Physical Therapy EducationNCT07449026
Interrater Reliability and Feasibility of the Lasater Clinical Judgment Rubric for Use in Physical Therapy Simulation
An observational study of Physical Therapy Education and Clinical Judgement Assessment, run by Youngstown State University at 1 site in United States.
Trial summary
This study examines whether physical therapy faculty can reliably and feasibly use the Lasater Clinical Judgment Rubric adapted for physical therapy (LCJR-PT) to score students' clinical judgment during a recorded simulation experience. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Physical Therapy Education, Clinical Judgement Assessment, Simulation-based Learning
- What is being tested?
- Video Recorded Acute Care Simulation and Faculty Rating of Acute Care Simulation Video Using the LCJR-PT
- How many people
- 40 participants
- Where
- 1 siteUnited States
- Study dates
- 9 Mar 2026to Dec 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: First- and second-year Doctor of Physical Therapy (DPT) students and full-time DPT faculty at Youngstown State University
Who may be able to join
- Enrolled as a 1st or 2nd year DPT student at YSU
- Provided informed consent
- Full-time faculty member teaching in the YSU DPT program
- Provided informed consent
Who cannot join
- Did not provide informed consent
- Did not provide informed consent
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
United States1 site, 1 recruiting
- Recruiting
Youngstown State University
Youngstown, Ohio, 44555
Edmund Ickert, PhD, 330-941-1326, ecickert@ysu.edu
Rebecca Riblet, DPT, 330-941-3010, rsriblet@ysu.edu
About this study
Official title: Reliability and Feasibility of the Lasater Clinical Judgment Rubric Adapted for Physical Therapy (LCJR-PT) to Evaluate Clinical Judgment During Standardized Simulation Experiences in Doctor of Physical Therapy Students
This study examines whether physical therapy faculty can reliably and feasibly use the Lasater Clinical Judgment Rubric adapted for physical therapy (LCJR-PT) to score students' clinical judgment during a recorded simulation experience. Multiple trained faculty raters will independently score the same student videos, and the level of agreement between raters will be measured. Faculty will also report how long scoring takes and their perceptions of the rubric's usefulness.
Read the detailed description
Clinical judgment is a core competency for physical therapists required by the Commission on Accreditation of Physical Therapy Education (CAPTE), yet no validated, reliable tool specifically tested in physical therapy student populations currently exists for simulation-based assessment. The Lasater Clinical Judgment Rubric (LCJR), originally developed for nursing, implementing Tanner's clinical judgment model across four domains: noticing, interpreting, responding, and reflecting. This study adapts the LCJR for physical therapy (LCJR-PT) and examines its interrater reliability and feasibility when used to assess DPT students during a standardized acute care simulation.
First and second year DPT students at Youngstown State University will complete a scripted 30-35 minute acute care simulation followed by a brief reflection. Sessions will be video-recorded. Three to five trained faculty raters will independently score each recording using the LCJR-PT. Raters will undergo standardized training including rubric anchor review, practice scoring, and calibration discussion. Primary outcomes are intraclass correlation coefficients (ICC) for total and domain scores. Secondary outcomes include average rater scoring time per student and faculty perceptions of usability and feasibility assessed via questionnaire.
- Being tested
- Video Recorded Acute Care Simulation, Faculty Rating of Acute Care Simulation Video Using the LCJR-PT
- Keywords
- Clinical judgement, Lasater, Physical therapy education, Feasibility, Reliability, Simulation, Assessment, Doctor of Physical Therapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Video Recorded Acute Care SimulationOther
Participants complete a routine, curriculum-based standardized acute care simulation (30-35 minutes including reflection).
