1.Issues and Improvements in the Management of Multicenter Research as Discovered Through the Practice of Clinical Research Coordinator (CRC)
Akiko KUWABARA ; Shin TAKAYAMA ; Ryutaro ARITA ; Rie ONO ; Natsumi SAITO ; Satoko SUZUKI ; Yoshiyasu MURAKAMI ; Minoru OHSAWA ; Akiko KIKUCHI ; Tadashi ISHII
Kampo Medicine 2025;76(1):35-45
Tohoku University Hospital served as the research office for two projects of Kampo medicine treatment: an observational study and a randomized controlled study on Coronavirus Disease 2019 led by the Japanese Society for Oriental Medicine. We review the practical operations together with the results of a questionnaire survey conducted after the completion of the studies, and discuss issues and areas for improvement in the management of the multicenter research office. Questionnaire 1 surveyed the participants’ impressions and opinions of the implementation system and responses at the research-sharing facilities, as well as future issues. Comments on observational studies were dichotomized into “no particular problems” and “difficulties.” In the randomized controlled trial, most respondents answered, “It was difficult to understand the administrative procedures for specific clinical research.” Questionnaire 2 surveyed the status of clinical research support staff, their impressions and opinions of being entrusted with the work, and future issues. We were able to collect opinions about impressions, issues, and areas for improvement from a variety of perspectives. Looking back at the summary of the questionnaire survey and the practical experience, smooth promotion of research is expected through appropriate research planning and system construction, as well as improvement of research support skills.
2.Development and Validation of The Questionnaire for Assessing Qi-blood-fluid Patterns for Pre-graduate Kampo Medicine Education
Ryutaro ARITA ; Tetsuharu KAMIYA ; Soichiro KANEKO ; Akiko KIKUCHI ; Minoru OHSAWA ; Natsumi SAITO ; Yoshiyasu MURAKAMI ; Satoko SUZUKI ; Rie ONO ; Shinichi NAGATA ; Shin TAKAYAMA ; Tadashi ISHII
Kampo Medicine 2024;75(2):152-167
Some simulation-based education tools have been introduced in Kampo medicine. However, there are only a few brief simulation tools to learn qi-blood-fluid (QBF) patterns of traditional Chinese medicine (TCM). In this study, we developed a self-diagnostic questionnaire that allows students learn TCM interviews and QBF patterns by answering the questionnaire and evaluated its reliability and validity. We extracted questionnaire items to classify six QBF patterns (qi deficiency, blood deficiency, yin deficiency, qi stagnation, blood stasis, and phlegm-fluid retention) based on some textbooks of TCM and Kampo medicine. Then we developed an initial questionnaire comprising 35 items. Fifth year medical students at Tohoku University School of Medicine answered the questionnaire of small group teaching during 2017-2020. We evaluated the accuracy of the questionnaire if compared with the diagnosis of academic supervisors. To improve the accuracy, we adjusted the questionnaire’s thresholds and created a predictive model of the patterns using logistic regression analysis. The questionnaire’s sensitivity improved by adjusting the thresholds. Logistic regression analysis resulted in a predictive model that could determine QBF patterns with the same level of accuracy as the original for 20 items overall. The results suggest that the use of a simple questionnaire with ensured accuracy may contribute to better pre-graduate education by making it easier for students to understand their own Kampo medicine patterns.


Result Analysis
Print
Save
E-mail