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Evidence based communication model: mixed method

Research Project

Project/Area Number 21590708
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Public health/Health science
Research InstitutionNagoya City University

Principal Investigator

KOJIMA Masayo  名古屋市立大学, 医学(系)研究科(研究院), 准教授 (30326136)

Co-Investigator(Renkei-kenkyūsha) KOJIMA Toshihisa  名古屋大学, 医学部附属病院, 講師 (70378032)
ISHIGURO Naoki  名古屋大学, 大学院医学研究科, 教授 (20212871)
FURUKAWA Toshiaki  京都大学, 大学院医学研究科, 教授 (90275123)
Project Period (FY) 2009-04-01 – 2014-03-31
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2013: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2012: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2011: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2010: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2009: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywordsフォーカスグループ / インタビュー / アンケート調査 / 関節リウマチ / 医師 / 患者 / ヘルスコミュニケーション / 医師患者関係 / 質的研究 / 疫学研究 / 治療 / 医師-患者関係 / QOL
Research Abstract

The aim of this study is to explorer the differences between patients with rheumatoid arthritis (RA) and their doctors in preferences and attitudes toward treatments from various perspectives by using qualitative and epidemiological research methods.
We conducted two focus groups with 11 patients and with 10 rheumatologists, respectively. The content analysis revealed that RA patients made efforts to get information about treatments and to have good communications with their doctors. Rheumatologists were also trying various approaches to help their patients make clinical decisions. Self-reported questionnaires were distributed to 110 doctors and 1100 patients, and returned from 101 doctors and 798 patients. Patients whose doctors reported that they always explained treatment goals to their patients and/ or who reported that they had talked about treatment goals with their doctors were more likely to be satisfied with the current treatments comparing to others.

Report

(6 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Annual Research Report
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (48 results)

All 2014 2013 2012 2011 2010 2009 Other

All Journal Article (20 results) (of which Peer Reviewed: 10 results) Presentation (24 results) (of which Invited: 5 results) Remarks (4 results)

  • [Journal Article] Alexithymia, Depression, Inflammation and Pain in Patients with Rheumatoid Arthritis2014

    • Author(s)
      Kojima M, Kojima T, Suzuki S, Takahashi N, Funahashi K, Kato D, Hanabayashi M, Hirabara S, Asai S, Ishiguro N
    • Journal Title

      Arthritis Care Res

      Volume: 66(5) Issue: 5 Pages: 679-86

    • DOI

      10.1002/acr.22203

    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 関節リウマチ患者は薬物治療の変化をどのように感じているかフォーカスグループによる質的研究2013

    • Author(s)
      小嶋雅代, 小嶋俊久, 難波大夫, 茂木七香, 大谷尚, 高橋伸典,加 藤大三, 舟橋康治, 松原浩之, 服部陽介, 石黒直樹
    • Journal Title

      中部リウマチ

      Volume: 43巻1号 Pages: 17-20

    • Related Report
      2013 Final Research Report
  • [Journal Article] 周術期患者における死亡率と心血管イベントの発現2013

    • Author(s)
      小嶋雅代
    • Journal Title

      リウマチ科

      Volume: 49巻4号 Pages: 471-748

    • Related Report
      2013 Final Research Report
  • [Journal Article] 関節リウマチ患者は薬物治療の変化をどのように感じているか フォーカスグループによる質的研究2013

    • Author(s)
      小嶋 雅代, 小嶋 俊久, 難波 大夫, 茂木 七香, 大谷 尚, 高橋 伸典, 加藤 大三, 舟橋 康治, 松原 浩之, 服部 陽介, 石黒 直樹
    • Journal Title

      中部リウマチ

      Volume: 43 Pages: 17-20

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 周術期患者における死亡率と心血管イベントの発現2013

    • Author(s)
      小嶋 雅代
    • Journal Title

      リウマチ科

      Volume: 49 Pages: 471-478

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Alexithymia as a prognostic risk factor for health problems : a brief review of epidemiological studies2012

    • Author(s)
      Kojima M
    • Journal Title

      Biopsychosom Med

      Volume: 6(1) Issue: 1 Pages: 21-21

    • DOI

      10.1186/1751-0759-6-21

    • Related Report
      2013 Final Research Report 2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Epidemiologic Studies of Psychosocial Factors Associated With Quality of Life Among Patients With Chronic Diseases in Japan2012

