A longitudinal clinico-epidemiological study of Hope in chronic disease and its application to home health care

• Project/Area Number: 16H05216
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Medical sociology
• Research Institution: St. Marianna University School of Medicine
• Principal Investigator: Shibagaki Yugo 聖マリアンナ医科大学, 医学部, 教授 (70361491)
• Co-Investigator(Kenkyū-buntansha): 栗田 宜明 福島県立医科大学, 公私立大学の部局等, 特任教授 (80736976) ; 脇田 貴文 関西大学, 社会学部, 教授 (60456861) ; 大塚 類 青山学院大学, 教育人間科学部, 准教授 (20635867) ; 福原 俊一 京都大学, 医学研究科, 教授 (30238505)
• Project Period (FY): 2016-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2019)
• Budget Amount: ¥17,940,000 (Direct Cost: ¥13,800,000、Indirect Cost: ¥4,140,000); Fiscal Year 2018: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000); Fiscal Year 2017: ¥7,540,000 (Direct Cost: ¥5,800,000、Indirect Cost: ¥1,740,000); Fiscal Year 2016: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
• Keywords: 医療社会学 / 健康関連ホープ / アドヒアランス / 在宅医療 / 慢性腎臓病 / 臨床栄養 / 臨床疫学 / 透析療法 / 医療行動学

Outline of Final Research Achievements

In this study, we aimed to validate the Health-related hope scale (HR-Hope scale), a scale for measuring hope in chronic diseases, and to apply it to the home-based medicine field. (1) We have successfully demonstrated that the HR-Hope scale is highly reliable and validated in patients with chronic kidney disease. (2) From the longitudinal study, we identified some predictive factors for longitudinal changes in the HR-Hope scale. (3) We conducted a survey study of home health care patients and demonstrated the applicability of the HR-Hope scale in terms of psychometric properties.

Academic Significance and Societal Importance of the Research Achievements

我々が開発と検証を行った、慢性疾患のための希望尺度であるHealth-related hope scale (HR-Hope)は、複数の慢性疾患のセッティングで応用できることを実証した。医療の進歩と健康寿命の延伸により、HR-Hopeが生命予後とは一線を画した臨床研究のアウトカムとして普及することが期待できる。また、健康行動を規定する因子としてHR-Hopeが活用される可能性があり、国内外の臨床研究の推進と診療の質の向上に貢献することが期待できる。

Research Products

• [Journal Article] A scale for measuring Health-Related Hope: its development and psychometric testing. (2019)
  • Author(s): Fukuhara S, Kurita N, Wakita T, Green J, Shibagaki Y.
  • Journal Title: Annals of Clinical Epidemiology. Volume: 1 Pages: 102-119
  • NAID: 130007844276
  • Peer Reviewed
• [Journal Article] 在宅医療患者の語りから探る希望 (2019)
  • Author(s): 大塚類, 栗田宜明, 脇田貴文, 龔恵芳.
  • Journal Title: 教育研究：青山学院大学教育学会紀要 Volume: 1 Pages: 73-84
  • NAID: 120006763797
• [Journal Article] Association between keeping home records of catheter exit-site and incidence of peritoneal dialysis-related infections. (2018)
  • Author(s): Iida H, Kurita N, Fujimoto S, Kamijo Y, Ishibashi Y, Fukuma S, Fukuhara S.
  • Journal Title: International Urology and Nephrology Volume: 50 Issue: 4 Pages: 763-769
  • DOI: 10.1007/s11255-018-1789-x
  • Peer Reviewed / Open Access
• [Journal Article] Low testosterone levels and reduced kidney function in Japanese adult men: the LOHAS study. (2016)
  • Author(s): Kurita N, Horie S, Yamazaki S, Otani K, Sekiguchi M, Onishi Y, Takegami M, Ono R, Konno S, Kikuchi S, Fukuhara S.
  • Journal Title: Journal of the American Medical Directors Association Volume: 17 Issue: 4 Pages: 371.e1-371.e6
  • DOI: 10.1016/j.jamda.2016.01.011
  • Peer Reviewed
• [Journal Article] Early Mortality Was Highly and Strongly Associated with Functional Status in Incident Japanese Hemodialysis Patients: A Cohort Study of the Large National Dialysis Registry (2016)
  • Author(s): Yazawa Masahiko、Kido Ryo、Ohira Seiji、Hasegawa Takeshi、Hanafusa Norio、Iseki Kunitoshi、Tsubakihara Yoshiharu、Shibagaki Yugo
  • Journal Title: PLOS ONE Volume: 11 Issue: 6 Pages: e0156951-e0156951
  • DOI: 10.1371/journal.pone.0156951
  • Peer Reviewed / Open Access
• [Journal Article] Impact of vascular access intervention therapy on cardiac load in hemodialysis patients (2016)
  • Author(s): Adachi Takayuki、Sakurada Tsutomu、Otowa Takanori、Uehara Keita、Sueki Shina、Kojima Shigeki、Kaneshiro Nagayuki、Matsui Katsuomi、Tomohiro Tadahisa、Shibagaki Yugo
  • Journal Title: Hemodialysis International Volume: 20 Issue: S1
  • DOI: 10.1111/hdi.12460
  • Peer Reviewed / Open Access
• [Presentation] Health-related hope, disease stage, and disease self-management over a very wide range of CKD severity. (2018)
  • Author(s): Kurita N, Wakita T, Ishibashi Y, Suzuki T, Kawarazaki H, Yazawa M, Shibagaki Y.
  • Organizer: ASN Kidney Week 2018
  • Int'l Joint Research
• [Presentation] 慢性腎臓病の疾患ステージ、患者の「希望」、セルフケア指標との関係性. (2018)
  • Author(s): 栗田宜明, 脇田貴文, 石橋由孝, 鈴木智, 河原崎宏雄, 谷澤雅彦, Joseph G, 福原俊一, 柴垣有吾.
  • Organizer: 日本臨床疫学会第2回年次学術大会
• [Presentation] 健康関連ホープ尺度の短縮版 (8項目版) の構成と信頼性・妥当性の計量心理学的評価. (2018)
  • Author(s): 脇田貴文, 栗田宜明, Joseph G, 柴垣有吾, 福原俊一.
  • Organizer: 日本臨床疫学会第2回年次学術大会