Evaluating Learning by Assessing Patient Outcomes in a Student Pro Bono Clinic: A Case Report.

Journal, physical therapy education Pub Date : 2024-09-04 DOI:10.1097/JTE.0000000000000369

Amy M Yorke, Rebecca James, Chelsie Smith, Luke Reed, Leslie Smith, Suzanne Trojanowski

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Abstract

Background and purpose: In 2020, a clinical practice guideline (CPG) highly recommended high-intensity gait training (HIGT) to improve walking outcomes in adults with chronic stroke, incomplete spinal cord injury (SCI), and brain injury. The success of implementing a CPG into a student-run pro bono clinic (SRPBC) utilizing knowledge translation (KT) to assess student learning is not well described. The purpose of this case report is to describe student learning by assessing the fidelity of HIGT implementation (time spent in HIGT and level of cardiovascular intensity) in a SRPBC.

Case description: MoveMore is a HIGT program delivered by Doctor of Physical Therapy students and Bachelor of Science in Nursing in a SRPBC.

Outcomes: During Spring/Summer 2023, 24 physical therapy students, 10 nursing students, and 13 community partners (12 diagnosed with stroke, 1 with incomplete SCI) participated in MoveMore. The average time students engaged the community partners in HIGT was 46 minutes (range 32-54), while only 6 community partners spent a minimum of 13% of the time in the target heart rate zone.

Discussion and conclusion: Students delivering HIGT are able to engage community partners for time parameters aligning with the locomotor CPG; however, they are not successful in having a person with stroke/incomplete SCI consistently reach a moderate to high level of cardiovascular intensity. Using KT to implement a CPG and tracking patient outcomes allows physical therapy educators to assess student learning.

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通过评估学生公益诊所中的患者疗效来评估学习效果：案例报告。

背景和目的：2020 年，一份临床实践指南（CPG）强烈推荐进行高强度步态训练（HIGT），以改善慢性中风、不完全脊髓损伤（SCI）和脑损伤成人的行走效果。在学生开办的公益诊所（SRPBC）中成功实施 CPG，并利用知识转化（KT）来评估学生的学习情况，目前还没有很好的描述。本案例报告的目的是通过评估 HIGT 在 SRPBC 中实施的忠实度（在 HIGT 中花费的时间和心血管强度水平）来描述学生的学习情况：MoveMore是一项HIGT项目，由理疗学博士生和护理学学士在SRPBC中实施：2023 年春夏期间，24 名物理治疗专业学生、10 名护理专业学生和 13 名社区伙伴（12 名被诊断为中风，1 名为不完全 SCI）参加了 MoveMore。学生让社区伙伴参与 HIGT 的平均时间为 46 分钟（32-54 分钟不等），而只有 6 名社区伙伴至少有 13% 的时间处于目标心率区：提供 HIGT 的学生能够让社区伙伴参与时间参数与运动 CPG 一致的活动；但是，他们无法成功地让中风/完全性 SCI 患者持续达到中等至高等级的心血管强度。利用 KT 实施 CPG 并跟踪患者的治疗效果，可以让理疗教育工作者评估学生的学习情况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal, physical therapy education

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