境界知能の子どもを持つ保護者の小学校就学先決定に関する意思決定プロセスの解明—複線径路等至性アプローチを用いた分析より

Understanding parental decision-making processes for elementary school enrollment of children with borderline intellectual functioning: A trajectory equifinality approach

要旨：境界知能の子どもを持つ保護者が小学校就学先を決定する際の意思決定プロセスを解明するために，複線径路等至性アプローチを用いて保護者4名の経験を分析した．保護者は発達早期から将来に対して不安を抱えており，葛藤を抱えながらも保護者固有の価値観・信念を明確にしながら小学校就学先を意思決定した．保護者と教育委員会との合議により合意形成に至る径路が描写され，プロセスの各時期に生じる保護者の意思決定を促進，阻害する要点も明らかとなった．作業療法士は，保護者の価値観・信念の明確化に貢献できる可能性があり，そのためには発達早期から保護者にとって信頼できる専門職となる必要性が示された．

　This study aimed to clarify the decision making of parents of children with borderline intellectual functioning regarding elementary school enrollment. Using a trajectory equifinality approach, the experiences of four parents were analyzed. Early in their children's development, parents began to worry about their children's futures. Despite these concerns, they navigated the decision-making process based on their individual beliefs. Moreover, the study identified a pathway to consensus through discussions between the parents and the Department of Education. Factors that influenced parental decision-making at each stage of the process were also identified. Occupational therapists could assist in clarifying parental values through establishing trust with parents early in their child's development.