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要旨:目標設定理論に基づき身体障害者や高齢者,健常者を対象としたリハビリの目標設定後の身体活動や健康行動に影響を及ぼす要因を探索的に整理するために文献レビューを実施した.PubMed,CINAHL,医学中央雑誌で検索された論文8編の記述に対し,演繹かつ帰納的アプローチを用いてカテゴリに整理した.結果,目標設定理論で説明される多様な要因に加えて,動的で多段階のアプローチ,柔軟に変化する目標と行動計画,リハビリプロセス全体を通じた話し合いに関するカテゴリが作成された.これらの要因をプログラムに含めることで,身体障害者や高齢者,健常者を対象としたリハビリ領域でも彼らの身体活動や健康行動を促進できる可能性が再認できた.
This study reviewed research that applied the goal-setting theory proposed by Lock and Latham in the rehabilitation for physically disabled, elderly, and able-bodied people and explored factors that influence people's physical activities and healthy behaviors. Eight articles found in PubMed, CINAHL, and Igaku Chuo Zasshi were organized into categories using both deductive and inductive approaches. As a result, in addition to the various factors described by goal-setting theory, categories were created related to dynamic and multiphasic approaches, flexible goals and action plans, and collaborative practices. The rehabilitation programs that include these factors could promote physical activities and healthy behaviors among the physically disabled, elderly, and able-bodied people in the rehabilitation field.
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