Predicting Success for Student Physical Therapists on the National Physical Therapy Examination: Systematic Review and Meta-Analysis.

Abstract:

BACKGROUND:In physical therapist education, the National Physical Therapy Examination (NPTE) is the predominant measure of student success. Because the NPTE is a high-stakes examination, predicting NPTE performance is important for physical therapist students and programs. PURPOSE:The purpose of this study was to determine the relationships between first attempt NPTE performance, physical therapist applicant variables, and physical therapist student variables. The 4 identified physical therapist applicant variables were undergraduate cumulative grade point average (GPA), undergraduate GPA for prerequisite courses, Graduate Record Examination verbal and quantitative subscale scores, and admission scores. The 4 identified physical therapist student variables were first- and third-year physical therapist student GPA, clinical performance scores (first and final clinical experiences), noncognitive student variables, and comprehensive examination scores. DATA SOURCES:A systematic search was performed using the databases PubMed and EBSCO (1966-2018). STUDY SELECTION:Studies included in the review met the following criteria: the physical therapist education program offered an entry-level master's or doctorate degree, pertinent data were available for each independent variable, the relationship between the independent variable and the NPTE was investigated, the NPTE was a continuous variable, the program was a US entry-level therapist education program, and the study was peer reviewed. DATA EXTRACTION:Two independent reviewers completed data extraction and quality appraisal using the McMaster Appraisal Tool. DATA SYNTHESIS:Random-effects meta-analyses using the Pearson product-moment correlation coefficient as the measure of effect size was used. LIMITATIONS:Limitations of the review included a lack of homogeneity, high NPTE pass rates, modifications to the McMaster Appraisal Tool, small sample sizes, and publication bias. CONCLUSIONS:No one physical therapist applicant variable should be used as an independent predictor of first attempt NPTE performance. For physical therapist students, first- and third-year physical therapist student GPA had a strong relationship with first attempt NPTE performance; clinical performance had a weak and nonsignificant relationship with first attempt NPTE performance.

journal_name

Phys Ther

journal_title

Physical therapy

authors

Wolden M,Hill B,Voorhees S

doi

10.1093/ptj/pzz145

subject

Has Abstract

pub_date

2020-01-23 00:00:00

pages

73-89

issue

1

eissn

0031-9023

issn

1538-6724

pii

5580536

journal_volume

100

pub_type

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