高齢者の生活期リハビリテーションに携わる作業療法士に必要なコンピテンシーの抽出—デルファイ法による内容的妥当性の検討

The competencies of occupational therapists engaged with community-dwelling elderly adults with disabilities: Using the Delphi technique to examine content validity

要旨：高齢者の生活期リハビリテーションに携わる作業療法士（以下，OTR）に必要なコンピテンシー項目を抽出し，その内容的妥当性を検討することを目的に，生活期専門家OTRを対象として4段階のデルファイ調査を行った．結果，第1次調査では【専門職としての態度】，【クライエント（以下，CL）を中心としたチーム作り】，【CL中心の根拠に基づく作業療法実践】，【リスクマネジメント】，【OTR業務の運営】，【地域に根ざした支援】，【地域作業療法発展への寄与】の7カテゴリ64項目の原案が作成され，第2次調査以降は，中央値と四分位数範囲などで項目の内容的妥当性を確認し，最終的にコンピテンシー68項目が同定された．

　This study clarified the expected competencies of occupational therapists working in the community for elderly persons with chronic phase disease. In order to reveal the competencies, four rounds of the Delphi technique were carried out on expert panelists in Japan. In round 1, a list of 64 competencies were initially prepared and the competencies were subdivided into seven categories: “professional attitude and behavior”, “development of client/family-centered relationships”, “client-centered and evidence-based practice”, “risk management”, “management of daily work”, “community-based practice”, and “continuing professional development in the community”. After round 2, content validity was confirmed from the median and interquartile range. Finally, the 68 competencies were reached by consensus through the Delphi technique.