脳卒中後の運転に関する実践リソースの評価-2：複数ベースライン研究

Background. Occupational therapists have identified a critical need for resources to support addressing driving after stroke. A previous feasibility study found that the Practice Resource to Address Driving After Stroke (PReDAS) was a useful practice resource. However, more robust research is needed to examine how use of the PReDAS-2 may support professional development. Purpose. To evaluate the relationship between use of the PReDAS-2 and self-reported clinical reasoning and self-efficacy of occupational therapists for addressing driving in acute care settings. Method. A concurrent, multiple baseline design was employed. Visual and Tau-U analyses were conducted. Findings. Occupational therapists' self-reported clinical reasoning and self-efficacy to address driving after stroke improved with use of the PReDAS-2. Visual and Tau-U analyses indicated a large treatment effect of the PReDAS-2 for self-reported clinical reasoning (Tau-U = 0.7) and self-efficacy (Tau-U = 0.9). Conclusion. The present study provides preliminary evidence that the PReDAS-2 increases self-reported clinical reasoning and self-efficacy for addressing driving. Making the PReDAS-2 available to occupational therapists seeking to supplement their clinical practice may be warranted. Further research is necessary to determine if the PReDAS-2 should be recommended for use in acute care settings.