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Accelerating introduction of patients' perspectives into physicians' and learners' empathy evaluation

Research Project

Project/Area Number 20K10375
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58010:Medical management and medical sociology-related
Research InstitutionNagoya University

Principal Investigator

Takahashi Noriyuki  名古屋大学, 医学系研究科, 特任講師 (00758732)

Co-Investigator(Kenkyū-buntansha) 伴 信太郎  愛知医科大学, 医学部, 特命教育教授 (40218673)
松久 貴晴  名古屋大学, 医学系研究科, 客員研究者 (80782101)
Project Period (FY) 2020-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2022: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2021: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2020: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords共感 / 質問紙 / 簡略化 / 妥当性検証 / 信頼性検証 / 多様性 / 共感の認識構造 / 質的研究 / 総合診療科指導医 / 簡略版質問紙 / CARE Measure / 鍼灸師 / CARE measure / 日本語版 / 総合診療 / 研究分野 / 患者の視点 / Visual CARE Measure / 外来実習 / 医療面接ピア・ロールプレイ実習
Outline of Research at the Start

本研究では、医師・医学生の共感を患者の視点から評価することを促進するために、以下の二点の研究を行う。まず既に我々が開発した、患者の視点から医師の共感を評価する日本語版CARE(Consultation And Relational Empathy)Measureを、医学部5年生向けの実習プログラム(外来医療面接実習と医療面接ピア・ロールプレイ実習の融合実習)で、患者の医学生評価に使用し、それによって医学生にどのような影響が生じるかに関して質的に探索する。次に、挿絵を用いて明示化し、質問項目を簡略化したVisual CARE Measure日本語版を開発する。

Outline of Final Research Achievements

This project aimed to develop an educational program in order to assess doctors' empathy from the patient's perspective both pre- and post-graduation. Also, this project aimed to develop a simplified version of the Japanese version of the CARE (Consultation and Relational Empathy) measure, a 10-item questionnaire that assesses doctors' empathy from the patient's perspective. Due to limitations in the research environment caused by the COVID-19 pandemic, two research questions were redefined: 1) a cross-sectional study of the diversity of research areas in general practice, and 2) a preliminary study to explore simplified version of Japanese CARE Measure by a secondary analysis. As the two of the ten items (questions 6 and 9) could be simplified, the study was conducted to developing a simplified version of the two-item version.

Academic Significance and Societal Importance of the Research Achievements

本研究では、患者の視点から医師の共感を評価する質問紙を用いた教育方略や簡略版の開発を計画した。COVID-19パンデミックにより接触環境で実施する研究計画は変更を余儀なくされた。しかし非接触下でも実施できる課題を再設定することで、共感を重視する総合診療医学の研究分野の理解に資する情報を得たことや、予備調査によって簡略版となる質問項目の候補を選定したという学術的意義のある成果が得られた。特に簡略版については実用化に向けた次の課題を見出すことができ、高齢者なども含めたより多くの患者さんに医師の共感の評価に参加してもらうための基礎的な情報を得たと言う社会的意義もあった。

Report

(5 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • Research Products

    (43 results)

All 2024 2023 2022 2021 2020 Other

All Int'l Joint Research (3 results) Journal Article (17 results) (of which Int'l Joint Research: 4 results,  Peer Reviewed: 17 results,  Open Access: 14 results) Presentation (19 results) (of which Int'l Joint Research: 3 results,  Invited: 2 results) Book (1 results) Remarks (3 results)

  • [Int'l Joint Research] Norwegian University/St. Olavs University Hospital(ノルウェー)

    • Related Report
      2021 Research-status Report
  • [Int'l Joint Research] Usher Institute, University of Edinburgh(英国)

    • Related Report
      2021 Research-status Report
  • [Int'l Joint Research] The University of Edinburg(英国)

    • Related Report
      2020 Research-status Report
  • [Journal Article] Impacts of “Diabetes Theater,” a participative educational workshop for health care professionals, on participants: a patient empowerment perspective2024

