Evaluation of the Japanese ACP Model to Value Patients' Wishes
| Project/Area Number |
18K10270
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 58060:Clinical nursing-related
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| Research Institution | Kyoto University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
小池 宏子 (岡田宏子) 東京大学, 医学部附属病院, 特任助教 (30849352)
近田 藍 京都大学, 医学研究科, 助教 (10883647)
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| Project Period (FY) |
2018-04-01 – 2022-03-31
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| Project Status |
Completed (Fiscal Year 2021)
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| Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
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| Keywords | アドバンス・ケア・プランニング / 看護倫理 / 意思決定支援 / 実施可能性試験 / 緩和ケア / 進行がん / ランダム化比較試験 / エンド・オブ・ライフ・ケア / 医療倫理 |
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| Outline of Final Research Achievements |
Advance care planning (ACP) is widely recognized as essential for ensuring that patients have the opportunity to discuss what matters to them with their families and health care professionals (HCPs). It also enables the provision of quality care that reflects patient wishes. However, many HCPs, including nurses, find it challenging to support ACP to explore patients' values or wishes.
Therefore, we conducted a feasibility study of a randomized controlled trial to evaluate the effectiveness of ACP support by nurses based on the "Japanese ACP Nursing Support Model" for advanced cancer patients. The results suggest that it should be feasible to deliver our intervention by carefully addressing the components that need to be altered when conducting the efficacy trial.
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| Academic Significance and Societal Importance of the Research Achievements |
本研究は、根治的治療不能の進行消化器がんと診断され、緩和目的の化学療法を受ける、外来通院が可能な成人患者を対象とした。看護師が、「日本型ACP看護支援モデル」に基づくACP支援を実践することの影響を評価する、ランダム化同時対照実施可能性試験を行った。
本研究により、本モデルの有効性を検証するランダム化比較試験は実施可能性を有することが示唆された。本研究において明らかになった改訂すべき点をふまえて有効性試験を計画・実施することにより、試験介入及び観察の実施可能性並びに受容性が高まり、我が国における医療者のACP支援の質向上と進行がん患者のQOLの維持向上に寄与することが期待される。
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Report
(5 results)
Research Products
(23 results)
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[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.
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Journal Title
Journal of Palliative Medicine
Volume: 22
Issue: 10
Pages: 1175-1177
DOI
Related Report
Peer Reviewed / Int'l Joint Research
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[Presentation] Development of Educational Program for Mixed Groups of Citizens and Healthcare Providers to Facilitate Readiness Toward Advance Care Planning2019
Author(s)
agae Hiroko,Takahashi Zaiya, Sakai Shima, Harasawa N, Kawahara M, Iwasaki T, Ikeda M, Tanigaki S, Katayama Y, Watanabe K, Takenouchi S.
Organizer
16th World Congress of the European Association for Palliative Care
Related Report
Int'l Joint Research
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[Book] 緩和ケア 第3版2020
Author(s)
新幡智子, 市原香織, 宇都宮明美, 梅田恵, 小江奈美子, 大久保暢子, 太田桂子, 小泉亜紀子, 笹原朋代, 佐藤寧子, 白井由紀, 高梨早苗, 高野純子, 竹川幸恵, 竹之内沙弥香, 竹之内直子, 田村恵子, 恒藤暁, 朴順禮, 平原優美, 二見典子, 松岡真里, 宮下光令
Total Pages
320
Publisher
医学書院
ISBN
9784260038652
Related Report
