Consensus on Feedback Statements That Create Responsibility Among People With Parkinson's Disease: A Delphi Study

Area of Science:

• Neuroscience
• Occupational Therapy
• Psychology

Background:

• Sense of agency is crucial for goal-directed occupations and is linked to responsibility.
• Patients with neurological disorders may experience challenges in maintaining a sense of responsibility during daily or social occupations.

Purpose of the Study:

• To achieve consensus on extrinsic feedback statements that foster a sense of responsibility in patients with neurological disorders.
• To enhance patient engagement and motivation in occupation-based interventions.

Main Methods:

• A two-round Delphi study involving 100 international experts and one round with 73 Iranian patients with Parkinson's disease (PD).
• An electronic survey was used to gather anonymous ratings on statement agreement and effectiveness.
• Consensus was defined by an interquartile range of ≤1 and ≥70% agreement.

Main Results:

• Consensus was reached on 34 feedback statements, with both experts and patients rating them highly for agreement and effectiveness.
• The statements were specifically designed to be applicable during daily or social occupations.
• The final set of statements aims to support occupation-based interventions.

Conclusions:

• A validated collection of 34 extrinsic feedback statements has been developed.
• These statements hold potential for use in occupation-based interventions to improve patient volition, motivation, and engagement.
• The findings support the use of extrinsic responsibility feedback in clinical practice.