Faculty Rating of Acute Care Simulation Video Using the LCJR-PTOther
Faculty members will assess and rate each student acute care simulation video using the LCJR-PT tool.
| Study group | Role | What they receive |
|---|---|---|
| Doctor of Physical Therapy Student Simulation Group | Doctor of Physical Therapy Students who will undergo a 35 minute simulation session that will be video recorded. Receives: Other: Video Recorded Acute Care Simulation | |
| Faculty Raters | A group of faculty in the Doctor of Physical Therapy program who will assess student simulation recordings using the LCJR-PT tool. Receives: Other: Faculty Rating of Acute Care Simulation Video Using the LCJR-PT |
What is being measured
The primary outcome is the main question the study is designed to answer.
Intraclass Correlation Coefficient (ICC) for LCJR-PT total and domain scores
Two-way random effects ICC model to assess interrater reliability of total scores and individual domain scores (noticing, interpreting, responding, reflecting) across 3-5 faculty raters.
Measured: Through study completion, an average of 6 months
Secondary outcomes (2)
Rater Scoring Time
Average time (minutes) required for each faculty rater to score a single student video.
Measured: Through study completion, an average of 6 months
Faculty Usability and Feasibility Perception
Questionnaire including adapted System Usability Scale (SUS) items and feasibility statements
Measured: Through study completion, an average of 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Mar 2026
- Study start9 Mar 2026 (estimated)
- Primary completionDec 2026 (estimated)
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Physical Therapy EducationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Youngstown State University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Edmund Ickert, Youngstown State University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07449026
- Sponsor's protocol ID
- 2026-56
- Status last verified
- Mar 2026
- First submitted
- 26 Feb 2026
- Last updated
- 4 Mar 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: No individual participant data are planned to be shared. Aggregate results will be reported in publications/presentations.
Publications
Halliday DA, Patterson BJ. Rater Training and Assessment of Student Clinical Judgment: An Experimental Inquiry. Nurs Educ Perspect. 2025 Jul-Aug 01;46(4):209-215. doi: 10.1097/01.NEP.0000000000001399. Epub 2025 Apr 3.
PubMed 40179145Rogers BA, Franklin AE. Lasater clinical judgment rubric reliability for scoring clinical judgment after observing asynchronous simulation and feasibility/usability with learners. Nurse Educ Today. 2023 Jun;125:105769. doi: 10.1016/j.nedt.2023.105769. Epub 2023 Mar 6.
PubMed 36931008Adamson KA, Gubrud P, Sideras S, Lasater K. Assessing the reliability, validity, and use of the Lasater Clinical Judgment Rubric: three approaches. J Nurs Educ. 2012 Feb;51(2):66-73. doi: 10.3928/01484834-20111130-03. Epub 2011 Nov 30.
PubMed 22132718
Study at a glance
From the registry record, last updated by the sponsor on 4 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Reliability and Feasibility of the Lasater Clinical Judgment Rubric Adapted for Physical Therapy (LCJR-PT) to Evaluate Clinical Judgment During Standardized Simulation Experiences in Doctor of Physical Therapy Students
- ClinicalTrials.gov ID
- NCT07449026
- Acronym / sponsor ID
- 2026-56
- Keywords
- Clinical judgement, Lasater, Physical therapy education, Feasibility, Reliability, Simulation, Assessment, Doctor of Physical Therapy
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Youngstown State UniversityUniversity, hospital or other
- Study start
- 9 Mar 2026 (estimated)
- Primary completion
- Dec 2026 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 4 Mar 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study examines whether physical therapy faculty can reliably and feasibly use the Lasater Clinical Judgment Rubric adapted for physical therapy (LCJR-PT) to score students' clinical judgment during a recorded simulation experience. Multiple trained faculty raters will independently score the same student videos, and the level of agreement between raters will be measured. Faculty will also report how long scoring takes and their perceptions of the rubric's usefulness.
Detailed description
Clinical judgment is a core competency for physical therapists required by the Commission on Accreditation of Physical Therapy Education (CAPTE), yet no validated, reliable tool specifically tested in physical therapy student populations currently exists for simulation-based assessment. The Lasater Clinical Judgment Rubric (LCJR), originally developed for nursing, implementing Tanner's clinical judgment model across four domains: noticing, interpreting, responding, and reflecting. This study adapts the LCJR for physical therapy (LCJR-PT) and examines its interrater reliability and feasibility when used to assess DPT students during a standardized acute care simulation.
