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Development of the Assessment Scale of Adaptive Functions for Psychiatric Occupational Therapy

精神科职业治疗适应功能评估量表的开发

基本信息

批准号：
15500378
负责人：
ATSUMI Emi
金额：
$ 1.86万
依托单位：
Tohoku Bunka Gakuen University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15500378/
关键词：
occupational therapy mental disorder social adaptation assessment scale

项目摘要

By literature review and a survey research with psychiatric institutions, we collected 133 assessment scales for OT. Analyzing the items, we constructed a two-phase theory of OT assessment that the OT assessment should be made for three domains (ADL, interpersonal relationship, and personal factors) of adaptive functions of psychiatric patients at two phases. The first phase is to assess the functions by observing patients at OT settings, while the second one is to make assessments by reasoning their functions in the social environments.Based on the theory, we newly developed the Assessment System for Psychiatric OT (ASPOT), which consists of the OT Observational Assessment Scale (O Scale) and the Social Adaptive Functions Assessment Scale (S Scale). In order to examine the criterion-related and concurrent validities of ASPOT, we asked OTRs of 13 psychiatric institutions to rate their patients using ASPOT, obtaining the data of 184 patients. Compared with younger patients, outpatients, … More and patients of milder symptoms, we found that older patients, inpatients, and patients of more severe symptoms were lower on the most subscales and higher on the conduct problem scales of ASPOT. The O scale significantly correlated with COTE and the S scale with the Care Assessment for Psychiatric Patients. These results established the validity of ASPOT.Then, we asked pairs of OTRs at 11 psychiatric institutions to rate each patient using ASPOT, and we obtained the data of 100 patients. Alpha coefficients were more than.7 for all the subscales but advanced ADL, for which it was.63. And, we asked OTRs of 5 psychiatric institutions to rate each patient two times at an interval of 1 month and obtained the data for 24 patients. The test-retest correlations were more than.8 for all the subscales. These results indicate that ASPOT has a high level of reliability.Further, we constructed a short version of ASPOT in which the number of items was reduced. Both validity and reliability were established for the version. And, using ASPOT, we investigated rater biases in the OT assessment and the effects of OT for psychiatric patients. Less

通过文献回顾和对精神科医疗机构的调查研究，收集了133份OT评定量表。通过对项目的分析，我们构建了OT评估的两阶段理论，即对精神病患者适应功能的三个领域（日常生活能力、人际关系和个人因素）进行两阶段的OT评估。第一阶段是通过观察患者在OT环境中的功能来评估其功能，第二阶段是通过推理患者在社会环境中的功能来评估其功能，在此基础上，我们新开发了精神科OT评估系统（ASPOT），该系统由OT观察评估量表（O Scale）和社会适应功能评估量表（S Scale）组成。为了检验ASPOT的效标相关效度和同时效度，我们请13家精神病机构的OTR使用ASPOT对其患者进行评分，获得了184名患者的数据。与年轻患者相比，门诊患者， ...更多信息和症状较轻的患者，我们发现老年患者、住院患者和症状较重的患者在ASPOT的大多数子量表上得分较低，而在行为问题量表上得分较高。O量表与COTE显著相关，S量表与精神病患者护理评估显著相关。然后，我们在11个精神病机构的两对OTR中对每个病人进行ASPOT评分，获得了100名病人的数据。所有分量表的α系数均大于0.7，但高级ADL除外，其为0.63。并请5家精神科机构的OTR对每名患者进行两次评分，每次间隔1个月，共获得24名患者的数据。各分量表的重测相关系数均大于0.8。这些结果表明，ASPOT具有较高的信度水平。进一步，我们构建了一个简短的版本ASPOT，其中的项目数减少。该版本的效度和信度均已建立。并且，使用ASPOT，我们调查了OT评估中的评估者偏差以及OT对精神病患者的影响。少