Mahsa Meimandi, MSc, is PhD Candidate, Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Akram Azad, PhD, is Associate Professor, Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Am J Occup Ther. 2023 Jul 1;77(4). doi: 10.5014/ajot.2023.050231.
Sense of agency is associated with a sense of responsibility, which is essential to performing goal-directed occupations.
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.
Anonymous Delphi study with two rounds with international experts and one round with Irani patients with Parkinson's disease (PD).
Electronic survey.
One hundred experts and 73 patients with idiopathic PD.
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.
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.
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.
主体感与责任感相关，而责任感对于执行目标导向的职业至关重要。
就一整套外在反馈陈述达成共识，这些陈述有可能在患者执行日常或社交职业的过程中产生责任感。
匿名德尔菲研究，包括两轮国际专家和一轮伊朗帕金森病患者参与。
电子调查。
100 名专家和 73 名特发性帕金森病患者。
专家和患者匿名对每个调查陈述的同意程度和在执行日常或社交职业过程中产生责任感的有效性进行评分（5=强烈同意/非常有效，4=同意/有效，3=既不同意也不反对/不确定，2=不同意/无效，1=强烈反对/非常无效）。共识设定为李克特量表相邻两个类别之间的四分位距≤1 和≥70%的同意。
在专家第一轮中，就 18 个陈述的同意程度和有效性达成了共识。在第二轮中，所有陈述最终达成共识。在患者一轮中，患者对所有陈述达成了共识。最终，根据专家和患者的意见，34 个陈述在同意程度和有效性方面被评为 4 或 5。
本研究产生了一系列反馈陈述，这些陈述可能对基于职业的干预措施有用。这篇文章增加了什么：在实施基于职业的干预措施时提供外在责任反馈可能会增加意志、动力和参与度。
