Lesher Danielle Ann-Marie, Mulcahey M J, Hershey Peter, Stanton Donna Breger, Tiedgen Andrea C
Danielle Ann-Marie Lesher, OTD, OTR/L, is Practitioner, Penn State Health, Hershey, PA;
M. J. Mulcahey, PhD, OTR/L, is Professor, Occupational Therapy, Jefferson School of Health Professions, Thomas Jefferson University, Philadelphia, PA.
Am J Occup Ther. 2017 Jan/Feb;71(1):7101190060p1-7101190060p12. doi: 10.5014/ajot.2017.016741.
We sought to identify outcome instruments used in rehabilitation of the hand and upper extremity; to determine their alignment with the constructs of the International Classification of Functioning, Disability and Health (ICF) and the Occupational Therapy Practice Framework: Domain and Process; and to report gaps in the constructs measured by outcome instruments as a basis for future research.
We searched CINAHL, MEDLINE, OTseeker, and the Cochrane Central Register of Controlled Trials using scoping review methodology and evaluated outcome instruments for concordance with the ICF and the Framework.
We identified 18 outcome instruments for analysis. The findings pertain to occupational therapists' focus on body functions, body structures, client factors, and activities of daily living; a gap in practice patterns in use of instruments; and overestimation of the degree to which instruments used are occupationally based.
Occupational therapy practitioners should use outcome instruments that embody conceptual frameworks for classifying function and activity.
我们试图确定用于手部和上肢康复的结局评估工具；确定这些工具与《国际功能、残疾和健康分类》（ICF）以及《职业治疗实践框架：领域与过程》的概念框架的一致性；并报告结局评估工具所测量的概念框架中的差距，作为未来研究的基础。
我们采用范围综述方法检索了CINAHL、MEDLINE、OTseeker和Cochrane对照试验中央注册库，并评估了结局评估工具与ICF和该框架的一致性。
我们确定了18种结局评估工具进行分析。研究结果涉及职业治疗师对身体功能、身体结构、客户因素和日常生活活动的关注；工具使用实践模式中的差距；以及对所用工具基于职业程度的高估。
职业治疗从业者应使用体现功能和活动分类概念框架的结局评估工具。
