地域精神保健の研究に求められるアウトカムとは?~当事者・家族・専門職など多様な立場と24の重要領域を特定~

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2025-05-16 東京科学大学

地域精神保健の研究に求められるアウトカムとは?~当事者・家族・専門職など多様な立場と24の重要領域を特定~

東京科学大学と国立精神・神経医療研究センターの研究チームは、地域精神保健研究における成果指標(アウトカム)として、当事者・家族・専門職など多様な立場から重要とされる24の領域を明らかにした。デルファイ調査を通じて、医療的評価よりも、自己決定、社会的つながり、生活満足度など個人の生活の質を重視する傾向が示された。本研究は日本初の包括的アウトカム特定事例であり、今後の地域精神保健研究の基盤的指標となることが期待される。

<関連情報>

複数の利害関係者の合意による地域精神保健研究のための優先アウトカムドメインの開発: 日本におけるオンライン・デルファイ研究 Development of Priority Outcome Domains for Community Mental Health Research via Consensus Among Multiple Stakeholders: Online Delphi Study in Japan

Takuma Shiozawa, Sosei Yamaguchi, Momoka Igarashi, Makoto Ogawa, Makiko Abe, Naonori Yasuma, Takayuki Kawaguchi, Chiyo Fujii
International Journal of Mental Health Nursing  Published: 14 May 2025
DOI:https://doi.org/10.1111/inm.70049

ABSTRACT

Several core outcome sets (COS) have been developed in the field of mental health; however, the specific outcome domains that should be prioritised in community mental health research remain unclear. This study aimed to identify the key outcome domains for community mental health research in Japan, as determined by multiple stakeholders. First, a comprehensive list of outcome domains was compiled by scoping reviews, focus group interviews, and web-based questionnaire surveys. This was followed by two rounds of preliminary surveys with multiple stakeholders. Finally, three rounds of a web-based Delphi survey were conducted to determine the most important outcome domains of community mental health research in Japan. A total of 96 outcome domains were evaluated by 297 participants, with a response rate of 93.6%. This study identified 24 outcome domains that are essential for community mental health research in Japan. These 24 domains, which reached a consensus, included aspects related to comprehensive symptom assessment and personal recovery. Given that community care serves patients with diverse illnesses, identifying outcome domains that are broadly applicable across different community care settings rather than being limited to specific conditions is critical for future research. The study also highlights differences in perspectives among stakeholders regarding the importance of various outcomes. Despite these differences, several outcome domains have been recognised as being significantly important in the overall consensus.

Trial Registration: University Hospital Medical Information Network (UMIN) Clinical Trials Registry: UMIN000044680.

医療・健康
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