Andonia Stefanovich, Camille Williams, Pat McKee, Eric Hagemann, Heather Carnahan; Development and Validation of Tools for Evaluation of Orthosis Fabrication. Am J Occup Ther 2012;66(6):739-746. doi: 10.5014/ajot.2012.005553.
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© 2017 American Occupational Therapy Association
This study is the first phase of research aimed at developing new educational approaches to enhance occupational therapy students’ orthosis fabrication skills. Before the effectiveness of training can be determined, a method for evaluating performance must be established. Using the Delphi method, we developed a global rating scale and checklist for evaluating technical competence when fabricating metacarpophalangeal (MCP) joint–stabilizing orthoses. To determine the reliability and validity of these tools, three evaluators used them to assess and score orthotic fabrication performance by experienced and student occupational therapists. The results suggest that these measurement tools are valid and reliable indicators of the technical skills involved in fabricating an MCP joint–stabilizing orthosis. Future studies should focus on building on these tools to evaluate communication skills, technical skills for making other types of orthoses, and effectiveness of training programs.
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The Delphi method can be used to develop valid and reliable measurement tools for orthosis fabrication skills in an occupational therapy curriculum.
Validated measurement tools—a GRS and a checklist—now exist that can be used to evaluate trainees’ technical skills when fabricating MCP joint–stabilizing orthoses (contact Heather Carnahan for copies). The measurement tools can be used or adapted for research evaluating the effectiveness of training interventions for orthosis fabrication, such as simulation of pathologically deformed limbs.
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