Efficacy of remote self-management education and aid system using artificial intelligence for patients with chronic diseases

• Project/Area Number: 17H04439
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Clinical nursing
• Research Institution: Hiroshima University
• Principal Investigator: Kazawa Kana 広島大学, 医系科学研究科(保), 助教 (10740102)
• Co-Investigator(Kenkyū-buntansha): 米田 真康 広島大学, 医系科学研究科(医), 寄附講座教授 (30508130) ; 森山 美知子 広島大学, 医系科学研究科(保), 教授 (80264977)
• Project Period (FY): 2017-04-01 – 2020-03-31
• Project Status: Completed (Fiscal Year 2019)
• Budget Amount: ¥17,160,000 (Direct Cost: ¥13,200,000、Indirect Cost: ¥3,960,000); Fiscal Year 2019: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2018: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000); Fiscal Year 2017: ¥12,870,000 (Direct Cost: ¥9,900,000、Indirect Cost: ¥2,970,000)
• Keywords: 慢性病看護学 / 遠隔看護 / 糖尿病 / 慢性疾患 / 人工知能 / 看護学

Outline of Final Research Achievements

In this research, we carried out two studies to identify new latent knowledge and effective interventions based on the data of remote nursing for patients with chronic diseases that we have developed over many years and the experiences from expert nurses. (Study 1) We developed an optimal telenursing algorithm to promote relationship building and behavior change when the nurses provide health guidance for patients with chronic diseases. (Study 2) We developed a system to determine the patients’ willingness to change behavior based on the utterance content and voice characteristics of the patient by analyzing the voice data of health guidance.

Academic Significance and Societal Importance of the Research Achievements

看護師の臨床現場において、限られた時間、人材が通常看護を提供する中で、質の高い保健指導を提供する支援や効果的な教育な教育の仕組みが求められている。そのため、本研究を活用した保健指導を支援するシステムを開発することにより、保健指導の質の向上、平準化を試みることの臨床的意義は非常に高いと考える。

Research Products

• [Journal Article] Evaluating the effectiveness and feasibility of nurse-led distant and face-to-face interviews programs for promoting behavioral change and disease management in patients with diabetic nephropathy: A triangulation approach. (2020)
  • Author(s): Kazawa K, Osaki K, Rahman MM, Moriyama M.
  • Journal Title: BMC Nursing Volume: － Issue: 1
  • DOI: 10.1186/s12912-020-0409-0
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Presenteeism among Chinese workers in Japan and its relationship with mental health and health-promoting lifestyles (2020)
  • Author(s): Li W, Moriyama M, Cui Y, Kazawa K, Nakaya T, Susanto T.
  • Journal Title: Industrial Health Volume: 58 Issue: 1 Pages: 35-45
  • DOI: 10.2486/indhealth.2018-0201
  • NAID: 130007794742
  • ISSN: 0019-8366, 1880-8026
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Nurse-Led Collaborative Management Using Telemonitoring Improves Quality of Life and Prevention of Rehospitalization in Patients with Heart Failure (2019)
  • Author(s): Mizukawa M, Moriyama M, Yamamoto H, Rahman MM, Naka M, Kitagawa T, Kobayashi S, Oda N, Yasunobu Y, Tomiyama M, Morishita N, Matsuda K, Kihara Y.
  • Journal Title: International Heart Journal Volume: 60 Issue: 6 Pages: 1293-1302
  • DOI: 10.1536/ihj.19-313
  • NAID: 130007753860
  • ISSN: 1349-2365, 1349-3299
  • Year and Date: 2019-11-30
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] 看護の未来 論点④看護ニーズの発掘と看護職の役割拡大. (2019)
  • Author(s): 森山美知子
  • Journal Title: 看護実践の科学 Volume: 44(9) Pages: 52-58
• [Presentation] Post-hoc qualitative analysis of the characteristics of heart failure patients who are suitable for disease management education program (2020)
  • Author(s): Mizuakwa M, Moriyama M, Naka M
  • Organizer: The 6th International Nursing Research Conference of World Academy of Nursing Science
  • Int'l Joint Research
• [Presentation] Evaluation of Advanced Case Management for the High Medical Dependent: A preliminary result (2020)
  • Author(s): Kazawa K, Sato K, Hiramitsu O, Weng L, Maeno, S, Moriyama M
  • Organizer: The 6th International Nursing Research Conference of World Academy of Nursing Science
  • Int'l Joint Research
• [Presentation] Revealing interfering factors of behavior change of NAFLD (non-alcoholic fatty liver disease) patients: An ethnographic study (2020)
  • Author(s): Kawabata T, Nagaoki Y, Hiramatsu A, Nakahara T, Nagao A, Niitani M, Takeyama N, Matsumura N, Kazawa K, Moriyama M
  • Organizer: The 6th International Nursing Research Conference of World Academy of Nursing Science
  • Int'l Joint Research
• [Presentation] 慢性疾患患者の行動変容、セルフマネジメント能力向上を支援する保健指導問診・介入支援システムの開発 -中間報告- (2019)
  • Author(s): 加澤 佳奈, 竹山 直子, 川井 円, 梅木 敬子, 真崎 時香, 角井 紋子, 細川 緩子, 森山 美知子, 栗野 俊一, 吉開 範章
  • Organizer: 第20回日本医療情報学会看護学術大会
• [Presentation] 慢性腎不全患者の高度ケースマネジメントに必要な能力の検討 (2019)
  • Author(s): 加澤佳奈, 森山美知子
  • Organizer: 第22回日本腎不全看護学会学術集会
• [Presentation] 保健指導による介入効果が高い慢性疾患患者の抽出を支援する重症化リスク予測AIの開発 (2019)
  • Author(s): 加澤 佳奈, 渡邉 拡人, 玉城 雄也, 森山 美知子, 栗野 俊一, 吉開 範章, 木原 康樹
  • Organizer: 第39回日本医療情報学連合大会
• [Presentation] 糖尿病患者の重症化予防・行動変容を目指した看護展開におけるエキスパートスキルの抽出 (2019)
  • Author(s): 児玉梨花子, 加澤佳奈, 森山美知子
  • Organizer: 第39回日本看護科学学会学術集会