Acquired brain injury
Conditions
Interventions
The intervention will utilize CLASP-AID, which we have developed. Specifically, a driving cessation program will be conducted with participants over four sessions and with family members in one sessio
Support for driving cessation provided by research institutions,"
"
Considerations in case driving cannot be immediately resumed,"
Alternative means of transportation to replace driving,"
Planning for daily life after ceasing to drive."
Educational materials will be created based on these four themes, providing participants with an opportunity to reflect on life after stopping driving. In addition, a single lecture for family members
Key points on how family and relatives can provide support."
Each session will last approximately 40 minutes. The primary and secondary outcomes will be assessed before the first session and after the completion of the fifth session.
The intervention will
Sponsors
JA Kyosai Nakaizu Rehabilitation Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Informed consent: Patients who have received a sufficient explanation of the study, fully understand it, and have provided written consent of their own free will. 2. Age requirement: Patients who are between 55 and 90 years old at the time of consent. 3. Driving cessation: Patients who have ceased driving with a valid ordinary driver's license.
Exclusion criteria
Exclusion criteria: Disqualification due to medical conditions: Individuals with conditions such as epilepsy, schizophrenia, dementia, or other disqualifying conditions for driving resumption as determined by the Public Safety Commission. Cognitive impairment: Individuals with a Mini-Mental State Examination (MMSE) score of 24 or below, indicating significant cognitive impairment. Aphasia: Individuals with aphasia who are unable to fully understand the tests.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in occupational performance measured using the Canadian Occupational Performance Measure (COPM). The COPM is a client-centered semi-structured interview used to identify occupational performance problems that are important to the individual and to rate both performance and satisfaction on a 10-point scale. In this study, the change in the performance score will be treated as the primary outcome, while satisfaction scores will be analyzed as a secondary indicator. COPM assessments will be conducted at baseline and post-intervention, and changes in scores will be evaluated. | — |
Secondary
| Measure | Time frame |
|---|---|
| Readiness for driving cessation and mobility transition Readiness for mobility transition will be assessed using the Japanese version of the Assessment of Readiness for Mobility Transition (ARMT-J), which evaluates emotional and attitudinal readiness for mobility changes associated with aging and driving cessation. Health-related quality of life Health-related quality of life will be assessed using the Medical Outcomes Study 12-Item Short-Form Health Survey version 2 (SF-12), a validated questionnaire measuring eight domains: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health. Depressive symptoms Depressive symptoms will be assessed using the 15-item Geriatric Depression Scale (GDS-15), a validated screening tool for depression in older adults. Scores >= 5 indicate depressive tendency and >= 10 suggest probable depression. Environmental factors Environmental factors will be assessed using the Comprehensive Environmental Questionnaire for the Elderly (CEQ), consisting of 14 items across three domains (safe living environment, social interaction environment, and family environment). Items are rated on a 4-point scale, with higher scores indicating more supportive environments. Life-space mobility Life-space mobility will be assessed using the Life-Space Assessment (LSA). The LSA measures the extent of mobility from within the home to outside the town, considering frequency and level of independence (score range: 0-120). Evaluation of powered mobility devices Training and evaluation of powered mobility devices will be conducted on a dedicated course at the study site. When community use is considered, participants will undergo further evaluation by certified mobility equipment providers to determine suitability for device use. | — |
Countries
Japan
Contacts
Public ContactSatonori Nasu
JA Kyosai Nakaizu Rehabilitation Center The Rehabilitation Department of Occupational Therapy
Outcome results
None listed