整形外科疾患のリハビリテーションにおける共有意思決定モデルに基づいた目標設定に関するスコーピングレビュー
スコーピングレビューの手法に則って整形外科領域のリハビリテーションにおける目標設定に関連する文献を探索し，リサーチギャップの分析を行った．PubMed，Web of Science，Scopus，ProQuest，CINAHLを用いて検索を実行し，最終的に17編を適格論文として精読した．対象疾患は脊髄損傷が10編と最多であり，多様な整形外科疾患を網羅していなかった．介入研究においては，意思決定支援ツールが未使用の研究や，目標設定やその後の介入において合意形成のプロセスが不十分な研究も散見され，整形外科領域のリハビリテーションにおける目標設定に関するさらなる検証の必要性が示唆された． This...
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| Published in | 作業療法 Vol. 42; no. 5; pp. 581 - 594 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本作業療法士協会
15.10.2023
一般社団法人 日本作業療法士協会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0289-4920 2434-4419 |
| DOI | 10.32178/jotr.42.5_581 |
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| Abstract | スコーピングレビューの手法に則って整形外科領域のリハビリテーションにおける目標設定に関連する文献を探索し，リサーチギャップの分析を行った．PubMed，Web of Science，Scopus，ProQuest，CINAHLを用いて検索を実行し，最終的に17編を適格論文として精読した．対象疾患は脊髄損傷が10編と最多であり，多様な整形外科疾患を網羅していなかった．介入研究においては，意思決定支援ツールが未使用の研究や，目標設定やその後の介入において合意形成のプロセスが不十分な研究も散見され，整形外科領域のリハビリテーションにおける目標設定に関するさらなる検証の必要性が示唆された． This scoping review aims to identify research gaps in goal-setting processes during rehabilitation programs for people with orthopedic disorders. Study design: This scoping review followed Arksey and O'Malley's framework. Data sources: Electronic searches of PubMed, Web of Science, Scopus, ProQuest, and CINAHL were conducted using predetermined search strategies. Eligibility criteria: We included studies involving goal-setting processes in rehabilitation for patients with orthopedic disorders without limiting the region/country or target disease. Data extraction and synthesis: Two reviewers independently screened the abstracts and full texts and extracted the data based on the eligibility criteria. A third reviewer adjudicated any disagreement and collated the extracted data. Results: Results of the database searches yielded 968 studies, 17 of which were deemed eligible to include in this review. Most studies enrolled patients with spinal cord injuries (n=10, 58.8%), while the number of other diseases was 2 or less. There were only a few studies using decision aids to identify occupational problems. Conclusion: Our review indicates that there is a scarcity of evidence of goal setting in orthopedic rehabilitation. Furthermore, establishing clinical practice is required, while focusing on goal-setting processes. |
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| AbstractList | スコーピングレビューの手法に則って整形外科領域のリハビリテーションにおける目標設定に関連する文献を探索し，リサーチギャップの分析を行った．PubMed，Web of Science，Scopus，ProQuest，CINAHLを用いて検索を実行し，最終的に17編を適格論文として精読した．対象疾患は脊髄損傷が10編と最多であり，多様な整形外科疾患を網羅していなかった．介入研究においては，意思決定支援ツールが未使用の研究や，目標設定やその後の介入において合意形成のプロセスが不十分な研究も散見され，整形外科領域のリハビリテーションにおける目標設定に関するさらなる検証の必要性が示唆された． スコーピングレビューの手法に則って整形外科領域のリハビリテーションにおける目標設定に関連する文献を探索し，リサーチギャップの分析を行った．PubMed，Web of Science，Scopus，ProQuest，CINAHLを用いて検索を実行し，最終的に17編を適格論文として精読した．対象疾患は脊髄損傷が10編と最多であり，多様な整形外科疾患を網羅していなかった．介入研究においては，意思決定支援ツールが未使用の研究や，目標設定やその後の介入において合意形成のプロセスが不十分な研究も散見され，整形外科領域のリハビリテーションにおける目標設定に関するさらなる検証の必要性が示唆された． This scoping review aims to identify research gaps in goal-setting processes during rehabilitation programs for people with orthopedic disorders. Study design: This scoping review followed Arksey and O'Malley's framework. Data sources: Electronic searches of PubMed, Web of Science, Scopus, ProQuest, and CINAHL were conducted using predetermined search strategies. Eligibility criteria: We included studies involving goal-setting processes in rehabilitation for patients with orthopedic disorders without limiting the region/country or target disease. Data extraction and synthesis: Two reviewers independently screened the abstracts and full texts and extracted the data based on the eligibility criteria. A third