2025 年 21 巻 1 号 p. 158-166
Objective: This study aimed to clarify how the concept of evidence-based practice (EBP) has been developed and characterized within the field of occupational therapy.
Methods: This study employed Rodgers' evolutionary method of concept analysis to examine the concept of EBP in occupational therapy. A literature search was conducted using the PubMed, MEDLINE, OTseeker, and Scopus databases to identify relevant peer-reviewed articles. The selected publications were reviewed in detail, and data pertaining to the attributes, antecedents, and consequences of EBP within the context of occupational therapy were extracted and analyzed.
Results: A total of 40 articles were included. The “antecedents” of the concept were categorized as “Social needs” and “Conflict with the medical model,” “attributes” as “Essence of occupational therapy” and “Skills for using evidence,” and “consequences” as “Professional development.” While experiencing conflict with the medical model, the concept of EBP in occupational therapy was developed independently based on “occupation-centered” and “client-centered” occupational therapy.
Conclusions: EBP in occupational therapy integrates diverse evidence-based on the “occupation-centered” and “client-centered” essence of occupational therapy. The definition of EBP can guide the development of occupational therapists' practices, education, and scholarship.