manual therapy on connective tissue. Phys Ther. 1992;72(12):893–902.
Stephens EB. Manipulative therapy in physical therapy curricula. Phys Ther. 1973;53(1):40–50.
Kania-Richmond A, Menard MB, Barberree B, Mohring M. Dancing on the edge of research - what is needed to build and sustain research capacity within the massage therapy profession? A formative evaluation. J Bodyw Mov Ther. 2017;21(2):274–83.
Beliveau PJH, Wong JJ, Sutton DA, Simon NB, Bussieres AE, Mior SA, French SD. The chiropractic profession: a scoping review of utilization rates, reasons for seeking care, patient profiles, and care provided. Chiropr Man Th. 2017;25:35.
Requena-Garcia J, Garcia-Nieto E, Varillas-Delgado D. Objectivation of an educational model in cranial osteopathy based on experience. Med (Kaunas). 2021;57(3):246.
Twomey LT. A rationale for the treatment of back pain and joint pain by manual therapy. Phys Ther. 1992;72(12):885–92.
Violato C, Salami L, Muiznieks S. Certification examinations for massage therapists: a psychometric analysis. J Manipulative Physiol Ther. 2002;25(2):111–5.
Suter E, Vanderheyden LC, Trojan LS, Verhoef MJ, Armitage GD. How important is research-based practice to chiropractors and massage therapists? J Manipulative Physiol Ther. 2007;30(2):109–15.
Petersen EJ, Thurmond SM, Buchanan SI, Chun DH, Richey AM, Nealon LP. The effect of real-time feedback on learning lumbar spine joint mobilization by entry-level doctor of physical therapy students: a randomized, controlled, crossover trial. J Man Manip Ther. 2020;28(4):201–11.
Johnson SM, Kurtz ME. Diminished use of osteopathic manipulative treatment and its impact on the uniqueness of the osteopathic profession. Acad Med. 2001;76(8):821–8.
Baker HH, Linsenmeyer M, Ridpath LC, Bauer LJ, Foster RW. Osteopathic medical students entering family medicine and attitudes regarding osteopathic manipulative treatment: preliminary findings of differences by sex. J Am Osteopath Assoc. 2017;117(6):387–92.
Rogers CM, Triano JJ. Biomechanical measure validation for spinal manipulation in clinical settings. J Manipulative Physiol Ther. 2003;26(9):539–48.
Triano JJ, Rogers CM, Combs S, Potts D, Sorrels K. Developing skilled performance of lumbar spine manipulation. J Manipulative Physiol Ther. 2002;25(6):353–61.
Pasquier M, Cheron C, Barbier G, Dugas C, Lardon A, Descarreaux M. Learning spinal manipulation: objective and subjective assessment of performance. J Manipulative Physiol Ther. 2020;43(3):189–96.
Starmer DJ, Guist BP, Tuff TR, Warren SC, Williams MG. Changes in manipulative peak force modulation and time to peak thrust among first-year chiropractic students following a 12-week detraining period. J Manipulative Physiol Ther. 2016;39(4):311–7.
Van Geyt B, Dugailly PA, De Page L, Feipel V. Relationship between subjective experience of individuals, practitioner seniority, cavitation occurrence, and 3-dimensional kinematics during cervical spine manipulation. J Manipulative Physiol Ther. 2017;40(9):643–8.
Bowley P, Holey L. Manual therapy education. Does e-learning have a place? Man Ther. 2009;14(6):709–11.
Hou Y, Zurada JM, Karwowski W, Marras WS, Davis K. Estimation of the dynamic spinal forces using a recurrent fuzzy neural network. IEEE Trans Syst Man Cybern B Cybern. 2007;37(1):100–9.
Erdemir A, McLean S, Herzog W, van den Bogert AJ. Model-based estimation of muscle forces exerted during movements. Clin Biomech (Bristol Avon). 2007;22(2):131–54.
Gangata H, Porter S, Artz N, Major K. A proposed anatomy syllabus for entry-level physiotherapists in the United Kingdom: a modified Delphi methodology by physiotherapists who teach anatomy. Clin Anat. 2023;36(3):503–26.