    • Author(s)
      Abe Ryotaro、Okazaki Kentaro、Takahashi Noriyuki、Suematsu Mina、Kuzuya Masafumi
    • Journal Title

      Diabetology International

      Volume: 15 Issue: 2 Pages: 307-312

    • DOI

      10.1007/s13340-024-00692-y

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Investigating the perceptions of career development as the Japanese regional quota medical students and graduates in A?prefecture2024

    • Author(s)
      Suematsu Mina、Inoue Rikako、Takahashi Noriyuki、Miyazaki Kei、Okazaki Kentaro、Miyata Yasushi、Ohashi Wataru、Kuzuya Masafumi
    • Journal Title

      Journal of General and Family Medicine

      Volume: 25 Issue: 3 Pages: 166-169

    • DOI

      10.1002/jgf2.689

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ruxolitinib as a therapeutic option in VEXAS syndrome: a case report2023

    • Author(s)
      高橋徳幸, 中島麻梨絵
    • Journal Title

      JSIAD Journal

      Volume: 2 Issue: 1 Pages: 2-9

    • DOI

      10.34563/jsiadjournal.2.1_2

    • ISSN
      2435-7693
    • Year and Date
      2023-02-28
    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Myelodysplastic syndrome with trisomy 8 presenting periodic fever and multiple MEFV gene variants outside exon 10: a case report2023

    • Author(s)
      Noriyuki Takahashi, Ryo Hanajiri, Masashi Suzuki, Chise Anan, Atsushi Inagaki, Dai Kishida, Shohei Ozawa, Sho Kohri, Nobuhide Kamiya, Motoki Sato, Juichi Sato
    • Journal Title

      Nagoya Journal of Medical Science

      Volume: 85 Issue: 1 Pages: 195-203

    • DOI

      10.18999/nagjms.85.1.195

    • ISSN
      0027-7622
    • URL

      https://nagoya.repo.nii.ac.jp/records/2004930

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Diversity of academic general medicine: A cross-sectional bibliometric study of original English-language research articles in general medicine and cardiology in Japan2022

    • Author(s)
      Takahashi Noriyuki、Matsuhisa Takaharu、Takahashi Kunihiko、Ban Nobutaro
    • Journal Title

      Medicine

      Volume: 101 Issue: 11

    • DOI

      10.1097/md.0000000000029072

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A 2-item version of the Japanese Consultation and Relational Empathy measure: a pilot study using secondary analysis of a cross-sectional survey in primary care2022

    • Author(s)
      Takahashi Noriyuki、Matsuhisa Takaharu、Takahashi Kunihiko、Aomatsu Muneyoshi、Mercer Stewart W、Ban Nobutaro
    • Journal Title

      Family Practice

      Volume: ー Issue: 6 Pages: 1169-1175

    • DOI

      10.1093/fampra/cmac034

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Key factors for overcoming psychological insulin resistance: A qualitative study in Japanese people with type 2 diabetes2022

    • Author(s)
      Okazaki Kentaro、Takahashi Noriyuki、Shingaki Tomotaka、Perez-Nieves Magaly、Stuckey Heather
    • Journal Title

      Primary Care Diabetes

      Volume: ー Issue: 3 Pages: 411-416

    • DOI

      10.1016/j.pcd.2022.02.009

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 病院総合診療医の診療対象になりうる新しい成人発症自己炎症性疾患: VEXAS 症候群2021

    • Author(s)
      高橋徳幸、佐藤寿一
    • Journal Title

      日本病院総合診療医学会雑誌

      Volume: 17 Pages: 588-589

    • NAID

      120007161104

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Problem-Based Learning in Child and Adolescent Psychiatry: A Perspective from Japan2021

    • Author(s)
      Iwatsuki Junko、Kondo Takeshi、Takahashi Noriyuki、Takami Hideki、Nishigori Hiroshi、Bustos-Villalobos Itzel、Aleksic Branko、Kasuya Hideki、Ban Nobutaro、Yagi Tetsuya、Skokauskas Norbert
    • Journal Title

