後天性脳損傷後に自動車運転を中断した当事者と家族の経験—質的研究Meta-studyを用いて
要旨：後天性脳損傷後の自動車運転中断は当事者の社会参加に影響を及ぼすが，支援体制は確立されていない．本研究は，Meta-studyにより運転中断後の当事者や家族の経験を整理し，介入の枠組みを構築することを目的とした．対象論文は2020年までに発表された質的研究であり，海外論文9件が抽出された．対象研究の引用文をコード化し，人-環境-作業の理論で整理した．結果，39件のサブカテゴリに分類され，人は当事者5テーマ，家族3テーマ，環境3テーマ，作業4テーマに分類された．研究結果は後天性脳損傷者の運転中断の介入に活用されることが期待されるが，抽出論文は海外論文のみであり国内での使用には研究の発展が望ま...
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| Published in | 作業療法 Vol. 41; no. 6; pp. 663 - 675 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本作業療法士協会
15.12.2022
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.41.6_663 |
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| Abstract | 要旨：後天性脳損傷後の自動車運転中断は当事者の社会参加に影響を及ぼすが，支援体制は確立されていない．本研究は，Meta-studyにより運転中断後の当事者や家族の経験を整理し，介入の枠組みを構築することを目的とした．対象論文は2020年までに発表された質的研究であり，海外論文9件が抽出された．対象研究の引用文をコード化し，人-環境-作業の理論で整理した．結果，39件のサブカテゴリに分類され，人は当事者5テーマ，家族3テーマ，環境3テーマ，作業4テーマに分類された．研究結果は後天性脳損傷者の運転中断の介入に活用されることが期待されるが，抽出論文は海外論文のみであり国内での使用には研究の発展が望まれる． |
|---|---|
| AbstractList | 要旨：後天性脳損傷後の自動車運転中断は当事者の社会参加に影響を及ぼすが，支援体制は確立されていない．本研究は，Meta-studyにより運転中断後の当事者や家族の経験を整理し，介入の枠組みを構築することを目的とした．対象論文は2020年までに発表された質的研究であり，海外論文9件が抽出された．対象研究の引用文をコード化し，人-環境-作業の理論で整理した．結果，39件のサブカテゴリに分類され，人は当事者5テーマ，家族3テーマ，環境3テーマ，作業4テーマに分類された．研究結果は後天性脳損傷者の運転中断の介入に活用されることが期待されるが，抽出論文は海外論文のみであり国内での使用には研究の発展が望まれる． 「要旨」 : 後天性脳損傷後の自動車運転中断は当事者の社会参加に影響を及ぼすが, 支援体制は確立されていない. 本研究は, Meta-studyにより運転中断後の当事者や家族の経験を整理し, 介入の枠組みを構築することを目的とした. 対象論文は2020年までに発表された質的研究であり, 海外論文9件が抽出された. 対象研究の引用文をコード化し, 人-環境-作業の理論で整理した. 結果, 39件のサブカテゴリに分類され, 人は当事者5テーマ, 家族3テーマ, 環境3テーマ, 作業4テーマに分類された. 研究結果は後天性脳損傷者の運転中断の介入に活用されることが期待されるが, 抽出論文は海外論文のみであり国内での使用には研究の発展が望まれる. 後天性脳損傷後の自動車運転中断は当事者の社会参加に影響を及ぼすが，支援体制は確立されていない．本研究は，Meta-studyにより運転中断後の当事者や家族の経験を整理し，介入の枠組みを構築することを目的とした．対象論文は2020年までに発表された質的研究であり，海外論文9件が抽出された．対象研究の引用文をコード化し，人-環境-作業の理論で整理した．結果，39件のサブカテゴリに分類され，人は当事者5テーマ，家族3テーマ，環境3テーマ，作業4テーマに分類された．研究結果は後天性脳損傷者の運転中断の介入に活用されることが期待されるが，抽出論文は海外論文のみであり国内での使用には研究の発展が望まれる． |
| Author | 生田 純一 小林 隆司 那須 識徳 石橋 裕 久野 誠 |
| AuthorAffiliation | 農協共済中伊豆リハビリテーションセンター障害者支援施設さわらび 東京都立大学大学院人間健康科学研究科作業療法科学域博士後期課程 農協共済中伊豆リハビリテーションセンター作業療法科 岡山医療専門職大学健康科学部作業療法学科 東京都立大学大学院人間健康科学研究科作業療法科学域 |
| AuthorAffiliation_xml | – name: 東京都立大学大学院人間健康科学研究科作業療法科学域 – name: 農協共済中伊豆リハビリテーションセンター障害者支援施設さわらび – name: 農協共済中伊豆リハビリテーションセンター作業療法科 – name: 岡山医療専門職大学健康科学部作業療法学科 – name: 東京都立大学大学院人間健康科学研究科作業療法科学域博士後期課程 |
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| ContentType | Journal Article |
| Copyright | 2022 一般社団法人日本作業療法士協会 |
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| DOI | 10.32178/jotr.41.6_663 |
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| References | 29) Law M, Cooper B, Strong S, Stewart D, Rigby P, et al:The person-environment-occupation model:A transactive approach to occupational performance. Can J Occup Ther 63(1):9-23, 1996. 6) Finestone HM, Marshall SC, Rozenberg D, Moussa RC, Hunt L, et al:Differences between poststroke drivers and nondrivers:Demographic characteristics, medical status, and transportation use. Am J Phys Med Rehabil 88(11):904-923, 2009. 