{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:25:55Z","timestamp":1777929955990,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:00:00Z","timestamp":1759881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Barriers to the delivery of vocational rehabilitation have been reported as a lack of knowledge, skills and confidence in occupational therapists who deliver these services. A program aimed at overcoming these barriers was developed to provide training in the delivery of vocational rehabilitation services. The program includes three decision-making tools to facilitate not only knowledge translation but also practice changes. The tools are (1) Return-to-Work Decision Tree, (2) Performance-based Assessment Tool, (3) Job Match Tool.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of the research was to obtain consensus on the acceptability and utility of the developed tools to facilitate clinical reasoning in the delivery of vocational rehabilitation services.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nominal group technique was used to obtain consensus on the developed tools. During a second phase, participants were sent revised versions of the tools and asked to comment on the tools\u2019 clinical utility using a four-point Likert scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The Return-to-Work Decision Tree and the Performance-based Assessment Tool received a 100% agreement in terms of clinical utility with the Job Match Tool receiving a 90% agreement for clinical utility. Participants made valuable recommendations such as adding a user manual and a training workshop to facilitate implementation of the tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The three tools developed to support clinical reasoning and decision making during the vocational rehabilitation process were reported to be acceptable by the expert participants. Further development of the Job Match Tool is recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10519815251375814","type":"journal-article","created":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T18:07:35Z","timestamp":1759946855000},"page":"733-743","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Utilizing nominal group technique to achieve consensus on a clinical decision-making tool for vocational rehabilitation at a grassroots level in South Africa"],"prefix":"10.1177","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7222-8464","authenticated-orcid":false,"given":"Suzanne","family":"Harmse","sequence":"first","affiliation":[{"name":"FunctionWell, Boston University, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daleen","family":"Casteleijn","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, University of Pretoria, Annlin, Gauteng, ZA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Boston University, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-047781"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-220211"},{"key":"e_1_3_3_4_2","unstructured":"Department: Statistics South Africa. Statistical Release P0318 [Internet]. 2021 [cited 2024 Jul 17]. Available from: www.statssa.gov.za."},{"key":"e_1_3_3_5_2","unstructured":"Young M. Private vs public healthcare in South Africa. [Internet] [Honors thesis]. Western Michigan University 2016 Available from: https:\/\/scholarworks.wmich.edu\/honors_theseshttps:\/\/scholarworks.wmich.edu\/honors_theses\/2741."},{"key":"e_1_3_3_6_2","unstructured":"Van Biljon HM. Transforming the Vocational Rehabilitation Services of Occupational Therapists in Gauteng Public Healthcare through Action Learning Action Research [Thesis]. Johannesburg: University of the Witwatersrand 2016."},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.17159\/2310-3833\/2020\/vol50no3a3"},{"key":"e_1_3_3_8_2","unstructured":"Minister of Social Development. White Paper on the Rights of Persons with Disability. [Internet]. Department of Social Development; Mar 9 2016 p. 4\u2013194. 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