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The F.O.T.T. Algorithm: A Clinical Decision-Making Tool

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Abstract

The lack of evidence-based practice has led to the characterisation of complex interventions in neurorehabilitation as a ‘black box’ which provides little insight into its contents. The contents of a complex treatment approach must be determined, however, to be able to examine the effectiveness and efficiency of the approach. The current F.O.T.T. algorithm was developed in 2010 and updated in 2017. It aims to guide both the experienced and the inexperienced therapist in clinical reasoning processes during the assessment and treatment of people with problems in the facial-oral tract. It visualises and simplifies the process of assessment, supports the analysis of the patient’s problems and underlying causes, and guides through the process of goal setting, treatment planning, and evaluation of the patient’s response to the therapeutic interventions. It provides a systematic description of frequently used F.O.T.T. interventions, establishes criteria for their use based on clinical reasoning and provides suggestions how to grade them. The algorithm has been further developed over the last years, inspired by using it for teaching and developing F.O.T.T. in practice. This chapter presents the algorithm and discusses options how to use it for clinical reasoning in clinical practice and for future research.

Keywords

  • Complex interventions in neurorehabilitation
  • Goal setting
  • SMART goals
  • Framework
  • Processes of clinical reasoning

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Jakobsen, D. (2021). The F.O.T.T. Algorithm: A Clinical Decision-Making Tool. In: Nusser-Müller-Busch, R., Gampp Lehmann, K. (eds) Facial-Oral Tract Therapy (F.O.T.T.) . Springer, Cham. https://doi.org/10.1007/978-3-030-51637-6_12

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  • DOI: https://doi.org/10.1007/978-3-030-51637-6_12

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