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Background: Over 1,000 home oxygen therapy (HOT) arrangements are done by OT in public clinical settings in Hong Kong annually. As the therapy carries potential risk and considerable cost, a more stringent approach in the screening, assessment, prescription and monitoring is required. This project aimed to develop a guideline to align clinical practice across settings. Methods: The guideline development framework proposed by the Centre of Allied Health Evidence of the University of South Australia was adopted. An extensive systematic review was firstly conducted to retrieve the updated evidences to draft the guideline. This drafted guideline was then assessed by both an internal reviewer group (OTs, n = 68) and an external reviewer group (renowned clinicians from different disciplines, n = 16), using the “Appraisal of Guidelines Research and Evaluation (AGREE, 2001)”. Their ratings and comments identified areas for revision and served to formulate the final version of the guideline. Results: Eight guidelines, seven systematic reviews, 16 controlled trials and another 135 relevant full papers were identified and reviewed in the systematic review. In addition, valuable comments from reviewers were collected. All these were synthesized into a final version of clinical practice guideline, which proposed three standardized terms, nine essential steps and two refined assessment procedures. The respective percentages for “highly recommending the use of this guideline” were 78.0% of the internal reviewers and 87.5% the external reviewers respectively. Conclusion: Standard procedures were recommended for validating the need for home oxygen therapy, i.e. “the right patient”, classifying the duration of use, i.e. “the right period of time”, and assessing the flow-rate requirement in activities, i.e. “the right amount”. With a more stringent approach in assessment, prescription and monitoring of the home oxygen therapy, quality care is warranted across settings.

hong kong journal of occupational therapy

Phy12 Comparing the Effects of Spinomed® Orthosis and Soft Corset in Reducing Back Pain and Improving Functional Performance for Women With Osteoporotic Back: A Preliminary Study