    • Author(s)
      Kojima M
    • Journal Title

      Journal of Epidemiology

      Volume: 22 Issue: 1 Pages: 7-11

    • DOI

      10.2188/jea.JE20110114

    • NAID

      10030212906

    • ISSN
      0917-5040, 1349-9092
    • Related Report
      2013 Final Research Report 2011 Annual Research Report
  • [Journal Article] Epidemiologic studies of psychosocial factors associated with quality of life among patients with chronic diseases in Japan.2012

    • Author(s)
      Masayo Kojima
    • Journal Title

      Journal of Epidemiology

      Volume: 22 Pages: 7-11

    • NAID

      10030212906

    • Related Report
      2012 Annual Research Report
  • [Journal Article] Study protocol of a multicenter registry of patients with rheumatoid arthritis starting biologic therapy in Japan : Tsurumai Biologics Communication Registry (TBCR) Study2011

    • Author(s)
      Kojima T, Kaneko A, Hirano Y, Ishikawa H, Miyake H, Oguchi T, Takagi H, Yabe Y, Kato T, Ito T, Terabe K, Fukaya N, Kanayama Y, Shioura T, Funahashi K, Hayashi M, Kato D, Matsubara H, Fujibayashi T, Kojima M, Ishiguro N
    • Journal Title

      Mod Rheumatol

      Volume: 22(3) Issue: 3 Pages: 339-45

    • DOI

      10.1007/s10165-011-0518-4

    • NAID

      10030782076

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 慢性疾患患者のQOLと疫学2011

    • Author(s)
      小嶋雅代
    • Journal Title

      Quality of Life Journal

      Volume: 12巻1号 Pages: 85-90

    • Related Report
      2013 Final Research Report
  • [Journal Article] 関節リウマチ患者の痛み、うつ、QOL2011

    • Author(s)
      小嶋雅代
    • Journal Title

      メディカル朝日

      Volume: 40巻6号 Pages: 38-39

    • Related Report
      2013 Final Research Report
  • [Journal Article] Exploring the link between depression and rheumatoid arthritis : prospects for optimal therapeutic success2010

    • Author(s)
      Kojima M, Kojima T, Furukawa TA, Ishiguro N
    • Journal Title

      Int. J. Clin. Rheumatol

      Volume: 5(3) Issue: 3 Pages: 273-275

    • DOI

      10.2217/ijr.10.19

    • Related Report
      2013 Final Research Report
  • [Journal Article] Depression, Alexithymia and Long-term Mortality in Chronic Hemodialysis Patients2010

    • Author(s)
      Kojima M, Hayano J, Suzuki S, Seno H, Kasuga H, Takahashi H, Toriyama T, Kawahara H, Furukawa TA
    • Journal Title

      Psychother Psychosom

      Volume: 79 Issue: 5 Pages: 303-11

    • DOI

      10.1159/000319311

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Exploring the link between depression and rheumatoid arthritis : prospects for optimal therapeutic success.2010

    • Author(s)
      Kojima M, Kojima T, Furukawa TA, Ishiguro N
    • Journal Title

      Int.J.Clin.Rheumatol

      Volume: 5 Pages: 273-275

    • Related Report
      2010 Annual Research Report
  • [Journal Article] Depression, Alexithymia and Long-term Mortality in Chronic Hemodialysis Patients.2010

    • Author(s)
      Kojima M, Hayano J, Suzuki S, Seno H, Kasuga H, Takahashi H, Toriyama T, Kawahara H, Furukawa TA
    • Journal Title

      Psychother Psychosom

      Volume: 79 Pages: 303-11

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Depression, Inflammation, and Pain in Rheumatoid Arthritis Patients2009

    • Author(s)
      Kojima M, Kojima T, Suzuki S, Oguchi T, Oba M, Tsuchiya H, Sugiura F, Kanayama Y, Furukawa TA, Tokudome S, Ishiguro N
    • Journal Title

      Arthritis Rheum

      Volume: 61 Issue: 8 Pages: 1018-24

    • DOI

      10.1002/art.24647

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Psychosocial factors, disease status, and quality of life in patients with rheumatoid arthritis2009