      Advances in Medical Education and Practice

      Volume: Volume 12 Pages: 1329-1335

    • DOI

      10.2147/amep.s333958

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Interprofessional education using online simulated family participation during the pandemic2021

    • Author(s)
      野田 幸裕、末松 三奈、高橋 徳幸、岡崎 研太郎、渕田 英津子、阿部 恵子、半谷 眞七子、吉見 陽、葛谷 雅文
    • Journal Title

      Japanese Journal of Pharmaceutical Education

      Volume: 5 Issue: 0 Pages: n/a

    • DOI

      10.24489/jjphe.2021-027

    • NAID

      130008131863

    • ISSN
      2432-4124, 2433-4774
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Students’ perception of a hybrid interprofessional education course in a clinical diabetes setting: a qualitative study2021

    • Author(s)
      Mina Suematsu, Okumura Kenich, Hida Takeshi, Noriyuki Takahashi, Kentaro Okazaki, Etsuko Fuchida, Keiko Abe, Hiroyuki Kamei, Manako Hanya
    • Journal Title

      International Journal of Medical Education

      Volume: 12 Pages: 220-229

    • DOI

      10.5116/ijme.6165.59e0

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A novel online interprofessional education with standardised family members in the COVID-19 period2021

    • Author(s)
      Suematsu Mina、Takahashi Noriyuki、Okazaki Kentaro、Fuchita Etsuko、Yoshimi Akira、Hanya Manako、Noda Yukihiro、Abe Keiko、Kuzuya Masafumi
    • Journal Title

      International Journal of Medical Education

      Volume: 12 Pages: 36-37

    • DOI

      10.5116/ijme.6043.8be0

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effect of physician attire on patient perceptions of empathy in Japan: a quasi-randomized controlled trial in primary care2021

    • Author(s)
      Matsuhisa Takaharu、Takahashi Noriyuki、Takahashi Kunihiko、Yoshikawa Yuki、Aomatsu Muneyoshi、Sato Juichi、Mercer Stewart W.、Ban Nobutaro
    • Journal Title

      BMC Family Practice

      Volume: 22 Issue: 1 Pages: 59-59

    • DOI

      10.1186/s12875-021-01416-w

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Extensive multiple organ involvement in VEXAS syndrome2021

    • Author(s)
      Takahashi Noriyuki、Takeichi Takuya、Nishida Tetsuya、Takahashi Yasuhiro、Sato Juichi、Yamamura Masahiro、Ogi Tomoo、Akiyama Masashi
    • Journal Title

      Arthritis & Rheumatology

      Volume: - Issue: 10 Pages: 1896-1897

    • DOI

      10.1002/art.41775

    • NAID

      120007126470

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] 7-9 A Webinar for Medical Students in the "Chiiki-waku (regional quota)" System at Nagoya University2020

    • Author(s)
      高橋 徳幸、末松 三奈、岡崎 研太郎、葛谷 雅文
    • Journal Title

      Igaku Kyoiku / Medical Education (Japan)

      Volume: 51 Issue: 3 Pages: 272-273

    • DOI

      10.11307/mededjapan.51.3_272

    • NAID

      130007873064

    • ISSN
      0386-9644, 2185-0453
    • Year and Date
      2020-06-25
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 8-5 Web-based Clinical Clerkship in Community Hospitals Designed for "Chiiki-waku (Regional Quota)" Medical Students at Nagoya University - Including Web-based Pre-workshops2020

    • Author(s)
      岡崎 研太郎、高橋 徳幸、末松 三奈、葛谷 雅文
    • Journal Title

      Igaku Kyoiku / Medical Education (Japan)

      Volume: 51 Issue: 3 Pages: 290-291

    • DOI

      10.11307/mededjapan.51.3_290

    • NAID

      130007873086

    • ISSN
      0386-9644, 2185-0453
    • Year and Date
      2020-06-25
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A survey of Japanese physician preference for attire: what to wear and why2020

    • Author(s)
      Yuki Yoshikawa、Takaharu Matsuhisa、Noriyuki Takahashi、Juichi Sato、Nobutaro Ban
    • Journal Title