Claesson A, Hult H, Riva G, Byrsell F, Hermansson T, Svensson L, Djarv T, Ringh M, Nordberg P, Jonsson M, et al. Outline and validation of a new dispatcher-assisted cardiopulmonary resuscitation educational bundle using the Delphi method. Resusc Plus. 2024;17:100542.
van den Bogert AJ. Analysis and simulation of mechanical loads on the human musculoskeletal system: a methodological overview. Exerc Sport Sci Rev. 1994;22:23–51.
Download references
Thanks to Dong Xinchun, Gu Zhongke, Lu Honggang, Li Le, Sun Wudong, Wang Yudi, Wu Wenlong, Zhao Xinyu and other experts for their assistance and patient analysis during the Delphi consultation process, and some experts chose to remain anonymous, we would like to express our gratitude once again.
This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Authors and affiliations.
Department of Sport, Gdansk University of Physical Education and Sport, Gdansk, 80-336, Poland
Wang Ziyi & Marcin Białas
Jiangsu Vocational College of Medicine, Yancheng City, China
Jiangsu College of Nursing, Huaian City, China
You can also search for this author in PubMed Google Scholar
Both authors contributed to the creation of the manuscript. WZ designed and conceptualized the review and wrote the draft manuscript. ZS assisted with the Delphi consultation process and article writing. MB was involved in designing and implementing the project as a supervisor.
Correspondence to Marcin Białas .
Ethics approval and consent to participate.
This research was approved by the Research Ethical Committee of Yancheng TCM Hospital Affiliated to Nanjing University of Chinese Medicine according to the World Medical Association Declaration of Helsinki Ethical. Approval number: KY230905-02. Written Informed consent was obtained from all the study participants.
Not applicable. This manuscript does not contain any individual person’s data in any form (including individual details, images, or videos).
The authors declare no competing interests.
Publisher’s note.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary material 1., rights and permissions.
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/ .
Reprints and permissions
Cite this article.
Ziyi, W., Supo, Z. & Białas, M. Development of a basic evaluation model for manual therapy learning in rehabilitation students based on the Delphi method. BMC Med Educ 24 , 964 (2024). https://doi.org/10.1186/s12909-024-05932-y
Download citation
Received : 14 May 2024
Accepted : 20 August 2024
Published : 04 September 2024
DOI : https://doi.org/10.1186/s12909-024-05932-y
Anyone you share the following link with will be able to read this content:
Sorry, a shareable link is not currently available for this article.
Provided by the Springer Nature SharedIt content-sharing initiative
ISSN: 1472-6920
An official website of the United States government
Here's how you know
Official websites use .gov A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS A lock ( ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
Latest Earthquakes | Chat Share Social Media
USGS is working with federal, state and local partners to develop multiple assessments of stream and river conditions in non-tidal areas of the Chesapeake Bay watershed. These assessments will help managers preserve stream health and improve biological conditions in impaired streams as the human population and climate continue to change in this region.
Streams and rivers are strongly influenced by conditions in the surrounding landscape. Urban development and intensification of agriculture practices have resulted in altered habitat, degraded water quality, and poor biological conditions in many streams within the Chesapeake Bay watershed. Managers need assessments of stream habitat, water quality, and biological conditions to estimate watershed-wide conditions and to identify areas of alteration and potential sites for conservation or restoration. Furthermore, managers need scientific studies to determine the effectiveness of best management practices for restoring streams and the biological communities they support to promote healthy habitats, wildlife and people in the bay.
Over 18 million people call the Chesapeake Bay watershed home and that number is expected to increase to 20 million by 2030 . The Chesapeake Bay Program , a regional partnership with representatives across the watershed, has highlighted the need to assess stream habitat, water quality, and biological health conditions to help meet the goals of the Chesapeake Bay Watershed Agreement, reduce pollution and restore the bay.
Recent analyses by USGS and partners suggest that anticipated changes in climate and land use patterns in the near future may have dramatic consequences to Chesapeake Bay streams, and thus the fish and wildlife that depend on them— potentially endangering the culture and socioeconomic fabric of the region.
Over the past several decades, many programs have collected data on stream conditions, such as salinity, pH, dissolved oxygen; physical habitat characteristics; and biological communities including aquatic insects and fish. Recent advances in modeling, remote sensing, and data availability now provide an opportunity to assess potential change in stream conditions due to land use, climate, invasive species, and management actions.
