[article] 
inAmerican Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-8

Titre :	Clinical Reasoning Guideline for Home Modification Interventions
Type de document :	texte imprimé
Auteurs :	Susan L. Stark, Auteur ; Emily Somerville, Auteur ; Marian Keglovits, Auteur
Année de publication :	2015
Article en page(s) :	p.1-8
Langues :	Anglais (eng)
Mots-clés :	Aménagement du domicile  Ergothérapie  Décision médicale  ModificationDecision making  Environment design  Guidelines as topic  Occupational therapy  Patient-centered care
Résumé :	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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[article] Clinical Reasoning Guideline for Home Modification Interventions [texte imprimé] / Susan L. Stark, Auteur ; Emily Somerville, Auteur ; Marian Keglovits, Auteur . - 2015 . - p.1-8.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-8

Mots-clés :	Aménagement du domicile  Ergothérapie  Décision médicale  ModificationDecision making  Environment design  Guidelines as topic  Occupational therapy  Patient-centered care
Résumé :	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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