Preliminary study of adequate outcome measures for acute occupational therapy for the elderly: Qualitative research using nominal group technique and focus group interviews
The purpose of this study was to examine outcome measures considered appropriate for measuring occupational therapy effectiveness and the reasons for their selection. The research used group interview techniques and was intended to present the results as a resource for the development of acute occup...
Saved in:
| Published in | Japanese Occupational Therapy Research Vol. 42; no. 3; pp. 299 - 308 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Association of Occupational Therapists
15.06.2023
一般社団法人 日本作業療法士協会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0289-4920 2434-4419 |
| DOI | 10.32178/jotr.42.3_299 |
Cover
| Abstract | The purpose of this study was to examine outcome measures considered appropriate for measuring occupational therapy effectiveness and the reasons for their selection. The research used group interview techniques and was intended to present the results as a resource for the development of acute occupational therapy for the elderly. The subjects were eight occupational therapists who had experience in acute care hospitals, and the analysis was performed using the nominal group technique and the qualitative integration method. As a result, 30 outcome measures were adopted. From the quantitative outcome measure, grip strength, etc. were adopted, and from the qualitative outcome measure, activities of daily living, etc. were adopted. In the acute occupational therapy for the elderly, it was considered important to have an outcome measure that could measure the effectiveness of support focused on activities of daily living, considering the characteristics of the subject and the environment. |
|---|---|
| AbstractList | The purpose of this study was to examine outcome measures considered appropriate for measuring occupational therapy effectiveness and the reasons for their selection. The research used group interview techniques and was intended to present the results as a resource for the development of acute occupational therapy for the elderly. The subjects were eight occupational therapists who had experience in acute care hospitals, and the analysis was performed using the nominal group technique and the qualitative integration method. As a result, 30 outcome measures were adopted. From the quantitative outcome measure, grip strength, etc. were adopted, and from the qualitative outcome measure, activities of daily living, etc. were adopted. In the acute occupational therapy for the elderly, it was considered important to have an outcome measure that could measure the effectiveness of support focused on activities of daily living, considering the characteristics of the subject and the environment. The purpose of this study was to examine outcome measures considered appropriate for measuring occupational therapy effectiveness and the reasons for their selection. The research used group interview techniques and was intended to present the results as a resource for the development of acute occupational therapy for the elderly. The subjects were eight occupational therapists who had experience in acute care hospitals, and the analysis was performed using the nominal group technique and the qualitative integration method. As a result, 30 outcome measures were adopted. From the quantitative outcome measure, grip strength, etc. were adopted, and from the qualitative outcome measure, activities of daily living, etc. were adopted. In the acute occupational therapy for the elderly, it was considered important to have an outcome measure that could measure the effectiveness of support focused on activities of daily living, considering the characteristics of the subject and the environment. 