What are the conditions that affect the dependability of unstructured assessments? Makoto Kyougoku 1,2 , Takashi Yamada 3 1Tokyo-Kurusu School of Medical Studies Edogawa College 2Tokyo Metropolitan University of Health Science, Graduate School 3Tokyo Metropolitan University Keyword: (非構成的評価法) , クリニカルリーズニング , (デルファイ法) , Unstructured assessments , Clinical reasoning , Delphi method pp.200-210
Published Date 2006/6/15
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 The purpose of this study was to clarify the conditions that affected the dependability of unstructured assessments (UA). The Delphi Method was used and it had two phases in this study. In the first phase, 31 UA items were collected from 18 occupational therapist registered (OTR). In the second phase, the 31 UA items were evaluated by 16 experienced OTR and 10 inexperienced counterparts based on the degrees of agreement. According to the results, there were 3 items that both experienced and inexperienced OTR groups showed "agreement" with the reason that model clients actually engaged in activities and clients' narratives had been improved. On the contrary, there were 2 items that both of the groups showed "disagreement" with the reason that there were illogical leaps between clients' behavior and conclusions. The other 26 items showed different results between the two groups. It was suggested that there were conditions in order to get agreement over the UA no matter how experienced OTR were. First, the contents could evaluate occupational competence from improved clients' narratives through occupational performance. Secondly, there was no logical omission in reasoning process. Lastly, OTR could easily share implicit presupposition. We proposed a conceptual model of unstructured assessments.

Copyright © 2006, Japanese Association of Occupational Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会