{
  "name": "バーンアウト 研究の質と限界",
  "version": "0.1",
  "notice": "簡易評価であり正式なRoB評価ではない。",
  "assessments": [
    {
      "id": "lee-ashforth-1996",
      "design": "meta-analysis",
      "confidence": "moderate",
      "strengths": [
        "三次元を分離",
        "61研究"
      ],
      "limitations": [
        "古い研究群",
        "横断研究中心"
      ]
    },
    {
      "id": "alarcon-2011",
      "design": "meta-analysis",
      "confidence": "moderate",
      "strengths": [
        "要求・資源・態度を統合",
        "次元別分析"
      ],
      "limitations": [
        "観察研究中心",
        "異質性"
      ]
    },
    {
      "id": "aronsson-2017",
      "design": "systematic review and meta-analysis",
      "confidence": "moderate",
      "strengths": [
        "前向き研究を重視",
        "労働環境要因"
      ],
      "limitations": [
        "自己報告",
        "残余交絡"
      ]
    },
    {
      "id": "salvagioni-2017",
      "design": "systematic review of prospective studies",
      "confidence": "moderate",
      "strengths": [
        "61研究を採用",
        "品質基準を満たす36研究を主分析",
        "二者選定"
      ],
      "limitations": [
        "メタ分析なし",
        "結果・尺度が多様"
      ]
    },
    {
      "id": "koutsimani-2019",
      "design": "systematic review and meta-analysis",
      "confidence": "moderate",
      "strengths": [
        "67研究",
        "抑うつ・不安を同時評価"
      ],
      "limitations": [
        "横断研究中心",
        "尺度項目の重複"
      ]
    },
    {
      "id": "rotenstein-2018",
      "design": "systematic review",
      "confidence": "high-for-heterogeneity",
      "strengths": [
        "182研究",
        "109,628人",
        "定義を詳細比較"
      ],
      "limitations": [
        "医師限定",
        "単一有病率を推定できない"
      ]
    },
    {
      "id": "west-2016",
      "design": "systematic review and meta-analysis",
      "confidence": "moderate",
      "strengths": [
        "RCTとコホートを分離",
        "個人・組織介入"
      ],
      "limitations": [
        "医師中心",
        "異質性",
        "効果小"
      ]
    },
    {
      "id": "haslam-2024",
      "design": "systematic review and meta-analysis of RCTs",
      "confidence": "moderate-low",
      "strengths": [
        "RCT限定",
        "誇大解釈を抑制"
      ],
      "limitations": [
        "医師中心",
        "研究数・長期追跡不足"
      ]
    },
    {
      "id": "debeer-2024",
      "design": "measurement systematic review",
      "confidence": "moderate",
      "strengths": [
        "多国データ",
        "測定特性を統合"
      ],
      "limitations": [
        "一次研究品質に依存",
        "利用権は別問題"
      ]
    },
    {
      "id": "kitaoka-2004",
      "design": "Japanese scale validation",
      "confidence": "moderate",
      "strengths": [
        "日本の職域標本",
        "因子・妥当性検討"
      ],
      "limitations": [
        "研究版",
        "基準値ではない"
      ]
    },
    {
      "id": "kubo-2014",
      "design": "Japanese scale validation",
      "confidence": "moderate",
      "strengths": [
        "日本のサービス職",
        "構成概念妥当性"
      ],
      "limitations": [
        "職種限定",
        "他尺度と非互換"
      ]
    },
    {
      "id": "sakakibara-2020",
      "design": "Japanese scale validation",
      "confidence": "moderate",
      "strengths": [
        "適格解析982人",
        "1か月再検査485人",
        "複数妥当性指標"
      ],
      "limitations": [
        "オンライン標本",
        "診断閾値ではない"
      ]
    }
  ]
}