    • Author(s)
      Kojima M, Kojima T, Ishiguro N, Oguchi T, Oba M, Tsuchiya H, Sugiura F, Furukawa TA, Suzuki S, Tokudome S
    • Journal Title

      J Psychosom Res

      Volume: 67 Issue: 5 Pages: 425-31

    • DOI

      10.1016/j.jpsychores.2009.01.001

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] JACC Study Group. Insulin-like growth factor (IGF)-I, IGF-II, IGF binding protein-3, and risk of colorectal cancer : a nested case-control study in the Japan Collaborative Cohort study2009

    • Author(s)
      Suzuki S, Kojima M, Tokudome S, Suzuki K, Ozasa K, Ito Y, Inaba Y, Tajima K, Nakachi K, Watanabe Y, Tamakoshi A
    • Journal Title

      Asian Pac J Cancer Prev

      Volume: 10 (Suppl) Pages: 45-9

    • URL

      http://www.apocpcontrol.org/

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Depression, Inflammation, and Pain in Rheumatoid Arthritis Patients2009

    • Author(s)
      Kojima M, Kojima T, Suzuki S, Oguchi T, Oba M, Tsuchiya H, Sugiura F, Kanayama Y, Furukawa TA, Tokudome S, Ishiguro N
    • Journal Title

      Arthritis Care Res 61

      Pages: 18-24

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Psychosocial factors, disease status, and quality of life in patients with rheumatoid arthritis2009

    • Author(s)
      Kojima M, Kojima T, Ishiguro N, Oguchi T, Oba M, Tsuchiya H, Sugiura F, Furukawa TA, Suzuki S, Tokudome S.
    • Journal Title

      J Psychosom Res 67

      Pages: 425-31

    • Related Report
      2009 Annual Research Report
    • Peer Reviewed
  • [Presentation] 関節リウマチにおける患者自身の全般評価の測定方法に関する検証2014

    • Author(s)
      小嶋雅代、小嶋俊久、石黒直樹、荒井健介、辻村尚子、藤田ひとみ、岡本尚子、細野晃弘、鈴木貞夫
    • Organizer
      第24回日本疫学会学術総会
    • Place of Presentation
      日立システムズホール仙台(仙台市)
    • Year and Date
      2014-01-24
    • Related Report
      2013 Final Research Report
  • [Presentation] 関節リウマチにおける患者自身の全般評価の測定方法に関する検証2014

    • Author(s)
      小嶋 雅代、小嶋 俊久、石黒 直樹、荒井 健介、辻村 尚子、藤田 ひとみ、岡本 尚子、細野 晃弘、鈴木 貞夫
    • Organizer
      第24回日本疫学会学術総会
    • Place of Presentation
      日立システムズホール仙台(仙台市)
    • Related Report
      2013 Annual Research Report
  • [Presentation] 関節リウマチ患者の痛みとメンタルヘルスに関する疫学的検討2013

    • Author(s)
      小嶋雅代
    • Organizer
      第18回日本心療内科学会学術総会
    • Place of Presentation
      愛知県産業労働センター(名古屋市,招待シンポジウム)
    • Year and Date
      2013-12-07
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 主観的幸福感の決定要因に関する疫学的検討2013

    • Author(s)
      小嶋雅代, 細野晃弘, 荒井健介, 辻村尚子, 岡京子, 藤田ひとみ, 岡本尚子, 神谷真有美, 近藤文, 鈴木美奈, 柴田清, 鈴木貞夫
    • Organizer
      第72回日本公衆衛生学会総会
    • Place of Presentation
      三重県総合文化センター(三重県)
    • Year and Date
      2013-10-24
    • Related Report
      2013 Final Research Report
  • [Presentation] 関節リウマチ患者のメンタルヘルスとコミュニケーション2013

    • Author(s)
      小嶋雅代
    • Organizer
      第35回東三河リウマチ研究会
    • Place of Presentation
      ホテルアソシア豊橋(愛知県)
    • Year and Date
      2013-08-10
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] リウマチ患者とリウマチ専門医を対象としたインタビューの比較分析2013

