Effectiveness Verification and Recommendations for Standardization of the 'Decision Aid for Selecting Discharge Destinations' for Clinical Implementation

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K11244
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58080:Gerontological nursing and community health nursing-related
• Research Institution: University of Toyama
• Principal Investigator: Aoki Yoriko 富山大学, 学術研究部医学系, 助教 (40533477)
• Co-Investigator(Kenkyū-buntansha): 中山 和弘 聖路加国際大学, 大学院看護学研究科, 教授 (50222170) ; 米倉 佑貴 聖路加国際大学, 大学院看護学研究科, 准教授 (50583845)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 意思決定ガイド / Decision aid / 意思決定支援 / ランダム化比較試験 / 高齢者 / 脳卒中

Outline of Final Research Achievements

A randomized controlled trial evaluated the influence of decision aid (DA) on matching older stroke patients and their families' values concerning decisional conflict and participation in discharge destination decisions. Participants were randomly allocated to intervention and control groups. DA was provided to the intervention group, and brochures to the control group. The primary endpoint was decisional conflict, while the secondary endpoints assessed the decision-making roles and participation rate. Ninety-nine participants (intervention group n=51; control group n=48) were included in the full analysis set. No significant group differences were found in decisional conflict and decision-making roles scores. However, a significant group difference was found in the participation rate [t (99) = 2.24, p = 0.03, d = 0.45].

Free Research Field

老年看護学

Academic Significance and Societal Importance of the Research Achievements

開発した意思決定ガイドが、高齢脳卒中患者の退院先選択時の意思決定の葛藤や参加にどのような効果があるのかを検証することによって、高齢脳卒中患者と家族の価値観を基盤とした信頼性と妥当性のある初めての意思決定支援ツールの誕生と標準化が期待される。これにより、全国一律した意思決定支援の実現と高齢脳卒中患者と家族が不安や葛藤なく、意思決定の場に参加することができる。