Developing systematic advance care planning program E-Field for Japanese patients faced life-threatening condition.

• Project/Area Number: 25460886
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: General internal medicine(including psychosomatic medicine)
• Research Institution: Kobe University
• Principal Investigator: Kizawa Yoshiyuki 神戸大学, 医学(系)研究科(研究院), 教授 (80289181)
• Project Period (FY): 2013-04-01 – 2016-03-31
• Project Status: Completed (Fiscal Year 2015)
• Budget Amount: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000); Fiscal Year 2015: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2014: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000); Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
• Keywords: アドバンス・ケア・プランニング / 意思決定 / 緩和ケア / 終末期医療 / 医学教育 / コミュニケーション / アドバンスディレクティブ / アドバンスケアプランニング

Outline of Final Research Achievements

We developed and confirmed its feasibility of the systematic advance care planning program namely E-Field for the patients and families who faced life-threatening condition. We discussed 561 cases in this 2years and ask them to fill out the questionnaire after ACP discussion.　Approximately 90% of respondent thought ACP discussion was useful for decision making. On the other hand, 10% of respondent think it was not useful or was harmful.
We confirmed the feasibility of the E-field program which was novel original program for advance care planning among Japanese people. Further intervention study is needed to confirm improvement of clinical outcome and good death.

Research Products

• [Journal Article] Assessing medical decision making capacity among cancer patients: Preliminary clinical experience of using a competency assessment instrument. (2015)
  • Author(s): Akechi T, Kizawa Y.
  • Journal Title: Palliat Support Care. Volume: 13 Issue: 2 Pages: 1529-1533
  • DOI: 10.1016/j.jpainsymman.2015.02.025
  • Acknowledgement Compliant
• [Journal Article] 包括的アセスメント これからのことを話し合う アドバンス・ケア・プランニング (2015)
  • Author(s): 木澤 義之, 山口 崇,
  • Journal Title: ペインクリニック Volume: 36
• [Journal Article] アドバンス・ケア・プランニング "もしもの時"に備え、"人生の終わり"について話し合いを始める (2015)
  • Author(s): 木澤 義之
  • Journal Title: ホスピスケアと在宅ケア Volume: 23 Pages: 49-62
• [Journal Article] 【現場で活用できる意思決定支援のわざ】 アドバンス・ケア・プランニングと意思決定支援を行うためのコツ (2015)
  • Author(s): 木澤 義之
  • Journal Title: 緩和ケア Volume: 25 Pages: 174-177
• [Journal Article] Outcome evaluation of the Palliative care Emphasis program on symptom management and Assessment for Continuous Medical Education: nationwide physician education project for primary palliative care in Japan (2015)
  • Author(s): Yamamoto R, Kizawa Y, Nakazawa Y, Ohde S, Tetsumi S, Miyashita M.
  • Journal Title: Journal of Palliative Medicine Volume: 18 Issue: 1 Pages: 45-49
  • DOI: 10.1089/jpm.2014.0122
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Palliative care physicians' practices and attitudes regarding advance care planning in palliative care units in Japan: a nationwide survey. (2014)
  • Author(s): Nakazawa K, Kizawa Y, Maeno T, Takayashiki A, Abe Y, Hamano J, Maeno T
  • Journal Title: American Journal of Hospice and Palliative Medicine Volume: 31 Issue: 7 Pages: 699-709
  • DOI: 10.1177/1049909113507328
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Assessing medical decision making capacity among cancer patients : Preliminary clinical experience of using a competency assessment instrument (2013)
  • Author(s): Akechi T, et al
  • Journal Title: Palliat Support Care Volume: 1-5(Epub ahead of print) Issue: 6 Pages: 232-240
  • DOI: 10.1017/s1478951513000588
  • Peer Reviewed
• [Journal Article] Palliative Care Physicians' Practices and Attitudes Regarding Advance Care Planning in Palliative Care Units in Japan: A Nationwide Survey. (2013)
  • Author(s): Nakazawa K, Kizawa Y, Maeno T, Takayashiki A, Abe Y, Hamano J, Maeno T.
  • Journal Title: Am J Hosp Palliat Care. Volume: Epub ahead of print
  • Peer Reviewed
• [Journal Article] Advance directives and do-not-resuscitate orders among patients with terminal cancer in palliative care units in Japan: a nationwide survey. (2013)
  • Author(s): Kizawa Y, Tsuneto S, Hamano J, Nagaoka H, Maeno T, Shima Y.
  • Journal Title: Am J Hosp Palliat Care. Volume: 30 Issue: 7 Pages: 664-669
  • DOI: 10.1177/1049909112462860
  • Peer Reviewed
• [Book] 看護実践にいかすエンド・オブ・ライフケア (2014)
  • Author(s): 阿部泰之、木澤義之. 長江弘子編．
  • Total Pages: 192
  • Publisher: 日本看護協会出版会