インストラクショナルデザインを用いた肩の機能改善に関する卒後研修プログラムの検証—作業療法士の行動変容促進に着目して

Verification of a post-graduate training program on improving shoulder function using instructional design: Focusing on promoting behavioral change among occupational therapists

要旨：本研究の目的は作業療法士（以下，OT）を対象とした肩の機能改善のための卒後研修プログラムについてインストラクショナルデザイン（以下，ID）を参考に作成し，その有用性を確認することである．OT45人に対しオンライン研修を実施した．研修前後にアンケートを用い対象者の反応・学習・行動変容指数を比較検討した結果，肩甲胸郭関節運動に関する知識・技術の臨床活用項目を始め，Problem-Based Learning（以下，PBL）にて用いた文献の調べ方・見方の活用項目が有意に向上しOT業務の自信との間に有意な正の相関がみられた．本研究によりID・PBLを用いて研修設計・実施を行うことの有用性が明らかとなった．

　The purpose of this study was to confirm the efficacy of a post-graduate training program for occupational therapists on shoulder function improvement using instructional design. A total of 45 occupational therapists participated in the study which included a questionnaire and online training. The subjects answered the questionnaire before and after training, and the Numeric Rating Scale data of reaction, learning, and behavior were compared. As a result, behavioral change of knowledge and technique related to the motion of the scapulothoracic joint was higher than before training, and behavioral change of how to research and understand literature using problem-based learning was higher than before training. The results indicate a positive correlation between both behavioral change of knowledge and technique related motion of scapulothoracic joint and confidence of occupational therapy and between behavioral change of how to research and understand literature and confidence of occupational therapy. The study reveals the efficacy of instructional design and problem-based learning.