Modeling physical therapy clinical research centers

Because the establishment of physical therapy clinical research centers (PTCRCs) has been of interest to the profession, this project was undertaken to (1) assess the available resources, (2) complete a systems analysis, and (3) apply the results of a Delphi survey to the resulting clinical research center models. The methodology included several techniques. First, a questionnaire that addressed the status and elements of organization of PTCRCs was distributed to 118 academic institutions and 22 other facilities. A systems analysis of clinical research centers supported by various institutes at the National Institutes of Health was then completed. A Delphi procedure was also used to query a panel of physical therapy researchers regarding the components of a PTCRC. Site visits were conducted at three facilities to assess the possibility of those facilities becoming PTCRCs. From the data derived via these methods, models for PTCRCs were developed. Results showed that as many as 40 facilities reported the capability of becoming a PTCRC, but the data also showed that only four sites had extensively contributed by means of publication in peer-reviewed journals. The Delphi survey produced a number of items regarding characteristics and foci on which consensus was reached. Considering all the data, several models for PTCRCs were developed. Allowance for diversity in the structure and focus of PTCRCs appears to be a critical factor if the development of PTCRCs is to be encouraged.