2021 Fiscal Year Final Research Report
Program development for promoting adherence to ADHD treatment using fNIRS
| Project/Area Number |
18K17330
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| Research Category |
Grant-in-Aid for Early-Career Scientists
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| Allocation Type | Multi-year Fund |
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| Review Section |
Basic Section 58010:Medical management and medical sociology-related
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| Research Institution | Jichi Medical University |
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Principal Investigator |
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| Project Period (FY) |
2018-04-01 – 2022-03-31
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| Keywords | ADHD / 光トポグラフィー / アドヒアランス |
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| Outline of Final Research Achievements |
As research results, a feedback system was established at the Jichi Medical University Children's Medical Center and the International University of Health and Welfare, a joint research institute, showing changes in neural response before and after subject recruitment, fNIRS testing, and treatment for ADHD. In addition, we evaluated patients' and family members' understanding of ADHD using a questionnaire. The results showed that more than half of the 10 ADHD patients did not know the name of the drug they were taking, did not take the drug voluntarily, and did not feel the effect of taking the drug. In order to provide feedback, a psychological testing system was established to verify the subjects' intellectual abilities.
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| Free Research Field |
神経発達症
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| Academic Significance and Societal Importance of the Research Achievements |
ADHDでは治療効果の客観的な判定基準がないため、特に小児の患者においては、患者本人が効果を自覚しないことで内服に対するアドヒアランスが低下しやすかった。fNIRS検査は客観的に治療効果を判断できるため、患者及び家族が治療効果を判断しやすく、アドヒアランスの向上に貢献すると考えられる。今回の研究により、検査結果のフィードバック体制を整え、今後、実際の症例においてフィードバックを行うことができる。
また、患者のADHD理解度の評価により、理解度が症例により異なること、知的能力により評価やフィードバック方法を変える必要性があることが判明し、今後の効果的な疾患や治療効果の説明方法の開発が期待される。
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