reviewer adjudicated any disagreement and collated the extracted data. Results: Results of the database searches yielded 968 studies, 17 of which were deemed eligible to include in this review. Most studies enrolled patients with spinal cord injuries (n=10, 58.8%), while the number of other diseases was 2 or less. There were only a few studies using decision aids to identify occupational problems. Conclusion: Our review indicates that there is a scarcity of evidence of goal setting in orthopedic rehabilitation. Furthermore, establishing clinical practice is required, while focusing on goal-setting processes. 要旨:スコーピングレビューの手法に則って整形外科領域のリハビリテーションにおける目標設定に関連する文献を探索し, リサーチギャップの分析を行った. PubMed, Web of Science, Scopus, ProQuest, CINAHLを用いて検索を実行し, 最終的に17編を適格論文として精読した. 対象疾患は脊髄損傷が10編と最多であり, 多様な整形外科疾患を網羅していなかった. 介入研究においては, 意思決定支援ツールが未使用の研究や, 目標設定やその後の介入において合意形成のプロセスが不十分な研究も散見され, 整形外科領域のリハビリテーションにおける目標設定に関するさらなる検証の必要性が示唆された. |
| Author | 大野 勘太 友利 幸之介 井上 由貴 |
| AuthorAffiliation | 横浜労災病院中央リハビリテーション科 東京工科大学医療保健学部リハビリテーション学科作業療法学専攻 |
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| ContentType | Journal Article |
| Copyright | 2023 一般社団法人日本作業療法士協会 |
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| DOI | 10.32178/jotr.42.5_581 |
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| Notes | 原著論文 |
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Cochrane Database Syst Rev(7） : CD009727, 2015, doi : 10.1002/14651858.CD009727.pub2. 37) Barclay L : Exploring the factors that influence the goal setting process for occupational therapy intervention with an individual with spinal cord injury. Aust Occup Ther J 49(1）: 3-13, 2002. 33) Wallace MA, Kendall MB: Transitional rehabilitation goals for people with spinal cord injury : looking beyond the hospital walls. Disabil Rehabil 36(8） : 642-650, 2014. 4) Locke EA, Latham GP: Building a practically useful theory of goal setting and task motivation. A 35- year odyssey. Am Psychol 57(9）: 705-717, 2002. 5) Latham GP, Locke EA: Self-regulation through goal setting. Organ Behav Hum Decis Process 50(2） : 212-247, 1991. 15) Olsson LE, Karlsson J, Ekman I : Effects of nursing interventions within an integrated care pathway for patients with hip fracture. J Adv Nurs 58(2）: 116-125, 2007. 43) Rose A, Rosewilliam S, Soundy A : Shared decision making within goal setting in rehabilitation settings: A systematic review. Patient Educ Couns 100(1） : 65-75, 2017. 10) Hamann J, Leucht S, Kissling W : Shared decision making in psychiatry. Acta Psychiatr Scand 107(6）: 403-409, 2003. 19) Collis JM, Signal N, Mayland E, Wright-St Clair VA : Influence of Purposeful Activities on Upper Extremity Motor Performance : A Systematic Review. OTJR (Thorofare N J） 40(4）: 223-234, 2020. 45) Oosting E, Dronkers J, Hoogeboom T, van Meeteren N, Speelman WM : Personal meaning in relation to daily functioning of a patient in physical therapy practice : narratives of a patient, a family member, and physical therapist. Disabil Rehabil 40(10）: 1220- 1226, 2018. 44) Sepucha K, Atlas SJ, Chang Y, Dorrwachter J, Freiberg A, et al : Patient Decision Aids Improve Decision Quality and Patient Experience and Reduce Surgical Rates in Routine Orthopaedic Care : A Prospective Cohort Study. J Bone Joint Surg Am 99(15）: 1253-1260, 2017. 21) 友利幸之介，澤田辰徳，大野勘太，高橋香代子，沖田勇帆：スコーピングレビューのための報告ガイドライン 日本語版：PRISMA-ScR．日本臨床作業療法研究 7：70-76，2020 26) Williams NH, Roberts JL, Din NU, Totton N, Charles JM, et al : Fracture in the Elderly Multidisciplinary Rehabilitation (FEMuR） : a phase II randomised feasibility study of a multidisciplinary rehabilitation package following hip fracture. BMJ Open 6(10） : e012422, 2016, doi: 10.1136/bmjopen-2016-012422. |