37) Logan PA, Dyas J, Gladman JR:Using an interview study of transport use by people who have had a stroke to inform rehabilitation. Clin Rehabil 18(6):703-708, 2004. 1) McCabe P, Lippert C, Weiser M, Hilditch M, Hartridge C, et al:Community reintegration following acquired brain injury. Brain Inj 21(2):231-257, 2007. 20) Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, et al:PRISMA extension for scoping reviews (PRISMA-ScR):Checklist and explanation. Ann Intern Med 169(7):467-473, 2018. 34) Logan PA, Gladman JR, Avery A, Walker MF, Dyas J, et al:Randomised controlled trial of an occupational therapy intervention to increase outdoor mobility after stroke. BMJ 329(7479):1372-1375, 2004. 7) Alhasani R, Radman D, Auger C, Lamontagne A, Ahmed S:Clinicians and individuals with acquired brain injury perspectives about factors that influence mobility:Creating a core set of mobility domains among individuals with acquired brain injury. Ann Med 53(1):2365-2379, 2021. 2) Finestone HM, Guo M, O’Hara P, Greene-Finestone L, Marshall SC, et al:Driving and reintegration into the community in patients after stroke. PM R 2(6):497-503, 2010. 39) Fisk GD, Owsley C, Pulley LV:Driving after stroke:Driving exposure, advice, and evaluations. Arch Phys Med Rehabil 78(12):1338-1345, 1997. 33) Liddle J, Fleming J, McKenna K, Turpin M, Whitelaw P, et al:Driving and driving cessation after traumatic brain injury:Processes and key times of need. Disabil Rehabil 33(25-26):2574-2586, 2011. 32) White JH, Miller B, Magin P, Attia J, Sturm J, et al:Access and participation in the community:A prospective qualitative study of driving post-stroke. Disabil Rehabil 34(10):831-838, 2012. 28) Liang P, Fleming J, Gustafsson L, Liddle J:Occupational experience of caregiving during driving disruption following an acquired brain injury. Br J Occup Ther 80(1):30-38, 2017. 35) Kaiser HJ:Mobility in old age:Beyond the transportation perspective. J Appl Gerontol 28(4):411-418, 2009. 40) Griffen JA, Rapport LJ, Bryer RC, Scott CA:Driving status and community integration after stroke. Top Stroke Rehabil 16(3):212-221, 2009. 12) Yu S, Muhunthan J, Lindley R, Glozier N, Jan S, et al:Driving in stroke survivors aged 18-65 years:The psychosocial outcomes in StrokE (POISE) cohort study. Int J Stroke 11(7):799-806, 2016. 4) Fisk GD, Schneider JJ, Novack TA:Driving following traumatic brain injury:Prevalence, exposure, advice and evaluations. Brain Inj 12(8):683-695, 1998. 11) Liang P, Fleming J, Gustafsson L, Griffin J, Liddle J:Family members’ experiences of driving disruption after acquired brain injury. Brain Inj 31(4):517-525, 2017. 13) Novack TA, Labbe D, Grote M, Carlson N, Sherer M, et al:Return to driving within 5 years of moderate-severe traumatic brain injury. Brain Inj 24(3):464-471, 2010. 30) Liddle J, Turpin M, McKenna K, Kubus T, Lambley S, et al:The experiences and needs of people who cease driving after stroke. Brain Impair 10(3):271-281, 2009. 8) Liddle J, Fleming J, McKenna K, Turpin M, Whitelaw P, et al:Adjustment to loss of the driving role following traumatic brain injury:A qualitative exploration with key stakeholders. Aust Occup Ther J 59(1):79-88, 2012. 