Evaluation and students' perception of a health equity education program in physical therapy: a mixed methods pilot study

BMC Med Educ. 2024 May 1;24(1):481. doi: 10.1186/s12909-024-05471-6.

Abstract

Background: Health equity is a common theme discussed in health professions education, yet only some researchers have addressed it in entry-level education.

Purpose: The purpose of this study is to serve as an educational intervention pilot to 1) evaluate students' perception of the effectiveness of the DPT program in providing a foundation for health equity education, with or without the benefit of a supplemental resource and 2) establishing priorities for the program related to educating students on health inequities in physical therapy clinical practice. A mixed method design with a focus-group interview was utilized to explore students' perceptions of the DPT program's commitment to advancing health equity.

Methods: A three-staged sequential mixed methods study was conducted. Stage 1 began with quantitative data collection after completing the DEI Bundle utilizing the Tripod DEI survey. Stage 2 involved identifying themes from the Tripod Survey data and creating semi-structured interview questions. Stage 3 consisted of a focus group interview process.

Results: A total of 78 students completed the Tripod DEI survey upon completing 70% of the curriculum. Thirty-five students, eight core faculty, 13 associated faculty, and four clinical instructors completed the APTA DEI Bundle Course Series. According to the Tripod DEI Survey results, program stakeholders found the program's commitment to DEI and overall climate to be inclusive, fair, caring, safe, welcoming, and understanding of individuals from different backgrounds, including a sense of student belonging where students feel valued and respected. Three themes emerged from the qualitative focus group interviews, including the value of inclusivity, health equity curricular foundations, and DEI in entry-level DPT education.

Conclusions: This study highlights the value of incorporating health equity and DEI topics into curricula while fostering an incluse program culture.

Keywords: Curriculum; Diversity; Doctor of physical therapy; Health equity; Health professions; Inclusion.

MeSH terms

  • Adult
  • Attitude of Health Personnel
  • Curriculum*
  • Female
  • Focus Groups*
  • Health Equity*
  • Humans
  • Male
  • Physical Therapy Specialty / education
  • Pilot Projects
  • Program Evaluation
  • Students, Health Occupations / psychology
  • Young Adult