「作業に根ざした実践」の現状調査と関連要因の検討—WEBアンケート調査

• Published in: 作業療法 Vol. 43; no. 1; pp. 51 - 60
• Main Authors: 佐々木 剛, 新泉 一美, 春口 麻衣, 清田 直樹, 山田 孝
• Format: Journal Article
• Language: Japanese
• Published: 日本作業療法士協会 15.02.2024; 一般社団法人 日本作業療法士協会
• Subjects: OBP; OBP（作業に根ざした実践）; Occupation-based practice; Occupational therapy; WEB questionnaire; アンケート; 作業に根ざした実践; 作業療法
• ISSN: 0289-4920; 2434-4419
• DOI: 10.32178/jotr.43.1_51

要旨：作業に根ざした実践（Occupation-Based Practice；以下，OBP）の現状を領域包含的，領域別に明らかにすることを目的に全国規模でアンケート調査を実施した．結果，OBPの知識を持ちOBPを実施しているものは半数に満たなかったが，85.6％がOBPの必要性を認識していた．OBP実施には介入時期とOBPの知識が影響を与え，特にOBPの知識の影響が大きいこと，高齢期障害領域では実践現場もOBPの影響を与えていることが明らかとなった．また，OBPの実施意向のある作業療法士は有意にOBPの必要性を認識しており，OBPの知識の深化と信念形成が今後のOBP推進の一助となることが示唆された． 　A survey was conducted to promote occupation-based practice (OPB) through clarifying both the current state of (OBP) on a national scale and its cross-disciplinary perspective. The survey developed by the authors included basic information on the participants' “degree of knowledge about OBP,” “willingness to learn about OBP,” “degree of implementation of OBP,” “intention to implement OBP,” and “recognition of the need for OBP”. The results revealed that 89 of 188 occupational therapists (46.7%) had knowledge of OBP, and 83 of 188 (43.6%) were using it daily, accounting for less than half of the total. On the other hand, 85.6% of occupational therapists were aware of the need for OBP, indicating that there is a gap between OBP awareness and implementation status. There were no significant differences in OBP implementation or awareness by practice field, and logistic regression analysis identified intervention timing and knowledge of OBP as factors significantly influencing OBP implementation. Knowledge of OBP, in particular, had a significant impact on OBP implementation, and it was found that the type of practice area influences the implementation of OBP in geriatric occupational therapy. Furthermore, it is clear that occupational therapists who intend to implement OBP are well aware of its importance. These results suggest that providing opportunities for education and learning about OBP, including undergraduate and postgraduate education, will help promote OBP by deepening knowledge of OBP and forming a belief in OBP.