ポジティブ作業に根ざした実践の介入に影響を与える要因の検討

Factors influencing intervention in Positive Occupation-Based Practice

要旨：ポジティブ作業に根ざした実践（以下，POBP）は，精神障害者の幸福の促進に有用であることが確認されている．他方，その介入に影響を与える個体差の要因は未検討である．本研究の目的は，POBPの介入に影響を与える個体差の要因を検証することである．対象は精神障害者であり，POBPに参加経験のある19名とした．分析は，POBP参加中に収集した縦断データを使用し，潜在曲線モデルを用いた．分析の結果，POBPの介入に影響を与える要因は入院回数の可能性が高いことが示された．POBPは入院回数の要因を除き，診断名，年齢，性別，生活環境，治療期間による個体差を超え，クライエントの幸福に寄与できる可能性がある．

　Psychiatric occupational therapy includes practices rooted in Positive Occupation-Based Practice (POBP) as intervention methods that promote client well-being. POBP has been found to be useful for the well-being of people with mental disorders. On the other hand, individual differences affecting the intervention have not been investigated. Therefore, the purpose of this study was to examine the factors of individual differences influencing POBP intervention. The subjects were 19 individuals suffering from mental disorders and had previous experience in POBP clinical studies. The analysis was performed through a latent curve model on longitudinal data (baseline, post-intervention, post-follow-up) collected during POBP participation. As a result, the number of hospitalizations met the criteria that influenced POBP intervention. These results suggest that POBP can be applicable to a wide range of clients except for those who are hospitalized frequently.