A team of USGS scientists has compiled large data sets on key stream health variables (e.g., salinity, temperature, physical habitat, and streambank erosion) and biological communities (benthic macroinvertebrates and fish). USGS is using these indicators to assess stream conditions for non-tidal streams throughout the watershed using advanced statistical and mapping techniques. Additionally, USGS is evaluating how management activities implemented across the watershed might be reducing negative effects of land use change on receiving streams and the bay. Finally, the team is examining how future land use and climate may affect future stream conditions.
An overarching objective of this work is to integrate findings into management tools that can not only track changes in stream condition, but also identify which stream stressors should be addressed and identify areas optimal for conservation or restoration.
Restoring the Chesapeake Bay ecosystem requires understanding of current and future stressors on rivers and streams. Land use and climate are ever changing and assessments of stream condition in the Chesapeake Bay watershed are enhanced when factoring in these changes. Evaluating how changes in land use and climate may affect future stream habitat and biological condition will enable Chesapeake Bay Program partners to better target their management actions for current and future conditions.
Attribution of stream habitat assessment data to nhdplus v2 and nhdplus hr catchments within the chesapeake bay watershed.
This data release links habitat assessment sites to both the NHDPlus Version 2 and NHDPlus High Resolution Region 02 networks using the hydrolink methodology. Linked habitat sites are those compiled by the Interstate Commission on the Potomac River Basin (ICPRB) during creation of the Chesapeake Bay Basin-wide Index of Biotic Integrity (Chessie BIBI) for benthic macroinvertebrates (https://datahub
“chesbay 24k – cl": climate related data summaries for the chesapeake bay watershed within nhd plus hr catchments, “chesbay 24k – hu": human related data summaries for the chesapeake bay watershed within nhd plus hr catchments, attribution of chessie bibi and fish sampling data to nhdplusv2 catchments within the chesapeake bay watershed, fish community and species distribution predictions for streams and rivers of the chesapeake bay watershed, modeled estimates of altered hydrologic metrics for all nhdplus v21 reaches in the chesapeake bay watershed, community metrics from inter-agency compilation of inland fish sampling data within the chesapeake bay watershed, chesapeake bay watershed historical and future projected land use and climate data summarized for nhdplusv2 catchments, causal inference approaches reveal both positive and negative unintended effects of agricultural and urban management practices on instream biological condition, observed and projected functional reorganization of riverine fish assemblages from global change, explainable machine learning improves interpretability in the predictive modeling of biological stream conditions in the chesapeake bay watershed, usa, using fish community and population indicators to assess the biological condition of streams and rivers of the chesapeake bay watershed, usa, time marches on, but do the causal pathways driving instream habitat and biology remain consistent, linking altered flow regimes to biological condition: an example using benthic macroinvertebrates in small streams of the chesapeake bay watershed, disentangling the potential effects of land-use and climate change on stream conditions, predicting biological conditions for small headwater streams in the chesapeake bay watershed, a detailed risk assessment of shale gas development on headwater streams in the pennsylvania portion of the upper susquehanna river basin, u.s.a..
Researchers at the University of Melbourne have developed a promising blood test for early Alzheimer’s disease detection by measuring potassium isotopes in blood serum, offering a potential breakthrough in managing and slowing the disease’s progression.
New research has identified a promising new method for early diagnosis of Alzheimer’s disease by analyzing biomarkers in blood, potentially reducing the effects of dementia.
AD is the most common form of dementia, estimated to contribute to 60-70 percent of cases, or more than 33 million cases worldwide, according to the World Health Organisation. Currently incurable, AD is usually diagnosed when a person is having significant difficulties with memory and thinking that impact their daily life.
University of Melbourne researcher Dr. Brandon Mahan leads a group of analytical geochemists from the Faculty of Science who are collaborating with neuroscientists in the Faculty of Medicine, Dentistry, and Health Sciences (based at The Florey) to develop a blood test for earlier diagnosis of AD, as described in a paper published in Metallomics .
In a world first, the researchers applied inorganic analytical geochemistry techniques, originally developed for cosmochemistry – for example, to study the formation and evolution of the Earth, the Moon, other planets, and asteroid samples – and adapted these highly sensitive techniques to search for early biomarkers of AD in human blood serum.
They compared the levels of potassium isotopes in blood serum in 20 samples – 10 healthy and 10 AD patients from the Australian Imaging, Biomarker, and Lifestyle study and biobank.
