Development of an English-language version of a Japanese iPad application to facilitate collaborative goal setting in rehabilitation: a Delphi study and field test.

Development of an English-language version of a Japanese iPad application to facilitate collaborative goal setting in rehabilitation: a Delphi study and field test.
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DOI:
10.1136/bmjopen-2017-018908
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发表时间:
2018-03-01
期刊:
影响因子:
2.9
通讯作者:
Sherrington AJ
Sherrington AJ
中科院分区:
医学3区
文献类型:
--
作者:
Levack W;Tomori K;Takahashi K;Sherrington AJ

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这项研究旨在调查日语iPad应用程序的英文版本的内容,该应用程序旨在促进围绕康复目标设置的共享决策:辅助职业选择决策-英语(ADOC-E)。阶段1:Delphi方法与国际职业治疗专家小组就ADOC-E中的文本和图像达成共识。阶段2:测试住院康复和住院护理中卫生服务用户对ADOC-E中图像的正确识别(无提示和提示)。第一阶段:国际在线。第二阶段:新西兰的三项医疗服务--(1)创伤性脑损伤的住宅康复服务,(2)体弱老年人疗养院和(3)公立医院的住院康复病房。第一阶段:来自新西兰(4名)、澳大利亚(4名)、英国(2名)和美国(4名)的14名经验丰富的职业治疗师。第二阶段:24名康复和住宿护理服务使用者(10名男性,14名女性;20-95岁;简易精神状态考试成绩13-30分)。四轮德尔福回合需要与经验丰富的职业治疗师就ADOC-E的内容达成共识,最后是100个项目,涵盖人们从事的日常活动和他们参与的社会角色。超过80%的服务用户参与者可以在没有提示或提示的情况下正确识别95%(95/100)的ADOC-E项目。虽然ADOC-E中的一些更抽象的概念(与复杂的社会角色相关)不太可能被所有参与者正确识别,但ADOC-E的文本和图像被认为总体上适合用途,并为未来的临床测试做好准备。
This study aimed to investigate the content of an English-language version of a Japanese iPad application designed to facilitate shared decision-making around goal setting in rehabilitation: Aid for Decision-making in Occupational Choice—English (ADOC-E). Phase 1: Delphi methods to reach consensus with an international group of expert occupational therapists on the text and images in ADOC-E. Phase 2: Testing correct recognition (unprompted and prompted) of images in ADOC-E by health service users in inpatient rehabilitation and residential care. Phase 1: International, online. Phase 2: Three healthcare services in New Zealand—(1) a residential rehabilitation service for traumatic brain injury, (2) a nursing home for frail older adults and (3) an inpatient rehabilitation ward in a public hospital. Phase 1: Fourteen experienced occupational therapists from New Zealand (4), Australia (4), UK (2) and USA (4). Phase 2: Twenty-four rehabilitation and residential care service users (10 men, 14 women; 20–95 years; Mini-Mental State Exam scores 13–30). Four Delphi rounds were required to reach consensus with the experienced occupational therapists on the content of ADOC-E, ending with 100 items covering daily activities that people do and social roles they participate in. Ninety-five per cent (95/100) of ADOC-E items could each be correctly identified by over 80% of service user participants with either unprompted or prompted recognition. While a few of the more abstract concepts in ADOC-E (related to complex social roles) were less likely to be correctly recognised by all participants, the text and images ADOC-E were deemed to be fit for purpose overall and ready for future clinical testing.
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