Effectiveness of Family Participatory Advance Care Planning Training for Residents Using Community Resources

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K10962
• 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: Saitama Prefectural University
• Principal Investigator: NISHIDA-YAMAGUCHI NOBUKO (山口乃生子) 埼玉県立大学, 保健医療福祉学部, 教授 (70381431)
• Project Period (FY): 2020-04-01 – 2023-03-31
• Keywords: Advance Care Planning / 計画的行動理論 / 家族参加型ACP研修会 / エンド・オブ・ライフケア

Outline of Final Research Achievements

This study was to develop and measure the effectiveness of a family participatory advance care planning (ACP) training program for residents that
uses community resources. The training program was based on the results of a survey of residents conducted in Saitama Prefecture. The training sessions were evaluated using quantitative data before and after the training and qualitative data after the training. Study participants' satisfaction with and understanding of the training program were high, and the percentages related to experience of discussion with family members, selection of substitute decision makers, and understanding of ACP were higher after the training compared to before the
training. The interview findings showed that there was a change in the increased awareness of the need for discussion after the training. This training program can be evaluated as an effective program to create the soil for ACP.

Free Research Field

成人看護学　国際保健　エンド・オブ・ライフケア

Academic Significance and Societal Importance of the Research Achievements

埼玉県内において実施した住民調査の結果を踏まえ、地域資源を活用した家族参加型ACP研修会を実施した。その結果、研究参加者の研修への満足度や理解度は高く、ACPへの理解や周囲からの期待に応えようとする主観的規範が高まることが明らかとなり、それは配偶者間や親子間参加者に特徴的な結果となった。特に、医療従事者や重要他者と話し合う機会を持つことで、「もしも」の時の医療・ケアに関する希望や思いを共有する機会となり、話し合いの意欲を高める可能性が示唆されたことで、一定の効果が得られたと考える。今後は、対象者の健康段階や時間経過に応じて継続的に支援するプログラム開発や長期的な縦断的評価が必要である。