2020 Fiscal Year Final Research Report

Development and evaluation of integrated Web support tool that promotes positive coping and <lifeonstruction of HIV-positive people

Research Project

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Project/Area Number	17H02168
Research Category	Grant-in-Aid for Scientific Research (B)
Allocation Type	Single-year Grants
Section	一般
Research Field	Applied health science
Research Institution	Juntendo University (2020) National Cancer Center Japan (2018-2019) The Open University of Japan (2017)
Principal Investigator	INOUE YOJI 順天堂大学, 医療看護学研究科, 特任教授 (60375623)
Co-Investigator(Kenkyū-buntansha)	戸ヶ里泰典放送大学, 教養学部, 教授 (20509525) 関由起子埼玉大学, 教育学部, 教授 (30342687) 若林チヒロ埼玉県立大学, 保健医療福祉学部, 教授 (40315718) 米倉佑貴聖路加国際大学, 大学院看護学研究科, 助教 (50583845) 片倉直子神戸市看護大学, 看護学部, 教授 (60400818) 細川陸也京都大学, 医学研究科, 講師 (70735464)
Project Period (FY)	2017-04-01 – 2021-03-31
Keywords	健康情報 / ヘルスリテラシー / ウェブ情報 / スティグマ / 感染症
Outline of Final Research Achievements	In this study, we aimed to support the health and QOL of HIV-positive people who tend to be isolated by utilizing integrated Web support tools. In the first year, she conducted a secondary analysis of the existing large-scale survey data for HIV-positive individuals and a case review of patient support using the Web in Japan and abroad. In the second year, we designed and developed a Web support tool based on the analysis results. However, it took time to correct the strategy because the U=U evidence was announced. U=U means, if the viral load is below the detection limit for more than half a year, sexually transmitted infections to others will not occur. In the 3rd year, the Web support tools was made public and a survey was conducted for HIV-positive persons, and in the 4th year, it was evaluated.
Free Research Field	健康社会学
Academic Significance and Societal Importance of the Research Achievements	HIV 陽性者は HIV 関連スティグマのために孤立しがちであり、地域の対面支援サービスを活用しにくい。肯定的対処につながる姿勢を獲得できる機会を対面とは異なるサービス形態で提供しなければ、彼らの安定した＜生＞の再構築や QOL 向上は実現しにくい。HIV陽性者など疾患を抱えつつ社会的に孤立しがちな人々へ、多彩なICTコンテンツを統合した形での Web 支援ツールを企画・開発し提供し利用してもらうことは、直接的な対面サービスを超えて＜生＞の再構築と QOL 向上促進効果に通じる重要な資源となりうることが今回示された。ただし不十分な点もあるため、今後の発展に引き続き取り組んでいきたい。