サワダ タツノリ   Tatsunori Sawada
  澤田 辰徳
   所属   医療保健学部 リハビリテーション学科 作業療法学専攻
   職種   教授
言語種別 日本語
発行・発表の年月 2022
形態種別 学術論文
査読 査読あり
標題 Information bias in the Canadian occupational performance measure: A qualitative study
執筆形態 共著
掲載誌名 British Journal of Occupational Therapy
掲載区分国外
出版社・発行元 Royal College of Occupational Therapists
巻・号・頁 85(9),722-732頁
著者・共著者 Sawada T, Tomori K, Ohno K, Takahashi K, Saito Y, Levack W
概要 Purpose
The Canadian Occupational Performance Measure (COPM) is designed to measure outcomes from client-centred occupational therapy. We explored clients’ views and experiences of participating in an initial COPM assessment in order to examine the potential information bias which may influence COPM scores.
Material and methods
We used qualitative methods to analyse semi-structured interviews (qualitative thematic analysis) on clients at a typical Japanese rehabilitation hospital, to examine the potential information bias affecting their scores in their initial COPM assessment.
Results
19 of 20 clients (13 men; 7 women, aged 19–84 years) demonstrated potential sources of information bias in their COPM scores. We identified 15 sources of information bias, grouped into three domains: (1) bias during the selection of occupational areas (Misunderstanding client-centeredness, Misunderstanding meaningfulness, Misunderstanding occupation, and Composite occupations), (2) bias during the scoring of performance and satisfaction (Imaginary scores, Confusing scores of performance or satisfaction with importance, Ambiguous scores, Hopeful scores, Target scores, Emotional scores, Considerate scores and Humbleness scores) and (3) bias interfering future scoring (Changes in selected occupation, Forgotten scores, Ceiling effects).
Conclusion
This study identifies potential sources of bias affecting COPM scores, and taking account of this result would facilitate better collaboration with clients through COPM.