Research to develop guidelines for assessing the ability to consent in clinical research involving the elderly

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K10358
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58010:Medical management and medical sociology-related
• Research Institution: Fujita Health University
• Principal Investigator: Wakinosono Mari 藤田医科大学, 橋渡し研究シーズ探索センター, 助教 (60773843)
• Project Period (FY): 2020-04-01 – 2023-03-31
• Keywords: インフォームド・コンセント / 同意能力 / 同意能力評価 / 高齢者 / 研究倫理

Outline of Final Research Achievements

Throughout the study period, with the cooperation of Professor Haruka Murai (Nihon Pharmaceutical University), we conducted a literature review and discussions based on the results, with the aim of understanding what tools and methods have been used to assess the ability to consent of the elderly in Japan, and to identify future issues. The results of the literature review and discussions revealed that there are many situations in which staff members devise ways to reflect the subject's wishes on a case-by-case basis, without necessarily using standardized tools, etc. These results were presented at various conferences and published in the academic journal. In presenting at conferences and writing papers, we received advice from experts in various fields, including dementia and medical policy.

Free Research Field

研究倫理

Academic Significance and Societal Importance of the Research Achievements

日本の医療や介護現場で実際に高齢者と接する医療・介護従事者がアクセスしやすい日本語文献における、同意能力評価ツールの現状が明らかになり、今後の実践的ツールを開発する基礎となる点で学術的意義がある。高齢化が年々進むわが国において、高齢者の意思を、医療・介護、そして日常の中でいかに尊重するかは大きな課題である。その中で、同意の場に関わるスタッフが実際に役立てることのできるツールとしては、日本語で、日本の日常に沿ったものであることが望ましい。本研究は、そのようなツール開発に結びつく基礎的な研究となる点で、社会的意義がある。