Professional Evaluation & Reflection on Change Tool (PERFECT)

Evidence Reviewed as of before: 22-06-2010
Author(s): Nicol Korner-Bitensky, PhD OT; Annabel McDermot, OT

Purpose

The Professional Evaluation & Reflection on Change Tool (PERFECT) is a critical incident tool that was designed for use by health professionals to explore change and reason for change in clinical practice.

In-Depth Review

Purpose of the measure

The Professional Evaluation & Reflection on Change Tool (PERFECT) is a standardized tool that facilitates analysis of change and reason for change in clinical practice over the past 6 and 12 months (Menon et al., 2010). It explores clinical practice in terms of four domains of (i) problem identification, (ii) assessment, (iii) treatment, and (iv) referral practices.

Available versions

There is only one version of the PERFECT, which was developed by Korner-Bitensky, Menon, Cafaro, Loncaric, Moore, Vivona and Wynands in 2010.

Features of the measure

Items:
The PERFECT is designed to be administered in interview format. In addition to a brief section on the clinician’s professional demographics (e.g. age, gender, work setting, participation in clinical education), there are four sections with a total of 33 questions. The four domains of practice are:

  • Problem identification
  • Assessment practices
  • Treatment practices
  • Referral patterns

Within each of these four domains the clinician is required to reflect on his/her clinical practice over the past 6 and 12 months, to consider changes made, the reasons for change, enablers and barriers to change, and additional change desires.

Scoring and Scoring Interpretation:

  • N/A

Equipment:

  • N/A

Time:

  • 30 minutes

Training requirement:

  • No training requirements specified

Subscales:

  • None

Alternative forms of the PERFECT

  • None.

Client suitability

The PERFECT was designed as a research tool for rehabilitation professionals. Further psychometric testing is recommended for broader use.

In what languages is the measure available?

  • English.

Summary

What does the tool measure?

Change and reason for change in clinical practice by health professionals.

What types of clients can the tool be used for?

Rehabilitation clinicians

Is this a screening or assessment tool?

N/A

Time to administer

Approximately 30 minutes

Versions

There are no alternative versions.

Other Languages

There are no official translations.

Measurement Properties

Reliability

Not yet examined

Validity

Face:
Preliminary review by an expert panel has verified satisfactory face validity.

Criterion:
Concurrent validity has not been examined as there is no gold standard for assessing change in clinical practice amongst health professionals.

Construct:
N/A

Content:
Preliminary review by an expert panel has verified satisfactory content validity.

Floor/Ceiling Effects

N/A

Does the tool detect change in patients?

N/A

Acceptability

The PERFECT is simple to administer and provides specific instructions for the assessor to follow. Minimal equipment is required.

Feasibility

Administration of the S-5 is quick and easy, and can be performed by any member of the multidisciplinary team. Feedback from expert clinicians and patients indicates acceptable administration time, effort and complexity.

How to obtain the tool?

Click here to see a copy of the PERFECT

Psychometric Properties

Overview

We conducted a literature search to identify all relevant publications on the psychometric properties of the PERFECT. We identified 1 study.

Floor/Ceiling Effects

N/A

Reliability

Internal Consistency:
N/A

Intra-rater:
N/A

Inter-rater:
N/A

Validity

Face:
Five expert reviewers in the field of stroke and knowledge translation research reviewed the PERFECT for face validity (Menon et al., 2010). Further pilot-testing with a small (n=10) convenience sample of rehabilitation clinicians indicated that the PERFECT was successful in prompting exploration of change, reasons for change, and facilitators and barriers to change in participants’ clinical practice. Please refer to the article by Menon et al. (2010) for information regarding the psychometric properties of the PERFECT.

Content:
Five expert reviewers in the field of stroke and knowledge translation research reviewed the PERFECT for face validity (Menon et al., 2010). Please refer to the article by Menon et al. (2010) for information regarding the psychometric properties of the PERFECT. Pilot-testing with a small (n=10) convenience sample indicated the need for consideration of other areas of clinical practice such as discharges, patient involvement and self-directed learning, however it was considered that these areas are partly included within the four practice domains of the questionnaire.

Criterion:
Concurrent:
N/A

Predictive.
N/A

Construct:
N/A

Responsiveness

N/A

References

See The Measure

How to obtain the PERFECT?

The PERFECT can be obtained by clicking on the following link: PERFECT  (PDF)

Table of contents
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