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トモリ コウノスケ
友利 幸之介 所属 医療保健学部 リハビリテーション学科 作業療法学専攻 職種 教授 |
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| 言語種別 | 英語 |
| 発行・発表の年月 | 2025/01 |
| 形態種別 | 学術論文 |
| 査読 | 査読あり |
| 標題 | Development of decision-aid of goal-setting for patients with distal radius fracture: Aid for decision-making in occupation choice for distal radius fracture. |
| 執筆形態 | 共著 |
| 掲載誌名 | J Hand Ther. |
| 掲載区分 | 国外 |
| 出版社・発行元 | American Society of Hand Therapists |
| 担当区分 | 責任著者 |
| 著者・共著者 | Ohno K, Tomori K, Sawada T, Kogiri H, Misaki K, Kimura R, Iitsuka T, Saito K. |
| 概要 | Background:
Patients with distal radius fractures (DRFs) face substantial challenges in daily activities due to physical limitations and a lack of strategies for adapting tasks. Occupation-based interventions have shown potential in improving both occupational performance and participation by addressing these challenges directly. Purpose: This study aimed to develop a decision-aid tool, the Aid for Decision-making in Occupation Choice for Distal Radius Fracture (ADOC-DRF), to support patient-centered, occupation-based goal-setting. The tool incorporates tailored illustrations aligned with postsurgical recovery phases and specific activity loads. Study Design and Methods: A consensus development approach was used, comprising a nominal group technique and a web-based Delphi survey. Initially, a three-person expert panel employed the nominal group technique to determine the conceptual framework, item pool, and illustrations for the prototype. This was followed by a three-round Delphi web survey involving 22 experts. Participants rated each item using a five-point Likert scale (1 = disagree to 5 = agree). A consensus threshold was set at a mean score of 3.75 or higher. Results: Across three Delphi rounds, experts provided quantitative ratings and qualitative feedback, leading to the identification of 52 validated items. These were classified into four key recovery phases: (1) immobilization, (2 early) initiation of active motion post-immobilization, (2 late) callus formation, and (3) resistance training during bone healing. Conclusion: The ADOC-DRF represents a promising tool for facilitating occupation-based interventions in hand therapy for DRF patients. While currently developed for use in Japan, further international validation is needed to ensure cross-cultural applicability and clinical utility on a global scale. |
| 外部リンクURL | https://doi.org/10.1016/j.jht.2024.08.001 |