Development Study of the Paper-Based Korean Aid for Decision-Making in Occupation Choice (K-ADOC)

Objective: This study aimed to develop a paper-based version of the Korean Aid for Decision-Making in Occupation Choice (K-ADOC), originally designed to reflect Korean sociocultural characteristics. The goal was to enhance the clinical usability of the iPad-based tool by addressing its limitations. Methods: Based on the original K-ADOC, which consists of 8 major domains and 100 sub-items, a two-round Delphi study was conducted with 15 occupational therapy experts who had more than five years of clinical experience. The content validity ratio, convergence, consensus, and importance of each item were evaluated. The final version of the tool was developed through item revision, deletion, and integration. Results: Through the Delphi process, a simplified paper-based version of the K-ADOC was developed, consisting of 4 major domains and 56 sub-items: “Activities Using the Upper Limbs” (11 items), which integrates self-care and getting around; “Domestic Life” (11 items); “Work and Social Activities” (11 items); and “Hobbies and Physical Activities” (23 items). The final structure reflected the clinical needs and cultural characteristics of the Korean context. Conclusion: The paper-based K-ADOC improves accessibility and practicality in clinical settings and is expected to support client-centered occupational therapy more effectively.