title: Algo Used by Homecare Nonoccupational Therapists Selecting Bathing Assistive Technology: Enhancing Standardization by Exploring Clinical Reasoning.
abstract: Algo is a clinical decision algorithm developed to support nonoccupational therapists in establishing assistive technology recommendations to enable physically disabled adults to perform their hygiene at home. This study aimed to explore the in-depth clinical reasoning of nonoccupational therapists using Algo to pinpoint the items leading to disagreements regarding recommendations. A multiple-case study was conducted with eight nonoccupational therapists trained to use Algo and filmed while using it with six standardized clients. Explicitation interviews were conducted for the conflicting recommendations. Identifying the key reasoning skills to develop in Algo users has led to three recommendations to enhance standardization with seniors.
authors.affiliation: a Health Sciences Research Programs, Faculty of Medicine And Health Sciences , Université de Sherbrooke , Sherbrooke, Quebec , Canada.|b Research Centre on Aging , Health and Social Services Centre - University Institute of Geriatrics of Sherbrooke , Sherbrooke, Quebec , Canada.
authors.forename: Mélanie
authors.initials: M
authors.lastname: Ruest
authors.affiliation: c School of Rehabilitation , Faculty of Medicine and Health Sciences, Université de Sherbrooke , Sherbrooke, Quebec , Canada.
authors.forename: Annick
authors.initials: A
authors.lastname: Bourget
authors.affiliation: d School of Social Work , Faculty of Arts, Humanities and Social Sciences, Université de Sherbrooke , Sherbrooke, Quebec , Canada.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Delli-Colli
authors.affiliation: b Research Centre on Aging , Health and Social Services Centre - University Institute of Geriatrics of Sherbrooke , Sherbrooke, Quebec , Canada.|c School of Rehabilitation , Faculty of Medicine and Health Sciences, Université de Sherbrooke , Sherbrooke, Quebec , Canada.
authors.forename: Manon
authors.initials: M
authors.lastname: Guay
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D001494:Baths / Q000295:instrumentation*; D003657:Decision Making; D006233:Persons with Disabilities / Q000534:rehabilitation*; D005260:Female; D006699:Home Care Services / Q000592:standards*; D018576:Home Health Aides; D006801:Humans; D008297:Male; D008875:Middle Aged; D012648:Self Care / Q000592:standards*; D012656:Self-Help Devices / Q000592:standards*; D055815:Young Adult
keywords: assistive technology; bath*; explicitation interview; inter-professional boundaries*; interrater reliability