“Our minimally invasive test assesses the relative levels of potassium isotopes in human blood serum and shows potential to diagnose AD before cognitive decline or other disease symptoms become apparent, so action can be taken to reduce the impacts,” Dr Mahan said.
“Our test is scalable and – unlike protein-based diagnostics that can break down during storage – it avoids sample stability issues because it assesses an inorganic biomarker.”
Currently, clinical diagnosis of AD is based on medical history, neurological exams, cognitive, functional, and behavioral assessments, brain imaging, and protein analysis of cerebrospinal fluid or blood samples.
“Earlier diagnosis would enable earlier lifestyle changes and medication that can help slow disease progression and would allow more time for affected families to take action to reduce the social, emotional, and financial impacts of dementia,” Dr Mahan said. “It could also make patients eligible for a wider variety of clinical trials, which advance research and may provide further medical benefits.
“My research team – the Melbourne Analytical Geochemistry group – seeks partners and support to continue this important research and development.”
Co-author Professor Ashley Bush from The Florey sees promise in the results from the small pilot study.
“Our blood test successfully identified AD and shows diagnostic power that could rival leading blood tests currently used in clinical diagnosis,” Professor Bush said. “Significant further work is required to determine the ultimate utility of this promising technique.”
With the world’s population aging, the incidence of AD is rising . The number of dementia sufferers is anticipated to double every 20 years and the global cost of dementia is forecast to rise to US$2.8 trillion by 2030. In 2024, more than 421,000 Australians live with dementia . It is the second leading cause of death in Australia and the leading cause for Australian women.
Reference: “Stable potassium isotope ratios in human blood serum towards biomarker development in Alzheimer’s disease” by Brandon Mahan, Yan Hu, Esther Lahoud, Mark Nestmeyer, Alex McCoy-West, Grace Manestar, Christopher Fowler, Ashley I Bush and Frédéric Moynier, 31 August 2024, Metallomics . DOI: 10.1093/mtomcs/mfae038
New hope in alzheimer’s fight: researchers identify unique early biomarker, scientists have discovered new pathways of alzheimer’s disease, feeling the heat: hot flashes are an early indicator for alzheimer’s disease, a sweet clue to alzheimer’s: sugar molecule predicts disease risk, new device can detect alzheimer’s 17 years in advance, signs of dementia are written in the blood: 33 metabolic compounds may be key to new treatments, the combination of foods you eat together may raise dementia risk, an aspirin a day does not keep dementia at bay – no difference than placebo, promising dementia vaccine draws closer.
Save my name, email, and website in this browser for the next time I comment.
Type above and press Enter to search. Press Esc to cancel.
IMAGES
VIDEO
COMMENTS
An indicator provides a measure of a concept, and is typically used in quantitative research. It is useful to distinguish between an indicator and a measure: Measures refer to things that can be relatively unambiguously counted, such as personal income, household income, age, number of children, or number of years spent at school. Measures, in
Introduction. The use of research performance indicators is often discussed in the literature on science and technology policy. Such discussions focus on, amongst others, the optimal measurement of research performance, research impact and research quality and on the possibly detrimental consequences of improper use of research indicators (e.g. Hicks et al. 2015).
The use of research performance indicators is often discussed in the literature on science and technology policy. Such discussions focus on, amongst others, the optimal measurement of research performance, research impact and research quality and on the possibly detrimental consequences of improper use of research indicators (e.g. Hicks et al. 2015).
In scientific research, concepts are the abstract ideas or phenomena that are being studied (e.g., educational achievement). Variables are properties or characteristics of the concept (e.g., performance at school), while indicators are ways of measuring or quantifying variables (e.g., yearly grade reports).
The Congressional Research Service (CRS) 6 regularly refers to the National Science Board's Science and Engineering Indicators (SEI) biennial volumes (see National Science Board, 2010), which are prepared by NCSES. 7 The online version of SEI also has a sizable share of users outside the policy arena and outside the United States. There are ...
Chapter: 2 Concepts and Uses of Indicators
Abstract Research performance indicators are broadly used, for a range of purposes. The. scientific literature on research indicators has a strong methodological focus. There is no. comprehensive ...