      Nagoya Journal of Medical Science

      Volume: 82 Issue: 4 Pages: 735-745

    • DOI

      10.18999/nagjms.82.4.735

    • NAID

      120006900377

    • ISSN
      2186-3326
    • URL

      https://nagoya.repo.nii.ac.jp/records/30980

    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 2項目日本語版CARE Measureの妥当性と信頼性の検討:日本のプライマリケア診療所での横断研究2024

    • Author(s)
      高橋 徳幸, 松久 貴晴, 西川 弘晃, 高橋 邦彦, 青松 棟吉, 児山 俊浩, 末松 三奈, 宮﨑 景, 葛谷 雅文, 佐藤 寿一, Stewart W Mercer, 伴 信太郎
    • Organizer
      第15回日本プライマリ・ケア連合学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 総合診療科指導医の共感に対する認識構造の解明2024

    • Author(s)
      村松 瑛心、高橋 徳幸、青松 棟吉、末松 三奈、宮﨑 景
    • Organizer
      第15回日本プライマリ・ケア連合学会学術大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 専門医共通講習:地域医療2024

    • Author(s)
      高橋徳幸、末松三奈
    • Organizer
      第113回日本病理学会総会
    • Related Report
      2023 Annual Research Report
    • Invited
  • [Presentation] オンラインフォーラム機能をもつ認知症介護者支援アプリが家族介護者の社会的孤立感に与える影響:質的研究2023

    • Author(s)
      吉岡 曉子, 末松 三奈, 後藤 康幸, 鈴木 裕介, 高橋 徳幸, 宮﨑 景
    • Organizer
      第14回日本プライマリ・ケア連合学会学術大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 日本で家族性地中海熱を患う患者の病の経験:体験録の分析による質的研究2023

    • Author(s)
      高橋 徳幸, 鈴木 紘平, 末松 三奈, 岡崎 研太郎, 宮﨑 景, 葛谷 雅文
    • Organizer
      第6回日本免疫不全・自己炎症学会
    • Related Report
      2022 Research-status Report
  • [Presentation] 2項目日本語版CARE Measureの開発:二次データ解析2022

    • Author(s)
      高橋 徳幸, 松久 貴晴, 高橋 邦彦, 青松 棟吉, Mercer Stewart, 伴 信太郎
    • Organizer
      第13回日本プライマリ・ケア連合学会
    • Related Report
      2022 Research-status Report
  • [Presentation] 医療面接の意義と、医学教育における医療面接教育の現状2022

    • Author(s)
      高橋 徳幸
    • Organizer
      第17回公益社団法人日本鍼灸師会全国大会 in 愛知
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] VEXAS症候群の治療選択肢としての ルキソリチニブの可能性:症例報告2022

    • Author(s)
      高橋徳幸、中島麻梨絵
    • Organizer
      第5回日本免疫不全・自己炎症学会学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 模擬患者参加型多職種連携教育の“これまで”と“これから”2021

    • Author(s)
      渕田英津子, 岡崎研太郎, 末松三奈, 高橋徳幸, 野田幸裕, 吉見陽, 内山靖, 池松裕子, 玉腰浩司, 山口みほ, 阿部恵子
    • Organizer
      日本看護学教育学会第31回学術集会
    • Related Report
      2021 Research-status Report
  • [Presentation] 地域で研修医向け勉強会に関わる医師が研修医教育に関わり続ける理由:動機付け理論による質的研究2021

    • Author(s)
      増田綾香, 高橋徳幸, 大谷尚, 末松三奈, 岡崎研太郎, 葛谷雅文
    • Organizer
      第53回日本医学教育学会学術大会
    • Related Report
      2021 Research-status Report
  • [Presentation] 模擬患者参加型多職種連携教育の“これまで”と“これから”2021

    • Author(s)
      渕田英津子、岡崎研太郎、末松三奈、高橋徳幸、野田幸裕、吉見陽、内山靖、池松裕子、玉腰浩司、山口みほ、阿部恵子
    • Organizer
      日本看護学教育学会第31回学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] Differences in family carer’s awareness of dementia caring support between Scotland and Japan2020

