臨床リハビリテーション場面におけるクライアントとより良い関係を形成するためのコミュニケーションと介入技能評価の開発

Development of a Communication and Intervention Skills Assessment to build better partnerships with clients in clinical rehabilitation settings

要旨：「臨床リハビリテーション場面におけるクライアントとより良い関係を形成するためのコミュニケーションと介入技能評価（以下，CISA）」の開発を目的に，測定特性を検討した．セラピスト437名に54項目，5件法によるCISA案のWebアンケートを行った．項目分析，探索的因子分析，Rasch分析，残差の主成分分析，確認的因子分析，信頼性分析から，CISAは27項目，3因子構造，残差の主成分分析の固有値が2.83，Comparative Fit Indexが.92，Root Mean Square Error of Approximationが.07，Cronbachのα係数が.96となり，妥当性と信頼性の担保を確認した．

　The measurement characteristics of the prototype version of the “Communication and Intervention Skills Assessment to build better partnerships with clients in clinical rehabilitation settings (CISA）” were examined and the CISA was developed. A web-based questionnaire consisting of 54 items and a five-item method was administered to 437 physical therapists, occupational therapists, and speech-language-hearing therapists. The validity and reliability of the CISA were examined based on the results of the item analysis, exploratory factor analysis, both Rasch analysis and principal component analysis of residuals, confirmatory factor analysis, and reliability analysis. The CISA had a three-factor structure, Eigenvalues of Principal Component Analysis of Residuals=2.83, a Comparative Fit Index of. 921, a Root Mean Square Error of Approximation of .065, and an overall Cronbach's alpha of .961. A 27-item CISA was developed and validity and reliability were confirmed.