Abstract：
OBJECTIVE: Sense of agency is associated with a sense of responsibility, which is essential to performing goal-directed occupations.
OBJECTIVE: To reach consensus on a set of extrinsic feedback statements that have the potential to create a sense of responsibility among patients with neurological disorders in the course of performing daily or social occupations.
METHODS: Anonymous Delphi study with two rounds with international experts and one round with Irani patients with Parkinson\'s disease (PD).
METHODS: Electronic survey.
METHODS: One hundred experts and 73 patients with idiopathic PD.
METHODS: Experts and patients anonymously rated (5 = strongly agree/very effective, 4 = agree/effective, 3 = neither agree nor disagree/uncertain, 2 = disagree/ineffective, 1 = strongly disagree/very ineffective) their level of agreement with each survey statement and the effectiveness of each statement in creating a sense of responsibility in the course of performing daily or social occupations. Consensus was set as an interquartile range of ≤1 and ≥70% agreement in two adjacent categories of a Likert scale.
RESULTS: In the experts\' first round, consensus was reached on the level of agreement and effectiveness of 18 statements. In the second round, final consensus was achieved on all statements. In the one patient round, patients reached consensus on all statements. Finally, 34 statements were rated as 4 or 5 in terms of agreement and effectiveness, based on the opinions of experts and patients.
CONCLUSIONS: This study has produced a collection of feedback statements that might be useful in occupation-based interventions. What This Article Adds: Extrinsic responsibility feedback delivered while administering occupation-based interventions may increase volition, motivation, and engagement.
OBJECTIVE: To reach consensus on a set of extrinsic feedback statements that have the potential to create a sense of responsibility among patients with neurological disorders in the course of performing daily or social occupations.
METHODS: Anonymous Delphi study with two rounds with international experts and one round with Irani patients with Parkinson\'s disease (PD).
METHODS: Electronic survey.
METHODS: One hundred experts and 73 patients with idiopathic PD.
METHODS: Experts and patients anonymously rated (5 = strongly agree/very effective, 4 = agree/effective, 3 = neither agree nor disagree/uncertain, 2 = disagree/ineffective, 1 = strongly disagree/very ineffective) their level of agreement with each survey statement and the effectiveness of each statement in creating a sense of responsibility in the course of performing daily or social occupations. Consensus was set as an interquartile range of ≤1 and ≥70% agreement in two adjacent categories of a Likert scale.
RESULTS: In the experts\' first round, consensus was reached on the level of agreement and effectiveness of 18 statements. In the second round, final consensus was achieved on all statements. In the one patient round, patients reached consensus on all statements. Finally, 34 statements were rated as 4 or 5 in terms of agreement and effectiveness, based on the opinions of experts and patients.
CONCLUSIONS: This study has produced a collection of feedback statements that might be useful in occupation-based interventions. What This Article Adds: Extrinsic responsibility feedback delivered while administering occupation-based interventions may increase volition, motivation, and engagement.
摘要：
目标：代理意识与责任感有关，这对于执行目标导向的职业至关重要。
目的：就一组外在反馈陈述达成共识，这些陈述有可能在从事日常或社会职业的过程中在神经系统疾病患者中产生责任感。
方法：匿名德尔菲研究，与国际专家进行两轮，与伊朗帕金森病（PD）患者进行一轮。
方法：电子调查。
方法：100名专家和73名特发性PD患者。
方法：专家和患者匿名评级（5=非常同意/非常有效，4=同意/有效，3=既不同意也不同意/不确定，2=不同意/无效，1=强烈不同意/非常无效）他们与每个调查声明的协议水平以及每个声明在执行日常或社会职业过程中产生责任感的有效性。在李克特量表的两个相邻类别中，共识被设置为四分位数范围≤1和≥70％。
结果：在专家的第一轮中，就18项声明的协议水平和有效性达成了共识。在第二轮中,就所有声明达成了最终共识。在一个病人回合中，患者就所有陈述达成共识.最后,34项声明在协议和有效性方面被评为4或5级，根据专家和患者的意见。
结论：这项研究产生了一系列反馈声明，这些反馈声明可能对基于职业的干预措施有用。本文补充内容：在管理基于职业的干预措施时提供的外部责任反馈可能会增加意志，动机，和订婚。
目的：就一组外在反馈陈述达成共识，这些陈述有可能在从事日常或社会职业的过程中在神经系统疾病患者中产生责任感。
方法：匿名德尔菲研究，与国际专家进行两轮，与伊朗帕金森病（PD）患者进行一轮。
方法：电子调查。
方法：100名专家和73名特发性PD患者。
方法：专家和患者匿名评级（5=非常同意/非常有效，4=同意/有效，3=既不同意也不同意/不确定，2=不同意/无效，1=强烈不同意/非常无效）他们与每个调查声明的协议水平以及每个声明在执行日常或社会职业过程中产生责任感的有效性。在李克特量表的两个相邻类别中，共识被设置为四分位数范围≤1和≥70％。
结果：在专家的第一轮中，就18项声明的协议水平和有效性达成了共识。在第二轮中,就所有声明达成了最终共识。在一个病人回合中，患者就所有陈述达成共识.最后,34项声明在协议和有效性方面被评为4或5级，根据专家和患者的意见。
结论：这项研究产生了一系列反馈声明，这些反馈声明可能对基于职业的干预措施有用。本文补充内容：在管理基于职业的干预措施时提供的外部责任反馈可能会增加意志，动机，和订婚。
