Consensus on Feedback Statements That Create Responsibility Among People With Parkinson's Disease: A Delphi Study.

Importance: Sense of agency is associated with a sense of responsibility, which is essential to performing goal-directed occupations. Objective: To reach consensus on a set of extrinsic feedback statements that have the potential to create a sense of responsibility among patients with neurological d...

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Publicado en:American Journal of Occupational Therapy Vol. 77; no. 4; pp. 1 - 18
Autores principales: Meimandi, Mahsa, Azad, Akram, von Rosen, Philip, Taghizadeh, Ghorban
Formato: research tables/charts Journal Article
Publicado: American Occupational Therapy Association Jul/Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2023
      vid: 77
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        10.5014/ajot.2023.050231
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        atl: Consensus on Feedback Statements That Create Responsibility Among People With Parkinson's Disease: A Delphi Study.
      aug:
        au:
          Meimandi, Mahsa
          Azad, Akram
          von Rosen, Philip
          Taghizadeh, Ghorban
        affil: Mahsa Meimandi, MSc, is PhD Candidate, Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
      sug:
        subj:
          Parkinson Disease Therapy
          Occupational Therapy Methods
          Consensus
          Feedback
          Social Responsibility
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Delphi Technique
          Activities of Daily Living
          Social Participation
          Occupation (Human)
          Descriptive Statistics
          Summated Rating Scaling
          Kruskal-Wallis Test
          Mann-Whitney U Test
          Statistical Significance
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Importance: Sense of agency is associated with a sense of responsibility, which is essential to performing goal-directed occupations. Objective: To reach consensus on a set of extrinsic feedback statements that have the potential to create a sense of responsibility among patients with neurological disorders in the course of performing daily or social occupations. Design: Anonymous Delphi study with two rounds with international experts and one round with Irani patients with Parkinson's disease (PD). Setting: Electronic survey. Participants: One hundred experts and 73 patients with idiopathic PD. Outcomes and Measures: Experts and patients anonymously rated (5 = strongly agree/very effective, 4 = agree/effective, 3 = neither agree nor disagree/uncertain, 2 = disagree/ineffective, 1 = strongly disagree/very ineffective) their level of agreement with each survey statement and the effectiveness of each statement in creating a sense of responsibility in the course of performing daily or social occupations. Consensus was set as an interquartile range of ≤1 and ≥70% agreement in two adjacent categories of a Likert scale. Results: In the experts' first round, consensus was reached on the level of agreement and effectiveness of 18 statements. In the second round, final consensus was achieved on all statements. In the one patient round, patients reached consensus on all statements. Finally, 34 statements were rated as 4 or 5 in terms of agreement and effectiveness, based on the opinions of experts and patients. Conclusions and Relevance: This study has produced a collection of feedback statements that might be useful in occupation-based interventions. What This Article Adds: Extrinsic responsibility feedback delivered while administering occupation-based interventions may increase volition, motivation, and engagement. This study produced a collection of feedback statements that might be useful in occupation-based interventions to create a sense of agency and responsibility among patients with Parkinson's disease when performing daily or social occupations.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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