title: Clinical Reasoning Guideline for Home Modification Interventions.
abstract: OBJECTIVE
  The objective of this study was to develop and validate a clinical reasoning tool to describe an occupational therapist's clinical reasoning process while delivering home modification interventions.
  
  
  METHODS
  We used a two-phase, mixed-methods approach. In Phase 1, we developed a personal factors guideline to support clinical reasoning in home modification interventions based on in-depth interviews, a focus group, and field observations of 6 home modification experts. In Phase 2, the guideline was validated by a second group of 6 home modification experts.
  
  
  RESULTS
  During analysis, 16 personal and environmental factors with a corresponding set of conditions and strategies for each factor emerged to form a clinical reasoning guideline, which was validated by a second group of experts.
  
  
  CONCLUSIONS
  Unpacking the "black box" of the clinical reasoning process has yielded a useful clinical reasoning tool that will allow occupational therapists to deliver complex interventions with fidelity.
authors.affiliation: Susan L. Stark, PhD, OTR/L, FAOTA, is an Assistant Professor of Occupational Therapy, Neurology and Social Work, Washington University School of Medicine, St. Louis, MO; starks@wusm.wustl.edu.
authors.forename: Susan L
authors.initials: SL
authors.lastname: Stark
authors.affiliation: Emily Somerville, MSOT, OTR/L, is Occupational Therapist, Washington University School of Medicine, St. Louis, MO.
authors.forename: Emily
authors.initials: E
authors.lastname: Somerville
authors.affiliation: Marian Keglovits, OTD, MSCI, OTR/L, is Occupational Therapist, Washington University School of Medicine, St. Louis, MO.
authors.forename: Marian
authors.initials: M
authors.lastname: Keglovits
authors.affiliation: Aliza Smason, OTD, OTR/L, is Occupational Therapist, Ministry of Education, Jerusalem, Israel.
authors.forename: Aliza
authors.initials: A
authors.lastname: Smason
authors.affiliation: Kelsey Bigham, MSOT, OTRl/L, is Occupational Therapist, Jones Therapy Services, Nashville, TN.
authors.forename: Kelsey
authors.initials: K
authors.lastname: Bigham
mesh_terms: D000328:Adult; D003657:Decision Making; D004779:Environment Design; D017144:Focus Groups; D006798:Housing; D006801:Humans; D008875:Middle Aged; D009788:Occupational Therapy; D018802:Patient-Centered Care; D017410:Practice Guidelines as Topic; D015203:Reproducibility of Results