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The Innovation of Advance Care Planning with Patients and Families: Supporting Happiness at the End of Life

Research Project

Project/Area Number 18H02736
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 52010:General internal medicine-related
Research InstitutionSeirei Christopher University

Principal Investigator

Mori Masanori  聖隷クリストファー大学, 看護学研究科, 臨床准教授 (10771868)

Co-Investigator(Kenkyū-buntansha) 山岸 暁美  一般社団法人コミュニティヘルス研究機構, コミュニティヘルス研究部, 機構長 (30433626)
田村 恵子  京都大学, 医学研究科, 教授 (30730197)
木澤 義之  神戸大学, 医学部附属病院, 特命教授 (80289181)
宮下 光令  東北大学, 医学系研究科, 教授 (90301142)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥16,380,000 (Direct Cost: ¥12,600,000、Indirect Cost: ¥3,780,000)
Fiscal Year 2021: ¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥6,240,000 (Direct Cost: ¥4,800,000、Indirect Cost: ¥1,440,000)
Fiscal Year 2019: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywordsアドバンス・ケア・プランニング / 国際共同 / デルファイ研究 / 文化 / 日本版ACP介入の開発 / アドバンス・ケア・プラニング / デルファイ
Outline of Final Research Achievements

To develop culturally appropriate advance care planning (ACP), we conducted Delphi research on consensus building with researchers from Asian countries. We identified ACP definitions and 84 recommendation items in 6 domains ([Recommended elements of ACP] [Recommended consideration for person-centered and family-based approach in ACP] [Recommended roles and tasks] [Recommended timing of ACP] [Recommended elements of policy and regulation] [Recommended evaluations of ACP]). We showed that ACP that focuses on the individual and considers the family is important in Asia including Japan.
Next, we developed a Japanese version of ACP using video in collaboration with patients and their families, and established an online intervention that can be used even in the COVID-19 pandemic. We confirmed its feasibility and usefulness among patients and families, and attempted regional implementation.

Academic Significance and Societal Importance of the Research Achievements

ACPは欧米で提唱された概念であり、日本・アジア文化に適したACPの開発が国際的な学術的課題であった。本研究は、儒教文化を背景とするアジア諸国との国際共同を通じて、文化に適した定義と推奨項目を提唱した初めての研究である。欧米にはない概念として【本人中心・家族にも配慮したアプローチ】に基づく具体的な推奨項目を同定しえたことで、今後日本のみならずアジアにおけるACPの発展に大きく寄与しうる。
また、面会制限が余儀なくされるコロナ禍では、コミュニケーションのプロセスであるACPは大きな制限を受ける。オンラインの日本版ACP教育介入を患者・家族と創りえたことは、普及実装科学の観点からも意義深い。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Annual Research Report
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (16 results)

All 2022 2021 2020 2019

All Journal Article (6 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 6 results,  Open Access: 3 results) Presentation (9 results) (of which Int'l Joint Research: 4 results,  Invited: 9 results) Book (1 results)

  • [Journal Article] Prognostication of the last days of life: Review article2022

    • Author(s)
      Mori Masanori、Morita Tatsuya、Bruera Eduardo、Hui David
    • Journal Title

      Cancer Research and Treatment

      Volume: - Issue: 3 Pages: 631-643

    • DOI

      10.4143/crt.2021.1573

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Definition and recommended cultural considerations for advance care planning in Japan: A systematic review2021

    • Author(s)
      Chikada Ai、Takenouchi Sayaka、Nin Kazuko、Mori Masanori
    • Journal Title

      Asia-Pacific Journal of Oncology Nursing

      Volume: 8 Issue: 6 Pages: 628-641

    • DOI

      10.4103/apjon.apjon-2137

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Asian patients’ perspectives on advance care planning: A mixed-method systematic review and conceptual framework2021

