Effect of Occupational Therapy Clinical Training on Self-Efficacy and Clinical Reasoning of Students


Sara Afshar 1 , * , Dorsa Hamedi 2 , Nasibeh Noori-Moombeini 2 , Nazila Akbar-Fahimi 3


1 Ph.D. Student, Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Iran

2 M.Sc. in Occupational Therapy, Musculoskeletal Rehabilitation Research Center AND Lecturer, Department of Occupational Therapy, School of Rehabilitation, Jundishapur University of Medical Sciences, Ahvaz, Iran, Iran

3 Ph.D. in Occupational Therapy, Assistant Professor, Department of Occupational Therapy, School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Iran


Strides in Development of Medical Education: 13 (5); e57530
Published Online: December 22, 2016
Article Type: Research Article
Received: July 04, 2017
Accepted: October 15, 2016




Background & Objective: The ultimate goal of medical universities is clinical efficacy in their students. Students’ evaluation of self-efficacy can be a good guide to predicting their clinical skills. Therefore, this research was designed to evaluate the effect of occupational therapy clinical training during one semester on self-efficacy and clinical reasoning in students and the relationship between these two factors.

Methods: This descriptive-analytical and cross-sectional study was conducted on 42 third and fourth year undergraduate students of occupational therapy‎ who were passing the clinical education course. The study was conducted in all occupational therapy clinical centers of Jundishapur ‎University of Medical Sciences, Ahvaz, Iran, through census sampling in 2014. The General Self-Efficacy Scale (10 questions) and Self-Assessment of Clinical Reflection and Reasoning (26 questions) were used in this study. Data were analyzed using descriptive statistics and parametric tests such as paired t-test, independent t-test, and the Pearson correlation coefficient in SPSS software.

Results: Results indicated a significant change (from 29.97 ± 3.87 in pre-test to 31.80 ± 4.04 in post-test) in students' self-efficacy during one semester (P = 0.009). However, the increase in mean scores of clinical reasoning and self-reflection at the end of the semester was not significant (P = 0.460). There was a weak correlation between the self-efficacy variable and clinical reasoning and self-reflection (P = 0.010, r = 0.39). Scores did not show statistically significant differences in either cases and between the two sexes

Conclusion: According to the results of this study, clinical training program in the field of occupational therapy led to the creation and promotion of self-efficacy in students, but does not increase clinical reasoning among them. Therefore, revision of clinical training of students and improvement of their clinical courses’ plans seems necessary.


Clinical education Self-efficacy Clinical reasoning Students Occupational therapy

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