Qualitative research targeting improved accuracy in medication adherence evaluation scales within child psychiatry

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K10948
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Nagasaki University
• Principal Investigator: NAGAE Masaharu 長崎大学, 医歯薬学総合研究科(保健学科), 准教授 (50452842)
• Co-Investigator(Kenkyū-buntansha): 徳永 瑛子 長崎大学, 医歯薬学総合研究科(保健学科), 助教 (10710436) ; 花田 裕子 長崎大学, 医歯薬学総合研究科(保健学科), 教授 (80274744)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: アドヒアランス / 児童精神科 / 薬物療法

Outline of Final Research Achievements

Drawing from data collected from 15 participants engaged in an intervention program, this study delineates factors influencing changes in children's attitudes toward medication adherence, particularly among those diagnosed with ADHD and undergoing outpatient medication therapy. Four distinct factors emerged: collaboration with family members, collaboration with doctors, collaboration with peers, and experience of self-directedness when taking medication. Moreover, a survey of 183 children undergoing medication therapy, alongside their parents, across 42 after-school daycare facilities highlighted collaboration with family members as a key factor in assessing attitude toward medication (CAQ). Collaboration with family members and doctors emerged as a key factor influencing awareness of medication impact (CAQ).

Free Research Field

精神看護学

Academic Significance and Societal Importance of the Research Achievements

向精神薬による薬物療法を受けている子どもたちが、その後も適切な治療を継続していけるようになるためには、子ども本人の服薬アドヒアランスを高く維持できるような支援を行う必要がある。本研究による成果は、子どものアドヒアランスに影響を与える要因についてより詳細な要因が明らかになったとともに、薬物療法に対する子どもの主体性を重視したChild Adherence Questionnaire (CAQ)の精度向上に寄与することで、より効果的な介入の開発に貢献する。