22) Booth A, Clarke M, Dooley G, Ghersi D, Moher D, et al:The nuts and bolts of PROSPERO:An international prospective register of systematic reviews. Syst Rev 1:2, 2012, doi:10.1186/2046-4053-1-2. 26) Smit A, Coetzee BJ, Roomaney R, Bradshaw M, Swartz L:Women’s stories of living with breast cancer:A systematic review and meta-synthesis of qualitative evidence. Soc Sci Med 222:231-245, 2019. 36) Barnsley L, McCluskey A, Middleton S:What people say about travelling outdoors after their stroke:A qualitative study. Aust Occup Ther J 59(1):71-78, 2012. 16) Liddle J, Hayes R, Gustafsson L, Fleming J:Managing driving issues after an acquired brain injury:Strategies used by health professionals. Aust Occup Ther J 61(4):215-223, 2014. 19) Paterson BL, Thorne SE, Canam C, Jillings C:Meta-study of qualitative health research:A practical guide to meta-analysis and meta-synthesis. Sage Publications, Thousand Oaks, 2001, pp.1-131. 10) Liang P, Liddle J, Fleming J, Gustafsson L:Family members’ narratives of lifespace:Mapping changes before and after a brain injury causing driving disruption. Aust Occup Ther J 63(3):164-174, 2016. 17) 大谷 尚：質的研究とは何か─教育テクノロジー研究のいっそうの拡張をめざして─．教育システム情報学会誌 25(3)：340-354，2008 27) Walsh D, Downe S:Meta-synthesis method for qualitative research:A literature review. J Adv Nurs 50(2):204-211, 2005. 15) Griffen JA, Rapport LJ, Bryer RC, Bieliauskas LA, Burt C:Awareness of deficits and on-road driving performance. Clin Neuropsychol 25(7):1158-1178, 2011. 25) Garside R:Should we appraise the quality of qualitative research reports for systematic reviews, and if so, how? The European Journal of Social Science Research 27(1):67-79, 2014. 5) Fox GK, Bashford GM, Caust SL:Identifying safe versus unsafe drivers following brain impairment:The Coorabel Programme. Disabil Rehabil14(3):140-145, 1992. 14) Ichikawa M, Inada H, Nakahara S:Increased traffic injuries among older unprotected road users following the introduction of an age-based cognitive test to the driver’s license renewal procedure in Japan. Accid Anal Prev 136:105440, 2020, doi:10.1016/j.aap.2020.105440. 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(1)：70-76，2020 31) Lister R:Loss of ability to drive following a stroke:The early experiences of three elderly people on discharge from hospital. Br J Occup Ther 62(11):514-520, 1999. 24) Sparkes AC, Smith B:Judging the quality of qualitative inquiry:Criteriology and relativism in action. Psychol Sport Exerc 10(5):491-497, 2009. 3) Marshall SC, Molnar F, Man-Son-Hing M, Blair R, Brosseau L, et al:Predictors of driving ability following stroke:A systematic review. Top Stroke Rehabil 14(1):98-114, 2007. 9) Liang P, Gustafsson L, Liddle J, Fleming J:Family members’ needs and experiences of driving disruption over time following an acquired brain injury:An evolving issue. Disabil Rehabil 39(14):1398-1407, 2016. 18) Paterson BL, Thorne SE, Canam C, Jillings C(石垣和子，宮﨑美砂子，北池 正，山本則子・監訳)：質的研究のメタスタディ実践ガイド．医学書院，2010，pp.1-151 23) Noblit GW, Hare RD, Hare RD:Meta-ethnography:Synthesizing qualitative studies, Sage Publications, Newbury Park, 1988, pp.26-37. 38) Broome K, McKenna K, Fleming J, Worrall L:Bus use and older people:A literature review applying the person-environment-occupation model in macro practice. Scand J Occup Ther 16(1):3-12, 2009. |
