Evidence map›Paper›PMID 40834029›Full record

ArticlePloS one2025

Use of standardized outcome measures among physical therapists in the United States: A cross-sectional survey study.

Anat Kristal, Ignacio A Gaunaurd, Sara J Morgan, Geoffrey S Balkman, Rachael E Rosen, Rana Salem, Alyssa M Bamer, Brian J Hafner

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

8 authors.

Anat KristalDepartment of Physical Therapy, University of Miami Miller School of Medicine, Florida, United States of America.ORCID https://orcid.org/0000-0003-3968-2785
Ignacio A GaunaurdDepartment of Physical Therapy, University of Miami Miller School of Medicine, Florida, United States of America.ORCID https://orcid.org/0000-0001-8241-0684
Sara J MorganDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Washington, United States of America.ORCID https://orcid.org/0000-0001-8059-3659
Geoffrey S BalkmanDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Washington, United States of America.
Rachael E RosenDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Washington, United States of America.
Rana SalemDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Washington, United States of America.
Alyssa M BamerDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Washington, United States of America.
Brian J HafnerDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Washington, United States of America.ORCID https://orcid.org/0000-0001-6175-1869

Funding

A Client-Based Outcome System for Individuals with Lower Limb AmputationR01HD065340 · NICHD · UNIVERSITY OF WASHINGTON · PI HAFNER, BRIAN J · 2014 to 2022
$2.7M
A Client-Based Outcome System for Individuals with Lower Limb AmputationU01HD065340 · NICHD · UNIVERSITY OF WASHINGTON · PI HAFNER, BRIAN J · 2010 to 2013
$2.0M
NICHD NIH HHS R01 HD065340NICHD NIH HHS U01 HD065340
6 · The paper itself

Abstract

As value-based care becomes increasingly central to healthcare delivery in the United States, physical therapists (PTs) are expected to use outcome measures (OMs) to demonstrate meaningful improvements in patient health. Although OMs play a critical role in supporting value-based practice, prior research suggests they are not routinely used, and limited attention has been given to how resource availability may influence their implementation, particularly for performance-based tests. This study aimed to assess PTs' use of OMs, including their perceptions of value, motivations for use, and the resources available for administration. An online survey was used to evaluate outcomes measurement practices of PTs in the United States. Invitations were mailed to a random sample of American Physical Therapy Association members. Frequencies and percentages were calculated. Nearly all respondents (n = 514) used OMs with their patients, but performance-based tests were used more than self-report surveys (97% and 83%, respectively). Most respondents agreed that OMs were within their scope of practice (>95%) and could be administered with knowledge they possessed (>88%). However, less than 50% agreed OMs are administered in a standardized manner across the profession. Most respondents (89%) indicated that performance-based tests "help me make clinical decisions," but fewer (61%) said the same about self-report surveys. Respondents were also willing to dedicate more time to performance-based tests than self-report surveys (up to 20 and 10 minutes, respectively). Most respondents (>80%) indicated they had smaller rooms and short hallways (≤10m) for OM administration. Results of this study indicate PTs in the United States have the knowledge, time, and space to administer many of the OMs recommended for use in physical therapy. While PTs use both types of OMs, performance-based tests are often perceived to have greater clinical value. Obtaining consensus on specific protocols for administering OMs may help to address concerns about the lack of standardization across the profession.

Indexed as

Outcome Assessment, Health CarePhysical TherapistsAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesUnited States

Identifiers

PMID40834029
PMCPMC12367168

What OpenQuestion holds

Textmetadata
LicenceCC0
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.