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Evaluating Learning by Assessing Patient Outcomes in a Student Pro Bono Clinic: A Case Report.
Amy M Yorke1,2,3,4,5,6, Rebecca James1,2,3,4,5,6, Chelsie Smith1,2,3,4,5,6
1Amy M. Yorke is a professor in the Physical Therapy Department at the University of Michigan-Flint, 303 East Kearsley Street, 2157 William S. White, Flint, MI 48502 ( amyorke@umich.edu ). Please address all correspondence to Amy M. Yorke.
Journal, Physical Therapy Education
|September 17, 2024
Summary
Students successfully implemented high-intensity gait training (HIGT) time parameters in a pro bono clinic, but cardiovascular intensity targets were not consistently met for individuals with stroke or spinal cord injury (SCI). This highlights areas for improving HIGT delivery and student learning.
Area of Science:
- Neurorehabilitation
- Clinical Practice Guidelines
- Knowledge Translation
Background:
- Clinical practice guidelines (CPG) recommend high-intensity gait training (HIGT) for adults with stroke, spinal cord injury (SCI), and brain injury.
- Implementing CPGs in student-run pro bono clinics (SRPBC) using knowledge translation (KT) to assess student learning requires further description.
- This case report examines HIGT implementation fidelity and student learning within a SRPBC.
Purpose of the Study:
- To describe student learning by assessing the fidelity of HIGT implementation.
- To evaluate time spent in HIGT and the level of cardiovascular intensity achieved by community partners.
- To assess the effectiveness of using KT to implement a CPG in a SRPBC setting.
Main Methods:
- The MoveMore program utilized Doctor of Physical Therapy and Bachelor of Science in Nursing students to deliver HIGT in a SRPBC.
- Data were collected during Spring/Summer 2023, involving 24 physical therapy students, 10 nursing students, and 13 community partners.
- Fidelity was assessed by measuring time spent in HIGT and the percentage of time community partners spent within the target heart rate zone.
Main Results:
- The study involved 13 community partners (12 with stroke, 1 with SCI) and 34 students.
- Students engaged community partners in HIGT for an average of 46 minutes.
- Only 6 community partners achieved the target heart rate zone for at least 13% of the HIGT session.
Conclusions:
- Students met recommended time parameters for HIGT delivery aligned with locomotor CPGs.
- Consistent achievement of moderate to high cardiovascular intensity in individuals with stroke/SCI was not observed.
- Utilizing KT for CPG implementation and outcome tracking provides a valuable method for assessing physical therapy student learning.
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