Decision and attribution bias in neurorehabilitation.

Abstract:

OBJECTIVE:Examine neurorehabilitation therapists' clinical predictions and attributions for outcomes. DESIGN:Single sample, repeated measures. PARTICIPANTS:A sample of 51 neurorehabilitation therapists selected from representative disciplines including occupational therapy, physical therapy, speech therapy, and recreation therapy. MAIN OUTCOME MEASURES:Self-report questionnaire on factors related to positive and negative outcomes in neurorehabilitation. Rank order listing of factors influencing outcome in neurorehabilitation. RESULTS:Without cuing, therapists did not identify injury severity as factor in outcome (p < .0001). Therapists also made internal attributions for positive outcomes and external attributions for negative outcomes (p < .0001). CONCLUSIONS:Neurorehabilitation therapists tend to ignore injury severity as factor in outcome unless encouraged to do so. Therapists accept personal responsibility for positive outcomes, but not for negative outcomes. Neurorehabilitation teams may benefit from education on factors affecting prognosis and attribution bias found in clinical practice.

journal_name

Arch Phys Med Rehabil

authors

Macciocchi SN,Eaton B

doi

10.1016/s0003-9993(95)80505-2

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

521-4

issue

6

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(95)80505-2

journal_volume

76

pub_type

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