人間作業モデルはどのように日本の作業療法に取り入れられてきたのか—引用による歴史的過程をみる文献研究

Literature review of the historical process of citing the concept of Model of Human Occupation in Japanese occupational therapy

要旨：本研究の目的は，人間作業モデルが日本の作業療法にどのように取り入れられたかという歴史的過程を，文献検討により明らかにすることである．作業行動理論に基づく臨床モデルである人間作業モデルのテキストの各部分が，対象文献で引用された頻度をみた結果，人間作業モデルの知識の利用は，構成要素から評価法，リーズニング，介入方法，治療戦略，そして，プログラム開発や研究へと進展している過程が明らかとなった．しかし，プログラム開発や研究にはまだ，十分に着目されていないこともうかがわれた．今後は日本の作業療法の発展のために，エビデンスをさらに構築する目的で人間作業モデルを用いることも求められる．

　This article examined how knowledge of the Model of Human Occupation (MOHO) has been cited in the Japanese articles on occupational therapy. Investigation of 143 original articles in the first and second editions of MOHO found that information about 'MOHO concepts' and 'systems concepts' were quoted more frequently. In the MOHO second edition, the information about 'assessment methods' and 'reasoning process' was quoted in the articles. In the MOHO third edition, it was also found that information on 'MOHO concepts' and 'assessment methods' was quoted more frequently, while information on 'development of occupational behavior', 'process of occupational participation', 'occupational narrative', and 'intervention process' were quoted in the articles. However, in the MOHO fourth edition, it was found that information on 'MOHO concepts' was quoted the most frequently in the articles, while a variety of information (i.e., 'MOHO-based program development') was quoted generally and widely. These results indicate that MOHO knowledge was used widely by occupational therapists for completing assessments, reasoning, providing occupational therapy intervention, and MOHO-based program development. It was also found that the use of MOHO in occupational therapy had been established in Japan for a quarter century.