食に課題のある児童生徒への栄養教諭と作業療法士による協働の有効性の検討

The efficacy of co-operation between occupational therapists and nutrition instructors in school children with dietary issues

要旨：本報告は，栄養教諭と作業療法士が協働することの有効性について検討することを目的とした．研修会に参加した栄養教諭の協力を得て，偏食など食に関する課題のある児童生徒8名を選出した．研修会の講師である作業療法士は，食の生理学的メカニズム，食の行動障害と発達障害の関連性，評価尺度，感覚プロファイルおよび行動分析学に基づく介入方法について教授した．その後，ゴール達成スケーリングによる課題の焦点化を行って個別支援計画を作成し，栄養教諭および担当教諭が指導を実施した．結果，1名が41.2ポイントと期待に満たない数値を示し，他の7名は期待以上の目標達成である50.0ポイント以上の数値を示した（全サンプルの平均52.3±5.6）．

　This report examined the efficacy of co-operation between occupational therapists and nutrition instructors. Eight school children with dietary issues such as an unbalanced diet were chosen in cooperation with a nutrition instructor who took part in a workshop. The workshop instructor was an occupational therapist who instructed workshop participants in intervention methods based on the physiological mechanisms of food, the association between eating disorders and developmental disorders, evaluation scales, and the Japanese version of the Sensory Profile and Applied Behavior Analysis. Thereafter, the focus was placed on dietary issues by means of goal attainment scaling, and individual support plans were created for the nutrition instructor and homeroom teacher to provide guidance to the school children. After intervention, one child had a score of 41.2, which failed to meet expectations, while the other seven children achieved their goals with scores exceeding expectations (mean of the overall sample:52.3 ± 5.6 points).