日本の作業療法研究におけるグラウンデッド・セオリー・アプローチの用いられ方とその課題

Issues associated with the procedure for grounded-theory approaches in Japanese qualitative occupational therapy research

要旨：日本の作業療法領域におけるグラウンデッド・セオリー・アプローチ（以下，GTA）による研究の現状と課題を文献検索で検討した．使用されているGTAの種類の調査，内容分析による研究目的の分類，Consolidated Criteria for Reporting Qualitative Research（COREQ）を使用した報告内容の分析を行った．2001年から2016年にかけて33文献が検索され，GTAの種類は，修正版が21件と最も多かった．研究目的は8カテゴリーに分類され，クライエントやその周囲の人の思い・経験に焦点を当てたものや，家族や他職種との社会的相互作用が挙げられた．報告内容の分析から，研究結果の信憑性や正確性に関わる複数の記載不足が，研究の質を高めるうえでの課題であった．

　In this study, we examined a selection of grounded theory analyses (GTAs) related to occupational therapy in Japan to investigate the use of GTA and to suggest ways to improve the quality of GTA studies. We investigated the type of GTA used and classified the research themes through content analysis. In addition, we analyzed the content of each study using Consolidated Criteria for Reporting Qualitative Research (COREQ). A total of 33 articles were included from 2001 to 2016 in the study. M-GTA was the most frequently used type of GTA (21 of 33 studies). Research themes were divided into eight categories that focused on client thoughts and experiences, as well as social interactions with family and other occupations. Analysis of content revealed a lack of descriptions concerning the credibility and accuracy of the research results, which we consider to be a problem in improving the quality of research. Our results suggest the following: the use of GTA is increasing in the field of occupational therapy in Japan, these studies use a variety of types of GTA, and the quality of studies using GTA can be improved through discussion of the reliability of research results.