| References_xml | – reference: 14) Olsson LE, Hansson E, Ekman I, Karlsson J: A costeffectiveness study of a patient-centred integrated care pathway. J Adv Nurs 65(8）: 1626-1635, 2009. – reference: 4) Locke EA, Latham GP: Building a practically useful theory of goal setting and task motivation. A 35- year odyssey. Am Psychol 57(9）: 705-717, 2002. – reference: 20) Simon D, Schorr G, Wirtz M, Vodermaier A, Caspari C, et al: Development and first validation of the shared decision-making questionnaire (SDM-Q）. Patient Educ Couns 63(3）: 319-327, 2006. – reference: 30) Spooren AI, Janssen-Potten YJ, Kerckhofs E, Bongers HM, Seelen HA: ToCUEST: a task-oriented client-centered training module to improve upper extremity skilled performance in cervical spinal cord-injured persons. Spinal Cord 49(10）: 1042-1048, 2011. – reference: 41) Kiresuk TJ, Sherman RE : Goal attainment scaling : A general method for evaluating comprehensive community mental health programs. Community Ment Health J 4(6）: 443-453, 1968. – reference: 10) Hamann J, Leucht S, Kissling W : Shared decision making in psychiatry. Acta Psychiatr Scand 107(6）: 403-409, 2003. – reference: 45) Oosting E, Dronkers J, Hoogeboom T, van Meeteren N, Speelman WM : Personal meaning in relation to daily functioning of a patient in physical therapy practice : narratives of a patient, a family member, and physical therapist. Disabil Rehabil 40(10）: 1220- 1226, 2018. – reference: 2) Murali NS, Deao CE : Patient Engagement. Prim Care 46(4）: 539-547, 2019. – reference: 36) Gustafsson L, Mitchell G, Fleming J, Price G: Clinical Utility of the Canadian Occupational Performance Measure in Spinal Cord Injury Rehabilitation. Br J Occup Ther 75(7）: 337-342, 2012. – reference: 35) Schoeb V: "The goal is to be more flexible"--detailed analysis of goal setting in physiotherapy using a conversation analytic approach. Man Ther 14(6） : 665-670, 2009. – reference: 40) Baker I, de Paula A, Serratore L, Hanna M, Diviney K, et al : Towards Independence : The New South Wales (Australia） Experience of Transition to Adulthood of Young People With Spinal Cord Injury. Top Spinal Cord Inj Rehabil 16(1）: 55-65, 2010. – reference: 25) Goudie S, Dixon D, McMillan G, Ring D, McQueen M : Is Use of a Psychological Workbook Associated With Improved Disabilities of the Arm, Shoulder and Hand Scores in Patients With Distal Radius Fracture? Clin Orthop Relat Res 476(4） : 832-845, 2018. – reference: 42) Krasny-Pacini A, Hiebel J, Pauly F, Godon S, Chevignard M : Goal attainment scaling in rehabilitation : a literature-based update. Ann Phys Rehabil Med 56(3）: 212-230, 2013. – reference: 18) Valdes K, Naughton N, Téllez RC, Szekeres M : The use of occupation-based interventions and assessments in hand therapy : A cross-sectional survey. J Hand Ther 36(1）: 214-220, 2023. – reference: 43) Rose A, Rosewilliam S, Soundy A : Shared decision making within goal setting in rehabilitation settings: A systematic review. Patient Educ Couns 100(1） : 65-75, 2017. – reference: 37) Barclay L : Exploring the factors that influence the goal setting process for occupational therapy intervention with an individual with spinal cord injury. Aust Occup Ther J 49(1）: 3-13, 2002. – reference: 5) Latham GP, Locke EA: Self-regulation through goal setting. Organ Behav Hum Decis Process 50(2） : 212-247, 1991. – reference: 21) 友利幸之介，澤田辰徳，大野勘太，高橋香代子，沖田勇帆：スコーピングレビューのための報告ガイドライン 日本語版：PRISMA-ScR．日本臨床作業療法研究 7：70-76，2020． – reference: 29) Burns AS, Delparte JJ, Ballantyne EC, Boschen KA : Evaluation of an interdisciplinary program for chronic pain after spinal cord injury. 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| Title | 整形外科疾患のリハビリテーションにおける共有意思決定モデルに基づいた目標設定に関するスコーピングレビュー |
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