Any indicators used for assessment of research must be carefully chosen according to the purpose of the assessment, and can be used to inform decision-making and challenge preconceptions, but not to replace expert judgement. Research should be assessed on its merits and not on the basis of where it is published or the medium of its publication.
Research missions and the goals of assessment shift and the research system itself co-evolves. Once-useful metrics become inadequate; new ones emerge. Indicator systems have to be reviewed and ...
When conducting indicator research, there is a need to have a sense of realism to make sure that the proposed approach is methodologically sound as well as practically plausible to meet with the analytical and policy needs. The methods used to produce a composite index are controversial, and the ultimate choice has to reflect the balance ...
An indicator is a quantitative or qualitative factor or variable that provides a simple and reliable means to reflect the changes connected to an intervention. Indi- cators enable us to perceive differences, improvements or developments relating to a desired change (objective or result) in a particular context.
Social Indicators Research - SpringerLink
It is to be noted that author level indicators and article level metrics are new tools for research evaluation. Author level indicators encompasses h index, citations count, i10 index, g index ...
Indicators necessarily de-contextualize information. Many of our interviewees suggested that other types of information would need to be captured by research indicators; to us this casts doubts about the appropriateness of the use of indicators alone as the relevant devices for assessing research with the purposes of designing policy.
The indicator categories include: research income, which measures the monetary value amount in terms of grants and research income, whether private or public; research training, which measures the activity of the research in terms of supervised doctoral completions and supervised master's research completions, along with measuring the quality ...
Indicator (statistics) In statistics and research design, an indicator is an observed value of a variable, or in other words "a sign of a presence or absence of the concept being studied". [1] Just like each color indicates in a traffic lights the change in the movement. For example, if a variable is religiosity, and a unit of analysis is an ...
Rise of Research on Life Satisfaction. Empirical research on life satisfaction took off as a topic in 'social indicators research,' which emerged in the 1970s. The number of papers on this subject in the journal 'Social Indicators Research' grew so much that the specialized 'Journal of Happiness Studies' was split off in 2000.
INDICATORS - INTRAC ... INDICATORS
Welcome to the Research Impact Indicators & Metrics guide, a collection of tools, resources and contextual narrative to help you present a picture of how your scholarship is received and used within your field and beyond. Research is often measured in terms of its impact within an academic discipline(s), upon society or upon economies. As with ...
indicators take the form of questionnaires or structured outlines for assessments. A few indicators are formatted like indexes, while other indicators are constructed as stages or continua. All qualitative indicators serve as the basis for measuring change over time through short narrative assessments.
Measuring the outcome and impact of research capacity ...
Indicators of research quality, quantity, openness, and ...
Indicators - Program Evaluation
Image from Google 1. Time on Task. Definition: Measures the duration it takes for a user to complete a specific task within the product.. How to Measure:. Use a timer to track the start and end of a task. Example: Time how long it takes for a user to go from the home screen to completing a purchase.
The indicators used have been useful in comparing, assessing, and evaluating both study sites, and in terms of ecological and biological improvements, a geomorphological assessment is required to fulfil the assessment of natural recovery. ... (2021SGR00859), funded by the Agency for University and Research Grants Management (AGAUR (Agència de ...
Heat Index: An Alternative Indicator for Measuring the Impacts of Meteorological Factors on Diarrhoea in the Climate Change Era: A Time-Series Study in Dhaka, Bangladesh
These indicators provide a preliminary evaluation framework for manual therapy education and a theoretical basis for future research. Manual therapy is a crucial component in rehabilitation education, yet there is a lack of models for evaluating learning in this area.
USGS is using these indicators to assess stream conditions for non-tidal streams throughout the watershed using advanced statistical and mapping techniques. Additionally, USGS is evaluating how management activities implemented across the watershed might be reducing negative effects of land use change on receiving streams and the bay.
The Big Four Recession Indicators: Aggregate. The charts above focus on the big four individually, either separately or overlaid. Now let's take a quick look at an aggregate of the four. The next chart is an index created by equally weighing the four and indexing them to 100 for the January 1959 start date. I've used a log scale to give an ...
New research has identified a promising new method for early diagnosis of Alzheimer's disease by analyzing biomarkers in blood, potentially reducing the effects of dementia. AD is the most common form of dementia, estimated to contribute to 60-70 percent of cases, or more than 33 million cases worldwide, according to the World Health ...