An observational study in Attitude of Health Personnel, sponsored by Uşak University. Enrolling by invitation at 1 site in Turkey (Türkiye). Open to participants aged 22 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-12-22.
Sponsored by Uşak University · Observational
The aim of this study is to develop a scale to assess the manual therapy application behaviors of physiotherapists in Türkiye, based on the Theory of Planned Behavior (Ajzen, 1991). A literature-based item pool will be created, and expert opinion (Delphi method) will be obtained to ensure content validity. The final scale will be administered online to physiotherapists, and construct validity and reliability analyses will be conducted. The study aims to contribute scientifically to the determination of manual therapy application behaviors in physiotherapy practices, the understanding of clinical decision-making processes, and the measurement of behavioral intention. No risks were anticipated for the participants, and data collection was voluntary.
Manual therapy is an evidence-based intervention method based on manual techniques widely used by physiotherapists in the treatment of musculoskeletal disorders. However, clinicians' decisions to implement manual therapy are influenced by multidimensional factors such as personal attitudes, professional beliefs, institutional policies, educational experiences, and the culture of clinical practice. The use of behavior-based theoretical models is recommended to evaluate these factors together.
The Theory of Planned Behavior (Ajzen, 1991) is a powerful approach that explains individuals' intentions to perform a specific behavior through variables such as attitude, subjective norm, perceived behavioral control, and intention. Although this theory is frequently used to understand the clinical decision-making processes of healthcare professionals, there is no valid and reliable measurement tool in Turkey for measuring behavior toward manual therapy practices.
This study will develop a new scale adapted to Turkish culture to assess physiotherapists' manual therapy practices in a theoretically based manner. The research will consist of three phases:
Item Development Phase:
The item pool generated through the literature review will be presented to expert physiotherapists.
Expert Panel/Delphi Phase:
Experts will evaluate the items based on content validity, and items will be revised or removed based on consensus. In this phase, the Content Validity Index (CVI) and Content Validity Ratio (CVR) will be evaluated.
Statistical Analysis Phase:
The final scale will be administered online to physical therapists.
Uşak University is the lead sponsor of 80 studies on the registry; 10 are open to participants now.
Counted across the registry records on this site, refreshed daily.
The study population for this study consists of healthy adult physiotherapists actively working in public or private healthcare institutions or university hospitals in Turkey. Participants are expected to have basic training in manual therapy or clinical practice experience. Data collection will be conducted online, and participation is entirely voluntary. No medical interventions will be administered; data will be collected solely through a self-report questionnaire.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Healthy adult physiotherapists who are actively working in public or private healthcare institutions or university clinics in Turkey and have received training or basic practical experience in manual therapy. Participation is voluntary, and no clinical intervention will be performed.
Manual Therapy Application Behavior Scale for Physiotherapists
"Manual Therapy Application Behavior Scale in Physiotherapists" is a 7-point Likert-type (1 = Strongly disagree, 7 = Strongly agree) self-report scale developed based on Ajzen's Planned Behavior Theory. Higher scores reflect more positive attitudes, stronger subjective norms, higher perceived behavioral control, and higher behavioral intentions among physical therapists toward manual therapy. Construct validity will be assessed using internal consistency (Cronbach's alpha), item-total correlations, test-retest reliability, and confirmatory factor analysis.
Time frame: One-time evaluation during the data collection period
Plan to share: No — Because data is collected entirely on a voluntary basis, protecting participant privacy is a priority. Therefore, there are no plans to share Individual Participant Data (IPD) with third parties.
No publications or documents are linked to this record.
Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.
No contact was published for this record. The registry link below has the sponsor’s details.
Get an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Uşak University