    • Author(s)
      Daiki Ando, Mina Suematsu, Noriyuki Takahashi, Kentaro Okazaki, Etsuko Fuchita, Manako Hanya, Keiko Abe, Yusuke Suzuki, Masafumi Kuzuya, Morag McFadyen, Sundari Joseph, Lesley Diack
    • Organizer
      SAPC ASM 2020 - cancelled due to pandemic
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] Influence of cognitive dissonance on clinical judgment of a medical student playing the role of a doctor in an educational program combining ambulatory clerkship and peer role-play: A qualitative study2020

    • Author(s)
      Kazuki Sahashi, Noriyuki Takahashi, Mina Suematsu, Kentaro Okazaki, Masafumi Kuzuya
    • Organizer
      SAPC ASM 2020 - cancelled due to pandemic
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] The effectiveness of “Diabetes Theatre”, an educational workshop of diabetes care, on its theatre staffs toward empowerment: a qualitative study2020

    • Author(s)
      Satoshi Yamada, Kentaro Okazaki, Mina Suematsu, Noriyuki Takahashi, Masafumi Kuzuya
    • Organizer
      SAPC ASM 2020 - cancelled due to pandemic
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] Challenge of implementation of a patient involvement IPE programme in fourth year medical students2020

    • Author(s)
      Mina Suematsu、Noriyuki Takahashi、Kentaro Okazaki、Etsuko Fuchita、Wataru Ohashi、Keiko Abe、Masafumi Kuzuya
    • Organizer
      第52回日本医学教育学会大会
    • Related Report
      2020 Research-status Report
  • [Presentation] 医療者教育ワークショップ「糖尿病劇場」の医療者劇場スタッフに生じる学び エンパワーメントに向けて2020

    • Author(s)
      山田 聡、岡崎 研太郎、末松 三奈、高橋 徳幸、葛谷 雅文
    • Organizer
      第52回日本医学教育学会大会
    • Related Report
      2020 Research-status Report
  • [Presentation] 外来実習に医療面接ピア・ロールプレイを融合した実習での、医師役学生への認知的不協和の影響 質的研究2020

    • Author(s)
      佐橋 一輝、高橋 徳幸、末松 三奈、岡崎 研太郎、葛谷 雅文
    • Organizer
      第52回日本医学教育学会大会
    • Related Report
      2020 Research-status Report
  • [Presentation] スコットランドと日本における介護支援に対する認知症家族介護者の認識2020

    • Author(s)
      安藤大貴、末松三奈、高橋徳幸、岡崎研太郎、半谷眞七子、渕田英津子、鈴木裕介、葛谷雅文
    • Organizer
      第62回日本老年医学会学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 家庭医の診察衣の実際と理想 -選択理由を含めた診療現場ごとの比較-2020

    • Author(s)
      吉川 由貴、松久 貴晴、高橋 徳幸、伴 信太郎、佐藤 寿一
    • Organizer
      第11回日本プライマリ・ケア連合学会学術大会
    • Related Report
      2020 Research-status Report
  • [Book] 医療現場の共感力(第15章 CARE Measure)2023

    • Author(s)
      石井均(分担執筆 高橋徳幸)
    • Total Pages
      239
    • Publisher
      金芳堂
    • ISBN
      9784765319317
    • Related Report
      2022 Research-status Report
  • [Remarks] 日本語版CARE Measureサイト

    • URL

      https://caremeasure.meidai-soushin.net

    • Related Report
      2023 Annual Research Report
  • [Remarks] CARE Measure日本版サイト

    • URL

      https://caremeasure.meidai-soushin.net

    • Related Report
      2022 Research-status Report 2021 Research-status Report
  • [Remarks] CARE Measure日本語版サイト

    • URL

      https://caremeasure.meidai-soushin.net

    • Related Report
      2020 Research-status Report

URL: 

Published: 2020-04-28   Modified: 2025-01-30  

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