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The effect of integrated transformative education strategies on student's learning outcomes of conventional undergraduate physiotherapy education
Last registered on May 23, 2017


Trial Information
General Information
The effect of integrated transformative education strategies on student's learning outcomes of conventional undergraduate physiotherapy education
Initial registration date
May 23, 2017
Last updated
May 23, 2017 11:43 AM EDT
Primary Investigator
Other Primary Investigator(s)
Additional Trial Information
On going
Start date
End date
Secondary IDs
The effect of integrated transformative education (TE) strategies on student’s learning outcomes of conventional undergraduate physiotherapy education:

The need of imparting TE strategies into teaching-learning process is increasing with globalization and with advent of interprofessional education. LANCET experts committee (2010) report on Medical Education expressed Freire’s concepts of critical pedagogy and Mezirow’s transformation theory as a basis to educate new century health professionals for the labour markets of health and education system.1 They proposed a competency based education model that was derived on the basis of heath needs and social accountability. Both local and global health needs and social accountability were the theme of origin to generate competencies for the curriculum which constantly meets day to day demand. Further Lancet report recommended the transformative education equipped with problem based teaching and competency driven curriculum with leadership attributes rather being a professional of a discipline. In spite of above directions, the current format of health education may not resonant with these directions. Apart from discipline knowledge and problem solving, transformative education targets leadership (work as group and support each other), global and cultural competency (ability to work with diverse cultural population and engaged in current heath care events and treatment trends), service learning & civic engagement, and health & wellness of the learner. Further transformative education provides opportunities to develop critical thinking skills, effective communication and team collaboration, which aims for the common clinical goal rather than segregated multidisciplinary distinct goals.2, 3
This study will evaluate the impact of integrated transformative education strategies into conventional under-graduate physiotherapy curriculum particularly in the competencies related to a) knowledge, b) problem solving and c) global and cultural efficiency.
External Link(s)
Registration Citation
MUTHUKRISNAN, RAMPRASAD. 2017. "The effect of integrated transformative education strategies on student's learning outcomes of conventional undergraduate physiotherapy education." AEA RCT Registry. May 23. https://doi.org/10.1257/rct.2219-1.0.
Former Citation
MUTHUKRISNAN, RAMPRASAD. 2017. "The effect of integrated transformative education strategies on student's learning outcomes of conventional undergraduate physiotherapy education." AEA RCT Registry. May 23. http://www.socialscienceregistry.org/trials/2219/history/17900.
Experimental Details
The teaching learning experiences will be given thorough the modes of exercises such as clinical problem solving and assignments. TE exercises will be given in the form of blogging, concepts maps and report writing and clinical based problem solving for clinical scenarios. The discussion activities will use community health strategies such as screening, identifying community health problem & solving methods and comparing with global scenarios. This learning method will be implemented in topics in the course of physiotherapy in community health, community based rehabilitation and physiotherapy in neuroscience as integrated module. Selected topics will be used to form concepts maps to target deeper learning. Themes, objectives and teaching and learning methods to be used in transformative education will be analysed using content validity. Online Modified Case based learning (CBL) scenarios will be created for clinical problem solving. Modified CBL session assignments, group discussions or arguments, students feedback will be directed to target to provide perspectives of disease, individual, family and their impact on community, nation and global health. Through the online modified CBL, learning curiosity will be enhanced by a) brain storming (discussions and arguments) the case b) suggest various options even outside the tangents listed c) providing self –directed learning d) generate case management strategies by open inquiry and e) providing opportunities for problem solving.
This strategy will provide opportunity to the learner to discern best possible community health diagnosis out of various disorders presented, treatment possibilities and global scenario i.e., global advances in diagnosis and treatment and cultural scenarios specific to the people. In the course of self-directed learning, visits to on-going conference governmental, private and international health care providers operating in UAE, meeting health authorities in and health policy debates will be arranged. Project writing and blogging on above visits and debates will be encouraged which targets problem solving and enhance perspectives of global health. This will provide real opportunities and experience to the learner to develop different perspectives of disease to encounter CBR in more realistic approach. TE strategies in this study aims to expedite the course objectives such as “analyse and evaluate” than to “remember” and “understand” in the knowledge domain thus providing deeper understanding. The other skills targeted are a) develop team work with collaboration and communication b) develop several perspectives for disease using evidence based practice and c) encourage internalization by the means of emphatically counsel the culturally diverse patients by community engagements .
Intervention Start Date
Intervention End Date
Primary Outcomes
Primary Outcomes (end points)
Learning outcomes of trans formative education compared to teacher centered education
survey on learning outcomes met
Facilitator perceived outcomes related to transformative education thresholds
Transformative thresholds criteria occurred during intervention

Primary Outcomes (explanation)
primary: TE specific thresholds spotted by facilitators
1. A questionnaire will be developed and validated for knowledge, problem solving and global competency domains. This questionnaire will provide perceptual indicators for method of teaching and competencies facilitated in student population. This will explore the percentage of student population and their attitude on transformative education as well as trans-missive education.
2. Formative assessments using MCQ for knowledge domain
3. Formative assessment using online clinical case based scenarios – feedback of students. Clinical knowledge, problem solving skills and global competency domain
4. Interview (leadership and team work abilities – personal feedback, expressions of learners) rubric
5. Concept maps rubric
6. Blogging rubric
7. Critical writing rubric
Secondary Outcomes
Secondary Outcomes (end points)
Secondary Outcomes (explanation)
Experimental Design
Experimental Design
Design: Modified cross-over study with follow-up
Sample: Stratified random sampling method - Final year physiotherapy students (N=22).
Experimental Design Details
Randomization Method
Stratified random sampling method
Randomization Unit
Stratified (based on 1st and 2nd year mark percentages) random sampling method
Was the treatment clustered?
Experiment Characteristics
Sample size: planned number of clusters
Sample size: planned number of observations
2014 COHORT: n=22
Sample size (or number of clusters) by treatment arms
cross over trial: Pre test -1
Group I(n=11)
TE Methods of teaching phase
Conventional teaching phase
Follow-up assessment

Group II(n=11)
Conventional teaching phase
TE Methods of teaching phase
Follow-up assessment
Minimum detectable effect size for main outcomes (accounting for sample design and clustering)
With 95 percent certainty all population will be sampled hence n = 21
IRB Name
Gulf Medical University
IRB Approval Date
IRB Approval Number
Post Trial Information
Study Withdrawal
Is the intervention completed?
Is data collection complete?
Data Publication
Data Publication
Is public data available?
Program Files
Program Files
Reports, Papers & Other Materials
Relevant Paper(s)