Occupational Therapists’ Perceptions on The Training Needed for Children with Upper Limb Prosthesis

Abstract

The aim of this study was to develop and conduct content validation through expert panel discussion to develop a home-based self-care training module for children who fitted with a 3D printed hand prosthesis. A three-round Delphi technique was implemented. Round one involved 1) a literature search, and 2) a review of an existing user manual, and experiences of 12 occupational therapists specializing in pediatrics and orthopedic was obtained by rating the proposed components using a Likert scale from a range of 1 to 5 in round two of the study.  An analysis of consensus, stability, and agreement was then performed according to the characteristics of relevance, clarity, simplicity and sufficiency in round three by 12 occupational therapists from each state in Peninsular Malaysia. Fleiss kappa statistical test was used to measured strength of agreement. All 12 experts completed and returned the survey where consensus was attained with a mean score of > 4 or 80% agreement. The strength of agreement obtained for each of the dimensions was almost perfect (κ= 1). Following the final round of the survey, a total of three phases, four steps, and 21 activities and items were finalized as the main components in the home-based self-care training module. The Delphi methodology allowing a strong consensus obtained on the key domains for a home-based self-care training module for children who fitted with a 3D printed hand prosthesis.