• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Development of and Assessment Algorithm and an Intervention Program based on Characteristics of Health Risk used for the Type 2 Diabetes Disease Management

Research Project

Project/Area Number 15390671
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionHiroshima University

Principal Investigator

MORIYAMA Michiko  Hiroshima University, Graduate School of Health Sciences, Professor (80264977)

Co-Investigator(Kenkyū-buntansha) KUROE Yuriko  Gifu College of Nursing, School of Nursing, Professor (40295712)
HASEGAWA Tomonori  The Toho University, Faculty of Medicine, Professor (10198723)
NIN Kazuko  Kyoto University, Hospital, Assistant Director of Nursing (40243084)
HAYASHI Shizuko  Saitama Medical University, Faculty of Health and Medical Care, Assistant Professor (30346019)
YAMANE Kiminori  Hiroshima University, Hospital, Assistant Professor (20335657)
坂巻 弘之  (財)医療経済研究, 社会保険福祉協会・医療経済研究機構, 主席研究員
森川 浩子  福井大学, 医学部, 講師 (10313743)
阿部 俊子  東京医科歯科大学, 大学院・保健学研究科, 助教授 (90292614)
西山 美香  広島大学, 医学部, 助手 (00363052)
Project Period (FY) 2003 – 2006
Project Status Completed (Fiscal Year 2006)
Budget Amount *help
¥13,900,000 (Direct Cost: ¥13,900,000)
Fiscal Year 2006: ¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 2005: ¥2,800,000 (Direct Cost: ¥2,800,000)
Fiscal Year 2004: ¥3,600,000 (Direct Cost: ¥3,600,000)
Fiscal Year 2003: ¥5,400,000 (Direct Cost: ¥5,400,000)
KeywordsDisease Management / Tvne 2 Diabetes / Assessment Algorithm / Intervention Program / Patient Education / 患者教育 / アウトカム / コンプライアンス / アドヒアランス
Research Abstract

1. Purpose
A 12-month-self-management program for type 2 Diabetes was developed, whose effects were examined at hospitals and in a community. At the community level, the possibility of a system was examined where the program was implemented by the insured through tertiary prevention.
2. Method
(1) Implementation at the hospitals: A randomized clinical trial was conducted with the subjects who were type 2 diabetes, were outpatients at two hospitals and gave consent to participating in the study. The program was implemented to the intervention group with a monthly interview of 30 minutes and a biweekly telephone monitoring. The outcome indicators measured were the goal achievement level, the behavioral transformation stages (diet and exercise), self-efficacy, QOL, HbA1c, weight, blood pressure, abdominal circumference, fasting blood sugar, triglyceride and total cholesterol.
(2) Implementation in the community: A nonrandomized, before-after trial was conducted with the subjects who were comm … More unity residents, screened by abnormal glucose tolerance during the annual health check-up, type-2 diabetes and gave consent to participation in the study. The intervention method and the outcome indicators were the same as those for the medical institution.
3. Results
(1) Implementation at the medical institution: There were 50 subjects in the intervention group and 25 in the control group, of whom 8 from the former and 2 from the latter groups dropped out (the program completion rate 84.0%). At the baseline, 3-month, 6-month, 9-month and 12-month (end) points, there were statistically significant interactions between the HbA1c value and self-efficacy. Differences between the two groups were significant in terms of the dietary stage and QOL. There were significant within-group differences between the weight, HbA1c, dietary and exercise stages, and self-efficacy. There was a less-than-10% significant differences between the diastolic pressure, T-cho and QOL. In terms of diachronic change, significant differences were observed only for the interventional group, where significant improvements were observed for the weight, abdominal circumference, HbA1c, diastolic pressure, dietary stage, QOL, and self-efficacy.
(2) Implementation in the community : There were 33 individuals signed up for the program with one person dropping out because of development of complications and being considered ineligible for the study. There was a significant statistical improvement for all the indicators, particularly the abdominal circumference, QOL, self-efficacy, and dietary and exercise stages. Collaboration with the medical institution was very good, and advantages were observed in terms of implementation by the insured through tertiary prevention. Less

