Evidence map›Paper›PMID 40829847›Full record

ArticleBMJ open2025

Development and validation of clinical vignettes to inform an educational intervention for physiotherapists to detect serious pathologies: a mixed-methods study.

Wolfgang Lackenbauer, Simon Gasselich, Martina Edda Lickel, Lars Schabel, Reinhard Beikircher, Christian Keip, Manfred Wieser, James Selfe, Bruno Mazuquin, Gillian Yeowell and 1 more

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Wolfgang LackenbauerInstitute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems an der Donau, Lower Austria, Austria wolfgang.lackenbauer@imc.ac.at.ORCID http://orcid.org/0000-0002-7469-7950
Simon GasselichInstitute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems an der Donau, Lower Austria, Austria.
Martina Edda LickelKarl Landsteiner University of Health Sciences, Human Medicine, Krems an der Donau, Lower Austria, Austria.
Lars SchabelUniversity Hospital Tulln, Clinical Department of Orthopaedics and Traumatology, Tulln, Lower Austria, Austria.
Reinhard BeikircherInstitute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems an der Donau, Lower Austria, Austria.
Christian KeipInstitute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems an der Donau, Lower Austria, Austria.
Manfred WieserKarl Landsteiner University of Health Sciences, Human Medicine, Krems an der Donau, Lower Austria, Austria.
James SelfeDepartment of Health Professions, Manchester Metropolitan University, Manchester, England, UK.
Bruno MazuquinDepartment of Health Professions, Manchester Metropolitan University, Manchester, England, UK.ORCID http://orcid.org/0000-0003-1566-9551
Gillian YeowellDepartment of Health Professions, Manchester Metropolitan University, Manchester, England, UK.ORCID http://orcid.org/0000-0003-3872-9799
Jessie JanssenInstitute of Therapeutic and Midwifery Sciences, Department of Health Sciences, University of Applied Sciences Krems, Krems an der Donau, Lower Austria, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo develop and validate educational clinical vignettes (CVs) based on real-life patients with serious pathology from the disciplines of oncology, internal medicine and orthopaedics that are relevant for physiotherapists (PTs) working in a non-direct access system.

designA mixed-methods study using an iterative design was employed to develop and validate CVs that focused on serious pathology.

settingAcademic and clinical settings within health faculties at three universities in Austria and the UK.

participantsMedical doctors (MD) (n=3) and PTs (n=4) developed CVs in the disciplines of internal medicine, oncology and orthopaedics. Validation of the CVs was undertaken in three stages: internal validation by the research team (n=7), external validation by MDs (n=3) and external validation by PTs (n=18).

results25 CVs focusing on internal medicine (9), oncology (8) and orthopaedics (8) were developed. Results of the consensus method of Haute Autorité de Santé ranged between 7 and 9 in the internal validation stage. In the external validation stage with MDs, one orthopaedic CV was excluded, resulting in a final total of 24 validated CVs.

conclusionsThis is the first time educational CVs have been developed and validated across such a broad range of pathologies for countries without direct access to physiotherapy, for use in the education of PTs. Furthermore, the approach described in the Methods section of this paper may serve as a template in similar future projects.

Indexed as

Physical TherapistsAustriaFemaleHumansInternal MedicineMaleMedical OncologyOrthopedicsReproducibility of ResultsUnited KingdomClinical Decision-MakingMEDICAL EDUCATION & TRAININGPATHOLOGY

Identifiers

PMID40829847
PMCPMC12366574

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