Skip to main content

Research Repository

Advanced Search

Development of a tool to assess core cardiorespiratory physiotherapy skills: a Delphi study.

Roberts, Fiona; Cooper, Kay


Fiona Roberts


Purpose: This study reports on the development of an outcome measure designed to evaluate pre-registration physiotherapy students' ability in performing core cardiorespiratory skills. Method: A four round, e-Delphi study using an international panel of expert cardiorespiratory physiotherapists involved in pre-registration student education was undertaken. In round one participants identified what they look for in students competently performing core cardio-respiratory physiotherapy assessment and treatment skills. These items were refined in rounds two and three. Item content validity score (iCVI) of ? 0.8 at round four identified consensus. Scale content validity index (SCVI) was calculated. Results: Response rate for round one was 46% (6/13). Additional experts were invited to participate and response rates increased to 71% (round 2), 88% (round 3) and 100% (round 4). Of the 207 items across the seven skills identified in round one, 140 were presented in round four. Of these, consensus was achieved for 128 items, with 12 being excluded. The SCVI was 0.907. Conclusion: This e-Delphi study enabled the development of a draft outcome measure, which aims to assess performance of seven cardiorespiratory physiotherapy skills. This tool will enable rigorous evaluation of different education methods to establish their effectiveness. However, it is first necessary to establish construct validity and assess inter and intra-rater reliability.


ROBERTS, F. and COOPER, K. 2022. Development of a tool to assess core cardiorespiratory physiotherapy skills: a Delphi study. Physiotherapy theory and practice [online], 38(9), pages 1245-1253. Available from:

Journal Article Type Article
Acceptance Date Aug 19, 2020
Online Publication Date Oct 20, 2020
Publication Date Sep 30, 2022
Deposit Date Nov 17, 2020
Publicly Available Date Oct 21, 2021
Journal Physiotherapy Theory and Practice
Print ISSN 0959-3985
Electronic ISSN 1532-5040
Publisher Taylor & Francis
Peer Reviewed Peer Reviewed
Volume 38
Issue 9
Pages 1245-1253
Keywords Outcome measures; Education; Delphi technique; Students
Public URL


You might also like

Downloadable Citations