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Nudging people with Type 2 diabetes towards sustained adherence to self-management: a cluster randomized controlled trial

研究課題

研究課題/領域番号 20K18934
研究種目

若手研究

配分区分基金
審査区分 小区分58030:衛生学および公衆衛生学分野関連:実験系を含まない
研究機関一橋大学

研究代表者

Rouyard Thomas  一橋大学, 社会科学高等研究院, HIAS客員研究員 (40859542)

研究期間 (年度) 2020-04-01 – 2025-03-31
研究課題ステータス 交付 (2023年度)
配分額 *注記
4,030千円 (直接経費: 3,100千円、間接経費: 930千円)
2021年度: 1,430千円 (直接経費: 1,100千円、間接経費: 330千円)
2020年度: 2,600千円 (直接経費: 2,000千円、間接経費: 600千円)
キーワードtype 2 diabetes / self-management / behavioural intervention / risk communication / heart age / primary care / cluster randomised trial / nudge / shared decision-making
研究開始時の研究の概要

This study will explore the effects of using an innovative risk communication tool developed to help physicians better communicate diabetes-related risks during routine consultation. The impact on patients' risk perceptions, doctor-patient communication, and risk management will be assessed.

研究実績の概要

In 2023, our primary focus has been on recruiting the requisite number of participants to fulfill the sample size requirements outlined in our study protocol. Unfortunately, we did not meet our target. While our study protocol stipulates the need for 264 participants to detect clinically meaningful differences across groups, we were only able to enroll approximately half of that number. This shortfall occurred despite extensive recruitment efforts across numerous clinical sites throughout Japan. Consequently, we are unable to proceed with the FEEDBACK study as initially planned.

現在までの達成度 (区分)
現在までの達成度 (区分)

4: 遅れている

理由

Despite the dedicated efforts of our clinical team to recruit participants across multiple clinical sites in Japan, we have been unable to enroll a sufficient number of participants to meet the sample size requirements outlined in our study protocol. Consequently, we are unable to proceed with the FEEDBACK study as planned. This unfortunate outcome highlights the significant challenges associated with conducting primary care research in Japan, including limited physician engagement due to multiple factors such as the scarcity of general practitioners with formal research training, coupled with the lack of standardized practice units and incentives for research participation.

今後の研究の推進方策

We believe that documenting and sharing our experiences in a forthcoming paper, which we aim to publish in a peer-reviewed journal with a large international audience, will provide valuable insights for policymakers and relevant stakeholders. These insights will inform strategies to facilitate and support future primary care research endeavors in Japan and beyond.

報告書

(4件)
  • 2023 実施状況報告書
  • 2022 実施状況報告書
  • 2021 実施状況報告書
  • 2020 実施状況報告書
  • 研究成果

    (5件)

すべて 2023 2022 2020 その他

すべて 国際共同研究 (2件) 雑誌論文 (2件) (うち国際共著 2件、 査読あり 2件、 オープンアクセス 2件) 学会発表 (1件) (うち国際学会 1件)

  • [国際共同研究] National University of Singapore(シンガポール)

    • 関連する報告書
      2021 実施状況報告書
  • [国際共同研究] National University of Singapore(シンガポール)

    • 関連する報告書
      2020 実施状況報告書
  • [雑誌論文] Fukushima study for Engaging people with type 2 Diabetes in Behaviour Associated Change (FEEDBACK): study protocol for a cluster randomised controlled trial2023

    • 著者名/発表者名
      Rouyard T, Endo M, Nakamura R, Moriyama M, Stanyon M, Kanke S, Nakamura K, Chen C, Hara Y, Ii M, Kassai R
    • 雑誌名

      Trials

      巻: 24 号: 1 ページ: 1-15

    • DOI

      10.1186/s13063-023-07345-6

    • 関連する報告書
      2022 実施状況報告書
    • 査読あり / オープンアクセス / 国際共著
  • [雑誌論文] Boosting healthier choices2022

    • 著者名/発表者名
      Rouyard, T., Engelen, B., Papanikitas, A., & Nakamura, R.
    • 雑誌名

      BMJ : British Medical Journal

      巻: 376 ページ: e064225-e064225

    • DOI

      10.1136/bmj-2021-064225

    • 関連する報告書
      2021 実施状況報告書
    • 査読あり / オープンアクセス / 国際共著
  • [学会発表] Development of an intuitive risk communication tool to motivate self-management in type 2 diabetes populations2020

    • 著者名/発表者名
      Thomas Rouyard
    • 学会等名
      CBC Conference 2020, Centre for Behaviour Change, University College London, London, UK
    • 関連する報告書
      2020 実施状況報告書
    • 国際学会

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公開日: 2020-04-28   更新日: 2024-12-25  

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