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Clarification of response shift and minimally important difference in utility scale used for health economics evaluation

Research Project

Project/Area Number 16K08890
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionSeirei Christopher University

Principal Investigator

Izumi Ryota  聖隷クリストファー大学, リハビリテーション学部, 教授 (80436980)

Co-Investigator(Kenkyū-buntansha) 能登 真一  新潟医療福祉大学, リハビリテーション学部, 教授 (00339954)
鈴鴨 よしみ  東北大学, 医学系研究科, 准教授 (60362472)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2018: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords医療経済学 / 効用値尺度 / 費用対効果 / 医療・福祉 / リハビリテーション / 健康関連QOL / 脳血管疾患
Outline of Final Research Achievements

The subjects were 94 stroke patients undergoing rehabilitation. Activities of daily living (ADL) and health-related quality of life (HRQOL) were used to evaluate the effect of rehabilitation.
After undergoing rehabilitation, ADL and HRQOL were improved compared with those before rehabilitation. It was also found that the HRQOL scales has high sensitivity as well as the ADL scale, and that using both scales may provide good rehabilitation to the patients. There were few items that exceeded the clinically significant difference in the minimally important difference. It was found that rehabilitation based on improving HRQOL is necessary.

Academic Significance and Societal Importance of the Research Achievements

本研究における学術的意義は、回復期リハビリテーション病棟における評価指標は、主に日常生活動作尺度が用いられているが、健康関連QOL尺度を併用することにより、よりリハビリテーションの効果を明確にできることである。
社会的意義としては、客観的評価である日常生活動作だけではなく、対象者自身の主観的評価である健康関連QOLを用いることで、対象者の幸福感や満足感をより向上することができることである。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (6 results)

All 2019 2018 2017

All Presentation (6 results) (of which Int'l Joint Research: 1 results)

  • [Presentation] リハビリテーションのアウトカムとして健康関連QOLは有用か?2019

    • Author(s)
      泉良太、佐野哲也、鈴鴨よしみ、能登真一
    • Organizer
      第7回QOL/PRO研究会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 健康関連QOL評価は作業療法のアウトカムとして有用である2019

    • Author(s)
      泉良太、佐野哲也、和田あかね、滝澤宏和、能登真一
    • Organizer
      第53回日本作業療法学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 健康関連QOL評価は作業療法のアウトカムとして有用である2019

    • Author(s)
      泉良太
    • Organizer
      第53回日本作業療法学会
    • Related Report
      2018 Research-status Report
  • [Presentation] Investigation of MID of HRQOL in stroke patients of recovery phase rehabilitation ward2018

    • Author(s)
      泉良太
    • Organizer
      International society for quality of life research 25th annual conference
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] ADL向上が健康関連QOL向上に繋がるのか?2018

    • Author(s)
      泉良太
    • Organizer
      第52回日本作業療法学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 回復期リハビリテーション病棟脳卒中患者における健康関連QOLの変化2017

    • Author(s)
      泉良太
    • Organizer
      第17回東海北陸作業療法学会誌
    • Related Report
      2017 Research-status Report

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Published: 2016-04-21   Modified: 2021-02-19  

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