Effectiveness of a clinical decision support system for pointing device prescription

Research output: Contribution to journalArticlepeer-review


OBJECTIVE. We present a novel, knowledge-driven approach to prescription of pointing devices that uses the Ontology-Supported Computerized Assistive Technology Recommender (OSCAR), a clinical decision support system (CDSS). METHOD. Fifty-five occupational therapists were divided into four groups: two assistive technology (AT) expert groups and two novice groups. Novice Group 1 used the OSCAR CDSS for the prescription process, and Novice Group 2 used the conventional method. OSCAR's effectiveness and its impact on users were evaluated. RESULTS. The ability of Novice Group 1 to make suitable pointing device prescriptions was similar to that of the two expert groups and was significantly better than that of Novice Group 2. The system positively affected Novice Group 1's learning of the prescription process. CONCLUSION. The structure and organized framework for clinical reasoning of the OSCAR CDSS appear to enable occupational therapy practitioners inexperienced in AT to achieve performance levels comparable to those of experts.

Original languageEnglish
JournalAmerican Journal of Occupational Therapy
Issue number2
StatePublished - 1 Mar 2015

Bibliographical note

Publisher Copyright:
© 2015, American Occupational Therapy Association, Inc. All rights reserved.


  • Decision support systems, clinical
  • Evaluation studies as topic
  • Occupational therapy
  • Prescriptions
  • Self-help devices

ASJC Scopus subject areas

  • Occupational Therapy


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