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Development of a question prompting and decision-making mobile intervention to facilitate patients' communication towards their final stages of cancer: a randomized controlled trial

Research Project

Project/Area Number 19H03878
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 58010:Medical management and medical sociology-related
Research InstitutionNational Cancer Center Japan

Principal Investigator

Uchitomi Yosuke  国立研究開発法人国立がん研究センター, がん対策研究所, 研究統括 (60243565)

Co-Investigator(Kenkyū-buntansha) 藤森 麻衣子  国立研究開発法人国立がん研究センター, がん対策研究所, 室長 (40450572)
Project Period (FY) 2019-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥16,900,000 (Direct Cost: ¥13,000,000、Indirect Cost: ¥3,900,000)
Fiscal Year 2022: ¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2021: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2020: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2019: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Keywords意思決定支援 / 質問促進 / モバイル電子端末 / アプリケーション / ePRO / 社会医学 / 神経科学 / 情報工学 / アドバンス・ケア・プランニング(ACP) / 質問促進法(QPL) / アプリケーション開発 / 患者報告アウトカム(ePRO)
Outline of Research at the Start

少子高齢化を迎え、人生の最終段階をどのように迎えるのか、患者が自らの目標や価値観を整理し、望ましい医療・ケアを受けるために前もって考え、周囲の人と話し合うプロセス、ACP(アドバンスケアプランニング)が、エキスパートコンセンサスガイドライン(厚生労働省)により国策として進められている。本研究ではがん患者のQOLを維持し、患者自らが掲げる目標に向かうためのACPを進める介入方法として、モバイル電子端末を用いた質問促進法および納得に向けた意思決定支援法の有効性を無作為化比較試験で検証する。併せて、普及・実装科学の観点から、促進・阻害因子を同定し患者による質問促進・意思決定過程の機序を明らかにする。

Outline of Final Research Achievements

The study aimed to develop an intervention program to reduce the burden on healthcare providers and to address the lack of human resources by conducting a trial to evaluate an intervention for patients with cancer that included question facilitation and decision-making support using mobile electronic devices and remote support by telephone.
We completed case enrollment and all planned interventions in January 2023. A total of 264 cases were enrolled and 132 were eligible for the intervention. Interventions were provided by psychiatrists, certified psychologists, and nurses. Interventions were conducted by telephone or in-person, according to the participants' preferences, and the average intervention time was about 35 minutes. Detailed analyses, including participant evaluations of the intervention program, will be scheduled after the completion of the follow-up survey in August 2023.

Academic Significance and Societal Importance of the Research Achievements

人生の最終段階を迎える年間37万人のがん患者に対して、圧倒的な医療資源不足が存在するためがん医療の現場で十分に対応できていなかった患者個別の目標、価値観や意向に関するコミュニケーションに焦点をあて、モバイル電子端末を利用して質問促進・意思決定支援を行い、介入効果を無作為化比較試験により検証する。本研究において、有効ながん患者のモバイルプログラムが開発されれば、人生の最終段階のQOL向上に資する重要な知見となる。加えて、医療現場の負担軽減に役立つことが期待される。介入を臨床に導入する際の促進・阻害因子を明らかにすることで医療アクセスの格差是正に資する。

Report

(5 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Annual Research Report
  • 2020 Annual Research Report
  • 2019 Annual Research Report
  • Research Products

    (27 results)

All 2023 2022 2021 2020 2019

All Journal Article (25 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 22 results,  Open Access: 17 results) Presentation (2 results)

  • [Journal Article] Effectiveness of a facilitation programme using a mobile application for initiating advance care planning discussions between patients with advanced cancer and healthcare providers: protocol for a randomised controlled trial (J-SUPPORT 2104)2023

    • Author(s)
      Obama Kyoko、Fujimori Maiko、Okamura Masako、Kadowaki Midori、Ueno Taro、Boku Narikazu、Mori Masanori、Akechi Tatsuo、Yamaguchi Takuhiro、Oyamada Shunsuke、Okizaki Ayumi、Miyaji Tempei、Sakurai Naomi、Uchitomi Yosuke
    • Journal Title

      BMJ Open

      Volume: 13 Issue: 3 Pages: e069557-e069557

    • DOI

      10.1136/bmjopen-2022-069557

    • Related Report
      2022 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prevalence and associated factors of psychological distress among young adult cancer patients in Japan2022

    • Author(s)
      Okamura Masako、Fujimori Maiko、Goto Shinichi、Obama Kyoko、Kadowaki Midori、Sato Ayako、Hirayama Takatoshi、Uchitomi Yosuke
    • Journal Title

      Palliative and Supportive Care

      Volume: - Issue: 1 Pages: 1-7

    • DOI

      10.1017/s1478951521002054

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Assessing the need for a question prompt list that encourages end-of-life discussions between patients with advanced cancer and their physicians: A focus group interview study ? ERRATUM2022

