How therapists specializing in hand therapy evaluate the ability of patients to participate in their daily lives: An exploratory study

Abstract Study design Exploratory, Survey Design. Introduction A gap in current knowledge exists regarding how therapists evaluate patient difficulty participating in life situations. Purpose The goal is to explore how therapists measure participation . Methods A survey questionnaire was developed, piloted, and tested for reliability and validity. Convenience sample of 249 participants responded, providing information about assessment tools employed, problems and goals identified, indications for patient discharge, and participants' demographics. Results Participants used tools to measure body structures/functions, and informal discussion about daily activities, daily to weekly. Participation measures were employed monthly or less. Participation was noted more often in goals than problems identified in case study vignettes. Body structures/functions and participation were considered equally when anticipating patient discharge. Conclusions Evaluations principally employed tools and identified problems relevant to impairments in body structures/functions. Yet, when looking forward, setting goals and anticipating discharge, patients' participation needs were also attended. Level of evidence 2c