| Project/Area Number |
24830126
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| Research Category |
Grant-in-Aid for Research Activity Start-up
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| Allocation Type | Single-year Grants |
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| Research Field |
Clinical psychology
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| Research Institution | National Center of Neurology and Psychiatry |
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Principal Investigator |
YOSHIDA Saran 独立行政法人国立がん研究センター, がん対策情報センター, 心理療法士 (70636331)
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| Project Period (FY) |
2012-08-31 – 2014-03-31
|
| Project Status |
Completed (Fiscal Year 2013)
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| Budget Amount *help |
¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
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| Keywords | 小児がん / 家族 / 心理社会的支援 / コミュニケーション |
|---|
| Research Abstract |
Many family members of intractable pediatric cancer patients have support needs around End-of-life discussions (EOLd).
We found 23 barriers against EOLd with pediatric cancer patients. These barriers were classified as follows: healthcare provider factors, patient factors, parent factors, and institutional or cultural factors. In addition to barriers found in previous studies, some unique barriers were uncovered such as, "Uncertain responsibility for treatment decision-making," and "No compelling reason to discuss," "Inability of patients to comprehend terminal condition." Healthcare providers actively discussed the purpose of treatment and the patients' wishes and concerns; however, they were reluctant to deal with the patients' own impending death and their estimated prognosis.
The result of this study will contribute to better EOLd.
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