本研究の目的は，作業療法効果の測定に適切と考えられるアウトカム指標とその選択理由を，グループインタビュー技法を用いて検討し，合意形成されたものを高齢者の急性期作業療法発展の資料として提示することである．対象は急性期病院に従事した経験のある作業療法士8名で，分析はノミナルグループテクニックと質的統合法を用いた．結果，30項目のアウトカム指標が採択された．定量的なものからは握力など，定性的なものからは生活行為に関わる質的な改善などが採択された．高齢者を対象とした急性期作業療法では，対象や環境の特性を踏まえた上で生活行為に焦点を当てた支援の効果を測定することができるアウトカム指標が重要と考えられた． |
| Author | Honda, Takuya Tanimura, Atsuko |
| Author_FL | 本田 拓也 谷村 厚子 |
| Author_FL_xml | – sequence: 1 fullname: 本田 拓也 – sequence: 2 fullname: 谷村 厚子 |
| Author_xml | – sequence: 1 fullname: Tanimura, Atsuko organization: Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University – sequence: 1 fullname: Honda, Takuya organization: Visiting Researcher, Department of Occupational Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University |
| BackLink | https://cir.nii.ac.jp/crid/1390577917543814016$$DView record in CiNii |
| BookMark | eNo9Uctq3EAQHIINXj-uPs8hV23mJY0mh4AxTmwwOAHfRWvU2p1FO7Oeh83-Uz4yUmzch-qGqq6GrnNy4oNHQq45W0vBdfttF3JcK7GWnTDmC1kJJVWlFDcnZMVEayplBDsjVym5nrHaMCG0XpG_vyNObu88xCNNuQxHGkYKA74UyEhDyTbske4RUomY6BgiBVsWytpygOyCh4nmLUY4HP_T80xxGjBOx-_0T4HJ5Vn2inTeR4h2S0tyfkN9WM5OdBNDOdCMduvdS0EKfph9bEkfjPMZ46vDt3RJTkeYEl599Avy_PPu-fa-enz69XB781jtWtVUvDeD4dCbhktr62YcBDdjr6U27dgzxRi2pgdoBilV2yjJlK1hLo21GSTKC_L13dY711m3IJeG1VobrmslW64Yb2bZj3fZLmXYYHeIbj9_sYOYnZ2wWxLplOjkAnMon4TdQuzQy38Kyo1N |
| ContentType | Journal Article |
| Copyright | 2023 Japanese Association of Occupational Therapists |
| Copyright_xml | – notice: 2023 Japanese Association of Occupational Therapists |
| DBID | RYH |
| DOI | 10.32178/jotr.42.3_299 |
| DatabaseName | CiNii Complete |
| DatabaseTitleList | |
| DeliveryMethod | fulltext_linktorsrc |
| DocumentTitleAlternate | 作業療法士が適切と考える高齢者を対象とした急性期作業療法のアウトカム指標の予備的検討 フォーカスグループインタビューとノミナルグループテクニックを用いた質的研究 |
| DocumentTitle_FL | 作業療法士が適切と考える高齢者を対象とした急性期作業療法のアウトカム指標の予備的検討 |
| EISSN | 2434-4419 |
| EndPage | 308 |
| ExternalDocumentID | article_jotr_42_3_42_299_article_char_en |
| GroupedDBID | ALMA_UNASSIGNED_HOLDINGS JSF RJT RYH |
| ID | FETCH-LOGICAL-j846-1b9d91ab9613cc56fd219fb73798fb0400e89baa6d334864304c5aaaa7e59d3e3 |
| ISSN | 0289-4920 |
| IngestDate | Thu Jun 26 23:34:22 EDT 2025 Wed Sep 03 06:30:44 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | false |
| IsScholarly | false |
| Issue | 3 |
| Language | Japanese |
| LinkModel | OpenURL |
| MergedId | FETCHMERGED-LOGICAL-j846-1b9d91ab9613cc56fd219fb73798fb0400e89baa6d334864304c5aaaa7e59d3e3 |
| OpenAccessLink | https://www.jstage.jst.go.jp/article/jotr/42/3/42_299/_article/-char/en |
| PageCount | 10 |
| ParticipantIDs | nii_cinii_1390577917543814016 jstage_primary_article_jotr_42_3_42_299_article_char_en |
| PublicationCentury | 2000 |
| PublicationDate | 2023/06/15 2023-06-15 |
| PublicationDateYYYYMMDD | 2023-06-15 |
| PublicationDate_xml | – month: 06 year: 2023 text: 2023/06/15 day: 15 |
| PublicationDecade | 2020 |
