An innovative Peer Assessment approach to enhance guideline adherence

A cluster randomized controlled trial comparing two educational strategies that aim for enhanced guideline adherence in physical therapy with Peer Assessment as the intervention and Case Discussion as the control condition

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN69003553

Enrollment

160

Registered

2013-04-26

Start date

2011-11-01

Completion date

Unknown

Last updated

2016-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Upper Extremity Complaints of the muscular-skeletal system related to stressful postures and movements in work, sports and daily life Musculoskeletal Diseases Other disorders of the musculoskeletal system and connective tissue

Interventions

Peer Assessment as intervention and Case Discussion as control. Interventions Before the start of the program, both PA-group and CD-group receive a link to the KNGF guidelines. Subsequently all parti

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. All Communities of Practice that are registered by the Royal Dutch Society for Physical Therapy (KNGF) and that show interest for the implementation program, are eligible for inclusion in the trial (PA-group or the CD-group). 2. We include all Physical Therapists that are organised in Communities of Practice. Individual Physical Therapists are excluded from the trial.

Exclusion criteria

Exclusion criteria: Physical Therapists that do not participate in a Community of Practice are excluded from the trial

Design outcomes

Primary

Measure	Time frame
Guideline Adherence will be assessed at baseline and after 6-7 months when both groups have finalized their meetings. Pre-test and post-test is an online questionnaire based on four clinical vignettes. Each vignette is accompanied by 12 quality indicators for diagnosis and treatment of shoulder complaints. Each indicator contains a set of test-items in the format of statements that can be scored on a 3-point scale: D = disagree, U = disagree nor agree, A = agree. Post-intervention mean total scores on the four vignettes of both PA and CD group will be included as outcome variable, and baseline scores will be included as covariate. Multilevel analyses will be performed to account for baseline differences and for clustering within CoPs. The same procedure will be performed for the secondary outcome measures.	—

Measure

Time frame

Guideline Adherence will be assessed at baseline and after 6-7 months when both groups have finalized their meetings. Pre-test and post-test is an online questionnaire based on four clinical vignettes. Each vignette is accompanied by 12 quality indicators for diagnosis and treatment of shoulder complaints. Each indicator contains a set of test-items in the format of statements that can be scored on a 3-point scale: D = disagree, U = disagree nor agree, A = agree. Post-intervention mean total scores on the four vignettes of both PA and CD group will be included as outcome variable, and baseline scores will be included as covariate. Multilevel analyses will be performed to account for baseline differences and for clustering within CoPs. The same procedure will be performed for the secondary outcome measures.

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Secondary

Measure	Time frame
1. Awareness Awareness is measured by comparing the assessed improvement measured by clinical vignettes with self-reported improvement. The relationship between the 'perceived improvement' and 'assessed improvement' is conceived as a measure of 'awareness'. 2. Reflective Practice At pre-test and post-test participants complete the validated questionnaire 'Self Reflection and Insight Scale'. Pre- and post-test differences are conceived as a measure of 'improved reflective practice'. 3. Goals attainment At pre-test participants were asked to formulate three learning goals in order of personal importance according to the concept of 'Commitments to Change'. At post-test they will be asked to indicate the extent to which their goals are achieved on a 3-point scale from 1 = not achieved, 2 = partially achieved, to 3 = achieved. Mean scores will be calculated and conceived as a measure for 'goal attainment'. 4. Perceived learning value At post-test participants will be asked to indicate the learning value of the key elements of the program on a 5-point Likert scale from 1 = little instructive to 5 = very instructive. Mean scores will be calculated and conceived as a measure for 'perceived learning value'.	—

Measure

Time frame

1. Awareness Awareness is measured by comparing the assessed improvement measured by clinical vignettes with self-reported improvement. The relationship between the 'perceived improvement' and 'assessed improvement' is conceived as a measure of 'awareness'. 2. Reflective Practice At pre-test and post-test participants complete the validated questionnaire 'Self Reflection and Insight Scale'. Pre- and post-test differences are conceived as a measure of 'improved reflective practice'. 3. Goals attainment At pre-test participants were asked to formulate three learning goals in order of personal importance according to the concept of 'Commitments to Change'. At post-test they will be asked to indicate the extent to which their goals are achieved on a 3-point scale from 1 = not achieved, 2 = partially achieved, to 3 = achieved. Mean scores will be calculated and conceived as a measure for 'goal attainment'. 4. Perceived learning value At post-test participants will be asked to indicate the learning value of the key elements of the program on a 5-point Likert scale from 1 = little instructive to 5 = very instructive. Mean scores will be calculated and conceived as a measure for 'perceived learning value'.

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Countries

Netherlands

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026