Susan L. Stark, Emily Somerville, Marian Keglovits, Aliza Smason, Kelsey Bigham; Clinical Reasoning Guideline for Home Modification Interventions. Am J Occup Ther 2015;69(2):6902290030p1-6902290030p8. doi: 10.5014/ajot.2015.014266.
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© 2017 American Occupational Therapy Association
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.
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