Survey for clinical behavior of maladaptive users of psychiatric day-care

2017 Fiscal Year Final Research Report

• Project/Area Number: 15K15178
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Multi-year Fund
• Research Field: Medical sociology
• Research Institution: University of Tokyo Health Sciences
• Principal Investigator: UEHARA EIICHIRO 東京医療学院大学, 保健医療学部, 講師 (00645327)
• Research Collaborator: OKAMOTO Erika 東京福祉専門学校, 作業療法士・専任教員 ; KAWAMURA Yuuki 一橋大学, 大学院 社会学研究科, 研究員 ; MIZUNO Takamasa 帝京平成大学, 作業療法士・准教授 ; CHIJIIWA Tomoko 浜松医科大学, 看護師・准教授 ; NAKAMURA Tomomi 宗近病院, 精神科デイケア, 看護師 ; HIRATA Ayako 村井病院, デイケア, 作業療法士 ; SINNO Ayaka まるいクリニック, 精神保健福祉士 ; HORIE Michitaka すずかけクリニック, 精神保健福祉士・臨床心理士 ; SATOMURA Keiko 東京医療学院大学, 作業療法士・教授 ; YAMAGUCHI Yoshifumi 東京医療学院大学, 作業療法士・教授 ; UCHIDA Tatuji 東京医療学院大学, 作業療法士・講師
• Project Period (FY): 2015-04-01 – 2018-03-31
• Keywords: 精神科デイケア / ＷＥＢモニタ / ＷＥＢチャット / 因子分析 / 適応評価 / 医療中断 / ＭＲＯＣ / 地域リハビリテーション

Outline of Final Research Achievements

Some users of psychiatric day-care (DC) may discontinue the use of such service, but a direct survey of such behavior can be ethically problematic, and the results are a mere conjecture. In the present study, we used a web monitoring to contact with users who have discontinued to find view points that may lead to a decrease in such discontinuation.
We extracted 12,168 DC users through screening of registrants for web monitoring. Then, we talked with 46 DC users through web chatting and performed a qualitative analysis of factors for discontinuation. We finally obtained responses from 376 users after a 71-item 5-point web questionnaire, which converged into 36 items of 5 factors (exchange among members, program adaptability, support by staff members, self stability, satisfaction with a facility), suggesting that items in our questionnaire can distinguish possible discontinuation of health care.

Free Research Field

精神科デイケア