    • Author(s)
      Sato Ayako、Fujimori Maiko、Shirai Yuki、Umezawa Shino、Mori Masanori、Jinno Sayaka、Umehashi Mihoto、Okamura Masako、Okusaka Takuji、Majima Yoshiyuki、Miyake Satoshi、Uchitomi Yosuke
    • Journal Title

      Palliative and Supportive Care

      Volume: online ahead Issue: 4 Pages: 1-3

    • DOI

      10.1017/s1478951522000153

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Early specialized palliative care for patients with metastatic lung cancer receiving chemotherapy: a feasibility study of a nurse-led screening-triggered programme2022

    • Author(s)
      Matsumoto Yoshihisa、Umemura Shigeki、Okizaki Ayumi、Fujisawa Daisuke、Kobayashi Naoko、Tanaka Yuko、Sasaki Chiyuki、Shimizu Ken、Ogawa Asao、Kinoshita Hiroya、Uchitomi Yosuke、Yoshiuchi Kazuhiro、Matsuyama Yutaka、Morita Tatsuya、Goto Koichi、Ohe Yuichiro
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: 52 Issue: 4 Pages: 375-382

    • DOI

      10.1093/jjco/hyab204

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Cancer care for people with mental disorders: A qualitative survey among cancer care and psychiatric care professionals in Japan2021

    • Author(s)
      Etoh Tsuyoshi、Fujiwara Masaki、Yamada Yuto、Wada Riho、Higuchi Yuji、Inoue Shinichiro、Kodama Masafumi、Matsushita Takanori、Yoshimura Yusaku、Horii Shigeo、Fujimori Maiko、Kakeda Kyoko、Shimazu Taichi、Nakaya Naoki、Tabata Masahiro、Uchitomi Yosuke、Yamada Norihito、Inagaki Masatoshi
    • Journal Title

      Psycho-Oncology

      Volume: 30 Issue: 12 Pages: 2060-2066

    • DOI

      10.1002/pon.5780

    • Related Report
      2021 Annual Research Report
  • [Journal Article] Attitude to suicide prevention and suicide intervention skills among oncology professionals: An online cross‐sectional survey in Japan2021

    • Author(s)
      Inoue Keisuke、Kawashima Yoshitaka、Noguchi Hiroko、Fujimori Maiko、Akechi Tatsuo、Kawanishi Chiaki、Uchitomi Yosuke、Matsuoka Yutaka J.
    • Journal Title

      Psychiatry and Clinical Neurosciences

      Volume: 75 Issue: 12 Pages: 401-402

    • DOI

      10.1111/pcn.13297

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Validity and reliability of the Japanese version of the Peace, Equanimity, and Acceptance in the Cancer Experience (PEACE) questionnaire2021

    • Author(s)
      Okamura Masako、Fujimori Maiko、Hata Kotone、Mori Masanori、Mack Jennifer W.、Prigerson Holly G.、Uchitomi Yosuke
    • Journal Title

      Palliative and Supportive Care

      Volume: online ahead Issue: 4 Pages: 1-7

    • DOI

      10.1017/s1478951521000924

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Validity and Reliability of the Japanese Version of the 12-item Self-administered World Health Organization Disability Assessment Schedule (WHODAS) 2.0 in Patients with Schizophrenia2021

    • Author(s)
      Wada Riho、Uchitomi Yosuke、Yamada Norihito、Inagaki Masatoshi、Fujiwara Masaki、Yamada Yuto、Nakaya Naoki、Fujimori Maiko、So Ryuhei、Kodama Masafumi、Higuchi Yuji、Kakeda Kyoko
    • Journal Title

      Acta Medica Okayama

      Volume: 75 Issue: 3 Pages: 315-322

    • DOI

      10.18926/AMO/62226

    • NAID

      120007089823

    • URL

      https://ousar.lib.okayama-u.ac.jp/62226

    • Related Report
      2021 Annual Research Report
  • [Journal Article] Establishment of a research policy for supportive and palliative care in Japan2021

    • Author(s)
      Zenda Sadamoto、Uchitomi Yosuke、Morita Tatsuya、Yamaguchi Takuhiro、Inoue Akira
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: 51 Issue: 4 Pages: 538-543

    • DOI

      10.1093/jjco/hyab008

    • Related Report
      2021 Annual Research Report
  • [Journal Article] Death by suicide, other externally caused injuries and cardiovascular diseases within 6?months of cancer diagnosis (J-SUPPORT 1902)2021

    • Author(s)
      Harashima Saki、Fujimori Maiko、Akechi Tatsuo、Matsuda Tomohiro、Saika Kumiko、Hasegawa Takaaki、Inoue Keisuke、Yoshiuchi Kazuhiro、Miyashiro Isao、Uchitomi Yosuke、J Matsuoka Yutaka
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: 51 Issue: 5 Pages: 744-752

