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Japanese Occupational Therapy Research Volume 43, Issue 1 （February 2024）

作業療法 43巻1号（2024年2月発行）

Japanese English

◆原著論文

「作業に根ざした実践」の現状調査と関連要因の検討—WEBアンケート調査 A survey of the current state of “occupation-based practice” and examination of related factors: A WEB-based questionnaire 佐々木剛 ¹ , 新泉一美 ² , 春口麻衣 ³ , 清田直樹 ⁴ , 山田孝 ^5,6,7 Takeshi Sasaki ¹ , Kazuyoshi Niizumi ² , Mai Haruguchi ³ , Naoki Seida ⁴ , Takashi Yamada ^5,6,7 ¹茨城県立医療大学保健医療学部作業療法学科 ²湘南医療大学保健医療学部リハビリテーション学科作業療法学専攻 ³目黒区健康福祉部介護保険課介護予防係 ⁴目白大学保健医療学部作業療法学科 ⁵一般社団法人人間作業モデル研究所 ⁶東京保健医療専門職大学リハビリテーション学部作業療法学科 ⁷東京都立大学 ¹Department of Occupational Therapy, School of Health Sciences, Ibaraki Prefectural University of Health Sciences ²Division of Occupational Therapy, Department of Rehabilitation, Faculty of Medical Sciences, Shonan University of Medical Sciences ³Long-Term Care Prevention Subsection, Health and Welfare Health, Long-Term Care Insurance Section, Meguro City Office ⁴Department of Occupational Therapy, Faculty of Health Sciences, Mejiro University ⁵Research Institute of the Model of Human Occupation in Japan, Inc. ⁶Department of Occupational Therapy, School of Rehabilitation, Tokyo Professional University of Health Sciences ⁷Tokyo Metropolitan University キーワード：作業療法 , OBP , 作業に根ざした実践 , アンケート , Occupational therapy , Occupation-based practice , WEB questionnaire Keyword: 作業療法 , OBP , 作業に根ざした実践 , アンケート , Occupational therapy , Occupation-based practice , WEB questionnaire pp.51-60

発行日 2024年2月15日 Published Date 2024/2/15

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要旨：作業に根ざした実践（Occupation-Based Practice；以下，OBP）の現状を領域包含的，領域別に明らかにすることを目的に全国規模でアンケート調査を実施した．結果，OBPの知識を持ちOBPを実施しているものは半数に満たなかったが，85.6％がOBPの必要性を認識していた．OBP実施には介入時期とOBPの知識が影響を与え，特にOBPの知識の影響が大きいこと，高齢期障害領域では実践現場もOBPの影響を与えていることが明らかとなった．また，OBPの実施意向のある作業療法士は有意にOBPの必要性を認識しており，OBPの知識の深化と信念形成が今後のOBP推進の一助となることが示唆された．

　A survey was conducted to promote occupation-based practice (OPB) through clarifying both the current state of (OBP) on a national scale and its cross-disciplinary perspective. The survey developed by the authors included basic information on the participants' “degree of knowledge about OBP,” “willingness to learn about OBP,” “degree of implementation of OBP,” “intention to implement OBP,” and “recognition of the need for OBP”. The results revealed that 89 of 188 occupational therapists (46.7%) had knowledge of OBP, and 83 of 188 (43.6%) were using it daily, accounting for less than half of the total. On the other hand, 85.6% of occupational therapists were aware of the need for OBP, indicating that there is a gap between OBP awareness and implementation status. There were no significant differences in OBP implementation or awareness by practice field, and logistic regression analysis identified intervention timing and knowledge of OBP as factors significantly influencing OBP implementation. Knowledge of OBP, in particular, had a significant impact on OBP implementation, and it was found that the type of practice area influences the implementation of OBP in geriatric occupational therapy. Furthermore, it is clear that occupational therapists who intend to implement OBP are well aware of its importance. These results suggest that providing opportunities for education and learning about OBP, including undergraduate and postgraduate education, will help promote OBP by deepening knowledge of OBP and forming a belief in OBP.