回復期リハビリテーション病棟に従事する作業療法士が協働的な目標設定に向けた面接評価時に抱く苦手意識—Step for Coding and Theorization（SCAT）を用いた分析

Occupational therapists' sense of difficulty in conducting interviews for collaborative goal setting in convalescent rehabilitation wards: An analysis using Step for Coding and Theorization (SCAT)

要旨：本研究は，回復期リハビリテーション病棟の作業療法士（以下，OT）が協働的な目標設定に向けた面接評価時に抱く苦手意識を明らかにすることを目的とした．13名のOTを対象にフォーカス・グループ・ディスカッション（FGD）を実施し，Steps for Coding and Theorization（SCAT）を用いて分析した．結果，OTは，面接評価実施時期の判断や面接評価についての知識と技術，そして多様な状態の対象者に対する面接方法やツールの柔軟な活用に苦手意識を抱いていることが明らかになった．これらの知見は，面接評価の質を高めるための研修や教育プログラムを再考する上での一助となるものである．

　The objective of this study was to identify the difficulties that occupational therapists (OTs) in convalescent rehabilitation wards encounter during interview assessments for collaborative goal setting. Thirteen OTs participated in focus group discussions (FGDs), and the qualitative data were analyzed using Steps for Coding and Theorization (SCAT). The analysis yielded several key findings. First, OTs encounter challenges in determining the optimal timing for interview assessments. Second, OTs face difficulties in acquiring the necessary knowledge and skills related to interview techniques. Third, OTs experience challenges in flexibly utilizing interview methods and tools for patients with diverse conditions. These findings offer significant insights that could inform the redesign of training and educational programs aimed at enhancing the quality of interview assessments in occupational therapy.