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Examining the Effect of a Simulation-Based Activity on Learner Comfort and Confidence With Challenging Communication Scenarios for Physical Therapy Students: A Mixed-Methods Analysis.

Created on 07 Oct 2026

Authors

Caitlin McArthur, Sara Ripley, Niousha Alizadehsaravi, Karen Bassett, Marie Earl, Kate Grosweiner, Melanie MacLeod, Daphne Periera

Published in

Physiotherapy Canada. Physiotherapie Canada. Volume 78. Issue 2. Pages 212-219. Epub Apr 06, 2026.

Abstract

Purpose: We described physiotherapy (PT) learner confidence and comfort in engaging in challenging conversations before and after a simulation-based lab and explored how learners found the activity helpful. Method: Quantitative data were collected through three online surveys (before, immediately after, and 3 months after the lab) and analyzed via descriptive statistics. Qualitative data were collected through open-ended survey questions and reflection papers, and analyzed via thematic content analysis. Results: Twenty-two, predominantly female (72.7%) second year entry-level PT learners participated (mean age 25.7 [SD 2.9] years). Learners' confidence or comfort increased 16%-100% after the lab. Learners found the lab to be a valuable learning experience and reported that feedback and observation, realism, and preparation influenced their learning. The lab reinforced and provided new learning about several communication skills like developing a connection and reading non-verbal cues. Some learners had difficulty integrating communication into their perception of PT skills and felt the need to resolve or "fix" the issue. Conclusions: A simulation-based Challenging Conversations Lab was perceived to be a valuable learning experience that may have increased comfort and confidence in engaging in challenging communication scenarios for entry-level PT students.

PMID:
42841096
Bibliographic data and abstract were imported from PubMed on 07 Oct 2026.

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