    • Author(s)
      肥田武, 小嶋雅代, 鈴木貞夫:
    • Organizer
      第59回東海公衆衛生学会学術大会
    • Place of Presentation
      掛川市徳育保健センター(静岡県)
    • Year and Date
      2013-07-20
    • Related Report
      2013 Final Research Report
  • [Presentation] 関節リウマチ寛解基準としてのPatient Reported Outcome―信頼性と妥当性の検証2013

    • Author(s)
      小嶋雅代、小嶋俊久、石黒直樹、荒井健介、辻村尚子、藤田ひとみ、鈴木貞夫
    • Organizer
      第23回日本疫学会学術総会
    • Place of Presentation
      大阪大学(大阪市)
    • Year and Date
      2013-01-24
    • Related Report
      2013 Final Research Report
  • [Presentation] 運動器心身医療(ロコモサイコソマ) 関節リウマチ患者の痛みとメンタルヘルスに関する疫学的検討2013

    • Author(s)
      小嶋 雅代
    • Organizer
      第18回日本心療内科学会学術大会
    • Place of Presentation
      愛知産業労働センター(名古屋市)
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 関節リウマチ患者のメンタルヘルスとコミュニケーション2013

    • Author(s)
      小嶋 雅代
    • Organizer
      第35回東三河リウマチ研究会
    • Place of Presentation
      ホテルアソシア豊橋(愛知県)
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 関節リウマチ寛解基準としてのPatient Reported Outcome-信頼性と妥当性の検証2013

    • Author(s)
      小嶋 雅代
    • Organizer
      第23回日本疫学会
    • Place of Presentation
      大阪大学(大阪市)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 長期罹患者はリウマチ治療の変化をどのように感じているかフォーカスグループによる質的研究2012

    • Author(s)
      小嶋雅代, 肥田武, 鈴木貞夫
    • Organizer
      第58回東海公衆衛生学会学術大会
    • Place of Presentation
      三重県立看護大学(三重県)
    • Year and Date
      2012-07-21
    • Related Report
      2013 Final Research Report
  • [Presentation] リウマチ専門医の職務遂行プロセスの構造的理解医師に対するフォーカスグループの探索的分析から2012

    • Author(s)
      肥田武, 小嶋雅代, 鈴木貞夫
    • Organizer
      第58回東海公衆衛生学会学術大会
    • Place of Presentation
      三重県立看護大学(三重県)
    • Year and Date
      2012-07-21
    • Related Report
      2013 Final Research Report
  • [Presentation] 関節リウマチ患者の痛みとアレキシサイミア、ソーシャルサポートの関連2012

    • Author(s)
      小嶋雅代、小嶋俊久、石黒直樹、荒井健介、辻村尚子、藤田ひとみ、鈴木貞夫
    • Organizer
      第22回日本疫学会学術総会
    • Place of Presentation
      学術総合センター(東京都)
    • Year and Date
      2012-01-28
    • Related Report
      2013 Final Research Report 2011 Annual Research Report
  • [Presentation] 長期罹患者はリウマチ治療の変化をどのように感じているか フォーカスグループによる質的研究2012

    • Author(s)
      小嶋 雅代
    • Organizer
      第58回東海公衆衛生学会
    • Place of Presentation
      三重県立看護大学(津市)
    • Related Report
      2012 Annual Research Report
  • [Presentation] リウマチ専門医の職務遂行プロセスの構造的理解 医師に対するフォーカスグループの探索的分析から2012

    • Author(s)
      肥田 武
    • Organizer
      第58回東海公衆衛生学会
    • Place of Presentation
      三重県立看護大学(津市)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 女子大学生の飲酒行動と意識に関する調査2011

    • Author(s)
      小嶋雅代, 上村義季, 永谷照男, 今枝奈保美, 辻村尚子, 荒井健介, 藤田ひとみ, 細野晃弘, 鈴木貞夫
    • Organizer
      第70回日本公衆衛生学会総会
    • Place of Presentation
      秋田アトリオン(秋田県)
    • Year and Date
      2011-10-20
    • Related Report
      2013 Final Research Report 2011 Annual Research Report
  • [Presentation] Alexithymia, Depression, Inflammation and Pain in Rheumatoid Arthritis Patients2011

