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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 |
| 形態種別 | 学術論文 |
| 査読 | 査読あり |
| 標題 | Clinical Utility, Validity and Reliability of the iPad Application for Goal-setting: The Aid for Decision-making in Occupation Choice-2 (ADOC2) |
| 執筆形態 | 共著 |
| 掲載誌名 | Clinical Rehabilitation |
| 掲載区分 | 国外 |
| 出版社・発行元 | SAGE PUBLICATIONS LTD. |
| 担当区分 | 筆頭著者,責任著者 |
| 国際共著 | 国際共著 |
| 著者・共著者 | Tomori K, Sawada T, Okita Y, Levack W |
| 概要 | Objective: To evaluate the clinical utility, reliability, and validity of the second-generation Aid for Decision-making in Occupation Choice (ADOC2), an iPad application designed for client-centred and occupation-centred goal setting.
Design: This study consisted of two components: (1) the development and refinement of the ADOC2 application, focusing on user interface design and structured goal-setting functionality; and (2) the clinical evaluation of its utility, validity, and reliability. Setting: Eleven rehabilitation facilities in Japan (10 hospitals, 1 home-based setting). Participants: A total of 116 occupational therapy clients and 56 occupational therapists participated in the study. Main measures: Clinical utility was assessed using a structured questionnaire previously validated for the original ADOC. Validity was examined through correlations with the Canadian Occupational Performance Measure (COPM) and the EuroQol 5-Dimension 5-Level (EQ-5D-5L). Test–retest reliability of satisfaction and performance scores was analysed using weighted kappa coefficients. Results: Over 90% of participants reported positive experiences with ADOC2 during the goal-setting process. The COPM scores showed strong correlations with ADOC2 ratings, while EQ-5D-5L scores showed weaker but expected correlations. Weighted kappa analyses indicated substantial to almost perfect agreement for test–retest reliability. Conclusions: ADOC2 is a clinically useful, valid, and reliable tool for facilitating client-centred goal setting in occupational therapy practice. |