First and second year DPT students at Youngstown State University will complete a scripted 30-35 minute acute care simulation followed by a brief reflection. Sessions will be video-recorded. Three to five trained faculty raters will independently score each recording using the LCJR-PT. Raters will undergo standardized training including rubric anchor review, practice scoring, and calibration discussion. Primary outcomes are intraclass correlation coefficients (ICC) for total and domain scores. Secondary outcomes include average rater scoring time per student and faculty perceptions of usability and feasibility assessed via questionnaire.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Doctor of Physical Therapy Student Simulation Group | – | Other: Video Recorded Acute Care SimulationDoctor of Physical Therapy Students who will undergo a 35 minute simulation session that will be video recorded. |
| Faculty Raters | – | Other: Faculty Rating of Acute Care Simulation Video Using the LCJR-PTA group of faculty in the Doctor of Physical Therapy program who will assess student simulation recordings using the LCJR-PT tool. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- First- and second-year Doctor of Physical Therapy (DPT) students and full-time DPT faculty at Youngstown State University
Key inclusion criteria (4 listed)
- Enrolled as a 1st or 2nd year DPT student at YSU
- Provided informed consent
- Full-time faculty member teaching in the YSU DPT program
- Provided informed consent
Key exclusion criteria (2 listed)
- Did not provide informed consent
- Did not provide informed consent
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Video Recorded Acute Care SimulationParticipants complete a routine, curriculum-based standardized acute care simulation (30-35 minutes including reflection). | Other | Doctor of Physical Therapy Student Simulation Group |
| Faculty Rating of Acute Care Simulation Video Using the LCJR-PTFaculty members will assess and rate each student acute care simulation video using the LCJR-PT tool. | Other | Faculty Raters |
Primary outcome
Intraclass Correlation Coefficient (ICC) for LCJR-PT total and domain scores
Time frame: Through study completion, an average of 6 months
Two-way random effects ICC model to assess interrater reliability of total scores and individual domain scores (noticing, interpreting, responding, reflecting) across 3-5 faculty raters.
2 secondary outcomes
Rater Scoring Time
Time frame: Through study completion, an average of 6 months
Faculty Usability and Feasibility Perception
Time frame: Through study completion, an average of 6 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Mar 2026.
- Background: PubMed 40179145Halliday DA, Patterson BJ. Rater Training and Assessment of Student Clinical Judgment: An Experimental Inquiry. Nurs Educ Perspect. 2025 Jul-Aug 01;46(4):209-215. doi: 10.1097/01.NEP.0000000000001399. Epub 2025 Apr 3.
- Background: PubMed 36931008Rogers BA, Franklin AE. Lasater clinical judgment rubric reliability for scoring clinical judgment after observing asynchronous simulation and feasibility/usability with learners. Nurse Educ Today. 2023 Jun;125:105769. doi: 10.1016/j.nedt.2023.105769. Epub 2023 Mar 6.
- Background: PubMed 22132718Adamson KA, Gubrud P, Sideras S, Lasater K. Assessing the reliability, validity, and use of the Lasater Clinical Judgment Rubric: three approaches. J Nurs Educ. 2012 Feb;51(2):66-73. doi: 10.3928/01484834-20111130-03. Epub 2011 Nov 30.
- Individual participant dataSharing planned: No. No individual participant data are planned to be shared. Aggregate results will be reported in publications/presentations.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Physical Therapy Education and Clinical Judgement Assessment, run by Youngstown State University at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 4 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Edmund Ickert, PhD (330-941-1326, ecickert@ysu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Intraclass Correlation Coefficient (ICC) for LCJR-PT total and domain scores (time frame: Through study completion, an average of 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07449026, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Mar 2026.