2023 Fiscal Year Final Research Report
Development of easy-to-understand decision aid checklists to support 'complex decision-making'
| Project/Area Number |
20K21729
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| Research Category |
Grant-in-Aid for Challenging Research (Exploratory)
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| Allocation Type | Multi-year Fund |
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| Review Section |
Medium-sized Section 58:Society medicine, nursing, and related fields
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| Research Institution | St. Luke's International University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
米倉 佑貴 聖路加国際大学, 大学院看護学研究科, 准教授 (50583845)
大坂 和可子 慶應義塾大学, 看護医療学部(信濃町), 准教授 (70322344)
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| Project Period (FY) |
2020-07-30 – 2024-03-31
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| Keywords | ディシジョン・エイド / 意思決定支援 / 意思決定ガイド / ヘルスコミュニケーション / エビデンス / ナラティブ |
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| Outline of Final Research Achievements |
Decision aids, which are tools to support patient-centred decision making are widely used in developed countries. In this study, a checklist of 'easy-to-understand decision aid guides' was developed to make 'complex decision-making', in which there is insufficient evidence and high uncertainty about the pros (benefits) and cons (risks) of treatment, easier for patients to understand. The selected items included the use of universal design fonts, colour design, use of different text sets, effective placement of illustrations, and the presentation of numerical information. Consistency with the theoretical framework of the decision guide was verified, and items were categorised according to the International Patients Decision Aids Standard instrument (IPDASi). It can be used as a measure to support decision-making by presenting patients' preferences in a manner that is easy to understand.
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| Free Research Field |
看護情報学
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| Academic Significance and Societal Importance of the Research Achievements |
「複雑な意思決定」の支援のためのディシジョンエイドの普及には、患者や市民にわかりやすく理解しやすいものである必要があるだけでなく、医療者にとっても臨床場面で実際に使いやすいものである必要がある。本研究では、治療やケアの選択肢の長所(利益)・短所(リスク)の情報と自分の価値観を結び付ける作業を、よりシンプルで、親しみやすく、わかりやすい方法でできるようにするために必要な要件を探り、チェックリストを開発した。開発されたチェックリストを用いたディシジョンエイドを普及させることができれば、看護師による意思決定支援の標準化に大きく貢献する可能性がある。
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