    • DOI

      10.1093/jjco/hyab001

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Unmet supportive care needs and associated factors among young adult cancer patients in Japan2021

    • Author(s)
      Okamura Masako、Fujimori Maiko、Sato Ayako、Uchitomi Yosuke
    • Journal Title

      BMC Cancer

      Volume: 21 Issue: 1 Pages: 17-17

    • DOI

      10.1186/s12885-020-07721-4

    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Integrated communication support program for oncologists, caregivers and patients with rapidly progressing advanced cancer to promote patient-centered communication: J-SUPPORT 1904 study protocol for a randomised controlled trial2020

    • Author(s)
      Fujimori Maiko、Sato Ayako、Jinno Sayaka、Okusaka Takuji、Yamaguchi Takuhiro、Ikeda Masafumi、Ueno Makoto、Ozaka Masato、Takayama Yukiko、Miyaji Tempei、Majima Yoshiyuki、Uchitomi Yosuke
    • Journal Title

      BMJ Open

      Volume: 10 Issue: 9 Pages: e036745-e036745

    • DOI

      10.1136/bmjopen-2019-036745

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A nurse-led, screening-triggered early specialized palliative care intervention program for patients with advanced lung cancer: study protocol for a multicenter randomized controlled trial.2020

    • Author(s)
      Fujisawa,D, Umemura S, Okizaki A, Satomi E, Yamaguchi T, Miyaji T, Mashiko T, Kobayashi N, Kinoshita H, Mori M, Morita T, Uchitomi Y, Goto K, Ohe Y, Matsumoto Y.
    • Journal Title

      BMJ Open

      Volume: 10(11) Issue: 11 Pages: e037759-e037759

    • DOI

      10.1136/bmjopen-2020-037759

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Olanzapine 5 mg plus standard antiemetic therapy for the prevention of chemotherapy-induced nausea and vomiting (J-FORCE): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial.2020

    • Author(s)
      Hashimoto H, Abe M, Tokuyama O, Mizutani H, Uchitomi Y, Yamaguchi T, Hoshina Y, Sakata Y, Takahashi TY, Nakashima K, Nakao M, Takei D, Zenda S, Mizukami K, Iwasa S, Sakurai M, Yamamoto N, Ohe Y.
    • Journal Title

      Lancet Oncology

      Volume: 21 Issue: 2 Pages: 242-249

    • DOI

      10.1016/s1470-2045(19)30678-3

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Competency of aMCI patients to consent to cholinesterase treatment.2020

    • Author(s)
      Oshima E, Takenoshita S, Iwai R, Yabe M, Imai N, Horiuchi M, Takeda N, Uchitomi Y, Yamada N, Terada S. Int Psychogeriatr.
    • Journal Title

      International Psychogeriatrics

      Volume: 32 Issue: 2 Pages: 211-216

    • DOI

      10.1017/s1041610219000516

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Pre-stimulus brain activity is associated with state-anxiety changes during single-session transcranial direct current stimulation.2019

    • Author(s)
      Nishida K, Koshikawa Y, Morishima Y, Yoshimura M, Katsura K, Ueda S, Ikeda S, Ishii R, Pascual-Marqui RD, Kinoshita T
    • Journal Title

      Frontiers in Human Neuroscience

      Volume: 13 Issue: 5 Pages: 586-593

    • DOI

      10.1093/jjco/hyaa003

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Developing the structure of Japan’s cancer survivorship guidelines using an expert panel and modified Delphi method.2019

    • Author(s)
      Matsuoka YJ, Okubo R, Shimizu Y, Tsuji K, Narisawa T, Sasaki J, Sasai H, Akashi-Tanaka S, Hamaguchi T, Iwasa T, Iwata S, Kato T, Kurotani K, Maruyama D, Mori A, Ogawa A, Sakurai N, Shimazu T, Shimizu C, Tabuchi T, Takahashi M, Takano T, Tatematsu N, Uchitomi Y, Watanabe C, Fukui T.
    • Journal Title

      J Cancer Surviv

      Volume: - Issue: 3 Pages: 273-283

    • DOI

      10.1007/s11764-019-00840-3

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Change in smoking cessation stage over 1year in patients with schizophrenia: a follow up study in Japan.2019

    • Author(s)
      Higuchi Y, Fujiwara M, Nakaya N, Fujimori M, Hayashibara C, So R, Shinkawa I, Sato K, Yada Y, Kodama M, Takenaka H, Kishi Y, Kakeda K, Uchitomi Y, Yamada N, Inagaki M.
    • Journal Title

