ABSTRACT

Objective: This study is a follow-up study to the standardization of a clinical terminology system for Occupational Therapy (OT), and aims at developing the standard terminology for OT documentations focusing on Korean-type medical institutions, by establishing terminologies regarding the classification of OT documentations and detailed treatment acts, determining its applicability through consultations with the experts, and verifying its validity. Methods: For medical institutions where occupational therapists work, based on the current results of occupational therapeutic actions in a clinical setting by case, standardization was developed by reflecting on the International Classification of Functioning, Disability and Health (ICF) classification system and the Occupational Therapy Practice Framework (OTPF). This study was conducted in five stages, a seminar with the consultants, consultations with experts, reviewing the focus group, and a validity investigation. For verifying the validity, the content validity index was calculated. Results: Nine broad classifications of OT documentations focusing on Korean-type medical institutions consist of sensitive therapy, perceptive therapy, cognitive therapy, neuromuscular skeletal system therapy, dysphagia rehabilitation, activities and participation-mobility, activities and participation-ADL, activities and participation-IADL, and activities and participation-other occupational therapies. As a result of the content validity verification, the entire content validity index on clinical OT terminologies was higher than 8.9. Conclusion: It is expected that standardization will be available for the documentation of OT focusing on activities and participation using standard terminologies for OT documentations focusing on Korean-type medical institutions and for applying it as evidence to develop and extend OT insurance costs using statistical data on frequency of usage of standard terminologies about OT documentations.