Report

(5 results)
  • 2006 Annual Research Report   Final Research Report Summary
  • 2005 Annual Research Report
  • 2004 Annual Research Report
  • 2003 Annual Research Report
  • Research Products

    (30 results)

All 2007 2006 2005 2004 2003 Other

All Journal Article (27 results) Book (2 results) Publications (1 results)

  • [Journal Article] リスク特性に応じた慢性疾患セルフマネジメントプログラム開発とその効果の検討2007

    • Author(s)
      森山 美知子
    • Journal Title

      日本慢性看護学会誌 1

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 米国・豪州のDiseaseManagementの動向とわが国の慢性疾患ケアモデル構築の必要性2007

    • Author(s)
      森山 美知子
    • Journal Title

      日本慢性看護学会誌 1

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Development and effects of disease management program for chronic illnesses2007

    • Author(s)
      Michiko Moriyama, Yuriko Kuroe, Tomonori Hasegawa, et. al.
    • Journal Title

      Journal of Japanese Society for Chronic Illness and Conditions Nursing A41

      Pages: 1-1

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Disease management in USA and Australia, and need for development of chronic care model in Japan2007

    • Author(s)
      Michiko Moriyama
    • Journal Title

      Journal of Japanese Society for Chronic Illness and Conditions Nursing A46

      Pages: 1-1

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 日本版健康関連ハーディネス尺度(The Japanese Health-Related Hardiness Scale)の作成2006

    • Author(s)
      五十嵐 由希子
    • Journal Title

      日本看護科学学会誌 26.3

      Pages: 13-21

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 「糖尿病」のアウトカムマネジメントとディジーズマネジメント2006

    • Author(s)
      高見 知世子
    • Journal Title

      臨床看護 32.4

      Pages: 538-543

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 外来通院中の成人2型糖尿病患者の疾病管理プログラムの開発とその効果に関する研究2006

    • Author(s)
      高見 知世子
    • Journal Title

      糖尿病 49.Sup1

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 慢性疾患管理とディジーズマネジメント2006

    • Author(s)
      森山 美知子
    • Journal Title

      臨床看護 32.4

      Pages: 508-515

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Development of the Japanese health-related hardiness scale2006

    • Author(s)
      Yukiko Igarashi, Masumi Nakano, Takashi Nakaya, Michiko Moriyama
    • Journal Title

      Journal of Japan Academy of Nursing Science 26(3)

      Pages: 13-21

    • NAID

      10026506435

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Outcome management and disease management for type 2 diabetes2006

    • Author(s)
      Chiyoko Takami
    • Journal Title

      The Japanese Journal of Clinical Nursing 32(4)

      Pages: 538-543

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Development and effects of disease management program for outpatients'type 2 diabetes2006

    • Author(s)
      Chiyoko Takami, Michiko Moriyama, Kazuko Nm, et. al.
    • Journal Title

      Journal of the Japan Diabetes Society 49 Sup1

      Pages: 277-277

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Chronic illness management and Disease management management2006

    • Author(s)
      Michiko Moriyama
    • Journal Title

      The Japanese Journal of Clinical Nursing 32(4)

      Pages: 508-515

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 日本版健康関連ハーディネス尺度(The Japanese Health-Related Hardiness Scale)の作成2006

    • Author(s)
      五十嵐由希子
    • Journal Title

      日本看護科学学会誌 26・3

      Pages: 13-21

    • Related Report
      2006 Annual Research Report
  • [Journal Article] 「糖尿病」のアウトカムマネジメントとディジーズマネジメント2006

    • Author(s)
      高見知世子
    • Journal Title

      臨床看護 32・4

      Pages: 538-543

    • Related Report
      2006 Annual Research Report 2005 Annual Research Report
  • [Journal Article] 疾病管理とディジーズマネジメント2006

    • Author(s)
      森山美知子
    • Journal Title

      臨床看護 32・4

      Pages: 508-515

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 疾病管理の観点に立った患者特性に応じた2型糖尿病のアセスメント・アルゴリズムの開発2005