    • Author(s)
      Masayo Kojima, Toshihisa Kojima, Sadao Suzuki, Naoki Ishiguro
    • Organizer
      The 21st World Congress of Psychosomatic Medicine
    • Place of Presentation
      National Museum of Korea (Seoul, Korea)
    • Year and Date
      2011-08-26
    • Related Report
      2013 Final Research Report
  • [Presentation] Alexithymia, Depression, Inflammation and Pain in Rheumatoid Arthritis Patients2011

    • Author(s)
      Masayo Kojima, Toshihisa Kojima, Sadao Suzuki, Naoki Ishiguro
    • Organizer
      The 21^<st> World Congress of Psychosomatic Medicine
    • Place of Presentation
      National Museum of Korea (Seoul, Korea)
    • Year and Date
      2011-08-26
    • Related Report
      2011 Annual Research Report
  • [Presentation] Alexithymia as a Risk Factor for Long-term Mortality; an Epidemiological Study2011

    • Author(s)
      Masayo Kojima
    • Organizer
      The 21st World Congress of Psychosomatic Medicine
    • Place of Presentation
      National Museum of Korea (Seoul, Korea)
    • Year and Date
      2011-08-24
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] Alexithymia as a Risk Factor for Long-term Mortality ; an Epidemiological Study2011

    • Author(s)
      Masayo Kojima
    • Organizer
      The 21^<st> World Congress of Psychosomatic Medicine
    • Place of Presentation
      National Museum of Korea (Seoul, Korea)(招待講演)
    • Year and Date
      2011-08-24
    • Related Report
      2011 Annual Research Report
  • [Presentation] 関節リウマチ患者の身体的・心理的QOL-7年間の変化-2011

    • Author(s)
      小嶋雅代, 小嶋俊久, 石黒直樹, 鈴木貞夫
    • Organizer
      第21回日本疫学会学術総会
    • Place of Presentation
      かでる2.7 (北海道立道民活動センター,札幌市)
    • Year and Date
      2011-01-21
    • Related Report
      2013 Final Research Report
  • [Presentation] 関節リウマチ患者の身体的・心理的QOL-7年間の変化-2011

    • Author(s)
      小嶋雅代, 小嶋俊久, 石黒直樹, 鈴木貞夫
    • Organizer
      第21回日本疫学会学術総会
    • Place of Presentation
      かでる2.7(北海道立道民活動センター, 札幌市)
    • Year and Date
      2011-01-21
    • Related Report
      2010 Annual Research Report
  • [Presentation] Factor structure of the Japanese SF-36 Health Survey in patients with chronic diseases2010

    • Author(s)
      小嶋雅代, 小嶋俊久, 石黒直樹, 早野順一郎, 鈴木貞夫
    • Organizer
      国際疫学会西太平洋地域学術会議兼第20回日本疫学会学術総会
    • Place of Presentation
      埼玉県立大学(埼玉県)
    • Year and Date
      2010-01-09
    • Related Report
      2013 Final Research Report
  • [Presentation] Factor structure of the Japanese SF-36 Health Survey in patients with chronic diseases2010

    • Author(s)
      小嶋雅代, 小嶋俊久, 石黒直樹, 早野順一郎, 鈴木貞夫
    • Organizer
      国際疫学会西太平洋地域学術会議兼第20回日本疫学会学術総会
    • Place of Presentation
      埼玉
    • Year and Date
      2010-01-09
    • Related Report
      2009 Annual Research Report
  • [Remarks]

    • URL

      http://www.med.nagoya-cu.ac.jp/kouei.dir/rheumatoidtop.html

    • Related Report
      2013 Final Research Report
  • [Remarks] 関節リウマチ患者と医師のコミュニケーションに関する調査

    • URL

      http://www.med.nagoya-cu.ac.jp/kouei.dir/rheumatoidtop.html

    • Related Report
      2013 Annual Research Report
  • [Remarks] 関節リウマチ患者と医師のコミュニケーションに関する調査 小嶋 雅代

    • URL

      http://www.med.nagoya-cu.ac.jp/kouei.dir/rheumatoidtop.html

    • Related Report
      2012 Annual Research Report
  • [Remarks]

    • URL

      http://reswww.cc.nagoya-cu.ac.jp/rd/search/researcher/30326136/index-j.html

    • Related Report
      2011 Annual Research Report

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Published: 2009-04-01   Modified: 2019-07-29  

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