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Updated: Jun 16, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Self-Assessment: The Disconnect between Research and Rhetoric.
1Patricia A. Miller , BSc(PT), MHSc, MSc, PhD : Associate Clinical Professor, School of Rehabilitation Science, McMaster University, Hamilton, Ontario; PhD candidate, Health Research Methodology Program, McMaster University, Hamilton, Ontario; Strategic Training Fellow in Rehabilitation Research, CIHR Quality of Life Strategic Training Program, McMaster University / University of British Columbia.
Physical therapists
Area of Science:
- Physical Therapy
- Professional Development
- Clinical Competence
Background:
- Physical therapists are expected to self-assess to ensure competent practice.
- Self-assessment is crucial for identifying professional development needs.
Purpose of the Study:
- To review the literature on the accuracy and role of self-assessment in physical therapy.
- To present a reformulated concept of self-assessment.
- To offer practical strategies for improving self-assessment reliability and validity.
Main Methods:
- Literature review of studies on self-assessment accuracy in physical therapy.
- Analysis of current evidence regarding the limitations of self-assessment.
- Development of a conceptual reformulation and practical strategies.
Main Results:
- Current literature suggests self-assessment in physical therapy lacks accuracy.
- A reformulated concept of self-assessment is proposed.
- Practical strategies can enhance the reliability and validity of self-assessment.
Conclusions:
- Self-assessment in physical therapy is currently inaccurate.
- A reformulated approach to self-assessment is needed.
- Clinicians can improve self-assessment to enhance patient care and professional development.
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