| References_xml | – reference: 10) Liang P, Liddle J, Fleming J, Gustafsson L:Family members’ narratives of lifespace:Mapping changes before and after a brain injury causing driving disruption. Aust Occup Ther J 63(3):164-174, 2016. – reference: 24) Sparkes AC, Smith B:Judging the quality of qualitative inquiry:Criteriology and relativism in action. Psychol Sport Exerc 10(5):491-497, 2009. – reference: 25) Garside R:Should we appraise the quality of qualitative research reports for systematic reviews, and if so, how? The European Journal of Social Science Research 27(1):67-79, 2014. – reference: 39) Fisk GD, Owsley C, Pulley LV:Driving after stroke:Driving exposure, advice, and evaluations. Arch Phys Med Rehabil 78(12):1338-1345, 1997. – reference: 6) Finestone HM, Marshall SC, Rozenberg D, Moussa RC, Hunt L, et al:Differences between poststroke drivers and nondrivers:Demographic characteristics, medical status, and transportation use. Am J Phys Med Rehabil 88(11):904-923, 2009. – 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(1)：70-76，2020． – reference: 33) Liddle J, Fleming J, McKenna K, Turpin M, Whitelaw P, et al:Driving and driving cessation after traumatic brain injury:Processes and key times of need. Disabil Rehabil 33(25-26):2574-2586, 2011. – reference: 3) Marshall SC, Molnar F, Man-Son-Hing M, Blair R, Brosseau L, et al:Predictors of driving ability following stroke:A systematic review. Top Stroke Rehabil 14(1):98-114, 2007. – reference: 26) Smit A, Coetzee BJ, Roomaney R, Bradshaw M, Swartz L:Women’s stories of living with breast cancer:A systematic review and meta-synthesis of qualitative evidence. Soc Sci Med 222:231-245, 2019. – reference: 37) Logan PA, Dyas J, Gladman JR:Using an interview study of transport use by people who have had a stroke to inform rehabilitation. Clin Rehabil 18(6):703-708, 2004. – reference: 17) 大谷 尚：質的研究とは何か─教育テクノロジー研究のいっそうの拡張をめざして─．教育システム情報学会誌 25(3)：340-354，2008． – reference: 18) Paterson BL, Thorne SE, Canam C, Jillings C(石垣和子，宮﨑美砂子，北池 正，山本則子・監訳)：質的研究のメタスタディ実践ガイド．医学書院，2010，pp.1-151． – reference: 15) Griffen JA, Rapport LJ, Bryer RC, Bieliauskas LA, Burt C:Awareness of deficits and on-road driving performance. Clin Neuropsychol 25(7):1158-1178, 2011. – reference: 4) Fisk GD, Schneider JJ, Novack TA:Driving following traumatic brain injury:Prevalence, exposure, advice and evaluations. Brain Inj 12(8):683-695, 1998. – reference: 40) Griffen JA, Rapport LJ, Bryer RC, Scott CA:Driving status and community integration after stroke. Top Stroke Rehabil 16(3):212-221, 2009. – reference: 5) Fox GK, Bashford GM, Caust SL:Identifying safe versus unsafe drivers following brain impairment:The Coorabel Programme. Disabil Rehabil14(3):140-145, 1992. – reference: 30) Liddle J, Turpin M, McKenna K, Kubus T, Lambley S, et al:The experiences and needs of people