Vegni Elena, Mauri Emanuela, D'Apice Monica, Moja Egidio Aldo
Medical Psychology Department, School of Medicine, University of Milan, Milan, Italy.
Scand J Occup Ther. 2010 Sep;17(3):217-24. doi: 10.3109/11038120903147956.
The purpose of this pilot study was to assess the feasibility of a quantitative approach to study occupational therapist-client interactions. Role plays were videotaped in which 10 therapists met three client-actors. A questionnaire assessed the occupational therapists' and the patient-actors' opinion of the role-play experience. A modified version of the Roter Interaction Analysis System (RIAS), OT-RIAS, was used to analyse data.
Occupational therapists considered the role play experience to be "highly realistic" (mean score 5.4 on a 1-6 Likert scale). The actors' comfort role playing clients was also high (mean = 4.0; range 1-5). Inter-coder reliability for the OT-RIAS was highly significant (r = 0.919; p = 0.000). The modified version of this system fits well in an occupational therapy context.
The quantitative approach used in this study to explore the therapist-client relationship appears to be effective. The role plays and RIAS may be useful in research exploring correlation between the OT communication style and outcome measures such as client satisfaction or comprehension, or in order to assess and offer feedback in teaching communication skills programmes.
本试点研究的目的是评估一种定量方法用于研究职业治疗师与服务对象互动的可行性。对角色扮演进行了录像，其中10名治疗师与3名扮演服务对象的演员进行互动。通过问卷调查评估职业治疗师和扮演患者的演员对角色扮演体验的看法。使用改良版的罗特互动分析系统（RIAS），即OT-RIAS来分析数据。
职业治疗师认为角色扮演体验“高度逼真”（在1-6李克特量表上平均得分为5.4）。演员扮演服务对象时的舒适度也很高（平均分为4.0；范围为1-5）。OT-RIAS的编码员间信度非常显著（r = 0.919；p = 0.000）。该系统的改良版非常适合职业治疗情境。
本研究中用于探索治疗师与服务对象关系的定量方法似乎是有效的。角色扮演和RIAS可能有助于研究职业治疗沟通方式与诸如服务对象满意度或理解能力等结果指标之间的相关性，或者用于评估沟通技能教学项目并提供反馈。
