トモリ　コウノスケ   友利　幸之介    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	2016
形態種別	学術論文
査読	査読あり
標題	Effectiveness and Cost-Effectiveness of Occupation-Based Occupational Therapy Using the Aid for Decision Making in Occupation Choice (ADOC) for Older Residents: Pilot Cluster Randomized Controlled Trial.
執筆形態	共著
掲載誌名	PLoS One 1; doi: 10.1371/journal.pone.0150374.
掲載区分	国内
巻・号・頁	11(3),e0150374頁
著者・共著者	Nagayama H, Tomori K, Ohno K, Takahashi K, Ogahara K, Sawada T, Uezu S, Nagatani R, Yamauchi K.
概要	This study aimed to evaluate if interventions based on occupation-based goal setting using the ADOC could focus on meaningful activities to improve quality of life and independent activities of daily living, with greater cost-effectiveness than an impairment-based approach as well as to evaluate the feasibility of conducting a large cluster, randomized controlled trial. In this single (assessor)-blind pilot cluster randomized controlled trial, the intervention group (ADOC group) received occupational therapy based on occupation-based goal setting using the ADOC. The control group underwent an impairment-based approach focused on restoring capacities, without goal setting tools. We randomized and analyzed 12 facilities, with 6 facilities each allocated to the ADOC (n = 23) and control (n = 21) groups. After the 4-month intervention, the ADOC group had a significantly greater change in the BI score, with improved scores. The results suggest that occupational therapy using the ADOC for older residents might be effective and cost-effective. We also found that conducting an RCT in the occupational therapy setting is feasible.
DOI	10.1371/journal.pone.0150374.