Reliability and Validity of the Arabic Version of the Self-Assessment of Clinical Reflection and Reasoning Questionnaire in Physical Therapy Students

Asma Alonazi,1 Walaa Sayed Mohammad,2 Danah Alyahya,1 Abdullah Alismail3– 5 1Department of Physical Therapy and Health Rehabilitation, Majmaah University, Al Majmaah, Riyadh, 11952, Saudi Arabia; 2Department of Physical Therapy, Utica University, Utica, NY, 13502, USA; 3Health Research Center, Ministry of Defense Health Services, Riyadh, Saudi Arabia; 4Department of Cardiopulmonary Sciences, Rush University, Chicago, IL, 60612, USA; 5Department of Medicine, School of Medicine, Loma Linda University, Loma Linda, CA, USACorrespondence: Asma Alonazi, Department of Physical Therapy and Health Rehabilitation, Majmaah University, Al Majmaah, Riyadh, 11952, Saudi Arabia, Email [email protected] Abdullah Alismail, Department of Medicine, School of Medicine, Loma Linda University, Loma Linda, CA, 60612, USA, Email [email protected]: Clinical reasoning is a critical skill for physical therapy (PT) students to provide effective care. This study aimed to assess the reliability, internal consistency, and construct validity of the Arabic version of the Self-Assessment of Clinical Reflection and Reasoning (SACRR) questionnaire in physical therapy students at Majmaah University.Materials and Methods: A quasi-experimental, non-randomized design was employed, with 76 students divided into three groups: intern (n = 19), pre-clinical (n = 21), and post-clinical (n = 36). Pretest and posttest assessments were conducted. Internal consistency of the Arabic version of the SACRR was analyzed using Cronbach’s alpha coefficient. Statistical analyses were performed using SPSS 19.0.Results: The mean age was 22.8 ± 1.3 years, 58 (76.3%) were females, and 18 (23.7%) were males. Significant differences were found between pretest and posttest SACRR scores for Items 7– 11 and 14– 26 (P< 0.05), with mean score increasing from 109.36 ± 11.41 to 116.95 ± 7.40 (P< 0.0001). Cronbach’s alpha values indicated strong internal consistency: pretest α = 0.915 and posttest α = 0.860.Conclusion: Clinical exposure improved clinical reasoning skills among physical therapy students, highlighting the importance of clinical education in healthcare curricula. The Arabic version of the SACRR questionnaire demonstrated good reliability for assessing clinical reasoning skills in this population. Further studies are warranted to validate the SACRR questionnaire in diverse cultural and linguistic contexts, as well as to validate the tool across different cultures and healthcare disciplines.Keywords: clinical reasoning, physical therapy students, SACRR, arabic translation, reliability, validity