TY - JOUR
T1 - Clinical reasoning guideline for home modification interventions
AU - Stark, Susan L.
AU - Somerville, Emily
AU - Keglovits, Marian
AU - Smason, Aliza
AU - Bigham, Kelsey
N1 - Publisher Copyright:
© 2015, American Occupational Therapy Association, Inc. All rights reserved.
PY - 2015/3/1
Y1 - 2015/3/1
N2 - OBJECTIVE. The objective of this study was to develop and validate a clinical reasoning tool to describe an occupational therapist's clinical reasoning process while delivering home modification interventions. METHOD. We used a two-phase, mixed-methods approach. In Phase 1, we developed a personal factors guideline to support clinical reasoning in home modification interventions based on in-depth interviews, a focus group, and field observations of 6 home modification experts. In Phase 2, the guideline was validated by a second group of 6 home modification experts. RESULTS. During analysis, 16 personal and environmental factors with a corresponding set of conditions and strategies for each factor emerged to form a clinical reasoning guideline, which was validated by a second group of experts. CONCLUSION. Unpacking the "black box" of the clinical reasoning process has yielded a useful clinical reasoning tool that will allow occupational therapists to deliver complex interventions with fidelity.
AB - OBJECTIVE. The objective of this study was to develop and validate a clinical reasoning tool to describe an occupational therapist's clinical reasoning process while delivering home modification interventions. METHOD. We used a two-phase, mixed-methods approach. In Phase 1, we developed a personal factors guideline to support clinical reasoning in home modification interventions based on in-depth interviews, a focus group, and field observations of 6 home modification experts. In Phase 2, the guideline was validated by a second group of 6 home modification experts. RESULTS. During analysis, 16 personal and environmental factors with a corresponding set of conditions and strategies for each factor emerged to form a clinical reasoning guideline, which was validated by a second group of experts. CONCLUSION. Unpacking the "black box" of the clinical reasoning process has yielded a useful clinical reasoning tool that will allow occupational therapists to deliver complex interventions with fidelity.
KW - Decision making
KW - Environment design
KW - Guidelines as topic
KW - Occupational therapy
KW - Patient-centered care
UR - http://www.scopus.com/inward/record.url?scp=84922674532&partnerID=8YFLogxK
U2 - 10.5014/ajot.2015.014266
DO - 10.5014/ajot.2015.014266
M3 - Article
C2 - 26122687
AN - SCOPUS:84922674532
SN - 0272-9490
VL - 69
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 2
ER -