Data Driven Decision Making (DDDM) is a framework for therapists to implement clinical reasoning within occupational therapy process and has a focus on the use of observation, testing and intervention results to guide and measure outcomes. This framework consists of 11 steps. Step 1, the therapists have to identify the participation challenges and goals. In step 2, therapists need to describe the level of the client’s functioning in each part of the body or the brain. In step 3, therapists make observation to identify the factors that may affect the participation for each identified goal, consider the client’s history, and discuss with the client and other family members. In step 4, the therapists conduct standardized assessments to evaluate the impacting factors and, meanwhile, in step 5, the therapists identify the strengths and barriers to the participation. Thus, the environmental strengths and factors can be ascertained to provide support or eliminate barriers to the clients. In step 6, therapists generate hypothesis with regards to the factors that may lead to improvement of the participation based on the assessment findings. After that, therapists design the interventions in step 7 and identify the outcomes in step 8. In step 9, therapists conduct the intervention and, in step 10, they collect, display, and analyze the intervention results with charts or tables. Finally in step 11, therapists have to monitor the progress and make modifications based in the outcome data. It is expected that the therapists can use this DDDM to systematically identify and test their clinical reasoning process regarding occupational therapy intervention with specific clients.
- Davie Tsang
Domain of occupation
The therapists should make record of the clients at the beginning, in the middle and after the intervention by using charts or other statistical figures so as to obtain a complete vision of the progress.
Schaaf, R. C. (2015). Creating evidence for practice using data-driven decision making. American Journal of Occupational Therapy, 69, 6902360010p6902360011-6902360016.
- Roseann Schaaf
Primary Developer Email