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Development of a Decision aid for Patients to Achieve Informed Values-Based Choice.

Research Project

Project/Area Number 25670928
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Fundamental nursing
Research InstitutionSt. Luke's International University

Principal Investigator

NAKAYAMA KAZUHIRO  聖路加国際大学, 看護学部, 教授 (50222170)

Research Collaborator OSAKA Wakako  
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2014: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
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
Outline of Final Research Achievements

We aimed to develop and evaluate a decision aid (DA) to achieve informed values-based choice. We focused on surgery choices in women with early-stage breast cancer, because this choice is a preference sensitive decision. We developed a patient DA. The process for developing the DA as follows, 1)Assessed decisional needs of 10 women with breast cancer, 2)Development of a prototype DA, 3)Assessed acceptability of a prototype DA of 14 women who had surgery, 4)Reviewed by one breast cancer surgeon and nurses. Effect of patient decision aids with narratives was studied in breast cancer surgery. The result showed the DA reduce postoperative decisional conflict in Japanese women with early-stage breast cancer.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (6 results)

All 2016 2015 2014 Other

All Journal Article (2 results) Presentation (3 results) Remarks (1 results)

  • [Journal Article] column 患者の意思決定を支援する医療② エビデンスとナラティブに基づいた医療2014

    • Author(s)
      中山和弘
    • Journal Title

      SMBC日興証券「医師のための経営情報」

      Volume: 6 Pages: 2-3

    • Related Report
      2014 Research-status Report
  • [Journal Article] column 患者の意思決定を支援する医療③ 医療における患者の意思決定支援の方法2014

    • Author(s)
      中山和弘
    • Journal Title

      SMBC日興証券「医師のための経営情報」

      Volume: 7 Pages: 2-3

    • Related Report
      2014 Research-status Report
  • [Presentation] 乳がん患者の術式選択に伴う意思決定葛藤に対する体験者ナラティブを活用した意思決定ガイドの効果:ランダム化比較試験2016

    • Author(s)
      大坂和可子,中山和弘
    • Organizer
      第30 回日本がん看護学会学術集会
    • Place of Presentation
      幕張市
    • Year and Date
      2016-02-20
    • Related Report
      2015 Annual Research Report
  • [Presentation] 術式選択に悩む乳がん患者を支援する体験者のナラティブを活用した意思決定ガイドの開発2015

    • Author(s)
      大坂和可子,中山和弘
    • Organizer
      第35回日本看護科学学会学術集会
    • Place of Presentation
      広島市
    • Year and Date
      2015-12-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] Usefulness of Personal Stories in Women’s Decision‐Making for Breast Cancer Treatment: Qualitative Study2014

    • Author(s)
      Osaka Wakako, Nakayama Kazuhiro
    • Organizer
      EACH International conference on communication in healthcare
    • Place of Presentation
      Amsterdam, Netherlands
    • Year and Date
      2014-09-28 – 2014-10-01
    • Related Report
      2014 Research-status Report
  • [Remarks] 健康を決める力

    • URL

      http://www.healthliteracy.jp/

    • Related Report
      2015 Annual Research Report

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Published: 2014-07-25   Modified: 2019-07-29  

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