| PublicationTitle | Japanese Occupational Therapy Research |
| PublicationTitleAlternate | Japanese Occupational Therapy Research |
| PublicationTitle_FL | Japanese Occupational Therapy Research |
| PublicationYear | 2023 |
| Publisher | Japanese Association of Occupational Therapists 一般社団法人 日本作業療法士協会 |
| Publisher_xml | – name: Japanese Association of Occupational Therapists – name: 一般社団法人 日本作業療法士協会 |
| References | 16) 籔脇健司，山田孝，植川陽子，久保田哲夫，小出侑季：Nominal group techniqueを用いた在宅高齢者の生活満足感に影響する環境要因の検討─高齢者を対象とした包括的環境要因調査票の開発に関する予備的研究─．作業療法 26(6)：567-582，2007 1) 内閣府：令和2年版高齢社会白書．https://www8.cao.go.jp/kourei/whitepaper/w-2020/zenbun/pdf/1s1s_01.pdf（参照2020-12-06） 4) 身体障害作業療法委員会：早期作業療法の実施内容とその意義．作業療法 10(1)：79-85，1991 11) 内閣府：高齢化の状況．平成29年版高齢社会白書（全体版）．https://www8.cao.go.jp/kourei/whitepaper/w-2017/zenbun/29pdf_index.html（参照2020-11-15） 7) 坪田貞子：身体障害領域における急性期作業療法・現状と課題．北海道作業療法 23(2)：69-75，2006 12) 日本理学療法士協会：EBPTチュートリアル「アウトカム」．http://jspt.japanpt.or.jp/ebpt_glossary/outcome.html（参照2020-11-08） 10) 大塚美幸，吉川ひろみ：高齢者に対する作業療法の効果における文献レビュー．作業療法 28(3)：251-265，2009 19) 日本作業療法士協会：作業療法ガイドライン（2018年度版）．https://www.jaot.or.jp/files/page/wp-content/uploads/2019/02/OTguideline-2018.pdf（参照2020-12-16） 18) 小林法一，池田聡子，河原絵美，川奈野真知，岸上博俊：短期目標とその達成度からみた身障系急性期作業療法の目的と効果．北海道作業療法 23(2)：91-97，2006 5) 鳥沢伸大，安達明完，茂田井慶子，深谷親，吉田行弘：急性期の作業療法．日大医誌 78(3)：131–134，2019 15) Pope C，Mays N（大滝純司・監訳）：Consensus development method．質的研究実践ガイド─保健・医療サービス向上のために─第2版，医学書院，2008，pp.121-129 8) 會田玉美：わが国における身体障害分野作業療法の効果─文献のシステマティックレビュー─．目白大学健康科学研究 3：13-24，2010 3) 水間正澄：医療制度におけるリハビリテーションの位置付けと今後．病院 69(11)：852-855，2010 17) 山浦晴男：質的統合法入門．医学書院，2012 9) 徳本雅子，甲斐雅子，豊田章宏，近藤克則，鄭丞媛：脳卒中急性期リハビリテーションにおける作業療法の意義．日職災医誌 59(6)：276-280，2011 2) 厚生労働省：令和元（2019）年医療施設（動態）調査・病院報告の概況．https://www.mhlw.go.jp/toukei/saikin/hw/iryosd/19/dl/09gaikyo01.pdf（参照2020-12-06） 14) Flick U（小田博志・監訳）：新版 質的研究入門─〈人間の科学〉のための方法論─．春秋社，2011，pp.239-240 6) 渋谷保記，大堀具視，加藤良和：高齢開心術後患者に対する個別の作業活動に着目した作業療法の経験．作業療法の実践と科学 1(2)：40-43，2019 13) 厚生労働省：平成30年度病床機能報告の見直しに向けた議論の整理（資料編）．https://www.mhlw.go.jp/file/05-Shingikai-10801000-Iseikyoku-Soumuka/0000212393.pdf（参照2020-12-24） |
| References_xml | – reference: 8) 會田玉美：わが国における身体障害分野作業療法の効果─文献のシステマティックレビュー─．目白大学健康科学研究 3：13-24，2010． – reference: 1) 内閣府：令和2年版高齢社会白書．https://www8.cao.go.jp/kourei/whitepaper/w-2020/zenbun/pdf/1s1s_01.pdf（参照2020-12-06）． – reference: 10) 大塚美幸，吉川ひろみ：高齢者に対する作業療法の効果における文献レビュー．作業療法 28(3)：251-265，2009． – reference: 5) 鳥沢伸大，安達明完，茂田井慶子，深谷親，吉田行弘：急性期の作業療法．日大医誌 78(3)：131–134，2019． – reference: 16) 籔脇健司，山田孝，植川陽子，久保田哲夫，小出侑季：Nominal group techniqueを用いた在宅高齢者の生活満足感に影響する環境要因の検討─高齢者を対象とした包括的環境要因調査票の開発に関する予備的研究─．作業療法 26(6)：567-582，2007． – reference: 4) 身体障害作業療法委員会：早期作業療法の実施内容とその意義．作業療法 10(1)：79-85，1991． – reference: 18) 小林法一，池田聡子，河原絵美，川奈野真知，岸上博俊：短期目標とその達成度からみた身障系急性期作業療法の目的と効果．北海道作業療法 23(2)：91-97，2006． – reference: 14) Flick U（小田博志・監訳）：新版 質的研究入門─〈人間の科学〉のための方法論─．春秋社，2011，pp.239-240． – reference: 17) 山浦晴男：質的統合法入門．医学書院，2012． – reference: 9) 徳本雅子，甲斐雅子，豊田章宏，近藤克則，鄭丞媛：脳卒中急性期リハビリテーションにおける作業療法の意義．日職災医誌 59(6)：276-280，2011． – reference: 19) 日本作業療法士協会：作業療法ガイドライン（2018年度版）．https://www.jaot.or.jp/files/page/wp-content/uploads/2019/02/OTguideline-2018.pdf（参照2020-12-16）． – reference: 7) 坪田貞子：身体障害領域における急性期作業療法・現状と課題．北海道作業療法 23(2)：69-75，2006． – reference: 11) 内閣府：高齢化の状況．平成29年版高齢社会白書（全体版）．https://www8.cao.go.jp/kourei/whitepaper/w-2017/zenbun/29pdf_index.html（参照2020-11-15）． – reference: 12) 日本理学療法士協会：EBPTチュートリアル「アウトカム」．