      BMC Psychiatry

      Volume: 19 Issue: 1 Pages: 367-367

    • DOI

      10.1186/s12888-019-2351-9

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Landscape of education and clinical practice in geriatric oncology: a Japanese nationwide survey.2019

    • Author(s)
      Nishijima TF, Tamura K; Geriatric Oncology Guideline-establishing (GOGGLE) Study Group .
    • Journal Title

      Japanese Journal of Clinical Oncology

      Volume: 49 Issue: 12 Pages: 1114-1119

    • DOI

      10.1093/jjco/hyz123

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A randomised controlled trial of a case management approach to encourage participation in colorectal cancer screening for people with schizophrenia in psychiatric outpatient clinics: study protocol for the J-SUPPORT 1901 (ACCESS) study.2019

    • Author(s)
      Fujiwara M, Inagaki M, Shimazu T, Kodama M, So R, Matsushita T, Yoshimura Y, Horii S, Fujimori M, Takahashi H, Nakaya N, Kakeda K, Miyaji T, Hinotsu S, Harada K, Okada H, Uchitomi Y, Yamada N.
    • Journal Title

      BMJ Open. 2019 Nov 2;9(11):e032955.

      Volume: - Issue: 11 Pages: e032955-e032955

    • DOI

      10.1136/bmjopen-2019-032955

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Suicide, other externally caused injuries and cardiovascular death following a cancer diagnosis: study protocol for a nationwide population-based study in Japan (J-SUPPORT 1902)2019

    • Author(s)
      Harashima Saki、Fujimori Maiko、Akechi Tatsuo、Matsuda Tomohiro、Saika Kumiko、Hasegawa Takaaki、Inoue Keisuke、Yoshiuchi Kazuhiro、Miyashiro Isao、Uchitomi Yosuke、Matsuoka Yutaka J
    • Journal Title

      BMJ Open

      Volume: 9 Issue: 7 Pages: e030681-e030681

    • DOI

      10.1136/bmjopen-2019-030681

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Explicit prognostic disclosure to Asian women with breast cancer: A randomized, scripted video-vignette study (J-SUPPORT1601).2019

    • Author(s)
      Mori M, Fujimori M, van Vliet LM, Yamaguchi T, Shimizu C, Kinoshita T, Morishita-Kawahara M, Inoue A, Inoguchi H, Matsuoka Y, Bruera E, Morita T, Uchitomi Y.
    • Journal Title

      Cancer

      Volume: 125 Issue: 19 Pages: 3320-3329

    • DOI

      10.1002/cncr.32327

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Expectations of and recommendations for a cancer survivorship guideline in Japan: a literature review of guidelines for cancer survivorship.2019

    • Author(s)
      Okubo R, Wada S, Shimizu Y, Tsuji K, Hanai A, Imai K, Uchitomi Y, Fujiwara Y, Tsugane S, Matsuoka YJ.
    • Journal Title

      Jpn J Clin Oncol

      Volume: 49 Issue: 9 Pages: 812-822

    • DOI

      10.1093/jjco/hyz070

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The Effects of Adding Reassurance Statements: Cancer Patients' Preferences for Phrases in End-of-Life Discussions.2019

    • Author(s)
      Mori M, Fujimori M, Ishiki H, Nishi T, Hamano J, Otani H, Uneno Y, Oba A, Morita T, Uchitomi Y. J Pain Symptom Manage.
    • Journal Title

      Journal of Pain and Symptom Manage.

      Volume: 57 Pages: 1121-1129

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Adding a Wider Range and "Hope for the Best, and Prepare for the Worst" Statement: Preferences of Patients with Cancer for Prognostic Communication.2019

    • Author(s)
      Mori M, Fujimori M, Ishiki H, Nishi T, Hamano J, Otani H, Uneno Y, Oba A, Morita T, Uchitomi Y.
    • Journal Title

      Oncologist

      Volume: 9 Pages: 943-952

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] 急速進行性がん患者・家族と医師の共感的コミュニケーション促進のための統合支援プログラムの有効性を検証する無作為化比較試験2020

    • Author(s)
      佐藤綾子, 藤森麻衣子, 神野彩香, 奥坂拓志, 山口拓洋, 池田公史, . . . 内富庸介.
    • Organizer
      緩和・支持・心のケア 合同学術大会2020
    • Related Report
      2020 Annual Research Report
  • [Presentation] 進行がん患者に対するスクリーニングを組み合わせた看護師主導による治療早期からの専門的緩和ケア介入プログラムの臨床的有用性を検証する無作為化比較試験2020

    • Author(s)
      沖崎歩, 松本禎久, 梅村茂樹, 小林直子, 藤澤大介, 森田達也, . . . 内富庸介.
    • Organizer
      緩和・支持・心のケア 合同学術大会2020
    • Related Report
      2020 Annual Research Report

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Published: 2019-04-18   Modified: 2024-01-30  

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