who cease driving after stroke. Brain Impair 10(3):271-281, 2009. – reference: 20) Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, et al:PRISMA extension for scoping reviews (PRISMA-ScR):Checklist and explanation. Ann Intern Med 169(7):467-473, 2018. – reference: 31) Lister R:Loss of ability to drive following a stroke:The early experiences of three elderly people on discharge from hospital. Br J Occup Ther 62(11):514-520, 1999. – reference: 11) Liang P, Fleming J, Gustafsson L, Griffin J, Liddle J:Family members’ experiences of driving disruption after acquired brain injury. Brain Inj 31(4):517-525, 2017. – reference: 22) Booth A, Clarke M, Dooley G, Ghersi D, Moher D, et al:The nuts and bolts of PROSPERO:An international prospective register of systematic reviews. Syst Rev 1:2, 2012, doi:10.1186/2046-4053-1-2. – reference: 16) Liddle J, Hayes R, Gustafsson L, Fleming J:Managing driving issues after an acquired brain injury:Strategies used by health professionals. Aust Occup Ther J 61(4):215-223, 2014. – reference: 8) Liddle J, Fleming J, McKenna K, Turpin M, Whitelaw P, et al:Adjustment to loss of the driving role following traumatic brain injury:A qualitative exploration with key stakeholders. Aust Occup Ther J 59(1):79-88, 2012. – reference: 14) Ichikawa M, Inada H, Nakahara S:Increased traffic injuries among older unprotected road users following the introduction of an age-based cognitive test to the driver’s license renewal procedure in Japan. Accid Anal Prev 136:105440, 2020, doi:10.1016/j.aap.2020.105440. – reference: 12) Yu S, Muhunthan J, Lindley R, Glozier N, Jan S, et al:Driving in stroke survivors aged 18-65 years:The psychosocial outcomes in StrokE (POISE) cohort study. Int J Stroke 11(7):799-806, 2016. – reference: 23) Noblit GW, Hare RD, Hare RD:Meta-ethnography:Synthesizing qualitative studies, Sage Publications, Newbury Park, 1988, pp.26-37. – reference: 28) Liang P, Fleming J, Gustafsson L, Liddle J:Occupational experience of caregiving during driving disruption following an acquired brain injury. Br J Occup Ther 80(1):30-38, 2017. – reference: 35) Kaiser HJ:Mobility in old age:Beyond the transportation perspective. J Appl Gerontol 28(4):411-418, 2009. – reference: 34) Logan PA, Gladman JR, Avery A, Walker MF, Dyas J, et al:Randomised controlled trial of an occupational therapy intervention to increase outdoor mobility after stroke. BMJ 329(7479):1372-1375, 2004. – reference: 2) Finestone HM, Guo M, O’Hara P, Greene-Finestone L, Marshall SC, et al:Driving and reintegration into the community in patients after stroke. 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| Snippet | 要旨：後天性脳損傷後の自動車運転中断は当事者の社会参加に影響を及ぼすが，支援体制は確立されていない．本研究は，Meta-studyにより運転中断後の当事者や家族の経験を... 後天性脳損傷後の自動車運転中断は当事者の社会参加に影響を及ぼすが，支援体制は確立されていない．本研究は，Meta-studyにより運転中断後の当事者や家族の経験を整... 「要旨」 : 後天性脳損傷後の自動車運転中断は当事者の社会参加に影響を及ぼすが, 支援体制は確立されていない. 本研究は, Meta-studyにより運転中断後の当事者や家族の経... |
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| Title | 後天性脳損傷後に自動車運転を中断した当事者と家族の経験—質的研究Meta-studyを用いて |
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