    • Author(s)
      中野 真寿美
    • Journal Title

      糖尿病 48.12

      Pages: 863-868

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Development of an Assessment Algorithm based on Patients'Characteristics-based lbr the Type 2 Diabetes Disease Management2005

    • Author(s)
      Masumi Nakano, Michiko Moriyama, Yuriko Kuroe, Hfroyuk Sakamaki, Tomonori Hasegawa
    • Journal Title

      Fournal of the Japan Diabetes Society 48(12)

      Pages: 863-868

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] 疾病管理の観点に立った患者特性に応じた2型糖尿病のアセスメント・アルゴリズムの開発2005

    • Author(s)
      中野真寿美, 森山美知子, 黒江ゆり子, 坂巻弘之, 長谷川友紀
    • Journal Title

      糖尿病 48・12

      Pages: 863-868

    • NAID

      10017403388

    • Related Report
      2005 Annual Research Report
  • [Journal Article] 疾病管理の観点に立った患者特性に応じた2型糖尿病患者のアセスメント・アルゴリズムの開発2005

    • Author(s)
      中野真寿美, 森山美知子, 黒江ゆり子, 坂巻弘之, 長谷川友紀
    • Journal Title

      糖尿病

    • Related Report
      2004 Annual Research Report
  • [Journal Article] AADE 31st Annual Meeting: Driving Innovation Prevention Education Care2004

    • Author(s)
      森川 浩子
    • Journal Title

      プラクティス 21.5

      Pages: 610-611

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] David Marrero教授からDPPに込めたメッセージを聞く2004

    • Author(s)
      森川 浩子
    • Journal Title

      糖尿病診療マスター 2.6

      Pages: 768-769

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] AADE, 31st annual meeting : Driving innovation prevention education care2004

    • Author(s)
      Hiroko Morikawa, Yuriko Kuroe
    • Journal Title

      Practice 21(5)

      Pages: 610-611

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] The message about DPP from Dr. David Marrero2004

    • Author(s)
      Hiroko Morikawa, Yuriko Kuroe
    • Journal Title

      Diabetes Clinical Master Net 2(6)

      Pages: 768-769

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] AADE 31st Annual Meeting Driving Innovation Prevention Education Care2004

    • Author(s)
      森川 浩子, 黒江ゆり子
    • Journal Title

      プラクティス 21(5)

      Pages: 610-611

    • Related Report
      2004 Annual Research Report
  • [Journal Article] David Marrero数授からDPPに込めたメッセージを聞く2004

    • Author(s)
      森川 浩子, 黒江ゆり子
    • Journal Title

      糖尿病診療マスター 2(6)

      Pages: 768-769

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 2型糖尿病の自己管理に関連した文献的考察:患者特性分類のためのアセスメントツール開発に向けて2003

    • Author(s)
      中野 真寿美
    • Journal Title

      広島大学保健学ジャーナル 3・1

      Pages: 1-12

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Journal Article] Structured review of the literature of type 2 diabetes self-management : Toward the development of a patients characteristics-based assessment tool2003

    • Author(s)
      Masumi Nakano, Michiko Moriyama, Mika Nishiyama, Miho Matsui
    • Journal Title

      Tournal of Health Sciences Hiroshima University 3(1)

      Pages: 1-12

    • NAID

      120000883590

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Book] 新しい慢性疾患ケアモデル:ディジーズマネジメントとナーシングケースマネジメント2007

    • Author(s)
      森山 美知子
    • Total Pages
      208
    • Publisher
      中央法規出版
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Book] New chronic care model : Disease Management and nursing case management2007

    • Author(s)
      Michiko Moriyama
    • Total Pages
      208
    • Publisher
      Cyuou-hoki Tokyo
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2006 Final Research Report Summary
  • [Publications] 中野真寿美, 森山美知子, 西山美香他: "2型糖尿病の自己管理に関連した文献的考察:患者特性分類のためのアセスメントツール開発に向けて"広島大学保健学ジャーナル. 3(1). 1-12 (2003)

    • Related Report
      2003 Annual Research Report

URL: 

Published: 2003-04-01   Modified: 2016-04-21  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi