Assessment of metacognitive regulation appears underexploited in physical therapy, with existing methods not adequately capturing tasks-focals interplay or interaction dynamics¶

Claim · All claims
Evidence · 1 study · review r2 · q2
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person · recheck by 2029: tool and model accuracy changes quickly

Subclaims¶

q2 i? The review's very limited evaluation evidence shows PT assessment of MR lags other professions, with no qualitative or psychometric evaluation of methods and inadequate accounting of the tasks-focals interplay and interaction dynamics. → Perdrix Yannick 2026

Evidence¶

Perdrix Yannick 2026¶

Perdrix Yannick, Nael Jérémy, Dionne Eric, Pinsault Nicolas. (2026). Metacognitive regulation in physical therapists’ clinical reasoning: a scoping review. International Journal of Medical Education. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563282/

q2 · i? · review · r2

Authors' synthesis-based interpretation from the evaluation section of the narrative review. The review attributes the gap to "the small number of articles" (only four studies) and notes "existing methods do not seem to adequately account for the subtle interplay between tasks and focals".

"This shows that evaluation is probably underexploited in PT, especially given the small number of articles and the lack of qualitative or psychometric evaluation of the methods used."

Discussion¶

Related Claims¶

• Inductive analysis identified a new 'focal' characteristic of MR with four focals: clinical, ethical, epistemological and ontological — related
• A scoping review following JBI and PRISMA-ScR guidelines identified 1,025 documents and analyzed 36 on metacognitive regulation in physical therapy clinical reasoning — related
• Metacognitive regulation in PT clinical reasoning is relational and often co-constructed in interaction with the self, patient, family, professionals and peers — related
• Focal scenario analysis reveals that no existing theory explains coordination of multiple monitoring sources — related
• Metacognition assessment is shifting from self-report questionnaires toward process-oriented multimodal methods, which face validity and data-alignment challenges — related
• Metacognitive regulation in PT clinical reasoning fits Johnson's three types (self-observation, self-judgment, self-reaction), with all types represented in 58–75% of included articles — related
• Traditional self-report methods face significant limitations in capturing the dynamic nature of SRL — a broader claim this one bears on
• Errors in clinical reasoning arise from 4 primary areas: inadequate knowledge, flawed data gathering, faulty data processing, or impaired metacognition — related
• Only 5% of physical therapy assessment studies used a contemporary validity framework and only 13.7% fully reported intended interpretation and use — related