Assessment Tools

SMT Halili relies on two tools that bring method to practice: one centered on the patient, the other on the analysis of results.

PIP: Patient Identified Problem

Validated scale

The PIP (Patient Identified Problem) places the patient at the center of the process. Rather than starting only from standardized measures, the therapist records the complaints and goals that the patients themselves identify as most important, ensuring that treatment is directed at their real needs.

The PIP was the subject of a psychometric validation study, assessing the scale's reliability, responsiveness, and minimal clinically important difference (MCID) (Halili, 2020). In the method's studies, the reference MCID for the overall scale is 3.8 points.

HPTSAT: Statistical Analysis Tool

Methodological tool

The HPTSAT (Halili Physical Therapy Statistical Analysis Tool) is the tool that analyzes patients' progress and the efficacy of protocols over time. It makes it possible to monitor progress and adjust treatment as needed, aiming for measurable results.

Methodologically, the HPTSAT was described as an instrument for controlling threats to internal validity in the analysis of retrospective clinical data, in the context of a modified adaptive platform design (Halili, 2021, MethodsX). In the method's studies, protocol combinations must pass HPTSAT criteria, such as minimum sample size, effect size (Hedges' g), and PIP above the MCID, to be considered effective.

How this translates into evidence

This measurement structure is what feeds the Evidence by region: each study measures the improvement rate via PIP and filters protocols via HPTSAT. Because they are retrospective cohorts, they offer observational support: robust in number of patients, but distinct from what a randomized trial would demonstrate.