Development of an English-language version of a Japanese iPad application to facilitate collaborative goal setting in rehabilitation: a Delphi study and field test

William Levack; Kounosuke Tomori; Kayoko Takahashi; Aidan J Sherrington

doi:10.1136/bmjopen-2017-018908

Development of an English-language version of a Japanese iPad application to facilitate collaborative goal setting in rehabilitation: a Delphi study and field test

BMJ Open. 2018 Mar 1;8(3):e018908. doi: 10.1136/bmjopen-2017-018908.

Authors

William Levack¹, Kounosuke Tomori², Kayoko Takahashi³, Aidan J Sherrington⁴

Affiliations

¹ Rehabilitation Teaching & Research Unit, Department of Medicine, University of Otago, Wellington, New Zealand.
² Department of Occupational Therapy, School of Health Science, Tokyo University of Technology, Yokosuka, Japan.
³ Department of Occupational Therapy, School of Allied Health Science, Kitasato University, Tokyo, Japan.
⁴ Department of Medicine Rehabilitation, Teaching and Research Unit, University of Otago, Dunedin, New Zealand.

Abstract

Objective: This study aimed to investigate the content of an English-language version of a Japanese iPad application designed to facilitate shared decision-making around goal setting in rehabilitation: Aid for Decision-making in Occupational Choice-English (ADOC-E).

Design: Phase 1: Delphi methods to reach consensus with an international group of expert occupational therapists on the text and images in ADOC-E. Phase 2: Testing correct recognition (unprompted and prompted) of images in ADOC-E by health service users in inpatient rehabilitation and residential care.

Setting: Phase 1: International, online. Phase 2: Three healthcare services in New Zealand-(1) a residential rehabilitation service for traumatic brain injury, (2) a nursing home for frail older adults and (3) an inpatient rehabilitation ward in a public hospital.

Participants: Phase 1: Fourteen experienced occupational therapists from New Zealand (4), Australia (4), UK (2) and USA (4). Phase 2: Twenty-four rehabilitation and residential care service users (10 men, 14 women; 20-95 years; Mini-Mental State Exam scores 13-30).

Results: Four Delphi rounds were required to reach consensus with the experienced occupational therapists on the content of ADOC-E, ending with 100 items covering daily activities that people do and social roles they participate in. Ninety-five per cent (95/100) of ADOC-E items could each be correctly identified by over 80% of service user participants with either unprompted or prompted recognition.

Conclusion: While a few of the more abstract concepts in ADOC-E (related to complex social roles) were less likely to be correctly recognised by all participants, the text and images ADOC-E were deemed to be fit for purpose overall and ready for future clinical testing.

Keywords: digital technology; goal setting; iPad; rehabilitation; shared decision-making; tablet application.

Publication types

Multicenter Study
Research Support, Non-U.S. Gov't
Validation Study

MeSH terms

Adult
Aged
Aged, 80 and over
Computers, Handheld*
Decision Making*
Delphi Technique
Female
Frail Elderly / psychology*
Goals*
Humans
Inpatients
Language
Male
Middle Aged
Mobile Applications*
New Zealand
Occupational Therapy / methods
Psychiatric Status Rating Scales
Rehabilitation*
Young Adult