    • Author(s)
      Martina Diah、Geerse Olaf P、Lin Cheng-Pei、Kristanti Martina S、Bramer Wichor M、Mori Masanori、Korfage Ida J、van der Heide Agnes、Rietjens Judith AC、van der Rijt Carin CD
    • Journal Title

      Palliative Medicine

      Volume: 35 Issue: 10 Pages: 1776-1792

    • DOI

      10.1177/02692163211042530

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Advance care planning in Asian culture2020

    • Author(s)
      Cheng Shao-Yi、Lin Cheng-Pei、Chan Helen Yue-lai、Martina Diah、Mori Masanori、Kim Sun-Hyun、Ng Raymond
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: 50 Issue: 9 Pages: 976-989

    • DOI

      10.1093/jjco/hyaa131

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] End-of-life decision-making in Asia: A need for in-depth cultural consideration2020

    • Author(s)
      Mori Masanori、Morita Tatsuya
    • Journal Title

      Palliative Medicine

      Volume: ー Issue: 2 Pages: NP4-NP5

    • DOI

      10.1177/0269216319896932

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 2019 Taipei Declaration on Advance Care Planning: A Cultural Adaptation of End-of-Life Care Discussion2019

    • Author(s)
      Lin, C. P., Cheng, S. Y., Mori, M., Suh, S. Y., Chan, H. Y., Martina, D., . . . Chiu, T. Y.
    • Journal Title

      Journal of Palliative Medicine

      Volume: 22 Issue: 10 Pages: 1175-1177

    • DOI

      10.1089/jpm.2019.0247

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] 「アドバンス・ケア・プランニング(ACP)」2021

    • Author(s)
      森雅紀
    • Organizer
      日本癌治療学会 2021年度「がん医療専門チームスタッフのためのeラーニングプログラム」
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 緩和ケアを支えるエビデンス、ナラティヴ、そしてケア~ACPのこれからを多様な視点で見つめる~「緩和ケアにおけるACP~エビデンスと今後の展望」2021

    • Author(s)
      森雅紀
    • Organizer
      第3回日本緩和医療学会関東・甲信越支部学術大会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] 終末期における患者・家族とのコミュニケーション「苦痛と意識のトレードオフ~死亡直前期の希望に寄り添う」2021

    • Author(s)
      森雅紀
    • Organizer
      第34回日本サイコオンコロジー学会総会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] がん患者の予後予測と予後告知―現場への活かし方―「終末期についての話し合いと予後告知~最近の知見を臨床に生かす」2021

    • Author(s)
      森雅紀
    • Organizer
      第3回日本緩和医療学会北海道支部学術大会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] Challenges and barriers to clinical practice of palliative care in Asia Pacific.2021

    • Author(s)
      Masanori Mori
    • Organizer
      Hospice Foundation of Taiwan
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Palliative and supportive care for breast cancer patients in Japan2021

    • Author(s)
      Masanori Mori
    • Organizer
      10th Global Breast Cancer Conference
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] Patient autonomy and advance care planning in Japan: Cultural considerations. (International Symposium. ACP in Asia: differences and similarities focusing on autonomy)2020

    • Author(s)
      Masanori Mori
    • Organizer
      Joint Meeting 2020, Palliative, Supportive, and Psycho-Oncology Care
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] Updates on advance care planning in Japan: Scope, challenges, and opportunities.2020

    • Author(s)
      Masanori Mori
    • Organizer
      Webinar series on advance care planning. Advance care planning in the new global order: Updates from Singapore, Japan, and the United States of America.
    • Related Report
      2020 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] How to communicate prognosis: Future research direction.2019

    • Author(s)
      Mori M
    • Organizer
      The 13th Asia Pacific Hospice and Palliative Care Conference
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research / Invited
  • [Book] Advance Care Planningのエビデンス2020

    • Author(s)
      森雅紀、森田達也
    • Total Pages
      204
    • Publisher
      医学書院
    • ISBN
      9784260042369
    • Related Report
      2020 Annual Research Report

URL: 

Published: 2018-04-23   Modified: 2023-01-30  

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