Metacognitive regulation in PT clinical reasoning is relational and often co-constructed in interaction with the self, patient, family, professionals and peers¶

Claim · All claims
Evidence · 1 study · review r2 · q3
Currency · newest study 2026 · checked against its sources 2026-10-31 (automated, 1 of 1 entry) · not reviewed by a person

Subclaims¶

q3 i? MR is not only an internal process focused on the self: it occurs in interaction with the PT themselves, the patient (whose responses, values and even own MR the PT can educate), and external persons such as family, tutors, other professionals or peers. → 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/

q3 · i? · review · r2

Qualitative synthesis of a second set of data initially coded as 'other', which brought out the interaction theme. The article specifies MR can occur with the PT themselves, the patient, or other external persons such as family, tutors, other professionals or peers.

"Our analysis shows that it is deeply relational and interactive. Whether through real-time feedback, PT-patient exchanges, or retrospective peer discussions, MR is often co-constructed."

Discussion¶

Related Claims¶

• Assessment of metacognitive regulation appears underexploited in physical therapy, with existing methods not adequately capturing tasks-focals interplay or interaction dynamics — 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
• Script-supported groups mainly engaged in accepted intra-group metacognitive interaction, with co-constructed interaction infrequent and highly variable between groups — related
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• 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
• Inductive analysis identified a new 'focal' characteristic of MR with four focals: clinical, ethical, epistemological and ontological — related
• MR timing codes fit the literature except pre-task timing (underrepresented at 14%), and tasks are dominated by global management (60%) and cognitive (44%) — related
• Errors in clinical reasoning arise from 4 primary areas: inadequate knowledge, flawed data gathering, faulty data processing, or impaired metacognition — related
• Virtual environments favor clinical reasoning, self-regulation and peer collaboration, while physical environments engage critical reasoning, professionalism and communication abilities — related