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Validity and reliability of the Clinical Competency Evaluation Instrument for use among physiotherapy students: pilot study

Muhamad Z, Ramli A, Amat S

Sultan Qaboos Univ Med J, 2015 May;15(2):e266-74.
PMID: 26052461

OBJECTIVES: The aim of this study was to determine the content validity, internal consistency, test-retest reliability and inter-rater reliability of the Clinical Competency Evaluation Instrument (CCEVI) in assessing the clinical performance of physiotherapy students.
METHODS: This study was carried out between June and September 2013 at University Kebangsaan Malaysia (UKM), Kuala Lumpur, Malaysia. A panel of 10 experts were identified to establish content validity by evaluating and rating each of the items used in the CCEVI with regards to their relevance in measuring students' clinical competency. A total of 50 UKM undergraduate physiotherapy students were assessed throughout their clinical placement to determine the construct validity of these items. The instrument's reliability was determined through a cross-sectional study involving a clinical performance assessment of 14 final-year undergraduate physiotherapy students.
RESULTS: The content validity index of the entire CCEVI was 0.91, while the proportion of agreement on the content validity indices ranged from 0.83-1.00. The CCEVI construct validity was established with factor loading of ≥0.6, while internal consistency (Cronbach's alpha) overall was 0.97. Test-retest reliability of the CCEVI was confirmed with a Pearson's correlation range of 0.91-0.97 and an intraclass coefficient correlation range of 0.95-0.98. Inter-rater reliability of the CCEVI domains ranged from 0.59 to 0.97 on initial and subsequent assessments.
CONCLUSION: This pilot study confirmed the content validity of the CCEVI. It showed high internal consistency, thereby providing evidence that the CCEVI has moderate to excellent inter-rater reliability. However, additional refinement in the wording of the CCEVI items, particularly in the domains of safety and documentation, is recommended to further improve the validity and reliability of the instrument.
KEYWORDS: Clinical Competence; Malaysia; Physiotherapy Speciality; Validity and Reliability
Fulltext Barriers and facilitators for increased accessibility to quality rehabilitation services in low- and middle- income countries: a systematic review

Htwe O, Yuliawiratman BS, Tannor AY, Nor Asikin MZ, Soh E, DE Groote W, et al.

Eur J Phys Rehabil Med, 2024 Jun;60(3):514-522.
PMID: 38551518 DOI: 10.23736/S1973-9087.24.08154-1

INTRODUCTION: With an increasing number of people experiencing limitations in functioning during their life course, the need for comprehensive rehabilitation services is high. In 2017, the WHO Rehabilitation 2030 initiative noted that the need for the establishment and expansion of rehabilitation services is paramount in order to obtain well-being for the population and to ensure equal access to quality healthcare for all. The organization of rehabilitation services is however facing challenges especially in low-and middle-income countries with a very small proportion of people who require rehabilitation actually getting them. Various surveys conducted in low-and -middle income countries have revealed existing gaps between the need for rehabilitation services and the actual receipt of these services. This systematic review aimed to determine the barriers and facilitators for increasing accessibility to rehabilitation services in low- and middle-income countries. Recommendations for strengthening rehabilitation service organization are presented based on the available retrieved data.
EVIDENCE ACQUISITION: In this systematic review, an electronic search through three primary databases, including Medline (PubMed), Scopus and Web of Science (WOS) was conducted to identify original studies reporting on barriers and facilitators for rehabilitation service organization in low-and middle-income countries. Date of search: 25th April 2021 (PubMed), 3rd May 2021 (Scopus and Web of Science). All studies including barriers or/and facilitators for rehabilitation services in low- and middle income countries which were written in English were included in the review. The articles written in other languages and grey literature, were excluded from this review.
EVIDENCE SYNTHESIS: Total of 42 articles were included from year 1989 to 2021. Numerous barriers were identified that related to education, resources, leadership, policy, technology and advanced treatment, community-based rehabilitation (CBR), social support, cultural influences, political issues, registries and standards of care. National health insurance including rehabilitation and funding from government and NGOs are some of the facilitators to strengthen rehabilitation service organization. Availability of CBR programs, academic rehabilitation training programs for allied health professionals, collaboration between Ministry of Heath (MOH) and Non-governmental Organizations (NGOs) on telerehabilitation services are amongst other facilitators.
CONCLUSIONS: Recommendations for improving and expanding rehabilitation service organization include funding, training, education, and sharing of resources.
Fulltext The Effect of Hybridisation on Mechanical Properties and Water Absorption Behaviour of Woven Jute/Ramie Reinforced Epoxy Composites

Tezara C, Hadi AE, Siregar JP, Muhamad Z, Hamdan MHM, Oumer AN, et al.

Polymers (Basel), 2021 Aug 31;13(17).
PMID: 34503004 DOI: 10.3390/polym13172964

Recently, the most critical issue related to the use of natural fibre-reinforced polymer composites (NFRPC) is the degradation properties of composites exposed to the environment. NFRPC's moisture absorption behaviour has adverse effects on the composite's mechanical properties and dimensional stability. The purpose of this study is to analyse the mechanical properties of epoxy composites reinforced by jute-ramie hybridisation. This study also analysed the effect of stacking sequence hybridisation of the jute-ramie composite on water absorption behaviour. A five-layer different type of stacking sequence of single and hybrid jute-ramie is produced with the hand lay-up method. The results obtained from this study found that the mechanical properties and water absorption behaviour of a single jute fibre are lower compared to a single ramie fibre. The hybrid of jute-ramie has been able to increase the performance of composite compared to pure jute composites. The mechanical properties of the hybrid jute-ramie composite show a reduction effect after exposure to an aqueous environment due to the breakdown of fibre matrix interfacial bonding. However, after 28 days of immersion, all types of the stacking sequence's mechanical properties are still higher than that of pure epoxy resin. In conclusion, the appropriate sequence of stacking and selecting the material used are two factors that predominantly affect the mechanical properties and water absorption behaviour. The hybrid composites with the desired and preferable properties can be manufactured using a hand-lay-up technique and used in the various industrial applications.

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