http://jspt.japanpt.or.jp/ebpt_glossary/outcome.html（参照2020-11-08）． – reference: 13) 厚生労働省：平成30年度病床機能報告の見直しに向けた議論の整理（資料編）．https://www.mhlw.go.jp/file/05-Shingikai-10801000-Iseikyoku-Soumuka/0000212393.pdf（参照2020-12-24）． – reference: 3) 水間正澄：医療制度におけるリハビリテーションの位置付けと今後．病院 69(11)：852-855，2010． – reference: 6) 渋谷保記，大堀具視，加藤良和：高齢開心術後患者に対する個別の作業活動に着目した作業療法の経験．作業療法の実践と科学 1(2)：40-43，2019． – reference: 15) Pope C，Mays N（大滝純司・監訳）：Consensus development method．質的研究実践ガイド─保健・医療サービス向上のために─第2版，医学書院，2008，pp.121-129． – reference: 2) 厚生労働省：令和元（2019）年医療施設（動態）調査・病院報告の概況．https://www.mhlw.go.jp/toukei/saikin/hw/iryosd/19/dl/09gaikyo01.pdf（参照2020-12-06）． |
| SSID | ssib005902277 ssj0003315241 ssib000871935 ssib022575203 ssib001522466 ssib044760142 |
| Score | 1.9166306 |
| Snippet | The purpose of this study was to examine outcome measures considered appropriate for measuring occupational therapy effectiveness and the reasons for their... |
| SourceID | nii jstage |
| SourceType | Publisher |
| StartPage | 299 |
| SubjectTerms | Acute care Elderly Outcome measure アウトカム指標 急性期 高齢者 |
| Title | Preliminary study of adequate outcome measures for acute occupational therapy for the elderly: Qualitative research using nominal group technique and focus group interviews |
| URI | https://www.jstage.jst.go.jp/article/jotr/42/3/42_299/_article/-char/en https://cir.nii.ac.jp/crid/1390577917543814016 |
| Volume | 42 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| ispartofPNX | Japanese Occupational Therapy Research, 2023/06/15, Vol.42(3), pp.299-308 |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3NbtQwELa25cIFgQBRoMgHbqss29hJ1twQKqqQijgEqbfITmyRbbsp2eSwHHgiXo13YMZ2Eq_ooXQPVmQnzs98a8-MZz4T8jY1HIwKHUeVTE3Eq8REQmgZcQkWMwg8rRLMdz7_kp59458vkovZ7E8QtdR3alH-vDWv5D5ShTqQK2bJ_odkx06hAo5BvlCChKG8k4y_tvrK7srV7hxPrFvV1z96iav_fQc31fNr5wbcuoDJ0gYGhNzCLgVrNwYcaty4-8oyQTmGDccN7mmBvs97617AdGa82qaFzCcqWHTEm6bst76ltkGV9aC8D3owzNG49-U-y3Hun2QIB5zcCpv6um-dC7jb9pfNiMZmU9nqXF72Oxn6MGLcTyJyWZxufhnuGUASP9gtjwDYD52YYC5GXMRuZUfbupgzHoGSJ8IxnscBllk4YLvtmfzczyzHxD_TCgO7DXMl1k3XLni8YMV42R5VtwdCgecVPC4YFnBqMTRgJh0A94A8iLPMRhWc_zoNtLEM1OmQPQ_Z_iZtEZl24iltGEbiLAkW0TnH-Cbv6UBFhDHowe7dOn4nR1tq3-fd3tuAArYGcwR5Jg42dR3oWPlj8sgbR_SDe48nZLaWT8nvAOXUopw2hg4opx7ldEA5BRhTi3Iaopx6lNtmOKYe5e9pgHE6YJxajFOPcWqRTEeMU8A4tRj3LRPGn5H802n-8Szye4xEa9C8oxMlKnEilQCttiyT1FQwgxuVsUysjMIJTq-EkjKtMGMdtPclLxMJv0wnomKaPSeHm2ajXxBquNJGm6WpwMQwSsFgZ0C7N0tlqqVa8SOSuS9c3DgemeKucDkixyCSoqyxBIsNTKxMgNqP7HwcTLaX9-75FXk4_R1fk8Ou7fUxKNmdemOh-RdF3N-N |
| linkProvider | ISSN International Centre |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Preliminary+study+of+adequate+outcome+measures+for+acute+occupational+therapy+for+the+elderly%3A+Qualitative+research+using+nominal+group+technique+and+focus+group+interviews&rft.jtitle=Japanese+Occupational+Therapy+Research&rft.au=Tanimura%2C+Atsuko&rft.au=Honda%2C+Takuya&rft.date=2023-06-15&rft.pub=Japanese+Association+of+Occupational+Therapists&rft.issn=0289-4920&rft.eissn=2434-4419&rft.volume=42&rft.issue=3&rft.spage=299&rft.epage=308&rft_id=info:doi/10.32178%2Fjotr.42.3_299&rft.externalDocID=article_jotr_42_3_42_299_article_char_en |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0289-4920&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0289-4920&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0289-4920&client=summon |