日本語版Control Preference Scaleを活用した意思決定支援の実践—回復期リハビリテーション病棟における脳卒中患者の一事例

Supporting decision-making with the Japanese version of the Control Preference Scale: A case study of a stroke patient in a convalescent rehabilitation ward

要旨：本報告では，作業療法における患者の意思決定嗜好性をControl Preference Scale (CPS)を用いて評価し，その変遷に応じて介入方針を調整した事例を示す．CPSの活用により，作業療法の介入方針への患者参画の程度を柔軟に調整し，Interprofessional Shared Decision Makingの理念に基づく多職種協業を通じて，患者中心の作業療法の実践が促進された．本事例は，嗜好性に基づく意思決定支援が，患者中心の作業療法実践と多職種連携において有効である可能性を示唆している．今後，嗜好性評価を活用した支援の有用性を検証し，他領域への応用を検討することが求められる．

　This study presents a case report in which the Control Preference Scale (CPS) was used to evaluate and adaptively address a patient's decision-making preferences in occupational therapy. The application of CPS allowed for the quantitative and clear assessment of patient preferences, facilitating effective sharing among healthcare professionals. This approach enabled the development of goals that fully respected the patient's wishes and allowed for flexible responses by the team. Additionally, the implementation of Interprofessional Shared Decision Making (IP-SDM) promoted client-centered occupational therapy through multidisciplinary collaboration. This case suggests that preference-based decision-making support can be effective in enhancing client-centered occupational therapy practice and multidisciplinary collaboration. Future research should validate the utility of CPS-supported interventions and explore their applicability across various healthcare contexts.