Interrater Reliability and Feasibility of the Lasater Clinical Judgment Rubric for Use in Physical Therapy Simulation
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Video Recorded Acute Care Simulation, Faculty Rating of Acute Care Simulation Video Using the LCJR-PT.
- Who it may be relevant to
- Registry conditions: Physical Therapy Education, Clinical Judgement Assessment, Simulation-based Learning. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Reliability and Feasibility of the Lasater Clinical Judgment Rubric Adapted for Physical Therapy (LCJR-PT) to Evaluate Clinical Judgment During Standardized Simulation Experiences in Doctor of Physical Therapy Students
Overview
This study examines whether physical therapy faculty can reliably and feasibly use the Lasater Clinical Judgment Rubric adapted for physical therapy (LCJR-PT) to score students' clinical judgment during a recorded simulation experience. Multiple trained faculty raters will independently score the same student videos, and the level of agreement between raters will be measured. Faculty will also report how long scoring takes and their perceptions of the rubric's usefulness.
Detailed description
Clinical judgment is a core competency for physical therapists required by the Commission on Accreditation of Physical Therapy Education (CAPTE), yet no validated, reliable tool specifically tested in physical therapy student populations currently exists for simulation-based assessment. The Lasater Clinical Judgment Rubric (LCJR), originally developed for nursing, implementing Tanner's clinical judgment model across four domains: noticing, interpreting, responding, and reflecting. This study adapts the LCJR for physical therapy (LCJR-PT) and examines its interrater reliability and feasibility when used to assess DPT students during a standardized acute care simulation.
First and second year DPT students at Youngstown State University will complete a scripted 30-35 minute acute care simulation followed by a brief reflection. Sessions will be video-recorded. Three to five trained faculty raters will independently score each recording using the LCJR-PT. Raters will undergo standardized training including rubric anchor review, practice scoring, and calibration discussion. Primary outcomes are intraclass correlation coefficients (ICC) for total and domain scores. Secondary outcomes include average rater scoring time per student and faculty perceptions of usability and feasibility assessed via questionnaire.
Interventions
- Other Video Recorded Acute Care Simulation
Participants complete a routine, curriculum-based standardized acute care simulation (30-35 minutes including reflection). - Other Faculty Rating of Acute Care Simulation Video Using the LCJR-PT
Faculty members will assess and rate each student acute care simulation video using the LCJR-PT tool.
Primary outcome measures
- Intraclass Correlation Coefficient (ICC) for LCJR-PT total and domain scores [Time frame: Through study completion, an average of 6 months]
Secondary outcome measures (2)
- Rater Scoring Time [Time frame: Through study completion, an average of 6 months]
- Faculty Usability and Feasibility Perception [Time frame: Through study completion, an average of 6 months]
Eligibility criteria
Inclusion Criteria (Students):
- Enrolled as a 1st or 2nd year DPT student at YSU
- Provided informed consent
Inclusion Criteria (Faculty Raters):
- Full-time faculty member teaching in the YSU DPT program
- Provided informed consent
Exclusion Criteria (Students):
- Did not provide informed consent
Exclusion Criteria (Faculty):
\- Did not provide informed consent
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Other
Study locations
United States · 1 center
- Youngstown State University — Youngstown
Publications
- Halliday DA, Patterson BJ. Rater Training and Assessment of Student Clinical Judgment: An Experimental Inquiry. Nurs Educ Perspect. 2025 Jul-Aug 01;46(4):209-215. doi: 10.1097/01.NEP.0000000000001399. Epub 2025 Apr 3. PMID 40179145
- Rogers BA, Franklin AE. Lasater clinical judgment rubric reliability for scoring clinical judgment after observing asynchronous simulation and feasibility/usability with learners. Nurse Educ Today. 2023 Jun;125:105769. doi: 10.1016/j.nedt.2023.105769. Epub 2023 Mar 6. PMID 36931008
- Adamson KA, Gubrud P, Sideras S, Lasater K. Assessing the reliability, validity, and use of the Lasater Clinical Judgment Rubric: three approaches. J Nurs Educ. 2012 Feb;51(2):66-73. doi: 10.3928/01484834-20111130-03. Epub 2011 Nov 30. PMID 22132718
Identifiers
NCT: NCT07449026 · 2026-56